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The relationship between physical abuse and family functioning was investigated in a comparative study of victims of adolescent physical abuse. The sample consisted of 99 physically abused adolescents and 99 nonabused adolescents who were administered the Parental Bonding Instrument (PBI) and Family Adaptability and Cohesion Evaluation Scale (FACES III). These measures assess family functioning in terms of adolescents' perception of their family's cohesiveness, flexibility, and the degree to which their parents provide care and protection. The relationship between family functioning and physical abuse, severity of abuse, and date of abuse onset was investigated. Abused adolescents perceived their families as significantly less adaptable, less cohesive, and less balanced than the comparison adolescents. Fathers and mothers of abused adolescents were viewed as less caring; abuse group fathers were also viewed as more overprotective. Family functioning was not different when childhood-onset abuse was compared to adolescent-onset abuse. Severity of abuse also did not differ in the childhood and adolescent onset groups. It was concluded that physically abused adolescents view their families as rigid, and their parents as emotionally unavailable. Treatment needs and intervention strategies for these families are outlined.  相似文献   
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The author of this Comment describes how recent federal legislation (P.L. 93-641, signed into law in January, 1975)--and improved scientific techniques for integrating (1) community medical needs assessment, (2) institutional budgeting linked to regional/state health plans, and (3) budget ceilings--have given the public new authority and technology to shape the nation's institutional health services. He urges administrators and trustees of health institutions--both proprietary and charitable--to become aware of recent developments in this area, and says that active consumer and provider participation in Health Systems Agencies and Statewide Coordinating Councils is necessary if the new federal expectations concerning health planning and regulation are to be met. Given the rising costs of medical care, stronger federal control might be forthcoming if the purposes of P.L. 93-641 are not achieved.  相似文献   
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The Greenbook Initiative has acted as a catalyst for change across the United States and globe. In this article, the authors discuss how the Greenbook has shaped the environment related to perpetrator accountability in child welfare, how a paradigm shift in work with fathers can advance domestic violence‐informed practice, and how a perpetrator pattern‐based approach, as exemplified by the Safe & Together Model, can help advance the vision of the Greenbook.  相似文献   
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National security decision-making is informed by intelligence assessments, which in turn depend on sound information evaluation. We critically examine information evaluation methods, arguing that they mask rather than effectively guide subjectivity in intelligence assessment. Drawing on the guidance metaphor, we propose that rigid ‘all-purpose’ information evaluation methods be replaced by flexible ‘context-sensitive’ guidelines aimed at improving the soundness, precision, accuracy and clarity of irreducibly subjective judgments. Specific guidelines, supported by empirical evidence, include use of numeric probability estimates to quantify the judged likelihood of information accuracy, promoting collector-analyst collaboration and periodic revaluation of information as new information is acquired.  相似文献   
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