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An abused child's use of sandplay in the healing process   总被引:1,自引:0,他引:1  
In 1939, Margaret Lowenfeld, a child psychiatrist in London, created a therapeutic medium with which children could freely communicate and express themselves. Through the influence of Jungian, Dora Kalff, and the Jungian theories she applied to it, this new technique spread throughout the United States, Europe, and Japan. Termed Sandplay by Kalff, it is recognized as a highly effective and creative modality used mostly in child therapy, but also in Jungian analysis with adults. As a sandplay therapist who specializes in sexual abuse treatment, I have experienced the healing power of sandplay in the treatment of traumatized children, especially those who were sexually abused. The focus of this article is on the inner world expression and process of a boy I call Adam, who was a participant in my doctoral dissertation study on sandplay with sexually abused children. The article describes Adam's twelve-tray sandplay process and the theories behind the assessments that I made, based on Jungian psychology, Kalffian sandplay theory, and previous research.  相似文献   
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The purpose of this study was to investigate the influences of age and gender on the driving patterns of 300 older adults. Odds of driving less than every day increased significantly with age and female gender. However, no differences were found in the reduction of overall driving. Females were more likely than men to have stopped or reduced driving under certain adverse conditions and for elective purposes. The driving patterns of today's cohort of older females suggest that the gender gap may be narrowing. Social and cultural issues such as security, safety, and identity with driving may explain existing gender differences.  相似文献   
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Abstract

Mental health providers at university counseling and health centers should be alert to the possibility that college students with previously unrecognized attention deficit hyperactivity disorder (ADHD) may present for initial evaluation at their centers. This study was a systematic chart review of 42 students at an Upper Midwest university who were diagnosed with ADHD during calendar year 1993. Diagnoses were made by the treating psychiatrist, who reviewed records for presenting problems; recent associated problems; previous evaluations as a child, adolescent, or adult; and associated problems in childhood. Presenting problems included ADHD symptoms, mood symptoms, nonspecific learning disability, and academic underachievement. Associated problems were depressive disorders, anxiety disorders, drug and alcohol abuse or both, dependency, legal problems, learning disabilities, and eating disorders. Thirty-three percent had been evaluated for academic or behavior problems as children, and 36% had sought previous psychological care for non-ADHD symptoms as adults. Thirty-one percent were presenting at the university health center for their first evaluation. Childhood histories showed educational underachievement, learning disabilities, and behavior problems.  相似文献   
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Concerns about the driving competence of older drivers have led to policy discussions about mandatory aged-based and disorder-based assessments. This study explored the attitudes, beliefs, and preferences of older adults, law enforcement officers, and licensing authorities toward reexamination of driving skills for persons with Alzheimer's disease (AD) and Parkinson's disease (PD) and at varying ages. With few exceptions, participants across all groups supported retesting drivers with AD. Moderate support was given for further evaluation of 90-year-olds and those with PD. Least endorsement was given for reassessment of 70-year-old drivers. Findings have implications for legislative changes to address drivers with AD and PD and at older ages.  相似文献   
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Using in‐depth interviews with 20 probation youth (60% female; 35% White; 30% Hispanic; mean age: 15 years, range = 13–17), their caregivers (100% female; mean age: 44 years, range = 34–71), and 12 female probation officers (100% White; mean age: 46 years, range = 34–57), we explored how family and probation systems exacerbate or mitigate sexual risk. We conducted thematic analyses of interviews, comparing narratives of families of sexually risky (n = 9) versus nonsexually risky (n = 11) youth. Family functioning differed by youth sexual risk behavior around quality of relationships, communication, and limit setting and monitoring. The involvement of families of sexually risky youth in probation positively influenced family functioning. Data suggest that these families are amenable to intervention and may benefit from family‐based HIV/STI interventions delivered in tandem with probation.  相似文献   
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Pension coverage in Argentina is inequitably distributed between different income levels, both during working years and during retirement. The objective of the article is to study the evolution of inequity in access to the Argentinian pension system in terms of its association with the socio‐economic status of individuals during the period 1994–2017. An evaluation is offered of how variables such as sex, age, and educational attainment influence such inequity. It is concluded that, although the level of average coverage increased, inequity in access increased significantly in the years following the 1994 reform, both among the active and the inactive population. However, inequity in access among active persons did not improve substantially with the return to the pay‐as‐you‐go pension system, while it was considerably reduced among the inactive population. While the former are found to be affected to a greater extent in terms of coverage as a result of the pro‐educated bias among the active population, the latter outcome is thought to be a direct result of the transitory plan (Pension Inclusion Plan) for pension inclusion, after which inequity was to resume its upward course.  相似文献   
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Peer-to-peer microfinance connects philanthropic citizens with poor entrepreneurs in the developing world, offering new ways to channel charitable contributions. Although the literature suggests that donors?? perceptions of effectiveness affect charitable giving, very little is known about what types of projects individuals perceive as more effective. Using data from Kiva.org, this article presents evidence on the relative popularity of competing development projects. We present estimates of the impact of publicly visible project characteristics on funding speed. Assuming that Kiva lenders are motivated by poverty alleviation, the results shed light on individual philanthropists?? perception of project effectiveness. Knowing this can help practitioners design fundraising strategies more effectively, especially for projects that are inherently less popular.  相似文献   
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In many parts of the world, classrooms are characterised by cultural and ethnic diversity. Increasingly, researchers are interested in exploring these rich and socially complex contexts. However, research into ‘the ethnic other’ can present complex ethical and methodological challenges. In this paper, the authors discuss, with reference to their respective studies in Australia and Scotland, their mission to give voice and agency to research participants and develop research relationships that reduce the power imbalance between researcher and researched. They conclude by suggesting that critical ethnographic research methods can assist in alleviating some of the difficulties inherent in research conducted in contexts where researchers are cultural outsiders. The authors also argue the need for protocols to be developed for research into ethnic minority communities.  相似文献   
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