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THE HISTORY OF AUTISM IN THE FIRST HALF CENTURY OF THE 20TH CENTURY: NEW AND REVISED 20世纪上半叶自闭症的历史:新的和修订的
Q4 Medicine Pub Date : 2019-02-01 DOI: 10.26407/2018jrtdd.1.13
M. Fitzgerald
This paper examines the prehistory and history of autism in the first half of the 20th century. The prehistory focuses on Heller’s dementia Infantilis and Bleuler’s autism and schizophrenia. The more formal history begins with Tramer (1924), and continues with Ssucharewa (1926), which still contains some of the best descriptions of autism, although she called the condition schizoid psychopaths or schizoid personality disorders. There is still debate about when and whether Asperger and Kanner read Ssucharewa (1926), but the paper was republished in German in 1932 and quoted by Kanner, post his 1943 paper. The point is that Ssucharewa publication has precedents. George Frankl, the predecessor of Hans Asperger by many years, in the Heilpadogik Clinic was therefore a key figure in the description of autism in Vienna and later he went to America and worked under Leo Kanner, whom he described autism to.
本文考察了20世纪上半叶自闭症的史前史和历史。史前史的重点是海勒的婴儿痴呆和布鲁勒的自闭症和精神分裂症。更正式的历史从Tramer(1924)开始,延续到Ssucharewa(1926),其中仍然包含了一些对自闭症的最佳描述,尽管她称这种情况为分裂性精神病或分裂性人格障碍。关于阿斯伯格和坎纳在何时以及是否读过Ssucharewa(1926),仍然存在争议,但该论文于1932年以德语重新出版,并被坎纳引用,发表在他1943年的论文中。问题的关键在于,此类出版物是有先例的。乔治·弗兰克尔,汉斯·阿斯伯格的前辈,在Heilpadogik诊所工作因此他是维也纳自闭症描述的关键人物后来他去了美国在Leo Kanner手下工作,他向Leo Kanner描述了自闭症。
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引用次数: 4
HEALTH CONDITION IN PERSONS WITH AUTISM SPECTRUM DISORDERS 自闭症谱系障碍患者的健康状况
Q4 Medicine Pub Date : 2018-12-27 DOI: 10.26407/2018JRTDD.1.12
Vladimir Trajkovski
Introduction: Autism Spectrum Disorders (ASD) are behaviourally defined syndromes where the etiology and pathophysiology are not very well understood. If the child has been diagnosed with autism, parents already face special behavioural challenges. What makes ASD even more difficult, are the many other medical health issues that often arise in this population.The purpose of this article is to summarise the latest understanding of autism’s commonly associated physical and mental health conditions.Methods: An analysis of relevant literature, sources from the internet and published literature, personal experience and observations of the author.Recent findings: Autism is a disorder of the whole body. It is often in co-morbidity with: epilepsy, gastrointestinal disorders, neuro-inflammation and immunological disorders, asthma, eczema, sleep disturbances, eating and feeding disorders, food allergies, attention deficit and hyperactivity disorder (ADHD), headaches, anxiety disorders, bipolar disorder, depression, schizophrenia, obsessive-compulsive disorder, Fragile X syndrome, intellectual disability, nonverbal learning disorder, motor clumsiness, Tourette syndrome, sensory problems, tuberous sclerosis, oxidative stress, acquired mitochondrial dysfunction and metabolic abnormalities. Many of the issues outlined here can overlap each other.Conclusions:Improved understanding of the underlying pathology of ASD and associated conditions, and the development of a common purpose across multiple treating sites, can improve the consistent and coordinated healthcare of children with autism. There is need for the development of improved strategies for delivering effective health education and healthcare to this large population. Improving the ability of these persons to lead relatively independent lives has a great economic impact.
