Speech-generating devices go one step further by translating words or pictures into speech. Some models allow users to choose from several different voices, such as male or female, child or adult, and even some regional accents. Some devices employ a vocabulary of prerecorded words while others have an unlimited vocabulary, synthesizing speech as words are typed in. Software programs that convert personal computers into speaking devices are also available.
The originators of CRT include Derrick Bell, Kimberlé Crenshaw, Cheryl Harris, Richard Delgado, Patricia Williams, Gloria Ladson-Billings, Tara Yosso, among others. CRT transcends a Black/white racial binary and recognizes that racism has impacted the experiences of various people of color, including Latinx, Native Americans, and Asian Americans. As a result, different branches, including LatCrit, TribalCrit, and AsianCRT have emerged from CRT. These different branches seek to examine specific experiences of oppression. CRT challenges white privilege and exposes deficit-informed research that ignores, and often omits, the scholarship of people of color. CRT began in the legal academy in the 1970s and grew in the 1980s and 1990s. It persists as a field of inquiry in the legal field and in other areas of scholarship. Mari Matsudi described CRT as the work of progressive legal scholars seeking to address the role of racism in the law and the work to eliminate it and other configurations of subordination.
Introduction to Counseling: Voices from the Field free 11
CRT grew from Critical Legal Studies (CLS), which argued that the law was not objective or apolitical. CLS was a significant departure from earlier conceptions of the law (and other fields of scholarship) as objective, neutral, principled, and dissociated from social or political considerations. Like proponents of CLS, critical race theorists recognized that the law could be complicit in maintaining an unjust social order. Where critical race theorists departed from CLS was in the recognition of how race and racial inequality were reproduced through the law. Further, CRT scholars did not share the approach of destabilizing social injustice by destabilizing the law. Many CRT scholars had witnessed how the law could be used to help secure and protect civil rights. Therefore, critical race theorists recognized that, while the law could be used to deepen racial inequality, it also held potential as a tool for emancipation and for securing racial equality.
The German psychologist Hermann Ebbinghaus, a researcher at the University of Berlin, was another 19th-century contributor to the field. He pioneered the experimental study of memory and developed quantitative models of learning and forgetting.[30] In the early twentieth century, Wolfgang Kohler, Max Wertheimer, and Kurt Koffka co-founded the school of Gestalt psychology (not to be confused with the Gestalt therapy of Fritz Perls). The approach of Gestalt psychology is based upon the idea that individuals experience things as unified wholes. Rather than reducing thoughts and behavior into smaller component elements, as in structuralism, the Gestaltists maintained that whole of experience is important, and differs from the sum of its parts.
The Association for Behavior Analysis International was founded in 1974 and by 2003 had members from 42 countries. The field has gained a foothold in Latin America and Japan.[85] Applied behavior analysis is the term used for the application of the principles of operant conditioning to change socially significant behavior (it supersedes the term, "behavior modification").[86]
Existential psychology emphasizes the need to understand a client's total orientation towards the world. Existential psychology is opposed to reductionism, behaviorism, and other methods that objectify the individual.[105] In the 1950s and 1960s, influenced by philosophers Søren Kierkegaard and Martin Heidegger, psychoanalytically trained American psychologist Rollo May helped to develop existential psychology. Existential psychotherapy, which follows from existential psychology, is a therapeutic approach that is based on the idea that a person's inner conflict arises from that individual's confrontation with the givens of existence. Swiss psychoanalyst Ludwig Binswanger and American psychologist George Kelly may also be said to belong to the existential school.[111] Existential psychologists tend to differ from more "humanistic" psychologists in the former's relatively neutral view of human nature and relatively positive assessment of anxiety.[112] Existential psychologists emphasized the humanistic themes of death, free will, and meaning, suggesting that meaning can be shaped by myths and narratives; meaning can be deepened by the acceptance of free will, which is requisite to living an authentic life, albeit often with anxiety with regard to death.[113]
Industrial and organizational (I/O) psychology involves research and practices that apply psychological theories and principles to organizations and individuals' work-lives.[183] In the field's beginnings, industrialists brought the nascent field of psychology to bear on the study of scientific management techniques for improving workplace efficiency. The field was at first called economic psychology or business psychology; later, industrial psychology, employment psychology, or psychotechnology.[184] An influential early study examined workers at Western Electric's Hawthorne plant in Cicero, Illinois from 1924 to 1932. Western Electric experimented on factory workers to assess their responses to changes in illumination, breaks, food, and wages. The researchers came to focus on workers' responses to observation itself, and the term Hawthorne effect is now used to describe the fact that people's behavior can change when they think they're being observed.[185] Although the Hawthorne research can be found in psychology textbooks, the research and its findings were weak at best.[186][187]
Organizational behavior (OB) is an allied field involved in the study of human behavior within organizations.[191] One way to differentiate I/O psychology from OB is to note that I/O psychologists train in university psychology departments and OB specialists, in business schools.
