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This paper reconsiders the significance of the Emmanuel movement, a pre- Freudian psychotherapeutic system founded by Dr. Elwood Worcester as a method of church-sponsored healing. Its significance lies in three areas: (1) Historically, it was a popular effort by Protestant clergy to claim religious authority over psychological and psychosomatic ailments, a struggle that the medical profession eventually won almost completely. (2) The Emmanuel movement was an effort to combat the scientific materialism and medical somaticism of its time, including the excessive use of drugs. It aimed at greater individual control over emotional wellbeing through a self-help movement taught by religious leaders using some Christian ideas. Significant parallels can be found with present-day holistic health efforts. (3) Theoretically, Worcester's conception of the "person" is of interest as an effort to construct a nonreductionist view of the interactions of body, mind, and spirit. © 1984 Institutes of Religion and Health.
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Historically, social workers have been aware of the power of group resources and the importance of networking for their clients and for themselves as professionals. This article is the outgrowth of a collaboration paper presented by the authors at the Association of Baccalaureate Social Work Program Directors Annual Conference on September 22, 1986 in San Antonio, Texas. Four separate social work education programs within a state university system formed an informal collaborative association to address common concerns, develop strategies to enhance resources and to foster mutual support. The context, developmental process, barriers, activities, issues, outcomes and benefits of the collaborative association are described. © 1989 Taylor & Francis Group, LLC.
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This study examined the association among suicide attempts, parental alcoholism, psychopathology and drinking history in a sample of hospitalized alcoholics. Suicide attempters were found to have multiple psychiatric diagnoses (e.g., depression, antisocial personality disorder and substance abuse) and more severe psychiatric symptoms than nonattempters. Alcoholic suicide attempters also tended to have a parental history of alcoholism and began abusing alcohol at an early age. Alcohol abuse symptoms during the month before, and 6 month before, the current hospitalization were generally similar for suicide attempters and nonattempters. Clinical implications of the findings are discussed.
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The present study assessed the presence of testing effects arising from the repeated administration of both the Beck and Zung depression scales to a group of 60 inpatient alcoholics. Thirty-seven men and 23 women were randomly assigned to one of three groups and administered the depression scales on one, two or three occasions, in successive weeks of treatment. Although the between group comparisons of initial test administration did not indicate a true change in depression, a within group comparison of initial with subsequent test administrations indicated a clear improvement in depression scores on both scales. Apparently the result of the reactive effects of testing, the within group differences could easily mislead a researcher into believing depression was alleviated when in fact it was not. This sizeable testing effect has obvious implications for studies which repeatedly assess depression. © 1987 Medical Council on Alcoholism.
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This paper analyzes the sources of strain between the professions of medicine and social work. The two professions are compared in relation to (1) the organization and socialization process of professional training; (2) perspectives on patient care, illness and role of the health care professional; (3) attitudes toward knowledge and data; (4) attitudes toward and preparation for teamwork; (5) perspectives on the role of the patient; (6) perceptions of social work’s function. © 1985 Taylor & Francis Group, LLC.
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Genetic counselling represents a new and important health service, but little is known about how the clients of genetic clinics actually experience and view the genetic counselling process. This paper reports on the evaluations made by clients of a genetics clinic and their recommendations for ways to improve and expand this service. In their comments, clients stressed the need for more time and individual attention from genetic counsellors, additional follow-up and supportive counselling, and increased efforts to educate the general public about birth defects. Their recommendations are discussed in terms of the implications for developing and improving genetic counselling services.
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In three experiments, pigeons chose between two alternatives that differed in the probability of reinforcement and the delay to reinforcement. A peck at a red key led to a delay of 5 s and then a possible reinforcer. A peck at a green key led to an adjusting delay and then a certain reinforcer. This delay was adjusted over trials so as to estimate an indifference point, or a duration at which the two alternatives were chosen about equally often. In Experiments 1 and 2, the intertrial interval was varied across conditions, and these variations had no systematic effects on choice. In Experiment 3, the stimuli that followed a choice of the red key differed across conditions. In some conditions, a red houselight was presented for 5 s after each choice of the red key. In other conditions, the red houselight was present on reinforced trials but not on nonreinforced trials. Subjects exhibited greater preference for the red key in the latter case. The results were used to evaluate four different theories of probabilistic reinforcement. The results were most consistent with the view that the value or effectiveness of a probabilistic reinforcer is determined by the total time per reinforcer spent in the presence of stimuli associated with the probabilistic alternative. According to this view, probabilistic reinforcers are analogous to reinforcers that are delivered after variable delays. 1989 Society for the Experimental Analysis of Behavior
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