简介:自闭症谱系障碍(ASD)是一种行为定义的综合征,其病因和病理生理学尚不清楚。如果孩子被诊断为自闭症,父母就会面临特殊的行为挑战。使自闭症谱系障碍更加困难的是,在这一人群中经常出现的许多其他医疗健康问题。本文的目的是总结自闭症通常相关的身体和精神健康状况的最新认识。方法:对相关文献、网络来源和已发表文献、个人经历和作者观察进行分析。最近的研究发现:自闭症是一种全身紊乱。常与以下疾病合并症:癫痫、胃肠疾病、神经炎症和免疫疾病、哮喘、湿疹、睡眠障碍、饮食和喂养障碍、食物过敏、注意力缺陷和多动障碍(ADHD)、头痛、焦虑症、双相情感障碍、抑郁症、精神分裂症、强迫症、脆性X综合征、智力残疾、非语言学习障碍、运动笨拙、图雷特综合症、感觉问题、结节性硬化症、氧化应激、获得性线粒体功能障碍和代谢异常。这里列出的许多问题可能相互重叠。结论:提高对ASD的潜在病理及相关疾病的认识,并在多个治疗场所建立共同的目标,可以改善自闭症儿童的一致和协调的医疗保健。有必要制定改进的战略,向这一庞大人口提供有效的健康教育和保健。提高这些人过相对独立生活的能力具有巨大的经济影响。
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引用次数: 9
The-relation-between-a-developmental-and-social-emotional-screening-test-used-in-public-child-daycare-centers-in-Brazil The-relation-between-a-developmental-and-social-emotional-screening-test-used-in-public-child-daycare-centers-in-Brazil
Q4 Medicine Pub Date : 2018-11-27 DOI: 10.26407/2018JRTDD.1.11
C. Chen, L. Anunciação, J. Squires, A. Filgueiras, J. Landeira-Fernández
Background: Two developmental screening instruments for infants and young children, the Ages & Stages Questionnaires-Third Edition (ASQ-3) and the Ages & Stages Questionnaires: Social-Emotional (ASQ:SE), are widely used in the US and internationally. Both tools are sometimes used concurrently but the relation between children’s scores on the two tools is seldom investigated. Methods: The Brazilian versions of ASQ-3 and ASQ:SE, known as the ASQ-BR and ASQ:SE-BR, were used for assessing 13,470 children ages one to four in public child daycare centres in Rio de Janeiro, Brazil. Four groups were defined according to children’s ages as one, two, three, and four year-olds. Correlation and multiple regression were employed to explore the relation between children’s scores on the ASQ-BR and the ASQ:SE-BR. Results: Results indicated that the domain scores of ASQ-BR, including communication (r = -0.38 to -0.44), gross motor (r = -0.19 to -0.32), fine motor (r = -0.33 to -0.45), problem solving (r = -0.36 to -0.42), and personal-social (r = -0.38 to -0.51) were significantly correlated with ASQ:SE-BR scores. Regression analyses suggested that the communication and personal-social domains were significant predictors of social-emotional scores in most of the age
背景:两种针对婴幼儿的发育筛查工具,年龄与阶段问卷第三版(ASQ-3)和年龄与阶段调查表:社会情感问卷(ASQ:SE),在美国和国际上广泛使用。两种工具有时同时使用,但很少调查儿童在这两种工具上的得分之间的关系。方法:巴西版本的ASQ-3和ASQ:SE,即ASQ-BR和ASQ:SE-BR,用于评估巴西里约热内卢公立儿童日托中心13470名1至4岁的儿童。根据儿童年龄划分为四组,分别为一岁、两岁、三岁和四岁。采用相关分析和多元回归方法探讨儿童ASQ-BR和ASQ:SE-BR评分之间的关系。结果:结果表明,ASQ-BR的领域得分,包括沟通(r=-0.38至-0.44)、总运动(r=-0.19至-0.32)、精细运动(r=-0.33至-0.45)、问题解决(r=-0.36至-0.42)和个人社交(r=-0.38至-0.51)与ASQ:SE-BR得分显著相关。回归分析表明,在大多数年龄段,沟通和个人社交领域是社会情绪得分的重要预测因素
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引用次数: 3
Role of Psychological Stressors in Dissociative Phenomenology 心理应激源在解离现象学中的作用
Q4 Medicine Pub Date : 2018-10-22 DOI: 10.26407/2018jrtdd.1.10
R. Sushma, Ajay Kumar
