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The efficacy of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) has been shown in several randomized controlled trials. However, to our knowledge no one has studied the TF-CBT model from a user's perspective. The objective of this study was to explore traumatized youths’ experiences of receiving TF-CBT. Thirty youths between 11 and 17 years old (M = 15, SD = 1.8) were interviewed using a semi-structured interview guide after they had received TF-CBT as part of an effectiveness trial. The interviews were analyzed according to thematic analysis. The youths’ responses were grouped into four themes: (1) expectations, (2) experiences of talking to the therapist and sharing information, (3) experiences of trauma narrative work, and (4) experiences of change and change processes. Findings showed how an initial fear of talking about traumatic events and not knowing what to expect from therapy was reduced when the youth experienced the therapist as empathetic and knowledgeable. Talking to the therapist was experienced as positive because of the therapist's expertise, neutrality, empathy, and confidentiality. Talking about the trauma was perceived as difficult but also as most helpful. Learning skills for reducing stress was also perceived as helpful. Important change processes were described as resuming normal functioning and getting “back on track,”, or as acquiring new perspectives and “moving forward.” Because TF-CBT is recommended as a first line treatment for traumatized youth and treating posttraumatic stress may entail special challenges, understanding more about how youths experience this mode of treatment contributes to our knowledge base and may help us tailor interventions. 相似文献
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Greater fear arousal is associated with greater engagement with persuasive messages, and negative information and events are more potent than their positive counterparts. Hence loss-framed persuasive appeals, which emphasize the undesirable outcomes of noncompliance with the communicator's recommendations, should elicit greater message processing than do gain-framed appeals, which emphasize the desirable outcomes of compliance. But a meta-analytic review (based on 42 effect sizes, N = 6,378) finds that gain-framed messages engender slightly but significantly greater message engagement than do loss-framed messages. This effect is apparently not a result of whether the appeals refer to obtaining or averting negative (e.g., “skin cancer”) rather than positive (e.g., “attractive skin”) outcomes. 相似文献
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William L. Rivers Theodore Peterson Jay W. Jensen Ronald T. Farrar John D. Stevens Bernard Rosenberg 《Communication Booknotes Quarterly》2013,44(10):7-8
William L. Rivers, Theodore Peterson and Jay W. Jensen's The Mass Media and Modern Society (Rinehart Press, $8.95) Ronald T. Farrar and John D. Stevens' (eds.) Mass Media and the National Experience (Harper & Row, price not known (paper back)) Bernard Rosenberg and David Manning White's Mass Culture Revisited (Van Nostrand, both hardback and paperback at same time–price not yet known) Wilbur Schramm (ed.) Process and Effects of Mass Communications (University of Illinois Press, details unknown) The Steranko History of Comics (Supergraphics Publications, 501 Spruce St., Reading, Pa. 19602, $3.00 paperback) 相似文献
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Kjeld B. Poulsen Søren H. Jensen Elsa Bach John F. Schostak 《Educational Action Research》2013,21(1):75-106
During the past five decades occupational researchers have documented that bus drivers’ health is worse than in almost any other profession. The authors suggest that the reason there has not been any successful attempt to change this situation is because the focus until now on removing statistically associated external risk factors has been too narrow. The article describes a project whose purpose was to improve the health and well‐being of 3500 Copenhagen bus drivers. At the end, more than 200 interventions were implemented. The authors adopted a new approach of combining epidemiological results and qualitative methodologies, creating a broader explanatory foundation for action, linked by repetitive processes of critical reflection, which was central to defining problems, explaining causes, developing sufficiently effective interventions and measuring effects. The project revealed the importance of several new and potentially preventable factors involving such issues as lifestyle, private stressors and inappropriate management. During the project period an evaluative framework was developed to explore and measure the complex effects of multiple interventions. Three years after the interventions were launched, follow‐ups revealed remarkable improvements such as reductions in stress and body pains, an increase in satisfaction, and improvements in management and the drivers’ cabin. This article is the story of a methodological journey, from classical epidemiology to an approach combining the strengths of survey (broad coverage), qualitative methods (in‐depth focus) followed by critical reflections and ending with action research. 相似文献
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Arthur R. Jensen 《教育心理学家》2013,48(1):30-35
The well‐known study by Skodak and Skeels (1949), in which one hundred infants who were born to unwed mothers of below‐average IQ and were adopted into superior foster homes and grew up to obtain Stanford‐Binet IQs averaging 20 points higher than the IQs of their biological mothers, has frequently been interpreted as a contradiction of the evidence for the high heritability of intelligence. It is here shown that this is a misinterpretation of the Skodak and Skeels results, based on failure to consider the prediction made from a simple polygenic model of parent‐offspring resemblance. The Skodak and Skeels data, when analyzed properly in terms of a quantitative‐genetic model, are found to be not all improbable or contradictory of a broad heritability for IQ in the range of .70 to .80. Also, the common fallacy of generalizing the results of Skodak and Skeels as an environmental explanation of the cause of the approximately 1 σ mean white‐Negro IQ difference is explicated from the standpoint of genetic theory. 相似文献
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