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231.
This study compared the social adjustment and academic performance of 15 psychiatrically hospitalized children with depression to 14 children with schizophrenia spectrum disorders and 20 normal community children, ages 7–14. The relationship between children's interpersonal and academic competence and the quality of direct family interactions was also examined. Analyses revealed an association between children's adaptive functioning and both diagnostic status and family transactional processes, as assessed by two 10-minute conflict-solving tasks. Major findings were as follows: (a) depressed children and children with schizophrenia spectrum disorders received similarly low ratings of social competence in comparison to normal controls; (b) academic performance of depressed children was similar to normal controls and better than children with schizophrenia spectrum disorders; and (c) children with poorer social competence and more behavioral problems were more likely to have parents who showed negative affect during family problem-solving tasks. The implications of these results for understanding the relationship between psychiatric impairment and children's social and academic development were discussed.  相似文献   
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The authors outline the development and characteristics of the population of Tehuacan, Mexico, with a focus on the sixteenth to the eighteenth century. Data are mainly from records kept by the colonial military, supplemented by papers left by families then resident in the city.  相似文献   
234.
The phenomenon of infant homicide (infanticide) has been examined, explained, justified, and treated according to physiological, psychiatric, and psychological correlates. There has been little examination of the social correlates directly pertaining to infant homicide. However, social correlates are often indirectly addressed in the medical and psychiatric literature. This paper tests relationships between social correlates often asserted, but typically not tested, in the medical and psychiatric literature. Using a sample of 380 infant homicides in Texas from 1981 through 1991, a multivariate analysis between victim/offender relationship, cause of death, and victim's age at time of fatal injury, predicts the age at which an infant (34 months) is likely to be fatally injured. The findings support the following hypotheses: (1) as the age of the victim increases, the level of violence used to fatally injure the infant increases; and (2) as the level of relational intimacy decreases, the level of violence used to fatally injure the infant increases.  相似文献   
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Child and youth conduct problems are known to be a heterogeneous category that implies different factors and processes. The current study aims to analyze whether the early manifestation of psychopathic traits designates a group of children with severe, pervasive and persistent conduct problems. To this end, cluster analysis was conducted in a sample of 138 children (27.6?% female), aged 6–11 at the first wave of the study (T1) and 12–17 in a follow-up carried out 6?years later (T2). Results allowed the identification of four distinctive clusters: Primarily externalizing, Externalizing-psychopathic, Primarily psychopathic and Non-problematic. As was expected, the Externalizing-psychopathic cluster showed the most severe and persistent pattern of behavioral, temperamental and social disruptions across the 6?years of the study. Early psychopathic traits seemed also to be relevant in predicting higher levels of conduct problems in T2, even when conduct disorders had not manifested in T1. These results highlight the role of psychopathic traits in predicting adolescent psychosocial disorders and the relevance to analyze them at early developmental stages.  相似文献   
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This article examines the impact European Union (EU) policies have on internal migration in Poland. It argues that the EU indirectly through its cohesion funding and internal market policies creates push and pull incentives that affect internal migration. It focuses on the impact of three EU regulated factors: foreign direct investment, international migration, and EU funding. It contends that both foreign investment to a voivodeship as a result of the EU’s internal market policy, and EU funding to a voivodeship as a result of the EU’s cohesion policies, attracts internal migrants to that voivodeship and discourages residents from leaving. The article further argues that increasing international migration from a voivodeship as a result of the EUs labor policies decreases the incentive for internal migration. A cross-sectional time-series statistical analysis finds that higher levels of foreign investment and EU funding attract migrants to a voivodeship, while higher levels of international migration, FDI inflow, and EU funding decreases the incentive for residents of that voivodeship to relocate internally.  相似文献   
239.
Abstract: The case of Nova Scotia well illustrates the complexities involved in implementing a strategy of regionalization in health care. In 1996, under the leadership of Liberal Premier John Savage, thirty‐six local hospital boards were amalgamated into four regional health boards. By 2001, however, Conservative Premier John Hamm had expanded the four regions into nine district health authorities. Both measures were justified by explicit references to cost containment and greater accountability, even though the first took numerous units and amalgamated them, while the second took the few units and multiplied them. How can this seeming contradiction be explained, and what does it say about the nature of regionalization as a policy tool for health care? The authors find that neither cost containment nor citizen engagement can explain the system of regionalization which currently informs the health care system in Nova Scotia. Rather, the present form of regionalization exists because it is useful politically in two ways: it maintains the centralization of power that existed previous to the formal decentralization of health care; and it restores the system of representation that existed prior to the implementation of regionalization. The authors conclude that, to understand how regionalization has been implemented in any given jurisdiction, one must pay close attention to the political context in which strategies of regionalization have been executed. Sommaire: Le cas de la Nouvelle‐Écosse illustre bien les complexités inhérentes à la mise en œuvre d'une stratégie de régionalisation dans les soins de santé. En 1996, sous le leadership du Premier ministre libéral John Savage, 36 conseils d'hôpitaux locaux ont fusionné pour former quatre conseils de sante régionaux. En 2001, cependant, le Premier ministre conservateur John Hamm a élargi les quatre régions pour les transformer en neuf conseils de santé de district. Ces deux mesures ont été justifiées par des références explicites à la compression des coûts et à une plus grande imputabilité, même si la première a consistéà prendre de nombreuses unités et à les fusionner, tandis que la seconde a consistéà prendre quelques rares unités et à les multiplier. Comment peut‐on expliquer cette apparente contradiction, et qu'est‐ce que cela nous dit sur la nature de la régionalisation en tant qu'outil de politique en matière de soins de santé? Les auteurs trouvent que ni la compression des coûts, ni la participation des citoyens ne peuvent expliquer le système de régionalisation qui caractérise actuellement le système de soins de santé en Nouvelle‐Écosse. Au contraire, la forme actuelle de régionalisation existe parce qu'elle est politiquement utile de deux manières: elle maintient la centralisation du pouvoir qui existait avant la décentralisation officielle des soins de santé; et elle restaure, jusqu'à un certain point, le système de représentation qui existait avant la mise en œuvre de la régionalisation. Les auteurs concluent que, pour comprendre la manière dont la régionalisation a été mise en œuvre, il faut prêter une grande attention au contexte politique dans lequel ces stratégies de régionalisation ont étéélaborées.  相似文献   
240.
This article addresses the question of whether long-term supervised access is an appropriate solution when unsupervised access is unlikely to become possible in the future. The article assesses judicial decisions and theoretical commentary on this issue in light of the opinions and practices of service providers and in light of the best interest of the child standard. The opinions and practices of service providers were gleaned from published materials and from interviews with service providers at supervised access facilities in Vermont and New Hampshire and in Ontario, Canada. The supervised access facilities surveyed for this research were diverse in their practices and experiences but remarkably similar in their approach to long-term supervised access. Outside the scope of the research for this article was the question of whether the opinions and practices of the service providers at the facilities surveyed are representative, and this question requires further investigation .  相似文献   
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