BACKGROUND: Dissociative phenomena have been observed in clinical populations as an independent diagnostic category as well as in non-clinical populations. It has been observed that a person with dissociation has relatively more adverse stressful life experiences than healthy controls. Various studies indicated that stressful life events may have a causative role in dissociative disorders, however findings are inconsistent. OBJECTIVES: To study this link the present study has been planned with the aim to assess and compare stressful life events and dissociative experience in patients with dissociative disorders and healthy controls. METHODS: The study comprises 80 participants (40 dissociative patients and 40 healthy controls). In the sample total, 16 males and 64 females were enrolled. All participants assessed using the Presumptive Stressful Life Events Scale and Multidimensional Inventory of Dissociation. Healthy controls were screened by the General Health Questionnaire-12. RESULTS: In the results of both groups have significant difference in the experience of life time psychological stress [t=2.92; p=0.05] and the correlation positively related with dissociative experiences and stressful life events. The finding from regression analysis indicates that the degree of life time stress emerged as a predictor of dissociative psychopathology treatment outcome (R= 0.23, Beta coefficient = 0.48, p = 0.000, 95% Cl = 0.210.50). This indicates that patients who had significantly higher psychological stress predicted dissociative psychopathology. CONCLUSION: A significant difference was found between both groups in the Presumptive Stressful Life Events Scale, the clinical population has higher scores than the normal population and higher psychological stress predicted dissociative psychopathology.
背景:分离现象作为一个独立的诊断类别在临床人群和非临床人群中都有观察到。已经观察到,与健康对照组相比,患有解离症的人有相对更多的不良压力生活经历。各种研究表明,压力性生活事件可能在解离障碍中起着致病作用,但研究结果并不一致。目的:为了研究这一联系,本研究旨在评估和比较解离障碍患者和健康对照组的压力生活事件和解离经历。方法:该研究包括80名参与者(40名解离性患者和40名健康对照)。在样本总数中,16名男性和64名女性被纳入。所有参与者使用假定压力生活事件量表和多维解离量表进行评估。健康对照组通过一般健康调查表12进行筛查。结果:两组患者在生活时间心理压力体验方面均存在显著差异[t=2.92;p=0.05],且与解离体验和压力生活事件呈正相关。回归分析结果表明,生活时间压力程度是解离性精神病理学治疗结果的预测因子(R=0.23,贝塔系数=0.48,p=0.000,95%CI=0.210.50)。这表明心理压力显著较高的患者预测解离性精神病病学。结论:两组在假定压力生活事件量表上存在显著差异,临床人群的得分高于正常人群,心理压力预测的解离性精神病理学得分较高。
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引用次数: 1
SEXUAL HEALTH ISSUES IN WOMEN WITH INTELLECTUAL DISABILITIES PRELIMINARY ANALYSIS OF THE PROBLEM 智障妇女性健康问题初探
Q4 Medicine Pub Date : 2018-10-06 DOI: 10.26407/2018JRTDD.1.9
Monica Parchomiuk
Introduction: Women with intellectual disability have a low level of competencies that would allow them to better manage their sexuality; consequently, they have a low level of control over their own health.Objectives: The article describes the results of author’s own research into selected aspects of sexual health of women with intellectual disability (ID). The focus has been on issues such as menstruation, health and gynecological care, pharmacologization, contraception, STDs, and menopause.Methods: The research was conducted with 11 women using structured interviews.Results: Results suggest that these women have a low level of competencies to manage and control health problems in an optimal way. Their behavior is determined by people from their living environment to a large extent. Women with ID report various abnormalities in the course of developmental phenomena and in their own health, indicating potentially serious diseases and disorders.Conclusion:Women with intellectual disability require lifelong support in meeting their health needs. Such support should be provided by institutions of care, health and social assistance.
