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381.
382.
The authors present the case of a schizophrenic man treated in the setting of a supportive care clinic. The course of treatment from beginning to termination is illustrated by treatment vignettes and by excerpts from the patient's letters to the therapists. Case discussion centers around the handling of the classic schizophrenic conflict over intimacy versus isolation. The authors stress that the therapists must be acutely sensitive to the patient's need and ability to regulate his or her own emotional and therapeutic distance over the course of treatment. They make a case for utilizing this conceptual framework in the treatment of chronic psychiatric patients in supportive clinic settings.  相似文献   
383.
Research into short-term care services for children has largely concerned provision for disabled children and their families: a reflection of the greater development of services for disabled children than their non-disabled peers. This paper describes the range of services in the UK, identifies current gaps in provision as well as some of the factors that affect uptake and user satisfaction with services. It concludes with a summary of current issues of concern for practitioners and policy-makers, including the importance of making services more child-centred and attractive to a wider cross-section of families.  相似文献   
384.
Using data from a national probability sample of black and white females, this study focuses on racial differences and similarities in factors affecting levels of global perceived stress. Selected socio-demographic characteristics as well as satisfactions with the major domains of life — such as self, standard of living, health, family life, and leisure — are examined as predictors of global perceived stress. Generally, domain satisfactions are found to be stronger predictors of perceived stress than are socio-demographic characteristics. Moreover, no racial differences between black and white females are found when socio-demographic factors are controlled. However, a significant racial difference is encountered for one domain: satisfaction with leisure appears to be a stronger predictor of perceived stress for black females than it is for white females.  相似文献   
385.
The family is an open, living system. All open systems have characteristics of organization, control and energy. The family is an organized “whole” with defined boundaries, hierarchy, pattern of relationships, and inherent principles for growth and self-regulation, As a system of Interacting Individuals, it has reactive mechanisms for self-regulation and change in the form of positive and negative feedback loops. These act to maintain the homeastatic balance and permit change under limited conditions. The family, as an organization, is in an exchange relationship with its wider environment, This relationship permits energy and information (as energy) to be exchanged in a way that prevents disintegration and promotes growth and differentiation. Family Therapy uses Family Systems Theory as its primary theoretical framework in attempting to understand, explain and change dysfunctional family systems.  相似文献   
386.
Interagency coordination is a strategy for reducing trauma experienced by children during investigations of alleged sexual abuse. This report examines characteristics and outcomes of clients participating in three programs using the Children's Advocacy Model of interagency coordination. Implications for intervention with victims of child sexual abuse are discussed.  相似文献   
387.
This paper develops a multisector Computable General Equilibrium (CGE) model to simulate the effects of trade on the distribution of income among socioeconomic groups defined both by the factors of production they own and the sector in which they work. The categorization of recipients includes landless rural labor, land owners, workers in the urban traditional sector, and workers in the organized sector and capitalists. Experiments are conducted with an application to Columbia, a primary-exporting economy. The results indicate that, for such an economy, outward-looking policies with increased primary exports are likely to be more detrimental for the distribution of income in the medium term than inward-looking ones.  相似文献   
388.
The increasingreliability of some manufactured products has led to fewer observedfailures in reliability testing. Thus, useful inference on thedistribution of failure times is often not possible using traditionalsurvival analysis methods. Partly as a result of this difficulty,there has been increasing interest in inference from degradationmeasurements made on products prior to failure. In the degradationliterature inference is commonly based on large-sample theoryand, if the degradation path model is nonlinear, their implementationcan be complicated by the need for approximations. In this paperwe review existing methods and then describe a fully Bayesianapproach which allows approximation-free inference. We focuson predicting the failure time distribution of both future unitsand those that are currently under test. The methods are illustratedusing fatigue crack growth data.  相似文献   
389.
390.
Poverty cause attribution research has sporadically explored social stratification beliefs for over three decades with mixed results. Explanations given for why there are poor people in America may reveal much about underlying structured inequality legitimating mechanisms. Using multiple regression, one-way ANOVA, and frequency distribution analyses, I uncover a conservative-liberal continuum underlying American poverty cause attributions. Past explanations for the mostly mixed nature of American attributions toward poverty are questioned. I suggest a more simple and straightforward explanation: mixed attribution styles, situated on a conservative-liberal continuum, may arise from American's distinguishing between at least two groups of poor people—“deserving” and “undeserving”—suggesting policy and future research agendas.  相似文献   
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