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In contrast to Shaw and Pye, Wileman and Wileman argue that women are not powerless to influence positive change in relationships involving domestic violence. A balance of power can be attained by many women, without increasing the risk of retaliatory abuse, providing the authors' guidelines are observed. It is time to acknowledge and validate the rights and wishes of the many women victims who want their relationships to survive and the violence to stop.  相似文献   
2.
The use of different measures of similarity between observed vectors for the purposes of classifying or clustering them has been expanding dramatically in recent years. One result of this expansion has been the use of many new similarity measures, designed for the purpose of satisfying various criteria. A noteworthy application involves estimating the relationships between genes using microarray experimental data. We consider the class of ‘correlation-type’ similarity measures. The use of these new measures of similarity suggest that the whole problem needs to be formulated in statistical terms to clarify their relative benefits. Pursuant to this need, we define, for each given observed vector, a baseline representing the ‘true’ value common to each of the component observations. These ‘true’ values are taken to be parameters. We define the ‘true correlation’ between each two observed vectors as the average (over the distribution of the observations for given baseline parameters) of Pearson's correlation with sample means replaced by the corresponding baseline parameters. Estimators of this true correlation are assessed using their mean squared error (MSE). Proper Bayes estimators of this true correlation, being based on the predictive posterior distribution of the data, are both difficult to calculate/analyze and highly non robust. By constrast, empirical Bayes estimators are: (i) close to their Bayesian counterparts; (ii) easy to analyze; and (iii) strongly robust. For these reasons, we employ empirical Bayes estimators of correlation in place of their Bayesian counterparts. We show how to construct two different kinds of simultaneous Bayes correlation estimators: the first assumes no apriori correlation between baseline parameters; the second assumes a common unknown correlation between them. Estimators of the latter type frequently have significantly smaller MSE than those of the former type which, in turn, frequently have significantly smaller MSE than their Pearson estimator counterparts. For purposes of illustrating our results, we examine the problem of inferring the relationships between gene expression level vectors, in the context of observing microarray experimental data.  相似文献   
3.

Background

Perinatal audits in the Netherlands showed that stillbirth was nearly always preceded by a period of reduced fetal movements. Patient or caregiver delay was identified as a substandard care factor.

Aim

To determine whether the use of a new information brochure for pregnant women on fetal movements results in less patient delay in contacting their maternity caregiver.

Methods

A pre- and post-survey cohort study in the Netherlands, including 140 women in maternity care with a singleton pregnancy, expecting their first child. All participating women filled out a baseline questionnaire, Cambridge Worry Scale and pre-test questionnaire at the gestational age of 22–24 weeks. Subsequently, the intervention group received a newly developed information brochure on fetal movements. At a gestational age of 28 weeks, all women received the post-test questionnaire. Multiple regression analyses were used.

Findings

Per-protocol analysis showed less patient delay in the intervention group compared to the control group (Odds Ratio 0.43; 95% Confidence Interval 0.17–0.86, p = 0.02). A significant linear relation was observed between reading the information brochure and an increase of knowledge about fetal movements (B = 1.2, 95% Confidence Interval 1.0–1.4, p < 0.001). Maternal concerns did not affect patient delay to report reduced fetal movements.

Conclusion

Use of an information brochure regarding fetal movements has the potential to reduce patient delay and increase knowledge about reduced fetal movements. A national survey to determine the effect of an information brochure about reduced fetal movements on patient delay and stillbirth rates is needed.  相似文献   
4.
Kim Halford has conducted major research on the determinants of relationship satisfaction and stability, and how to promote healthy couple relationships both through relationship education for currently well‐functioning couples, and through couple therapy for distressed couples. Kim is Professor of Clinical Psychology at Griffith University, and Director, Queensland Cancer Fund, Griffith University Cancer Support Centre. He is the author of Brief Couple Therapy: Helping Partners Help Themselves; Australian Couples in Millennium Three: A Research and Development Agenda for Marriage and Relationship Education, co‐author of Clinical Handbook of Marriage and Couples Interventions; Report to the Australian Psychological Society on the Status and Future Directions of Health Psychology in Australia; Couple CARE: The Couple Commitment and Relationship Enhancement Program, Couple Guidebook (in press). He is also author or co‐author of over 90 book chapters, journal articles and audiovisual productions.  相似文献   
5.
A highly intelligent psychopath is not easily identified, and counsellors can fall victim to their manipulations unless aware of the characteristics by which psychopaths can be identified and to the feelings and sensations that they provoke. When working individually with clients, engaging other family members may be a necessary safeguard against clinical manipulation and its undesirable consequences.  相似文献   
6.
The deterministic ideology of political correctness which sanctions particular interventions permissible to use in domestic violence situations has not only thwarted creativity in the therapeutic field and ignored the interactional aspects of these complex relationships and the inherent opportunities for positive change, but has placed many women victims in danger unnecessarily. It is time to challenge simplistic models of domestic violence and develop feminist‐sensitive multiple approaches to this serious and complex social problem.  相似文献   
7.
Women's powerlessness to effect change in their partner's violence has been promoted in the literature. This has led to a downgrading in therapeutic responses to domestic violence and an over-reliance on legalistic remedies. However, many victims of domestic violence assert often that they want their relationships to survive and the violence to stop. Others may wish to leave their partners but find this too difficult. This paper describes a therapeutic/educational group program which set out to identify how women can become empowered and effect positive change in their partner's violent behaviour. The balancing of power was based upon the application of a set of guidelines which were applied in conjunction with McDonald's (1989) Cycle of Violence, with cognisance given to perpetrator characteristics. This initiative broadens the range of services available to women and it questions the political correctness of current domestic violence public social policy.  相似文献   
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