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71.
The role of emotion in the relationship between traumatic experiences and physical pain was examined via path modeling by using a sample of hospital outpatients (N = 138). Most of the participants reported being traumatized (77%) and experiencing chronic pain (69%). Trauma survivors and nontraumatized individuals did not differ significantly on mean symptom scale scores (i.e., depression, anxiety, anger, dissociation, somatization and pain). However, a moderate effect size was found for dissociation. There were also significant associations found between trauma levels and levels of adult symptomatology. Interestingly, sexual abuse was less highly correlated with symptomatology than other types of traumatization, such as neglect. None of the three proposed path models describing the relationship between trauma, pain, and emotion fit the data successfully. Implications are discussed. 相似文献
72.
Meredith C Taslaq S Mayet J Henry J 《The American journal of forensic medicine and pathology》2005,26(2):117-120
Each year, reports occur of deaths in individuals, while struggling against physical restraint. The mechanism of these deaths remains unclear. This study aimed to determine the effect of wrist restraint on cardiorespiratory function during maximal exercise. Twelve healthy volunteers underwent 3 incremental maximal exercise tests on a cycle ergometer. In a randomized order, they exercised while unrestrained, with the wrists tied in front of the body or wrists tied behind the back. The primary outcome measures were the number of minutes exercised in each position and heart rate and whole blood lactate level for each stage and on reaching maximum exercise capacity. The mean exercise duration was 19 minutes 6 seconds unrestrained (95% confidence interval [CI] 16 minutes 52 seconds to 20 minutes 57 seconds), 18 minutes 51 seconds (95% CI 17 minutes 51 seconds to 20 minutes 50 seconds) with arms restrained in front and 16 minutes 51 seconds (95% CI 14 minutes 6 seconds to 19 minutes 20 seconds) with the arms restrained behind the body (P = 0.16). There was no significant difference in heart rate or lactate measurements. It is probable that other factors make a more important contribution than wrist restraint behind the body to cardiorespiratory compromise in a struggling and fatigued individual. 相似文献
73.
Joseph Fredericks--one of Canada's most notorious sex offenders--was defined through the institutions that dealt with him from his infancy to his death to the inquest held after his death. In this paper, we locate in historical context and compare the different narratives that were constructed of his life in each of these institutional settings from unwanted child to 'mental defective' to psychiatric offender to criminal recidivist to victim to iconic sexual predator. We show that each of these narratives claimed to capture the essence of Fredericks in terms of what were his core characteristics and what remedies were necessary for the problems he posed only to be superseded by new narratives based on different assumptions. Finally, we show how one of these conceptions of Frederick's essence influenced a shift in Canadian public policy for sex offenders toward the greater emphasis on community protection characteristic of public policy in the United States. 相似文献
74.
Carolyn?Johnstoncarolyn.johnston@kcl.ac.uk" title="c.johnston@kingston.ac.uk carolyn.johnston@kcl.ac.uk" itemprop="email" data-track="click" data-track-action="Email author" data-track-label="">Email author 《Liverpool Law Review》2005,26(2):189-203
This paper considers advance decision-making in the context of healthcare. The common law recognition of advance decisions is contrasted with new statutory provision. This paper will examine the Mental Capacity Act 2005 framework for advance decisions and lasting powers of attorney. The ‚best interests’ test and substituted judgment as criteria for proxy decision-making are compared by application to a case example. The paper examines the statutory safeguards in respect of refusals of ‚life-sustaining treatment’ and postulates that these safeguards may render respect for autonomous advance decision-making difficult to achieve in practice. 相似文献
75.
76.
Integrated Deliberation: Reconciling Civil Society's Dual Role in Deliberative Democracy 总被引:2,自引:0,他引:2
Carolyn M. Hendriks 《Political studies》2006,54(3):486-508
Among the growing literature on deliberative democracy there are two diverging streams of thought, each implying a different role for civil society. Micro deliberative theorists, with their focus on the procedural conditions for structured fora, encourage civil society to engage in collaborative practices, usually with the state. In contrast, macro deliberative democrats, who are interested in the messy and informal deliberation in the public sphere, advocate that civil society should work discursively outside and against the state. This article explores some of the implications of these conflicting roles, taking into account two observations from deliberative practice: first, that all micro deliberative fora are surrounded and impacted by their macro discursive context, and second, that some actors in civil society are more willing and capable of deliberating than others. To conceive of deliberative democracy as an entirely micro or macro enterprise is not only unrealistic, but potentially exclusive. The article advocates for a more viable and inclusive deliberative theory; one that integrates all kinds of deliberation from the micro to the macro. To this end, public deliberation is best conceptualised as an activity occurring in a range of discursive spheres that collectively engage a diversity of civil society actors. 相似文献
77.
