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Shame remains largely a hidden phenomenon in the treatment of couples. It can manifest itself as a determining factor in events ranging from entrenched blaming to missed appointments. Although there is a growing body of literature on individual shame dynamics and, to a lesser extent, on couple and family shame dynamics, there is little written on how to incorporate these theories into treatment. This paper offers working definitions of shame, proposes a systemic definition of shame as seen in couples, reviews the literature on coule shame dynamics, and explores issues of therapeutic stance and treatment techniques in working with shame in couples therapy. 相似文献
23.
Economic analysis has begun to focus on the implications of transaction costs to trading in capital assets. Specifically, the economics of market making and the price of liquidity has received considerable attention. This paper formulates the market maker's bid-ask price decision as a semi-Markov decision process with the reward being a function of expected return and risk. Risk is intimately related to dealer inventory and hence the solution of the analysis specifies bid-ask price strategies which are inventory dependent. Numerical examples indicate the market maker's optimal bid-ask prices will tilt around the ‘assets’ equilibrium price to control inventory as well as influence expected profit. 相似文献
24.
D.A. Dawson 《Revue canadienne de statistique》1978,6(2):143-168
A stochastic calculus for a family of continuous measure-valued Markov processes is developed. Such processes arise naturally in the construction of stochastic models of spatially distributed populations. The stochastic calculus is a tool whereby a class of density-dependent models can be studied in terms of the multiplicative measure diffusion process. In this paper the stochastic integral is introduced in the space-time setting and a Cameron-Martin-Girsanov theorem is established. 相似文献
25.
Mutations in the DJ-1 gene are associated with rare forms of autosomal recessive early-onset Parkinson's disease (PD). Although the precise physiological function of DJ-1 remains obscure, accumulating evidence suggests that DJ-1 may normally function as a redox-sensitive molecular chaperone that can protect against the deleterious effects of oxidative stress, particularly in mitochondria. Recent studies in the fruit fly, Drosophila melanogaster, have shed further light on the biological role of DJ-1. DJ-1-deficient Drosophila models exhibit distinct phenotypes but collectively highlight a prominent neuroprotective role for DJ-1 against oxidative insult. However, Drosophila lacking DJ-1 do not consistently produce a useful PD-like phenotype (that is, they generally fail to exhibit degeneration of neurons that contain the neurotransmitter dopamine), which may reflect putative compensatory neuroprotective mechanisms. DJ-1-deficient fly models further highlight the utility of Drosophila as an important tool for elucidating protein function and for modeling neurodegenerative disease. 相似文献
26.
Reese DJ Raymer M Orloff SF Gerbino S Valade R Dawson S Butler C Wise-Wright M Huber R 《Journal of social work in end-of-life & palliative care》2006,2(2):65-95
This paper reports on the last of three National Hospice and Palliative Care Organization initiatives to move hospice and palliative care social workers into the patient/family outcomes arena: the development of the Social Work Assessment Tool. The experience of a team of practitioners and researchers is described, including results of two pilot studies and subsequent SWAT revisions. The major focus is on the current model performance improvement project, in which 19 social workers from 14 hospice and palliative care programs used the SWAT with 101 patients and 81 primary caregivers for a median of 44 days. Quantitative analysis indicated significant improvement in SWAT scores for patients from the first to the second social work visit (t = -2.60, df = 47, p .01). Qualitative interviewing of the social workers indicated some lack of readiness in the field to conduct quantitative outcomes measurement. Additional measures are needed in addition to the SWAT, including qualitative measures, and measures of mezzo and macro practice. Participants indicated that the SWAT was appropriate for use with economically and culturally diverse clients. 相似文献
27.
