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Cost savings and effectiveness of mental health services Journal of the Oregon Psychological Association, 38, 8 12 Lee, C K (1992) Alcoholism in Korea In J Helzer & G Canino (Eds), Alcoholism North America, Europe and Asia: A coordinated analysis of population data from ten regions (pp 247 262) London: Oxford University Press Levine, M (2003a) A mind at a time: America s top learning expert shows how every child can succeed New York: Simon & Schuster Levine, M (2003b) The myth of laziness: America s top learning expert shows how kids and parents can become more productive New York: Simon & Schuster Levy, L (1962) The skew in clinical psychology American Psychologist, 29, 441 449 Levy, L H (1984) The metamorphosis of clinical psychology: Towards a new charter as human services psychology American Psychologist, 39, 486 494 Levy, S M (1983).



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being controlled, or perhaps simply as a relationship that needs some recalibration) and employ interpersonal strategies that have been successful in achieving individuation under similar conditions in the past Some individuals will have internalized adaptive forms of self-differentiation, such as asserting their opinions and needs in an affiliative manner, and others will have internalized more disordered forms of differentiation, such as walling-off, neglecting, abandoning, or even attacking the other The overt behavior of the other is most influential as it activates a person s expectancies, needs, and fears associated with core motivations and regulatory metagoals, thus influencing his or her covert experience of the relationship Pincus (in press) proposed that the key element distinguishing the normal and disordered personality involves the capacity to enter into new proximal interpersonal situations without parataxic distortion.





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conceptualization, in general other forms of disciplining require theory development This strategy is illustrated well by what Julnes (1995) calls the context-con rmatory approach In brief, under this approach an empirical discovery (eg, the discovery of differential effects across subgroups on a key outcome) is used to infer an underlying mechanism This newly induced mechanism is then used to generate a distinct prediction that should be true if the mechanism is operating This new prediction is then tested using different variables in the same data set Julnes (1995) illustrated the context-con rmatory approach in an evaluation of a resource mother program, in which staff provided support to new single mothers In the a priori, planned test that compared program clients outcomes with those of a comparison group, Julnes found that the program was effective on average.

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In other words, the larger the range of proximal interpersonal situations that can be entered in which the person exhibits anxiety-free functioning ( little need for emotion regulation) and maintains self-esteem ( little need for self-regulation), the more adaptive the personality When this is the case, there is no need to activate mediating internal interpersonal situations and the person can focus on the proximal situation, encode incoming interpersonal input without distortion, respond in adaptive ways that facilitate interpersonal relations (ie, meet the agentic and communal needs of self and other), and establish complementary patterns of reciprocal behavior (Kiesler, 1983) by fully participating in the proximal interpersonal field The individual s current behavior will exhibit relatively strong contingency with the proximal behavior of the other and the normative contextual press of the situation.

In the discovery phase of the inquiry, exploration revealed that the effects were larger for older than for younger mothers Julnes then posited that younger mothers needs were more tangible and task oriented, and not necessarily met by the resource mothers, who often were providing primarily emotional support To further test this new account, Julnes differentiated the support mothers on the basis of the extent to which they provided tangible support versus emotional support Subsequent tests con rmed that, as expected, the program was especially ineffective for younger mothers when the support mothers emphasized emotional support As another example, imagine an evaluation of a boot camp program for criminal offenders The overall evaluation design might involve comparing the effects of the boot camp program relative to traditional sentences.

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