Changes in funding, clientele, and treatment practices of public and privately owned substance abuse treatment programs, compelled in part by increased cost containment pressures, have prompted researchers' investigations of the implications of organizational form for treatment programs. These studies primarily probe associations between ownership status, patient characteristics, and services delivered and do not empirically link organizational form or structure to treatment outcomes. Data from the National Treatment Improvement Evaluation Study (NTIES) were used to study the relationship of ownership and other dimensions of publicness identified in the public management literature to patient outcomes, controlling for patient characteristics, treatment experiences, and other program characteristics. A few effects of organizational form and structure on substance abuse treatment outcomes are statistically significant (primarily improved social functioning), although the specific contributions of measures of ownership and publicness to explaining program-level variation are generally small. 相似文献
78.
Carolyn M. Shaw 《拉美政治与社会》2003,45(3):59-92
Although powerful states have the ability to dominate the international system to achieve their policy preferences, such dominance has limits in the Organization of American States. Even though the United States, its most powerful member state, has considerable influence over OAS actions, institutional factors also affect decisionmaking and produce more varied outcomes than one might anticipate. Adapting three different perspectives from organizational sociology, this study constructs an analytical framework to explore the impact of structural, normative, internal relational, and environmental factors on the level of U.S. influence in the OAS. Four hypotheses are tested on 30 cases of regional conflict management from 1948 to 2002. The organizational variables also reveal incentives for the United States to act multilaterally rather than unilaterally in most instances in the post-Cold War era. 相似文献
79.
Olson James M. Hafer Carolyn L. Couzens April Kramins Inese 《Social Justice Research》2000,13(4):361-374
Two experiments compared public and private reports of affective reactions to deprivation. In Experiment 1, participants completed a questionnaire concerning their resentment about poor marks in a course; they had previously been led to believe that another participant was either angry or not angry about his/her marks. Participants' ratings of resentment were more affected by the other participant's alleged emotions in a public than in a private reporting condition. In Experiment 2, employed adults completed a questionnaire concerning their affective reactions to the lack of day care facilities available for working parents; they had previously been led to believe that the experimenter was either upset or not upset about the facilities. When respondents' answers were public, their ratings of resentment were affected by the experimenter's alleged emotions, whereas under conditions of private responding, there was no effect of the experimenter's alleged emotions. Taken together, these experiments provide initial evidence that self-presentation motives can influence reports of affective reactions to deprivation. In particular, our data show that self-presentation can induce a matching strategy whereby public expressions of resentment mirror the expressions of salient others. Two experiments compared public and private reports of affective reactions to deprivation. In Experiment 1, participants completed a questionnaire concerning their resentment about poor marks in a course; they had previously been led to believe that another participant was either angry or not angry about his/her marks. Participants' ratings of resentment were more affected by the other participant's alleged emotions in a public than in a private reporting condition. In Experiment 2, employed adults completed a questionnaire concerning their affective reactions to the lack of day care facilities available for working parents; they had previously been led to believe that the experimenter was either upset or not upset about the facilities. When respondents' answers were public, their ratings of resentment were affected by the experimenter's alleged emotions, whereas under conditions of private responding, there was no effect of the experimenter's alleged emotions. Taken together, these experiments provide initial evidence that self-presentation motives can influence reports of affective reactions to deprivation. In particular, our data show that self-presentation can induce a matching strategy whereby public expressions of resentment mirror the expressions of salient others. 相似文献
80.
Hafer Carolyn L. Busseri Michael A. Rubel Alicia N. Drolet Caroline E. Cherrington Jennifer N. 《Social Justice Research》2020,33(1):1-17
Social Justice Research - Drawing on justice motive theory (Lerner et al. in Berkowitz and Walster (eds) Advances in experimental social psychology. Academic Press, New York, 1976), in the present... 相似文献