Demetrius A. Abshire Janessa M. Graves Robin M. Dawson 《Journal of American college health : J of ACH》2020,68(5):477-483
AbstractObjective: To examine rural-urban differences in college students’ cardiovascular risk perceptions. Participants: College students in rural (n?=?61) and urban (n?=?57) Kentucky counties were recruited from November 2012 to May 2014. Methods: This was a secondary data analysis of a cross-sectional study examining rural-urban differences in cardiovascular risk factors. Students rated their risk for developing high blood pressure, diabetes, high cholesterol, heart disease, having a stroke, and gaining excess weight. Chi-square and logistic regression were used for data analysis. Results: Rural students had lower odds of perceived high risk for developing high blood pressure compared to urban students (odds ratio (OR): 0.32, 95% CI: 0.11–0.96) after adjusting for race, sex, and body mass index. This association was not observed after adjusting for healthcare access variables. No other significant differences were observed. Conclusions: Efforts to raise perceived risk for developing hypertension among rural college students may be warranted. 相似文献
28.
Time series data are increasingly common in many areas of the health sciences, and in some instances, may have natural boundaries serving as performance guidelines or as thresholds associated with adverse outcomes. Such boundaries may be labeled as semi-reflective, in that the time series values have an increased chance of returning towards middle levels as the boundaries are approached, but boundaries can still be breached. In this paper we review a model that was previously proposed for such data and we investigate its statistical properties. Specifically, this model consists of a third-order auto-regressive projection component, parameterized as a constrained linear combination of linear, flat, and quadratic trends, and an error term that uses a logistic regression model for its sign. We describe and compare a previously-proposed estimation method with a modified version thereof, using computer simulations, as well as data examples from heart monitoring and from a driving simulator. We find that the two methods tend to give different results, with the modified technique having lower bias and more accurate confidence intervals than the previously-proposed method. 相似文献
29.
Rima Kaddoura Jocelyn DeJong Huda Zurayk Tamar Kabakian Christine Abbyad Fadi G. Mirza 《Women and birth : journal of the Australian College of Midwives》2019,32(2):e223-e228
Problem
There is lack of data on the rate of episiotomy in Lebanon and the study’s hospital.Background
Only a few studies have addressed episiotomy practice in Lebanon and the Middle East and they show varying rates.Aim
To identify the rate, and change in rate, of episiotomy practice over the years at a teaching hospital in Lebanon and to assess whether maternal age, parity, fetal weight, woman’s hospital admission class, and physician’s gender were associated with episiotomy. We also tested the association between episiotomy and postpartum hemorrhage and/or high degree perineal tears.Methods
A retrospective observational study was conducted on 1756 records for women having a normal vaginal birth at a single centre from January 2009 to January 2014.Findings
The rate of episiotomy at the hospital was very high, with 97.4% of women receiving an episiotomy in 2009. A major decrease in the rate was identified with a decline from 97.4% in 2009 to 73.3% in January 2014. Episiotomy was found to be associated with parity, maternal age, and with high degree perineal tears.Discussion
The episiotomy rate at this centre remains higher than the 10% rate recommended by the World Health Organization, although there has been a significant reduction after a call for restrictive rather than liberal use.Conclusion
Raising awareness among providers appeared to play a significant role in reducing this rate, although more efforts remain warranted. Other strategies – such as raising awareness of women about potential risks of episiotomy – are also worth exploring. 相似文献30.
Rose M. Perez Beverly Araujo Dawson Carola Suárez-Orozco 《Journal of Family Social Work》2013,16(5):429-445
Although the relationship between varying levels of acculturation and depressive symptoms has been established among Latino(a) youth, the positive role of family involvement in relation to depressive symptoms among immigrant Latino(a) families has been studied less. This study draws on a sample of first-generation Latino(a) youth from the Longitudinal Immigrant Student Adaptation Study and explores the relationship between acculturation levels and depressive symptoms, as well as the protective role of family involvement. Although results do not support a relationship between acculturation and depressive symptoms, family involvement was significantly associated with lower depressive symptoms while taking important sociodemographic variables into consideration. Research and practice implications with Latino(a) immigrant families are discussed. 相似文献