AN ALGORITHM FOR THE CONSTRUCTION OF OPTIMAL OR NEAR-OPTIMAL CHANGE-OVER DESIGNS

This paper presents an algorithm for the construction of optimal or near optimal change-over designs for arbitrary numbers of treatments, periods and units. Previous research on optimality has been either theoretical or has resulted in limited tabulations of small optimal designs. The algorithm consists of a number of steps:first find an optimal direct treatment effects design, ignoring residual effects, and then optimise this class of designs with respect to residual effects. Poor designs are avoided by judicious application of the (M, S)-optimality criterion, and modifications of it, to appropriate matrices. The performance of the algorithm is illustrated by examples.     

Overcoming Barriers to Using Empirically Supported Therapies to Treat Childhood Anxiety Disorders in Social Work Practice

Anxiety disorders are among the most common psychiatric disorders in children and adolescents. Most empirically supported treatments (ESTs) for pediatric anxiety disorders include various cognitive-behavioral methods. Although demonstrated efficacious in controlled and clinic settings, there are barriers to implementing these types of therapies in social work settings due to beliefs about the usefulness of ESTs in community settings; limitations of treatment manuals; time constraints of implementing ESTs; fidelity and flexibility of implementing ESTs; and limited training opportunities. This article provides an overview of ESTs for childhood anxiety disorders, highlighting options for overcoming common barriers to implementing ESTs. Collaborative multi-method approaches to advance implementation of ESTs in social work practice are suggested.     

Impact of Race on the Implementation of Empirically Supported Treatments in Substance Abuse Treatment

The effort to address the gap between research and practice in substance abuse treatment has largely neglected the role of local resources and political trends. This study seeks to clarify the role of the local environment in implementing empirically supported treatments (ESTs). The study consisted of secondary data analysis of substance abuse treatment centers (N = 13,079) and U.S. Census data to determine the likelihood of using EST by substance abuse treatment centers in counties with 50% or more Black residents. Bivariate and multivariate models were employed. After controlling for various factors, results indicate that substance use disorder treatment agencies that accept federal funding are less likely to use ESTs if they are located in counties with predominantly (> 50%) Black residents. Implementation of ESTs could be influenced by community racial distribution (% Black), but environmental constraints and events might shift implementation patterns.     

An overview of evidence-based program registers (EBPRs) for behavioral health

Evaluations of behavioral health interventions have identified many that are potentially effective. However, clinicians and other decision makers typically lack the time and ability to effectively search and synthesize the relevant research literature. In response to this opportunity, and to increasing policy and funding pressures for the use of evidence-based practices, a number of “what works” websites have emerged to assist decision makers in selecting interventions with the highest probability of benefit. However, these registers as a whole are not well understood. This article, which represents phase one of a concurrent mixed methods study, presents a review of the scopes, structures, dissemination strategies, uses, and challenges faced by evidence-based registers in the behavioral health disciplines. The major findings of this study show that in general, registers of evidence-based practices are able, to a degree, to identify the most effective practices meet this need to a degree. However, much needs to be done to improve the ability of the registers to fully realize their purpose.     

Psychotherapy with Lesbian,Gay, Bisexual,and Transgender Older Adults

A small literature has addressed psychotherapy with lesbian, gay, bisexual, and transgender (LGBT) samples over the past two decades. Older adults have also been investigated in a growing number of psychotherapy research studies. However, psychotherapy specifically with LGBT older adults has not received adequate investigation. This review relies on converging lines of research to provide an integrated discussion of evidence-based psychological treatments (EBTs) with current research and clinical observations in the field of gerontology and suggests ways in which these topics can inform psychotherapy practice with LGBT older adults. We summarize current research on aging in several areas of practical interest to psychotherapists seeking to apply EBTs in their work with LGBT older adults. These areas include: adult development, coping, stigmatization, social context, and the effects of cohort membership. The results of these studies belie stereotypes regarding both the aging process, in general, and more specifically LGBT older adulthood, with significant implications for the practice of psychotherapy. EBTs are adaptable to a variety of issues encountered in later life by LGBT older adults, and these modifications to therapeutic technique are addressed throughout.     

无刑事责任能力精神病人的司法处遇

根据人道主义和刑事责任理论,犯罪的精神病人如果无刑事责任能力,不负刑事责任,不受刑事处罚。但是,精神病人犯罪有精神障碍方面的原因,如果不对其加以必要的治疗,消除或者控制他们犯罪的病理原因,他们有可能继续犯罪。因此,从社会防卫等角度出发,应当对有严重危险性的精神病人实施强制治疗。     

The Use of Reality Orientation in Adult Foster Care Homes:

The emphasis in recent years on providing long-term care in community-based alternatives to the institutional setting can help to facilitate the development of new and exciting opportunities for enrichment in the lives of individuals whose educational needs often go unmet. Reality orientation has been demonstrated to be an effective approach to the treatment and prevention of loss of memory, confusion, and disorientation among institutionalized adults. However, certain problems can arise that may limit the potential benefits of reality orientation programs in institutions. This paper explores the rationale for considering the use of reality orientation in one alternative living arrangement, the adult foster care home. The personalized, family-like environment of the adult foster care setting might help to minimize or even eliminate many of the problems that detract from reality orientation programs in larger institutions.     

从"教案"与"侮教案"看基督教和伊斯兰教在近现代中国的不同境遇

基督教和伊斯兰教在中国近现代史上有不同的境遇 :针对基督教的教案频频发生 ,针对伊斯兰教的侮教案引发多起风潮。考察教案和侮教案的表现、性质、后果和原因 ,我们可知 :宗教交流应坚持平等和相互尊重的原则 ,政府处理宗教问题应有正确的政策导向 ,民众对待宗教应有正确的心态 ,这对社会和宗教的稳定发展尤为重要     

Sweeping,alignment and the analysis of unbalanced data

The terms sweeping and alignment refer to the same process. Sweeping/alignment is used by data analysts as a technique for describing the effects of a model factor (e.g., treatments in a randomized block design) after the effects of nuisance parameters (e.g., blocks) have been removed from the data. In this paper sweeping/alignment is used as the basis for developing tests of factors in unbalanced experimental design models. Formulas are presented for treatment effects in randomized block designs with missing observations, and for interaction and main effects in unbalanced two-way factorial designs with empty cells.     

Buying and selling breasts: cosmetic surgery,beauty treatments and risk

This paper is concerned with the ways in which women are sold cosmetic surgery, and how they ‘make sense of’ their own participation in this market. It draws on ongoing ethnographic research to explore how a group of young women who have paid for breast augmentation surgery narrate their decision to undergo surgery, the choices they make as consumers of cosmetic surgery, and their experience of having surgery. These narratives are compared with the ways in which breast augmentation surgery is sold to them by the companies and medical professionals involved in the rapidly expanding market for breast augmentation surgery. The paper shows how this particular group of young white working‐class women shift between imagining the breast augmentation operation as a simple beauty treatment and recognizing it as medical surgery, and explores how this shapes their perceptions of the risks and benefits of buying new breasts. It also shows how those who market such procedures manage and manipulate perceptions of the process of breast augmentation surgery and the risks that attend on it in an effort to encourage this form of consumption.