引言:智力残疾妇女的能力水平较低,这将使她们能够更好地管理自己的性行为;因此,他们对自己的健康控制水平很低。目的:本文介绍了作者自己对智障妇女性健康某些方面的研究结果。重点关注月经、健康和妇科护理、药物、避孕、性传播疾病和更年期等问题。方法:采用结构化访谈法对11名女性进行研究。结果:结果表明,这些妇女以最佳方式管理和控制健康问题的能力水平较低。他们的行为在很大程度上是由人们的生活环境决定的。患有ID的妇女报告说,她们在发育过程中和自身健康中出现了各种异常,这表明她们患有潜在的严重疾病和障碍。结论:智障妇女需要终身支持,以满足其健康需求。这种支持应由护理、保健和社会援助机构提供。
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引用次数: 0
Autistic child and his mother: marker molecules of blood and reflection of molecular and cellular disturbances 自闭症儿童及其母亲:血液标记分子与分子和细胞紊乱的反映
Q4 Medicine Pub Date : 2018-08-11 DOI: 10.26407/2018JRTDD.1.8
A. Poletaev
Autism is gradually becoming an epidemic. The frequency of this disorder now is one per 60–80 infants, against 1:5000-10000 approximately 60–70 years ago. Because epidemics of genetic disease do not occur, this confirms that most cases of autism are not associated with the genome problems but rather with the progressive deepening of environmental problems. Environmental pressure may be barely noticeable for an adult, but this could disturb the development of a much more fragile foetus. A variety of industrial and agricultural pollutants, heavy metals, pathogenic bacteria, etc. may be involved in the pathogenesis of autism. All of them cause similar persistent changes in the production of autoantibodies and cytokines influencing the foetal development. Moreover, trans-placental transfer of the excess of some maternal аuto-antibodies of IgG class leads to pre-birth ‘tuning’ of the immune system of the foetus by mechanisms of maternal immune imprinting. This phenomenon could be an additional factor in the pathogenesis of autism. It is noted that the environment-induced immune changes are mostly adaptive for the mother; however, for the unborn child, they can often be the factors of pathogenesis. Discuss the possibility of the study of repertoires of maternal autoantibodies for the prediction of normal or abnormal development of the foetus and the birth of the newborn with congenital disorders that are not caused by gene defects.
自闭症正在逐渐成为一种流行病。现在,这种疾病的发生率为每60-80名婴儿中就有一名,而大约60-70年前为1:5000-10000。由于遗传疾病的流行不会发生,这证实了大多数自闭症病例与基因组问题无关,而是与环境问题的逐渐加深有关。环境压力对成年人来说可能几乎不明显,但这可能会干扰更脆弱的胎儿的发育。多种工农业污染物、重金属、致病菌等可能参与自闭症的发病机制。所有这些都会导致影响胎儿发育的自身抗体和细胞因子产生类似的持续变化。此外,通过母体免疫印迹机制,将过量的某些母体IgG类抗体通过胎盘转移,导致胎儿免疫系统在出生前“调整”。这种现象可能是自闭症发病机制中的一个额外因素。值得注意的是,环境诱导的免疫变化大多对母亲具有适应性;然而,对于未出生的孩子来说,它们往往是致病的因素。讨论研究母体自身抗体库的可能性,以预测胎儿的正常或异常发育以及非基因缺陷引起的先天性疾病新生儿的出生。
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引用次数: 0
Reattach within neurorehabilitation: a case report 神经康复内再植1例报告
Q4 Medicine Pub Date : 2018-07-18 DOI: 10.26407/2018JRTDD.1.7
S. Rathee, C. Heesterbeek
INTRODUCTION: Physiotherapists pay more and more attention to improving sensory integration when treating people with a brain injury. It is also more common for physiotherapists to pay attention to cognitive rehabilitation and psychosocial factors. ReAttach is a short-term multimodal intervention combining: a) sensory integration, b) cognitive rehabilitation and c) systemic work.Recently ReAttach was introduced in the field of neuro-rehabilitation and therefore it is professionally applied by medics (physiotherapists, speech therapists and occupational therapists) and by neuropsychologists as well.OBJECTIVE: The objective of this case-study is to evaluate the effectivity of ReAttach in a patient with CVA by applying the intervention which includes stimulation of sensory integration and cognitive rehabilitation. Can this patient with CVA benefit from ReAttach?METHOD: Five ReAttach sessions were applied to a patient with CVA in both hemispheres. Also his wife received five ReAttach sessions as part of the systemic approach. Pre- and post- measurements on functional skills, balance, fatigue and global condition were conducted to evaluate results. Follow up after 2 months.RESULTS: The results of this case-study suggest that by simultaneously stimulating sensory integration, cognitive rehabilitation and influencing environmental factors (ReAttach) a significant positive change can be achieved in a patient with CVA.CONCLUSION: Although this result is promising, more research is needed to further investigate the effectivity of ReAttach in larger controlled samples in neuro-rehabilitation. This case-study must be interpreted as a first positive impression.