Medical facilities increasingly employ psychologists to perform various roles. One aspect of health psychology is the psychoeducation of patients: instructing them in how to follow a medical regimen. Health psychologists can also educate doctors and conduct research on patient compliance.[202][203] Psychologists in the field of public health use a wide variety of interventions to influence human behavior. These range from public relations campaigns and outreach to governmental laws and policies. Psychologists study the composite influence of all these different tools in an effort to influence whole populations of people.[204]
Observational studies are commonly conducted in psychology. In cross-sectional observational studies, psychologists collect data at a single point in time. The goal of many cross-sectional studies is the assess the extent factors are correlated with each other. By contrast, in longitudinal studies psychologists collect data on the same sample at two or more points in time. Sometimes the purpose of longitudinal research is to study trends across time such as the stability of traits or age-related changes in behavior. Because some studies involve endpoints that psychologists cannot ethically study from an experimental standpoint, such as identifying the causes of depression, they conduct longitudinal studies a large group of depression-free people, periodically assessing what is happening in the individuals' lives. In this way psychologists have an opportunity to test causal hypotheses regarding conditions that commonly arise in people's lives that put them at risk for depression. Problems that affect longitudinal studies include selective attrition, the type of problem in which bias is introduced when a certain type of research participant disproportionately leaves a study.
Metascience involves the application of scientific methodology to study science itself. The field of metascience has revealed problems in psychological research. Some psychological research has suffered from bias,[247] problematic reproducibility,[248] and misuse of statistics.[249] These findings have led to calls for reform from within and from outside the scientific community.[250]
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Our review builds upon previous reviews in this field by providing insight into the associations between quality improvement methods and the varying system-level outcomes they yield. Indeed, our review echoes previous research indicating that patient engagement can lead to a multiplicity of health services outcomes with sufficient role definition, training, and alignment of patient-provider expectations but that the quality of the reporting has been poor and the full impact of patient engagement is not fully understood [87,88,89]. Previous reviews have been limited to specific countries [87], care settings (e.g., mental health [89]), hospitals [90], or study design (e.g., qualitative studies [88]). In this way, our review provides a comprehensive perspective of optimal strategies used internationally, across care settings and using multiple methodologies to engage patients, caregivers, and relatives in quality of care improvement initiatives. Our review also provides novel insights into how the level of engagement influences the outcomes, namely, discrete products (e.g., development of tools and documents) largely derived from low-level engagement (consultative unidirectional feedback), whereas care process or structural outcomes (e.g., improved governance, care or services) mainly derived from high-level engagement (co-design or partnership strategies). If the benefits of engaging patients in the design or delivery of health care are to be realized at an organization or system level, then effective strategies and the contextual factors enabling their outcomes need to be identified so that learning can be generalized. Importantly, our review provides guidance on the effective strategies and contextual factors that enable patient engagement including techniques to enhance the design, recruitment, involvement, and leadership action, and those aimed to create a receptive context. 2ff7e9595c
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