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biological, and social factors that lead to symptoms and problems are likely to assist a person in coping more effectively with their concerns. The goal of psychotherapy may include changing very specific problem behaviors. For example, the goal might be to reduce or minimize temper tantrums, fear while speaking in public, nail biting, binge eating, or smoking. Other goals might include improving certain target behaviors such as attention in class, performance on examinations, polite behavior, exercise, and healthy food consumption; enhancing awareness of and insight into anxieties, attitudes, beliefs, and feelings; or increasing self-efficacy and mastery over problems. Goals of treatment might also involve careful management of a crisis (e.g., trauma, suicidal or homicidal threats). The objectives of psychotherapy may change several times during the course of the therapy experience. Accordingly, psychotherapy hopes to address many different types of goals, depending on the specific needs, interests, and concerns of all interested parties. Sometimes the goals are difficult to define and articulate until the psychologist evaluates or gets to know the patient. Overall, the ultimate objective is to improve quality of life through self-understanding, behavioral and lifestyle change, improved coping and adaptation, and/or enhanced relationships. Psychotherapy attempts to utilize what is known about the biopsychosocial influences on human behavior and apply that knowledge to help individuals and groups contending with a wide range of difficulties.

Dirks, J F, Kinsman, R A, Horton, D J, Fross, K H, & Jones, N F (1978) Panic-fear in asthma: Rehospitalization following intensive long-term treatment Psychosomatic Medicine, 40, 5 13 Dirks, J F, Kinsman, R A, Jones, N F, Spector, S L, Davidson, P T, & Evans, N W (1977) Panic-fear: A personality dimension related to length of hospitalization in respiratory illness Journal of Asthma Research, 14, 61 71 Dirks, J F, Robinson, S K, & Dirks, D I (1981) Alexithymia and the psychomaintenance of bronchial asthma Psychotherapy and Psychosomatics, 36, 63 71 Epstein, N B, Baldwin, L M, & Bishop, D S (1983) The McMaster Family Assessment Device Journal of Marital and Family Therapy, 9, 171 180 Feldman, J M, Giardino, N D, & Lehrer, P M (2000) Asthma and panic disorder In D.

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TABLE 3.5 Using Sugars and Fiber Only, the Regression Model Underestimates the Nutritional Rating of Shelf 2 Cereals

regression Speci cally, e 0 + 1 x (41) 1 + e 0 + 1 x Curves of the form of equation (41) are called sigmoidal because they are S-shaped and therefore nonlinear Statisticians have chosen the logistic distribution to model dichotomous data because of its exibility and interpretability The minimum for (x) is obtained at lima ea /(1 + ea ) = 0, and the maximum for (x) is obtained at lima ea /(1 + e) = 1 Thus, (x) is of a form that may be interpreted as a probability, with 0 (x) 1 That is, (x) may be interpreted as the probability that the positive outcome (eg, disease) is present for records with X = x, and 1 (x) may be interpreted as the probability that the positive outcome is absent for such records.

I Mostofsky & D H Barlow (Eds), The management of stress and anxiety in medical disorders (pp 220 239) Needham Heights, MA: Allyn & Bacon Feldman, J M, Lehrer, P M, Carr, R E, & Hochron, S M (1998, April) The relationship between alexithymia factor scores and asthma severity Poster presented at the meeting of the Association for Applied Psychophysiology and Biofeedback, Orlando, FL Feldman, J M, Lehrer, P M, & Hochron, S M (in press) Defensiveness and individual response stereotype in asthma Psychosomatic Medicine Ford, R M (1983) Etiology of asthma: A continuing review (8071 cases seen from 1970 1980) Annuals of Allergy, 50, 47 50 Fritz, G K, McQuaid, E L, Spirito, A, & Klein, R B (1996) Symptom perception in pediatric asthma: Relationship to functional morbidity and psychological factors.

Right remainder: Let P(x) and Q(x) be polynomial matrices of degrees rand s, respectively, s :::; r. If T(x) is a right quotient of P(x) and Q(x) with P(x) T(x)Q(x) + R(x), then R(x) is said to be a right remainder. (See Section 11.3.)

Linear regression models assume that Y = 0 + 1 x + , where the error term is normally distributed with mean zero and constant variance The model assumption for logistic regression is different Since the response is dichotomous, the errors can take only one of two possible forms: If Y = 1 (eg, disease is present), which occurs with probability (x) (the probability that the response is positive), = 1 (x),the vertical distance between the data point Y = 1 and the curve (x) = e 0 + 1 x 1 + e 0 + 1 x directly below it, for X = x On the other hand, if Y = 0 (eg.

Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1033 1041 Gellhorn, E (1958) The physiological basis of neuromuscular relaxation Archives of Internal Medicine, 102, 392 399 Glaus, K D, & Kotses, H (1983) Facial muscle tension in uences lung airway resistance: Limb muscle tension does not Biological Psychology, 17, 105 120 Gray, S L, Williams, D M, Pulliam, C C, Sirgo, M A, Bishop, A L, & Donohue, J F (1996) Characteristics predicting incorrect metered-dose inhaler technique in older subjects Archives of Internal Medicine, 156, 984 988 Greineder, D K, Loane, K C, & Parks, P (1999) A randomized controlled trial of a pediatric asthma outreach program Journal of Allergy and Clinical Immunology, 103, 436 440 Groddeck, G (1928) The book of the it New York: Nervous and Mental Diseases Harver, A (1994).

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