简介:物理治疗师在治疗脑损伤患者时,越来越重视改善感觉统合。理疗师关注认知康复和心理社会因素也更为常见。ReAttach是一种短期多模式干预,结合了:a)感觉整合,b)认知康复和c)系统工作。最近,ReAttach被引入神经康复领域,因此它被医生(物理治疗师、言语治疗师和职业治疗师)和神经心理学家专业应用。目的:本病例研究的目的是通过应用包括刺激感觉统合和认知康复在内的干预措施,评估CVA患者ReAttach的有效性。这个CVA患者能从ReAttach中受益吗?方法:对一名患有两半球CVA的患者进行五次ReAttach治疗。此外,作为系统方法的一部分,他的妻子还接受了五次ReAttach治疗。对功能技能、平衡、疲劳和整体状况进行了前后测量,以评估结果。2个月后随访。结果:本案例研究的结果表明,通过同时刺激感觉统合、认知康复和影响环境因素(ReAttach),CVA患者可以获得显著的积极变化。结论:尽管这一结果很有希望,但还需要更多的研究来进一步研究ReAttach在更大的对照样本中对神经康复的有效性。这个案例研究必须被解释为第一个积极的印象。
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引用次数: 0
An Overview of the History and Methodological Aspects of Psychometrics 心理测量学的历史和方法概述
Q4 Medicine Pub Date : 2018-07-14 DOI: 10.26407/2018JRTDD.1.6
L. Anunciação
Introduction: The use of psychometric tools such as tests or inventories comes with an agreement and acceptance that psychological characteristics, such as abilities, attitudes or personality traits, can be represented numerically and manipulated according to mathematical principles. Psychometrics and its close relation with statistics provides the scientific foundations and the standards that guide the development and use of psychological instruments, some of which are tests or inventories. This field has its own historic foundations and its particular analytical specificities and, while some are widely used analytical methods among psychologists and educational researchers, the history of psychometrics is either widely unknown or only partially known by these researchers or other students.Objectives: With that being said, this paper provides a succinct review of the history of psychometrics and its methods. From a theoretical approach, this study explores and describes the Classical Test Theory (CTT) and the Item Response Theory (IRT) frameworks and its models to deal with questions such as validity and reliability. Different aspects that gravitate around the field, in addition to recent developments are also discussed, including Goodness-of-Fit and Differential Item Functioning and Differential Test Functioning.Conclusions:This theoretical article helps to enhance the body of knowledge on psychometrics, it is especially addressed to social and educational researchers, and also contributes to training these scientists. To a lesser degree, the present article serves as a brief tutorial on the topic.
导言:使用心理测量学工具,如测试或清单,人们同意并接受心理特征,如能力、态度或人格特征,可以用数字表示,并根据数学原理进行操作。心理测量学及其与统计学的密切关系为开发和使用心理工具(其中一些是测试或清单)提供了科学基础和标准。这个领域有自己的历史基础和特殊的分析特点,虽然心理学家和教育研究人员广泛使用一些分析方法,但这些研究人员或其他学生对心理测量学的历史知之甚少,或者只是部分了解。目的:鉴于此,本文简要回顾了心理测量学的发展历史及其方法。本研究从理论层面探讨和描述了经典测试理论(CTT)和项目反应理论(IRT)框架及其模型,以处理效度和信度等问题。除了最近的发展外,还讨论了该领域的不同方面,包括拟合优度和微分项目功能以及微分测试功能。结论:这篇理论文章有助于提高心理测量学的知识体系,特别是针对社会和教育研究人员,也有助于培养这些科学家。在较小程度上,本文是关于该主题的一个简短教程。
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引用次数: 11
Autism: is there a place for reattach therapy? 自闭症:有再接治疗的地方吗?
