This paper is the result of our increasing interest in the experience of illness in families and the concomitant reflections on how best to therapeutically support these families through this process. This interest led us to reflect on the nuanced way in which language establishes a play with the experience of illness, a play that can amplify or reduce its effects. Such an interplay in turn led us to consider the valuable role that family therapists have in helping families and treating practitioners to create a safe space for conversation about illness. Further questions are also explored in relation to whether there is a role for family therapists in facilitating the interface between our clinical practice with clients and the wider treating medical community. And, if so, what shape would such an interface take? Considerations at this level would include the anticipation of psychological reactions to diagnosis of chronic and life‐threatening illnesses, in particular the importance of ‘normalisation’ of the psychological reactions to such chronic and/or life threatening diagnoses; the complex dynamics emerging from the interface between the effects of illness in the subjectivity of the ill person and the grief experienced by the other family members; different family members’ narratives of the illness; relevant community contexts; and, lastly, ways to help the family members and/or the ill person navigate the medical system including the use of second opinions, cyberspace information, and other systems in their ecology, such as the spiritual dimension. Some aspects of children's narratives of illness are also identified. The paper has been organised around the dialogue that the authors had around one of their clinical cases. 相似文献
A capitalist market economy is based on several institutional elements, such as private ownership and competition. Does public support for this economic model rise if the economy prospers, and fall during a downturn? Or is public support largely independent of the ups and downs of economic cycles? We hypothesize that positive economic performance increases support and that persons profiting personally are more supportive of the economic system's constitutive institutional elements. Using multilevel regression we study the determinants of individual-level support for the economic system. We also test for differences in the perception of economic performance due to political attitudes and personal properties. The findings partly support the hypotheses, indicating that macro-economic factors matter for individual-level attitudes towards the economy. Attitudes towards different institutional elements of the economic system also differ in the degree to which they are political or economic, and influenced by economic performance. Individual features – education and personal economic stakes – affect attitudes towards the economy, but a substantial share of the individual-level variation in economic attitudes remains unexplained. 相似文献
Over the past five years the Artificial Intelligence Center at SRI has been developing a new technology to address the problem of automated information management within real- world contexts. The result of this work is a body of techniques for automated reasoning from evidence that we call evidential reasoning. The techniques are based upon the mathematics of belief functions developed by Dempster and Shafer and have been successfully applied to a variety of problems including computer vision, multisensor integration, and intelligence analysis.
We have developed both a formal basis and a framework for implementating automated reasoning systems based upon these techniques. Both the formal and practical approach can be divided into four parts: (1) specifying a set of distinct propositional spaces, (2) specifying the interrelationships among these spaces, (3) representing bodies of evidence as belief distributions, and (4) establishing paths of the bodies for evidence to move through these spaces by means of evidential operations, eventually converging on spaces where the target questions can be answered. These steps specify a means for arguing from multiple bodies of evidence toward a particular (probabilistic) conclusion. Argument construction is the process by which such evidential analyses are constructed and is the analogue of constructing proof trees in a logical context.
This technology features the ability to reason from uncertain, incomplete, and occasionally inaccurate information based upon seven evidential operations: fusion, discounting, translation, projection, summarization, interpretation, and gisting. These operation are theoretically sound but have intuitive appeal as well.
In implementing this formal approach, we have found that evidential arguments can be represented as graphs. To support the construction, modification, and interrogation of evidential arguments, we have developed Gister. Gister provides an interactive, menu-driven, graphical interface that allows these graphical structures to be easily manipulated.
Our goal is to provide effective automated aids to domain experts for argument construction. Gister represents our first attempt at such an aid. 相似文献