Q4 Medicine Pub Date : 2018-07-09 DOI: 10.26407/2018JRTDD.1.5
J. Kossewska
Review of the book Autism: is there a place for ReAttach therapy? edited by Paula Weerkamp-Bartholomeus.The book Autism: is there a place for ReAttach therapy? edited by Paula Weerkamp-Bartholomeus is new monograph in the field of psychotherapy and support for patients with mental health problems. The content of the book has contributions by international professionals working in the field of clinical psychology, psychiatry, immunology as well as genetics. It is organised into a preface and five separate chapters, which are briefly analysed below, presenting a differentiated but coherent perspective of the ReAttach approach proposal.
《自闭症》一书回顾:有重新附加治疗的地方吗?Paula Weerkamp-Bartholomeus编辑。《自闭症:有重新附加治疗的地方吗?》?由Paula Weerkamp Bartholomeus编辑的是心理治疗和支持精神健康问题患者领域的新专著。这本书的内容有来自临床心理学、精神病学、免疫学和遗传学领域的国际专业人士的贡献。它分为前言和五个单独的章节,下文对其进行了简要分析,对ReAttach方法提案提出了不同但连贯的观点。
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引用次数: 5
Autism:The Pre-Conceptual State of Mind 自闭症:概念前的精神状态
Q4 Medicine Pub Date : 2018-06-29 DOI: 10.26407/2018JRTDD.1.3
Paula Weerkamp-Bartholomeus
Introduction: Autism Spectrum Disorders can be defined as a complex and heterogenous area of clinical characteristics. Adults diagnosed with ASD show a lot of comorbidity and overlapping symptomatology with other neuropsychiatric conditions that require specific approaches. The development of ReAttach supports a dynamic special educational model for autism. Indicating the clinical characteristics of ASD as a reflection of the pre-conceptual stage, the ReAttach for autism protocol is characterized by activating the skills that are required for integration, conceptualisation, imagination and coping. ReAttach starts with external arousal regulation by the therapist to obtain optimal environmental conditions for learning. The term dynamic refers to the personal growth that individuals with ASD and patients with other neuropsychiatric conditions have shown. If core ASD symptomatology, such as lack of coherency, monotropic information processing and social communication problems, can be reduced by intervention it is time to embrace a dynamic model for autism. Objective: The objective is to propose a dynamic special education model for autism and to communicate how indicating the clinical characteristics of ASD as a reflection of the pre-conceptual stage sheds a different light on comparative research of ASD versus neurotypical groups. Method: The procedure of a comparative study of an autism and a neurotypical control group is reviewed from a dynamic special education model. The questions and remarks about the instructions and findings are displayed. Results: Reviewing the research procedure and findings from a dynamic special educational model sheds a different light on this comparative research of ASD versus neurotypical groups.
引言:自闭症谱系障碍可以定义为一个复杂和异质的临床特征领域。被诊断为ASD的成年人表现出许多共病,症状学与其他需要特定方法的神经精神疾病重叠。ReAttach的开发支持了一种针对自闭症的动态特殊教育模式。自闭症ReAttach方案的特点是激活整合、概念化、想象力和应对所需的技能,这表明ASD的临床特征反映了概念前阶段。ReAttach从治疗师的外部唤醒调节开始,以获得最佳的学习环境条件。术语动态是指ASD患者和其他神经精神疾病患者所表现出的个人成长。如果自闭症谱系障碍的核心症状,如缺乏连贯性、单向性信息处理和社会沟通问题,可以通过干预来减少,那么是时候采用自闭症的动态模型了。目的:本研究旨在提出一种针对自闭症的动态特殊教育模式,并传达ASD的临床特征作为概念前阶段的反映如何为ASD与神经正常组的比较研究提供不同的视角。方法:从一个动态的特殊教育模型中回顾了一个自闭症和一个神经正常对照组的比较研究过程。将显示有关说明和调查结果的问题和备注。结果:回顾动态特殊教育模型的研究过程和发现,可以对ASD与神经正常组的比较研究有不同的了解。
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引用次数: 1
期刊
Journal for ReAttach Therapy and Developmental Diversities
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