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Dissertations / Theses on the topic 'Clinical judgements'

Author: Grafiati

Published: 4 June 2021

Last updated: 13 February 2022

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1

Bell, Ian Douglas, and ian bell@deakin edu au. "Improving clinical judgements." Deakin University. School of Psychology, 2003. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20070119.100737.

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This portfolio explored issues that are relevant to the judgements routinely made by clinical psychologists. The first chapter provides a theoretical overview of relevant issues. In this chapter, firstly, the debate over the relative merits of clinical and statistical approaches to clinical judgement (Meehl, 1954) is reviewed. It is noted that, although much of the empirical evidence supports the greater accuracy of statistical approaches to making judgements (where appropriate methods exist), they are rarely routinely used, and clinical approaches to making judgements continue to domin

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2

Hollows, Anne. "Good enough judgements : a study of judgement making in social work with children and families." Thesis, University of Reading, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367336.

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3

Miresco, Marc J. "Judgements of responsibility and mind brain dualism in clinical psychiatry." Thesis, McGill University, 2006. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=97970.

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This thesis explores the phenomenon of mind-brain dualism in contemporary Western psychiatry from an anthropological and social psychological perspective. In a first chapter, it reports on an empirical study involving 127 staff psychiatrists and psychologists at McGill University who responded to a questionnaire based on clinical vignettes. Results revealed a latent process of judging patients' responsibility for illness, where the more a behavioural problem was seen as 'psychological,' the more the patients tended to be viewed as responsible and blameworthy for their symptoms, while behaviour

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4

Harvey-Cook, Jane Elizabeth. "Graduate recruitment at professional entry level : clinical judgements and empirically derived methods of selection." Thesis, City University London, 1995. http://openaccess.city.ac.uk/7736/.

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This research provides evidence to support the argument that selection procedures dependent upon clinical judgements, being used in the chartered accountancy profession, may well provide results not significantly different from those obtained by chance. Research has suggested that personality type, choice of vocation and performance are predictable from personal histories (Holland, 1976; Owens and Schoenfeldt, 1979; Eberhardt and Muchinsky, 1982a; Super, 1980; Wernimont and Campbell, 1968) and using a predictive model approach to scoring biographical data (biodata) is explored here as a means

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5

Tate, Kerry. "An investigation into the effect of causal beliefs about depression on attitudes and clinical judgements." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12368/.

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Biological explanations of depression have been found to increase professional perceptions of the effectiveness of medical treatments and reduce the perceptions of the effectiveness of psychological therapy. Studies in lay populations have shown that biological explanations reduce perceptions of self-efficacy and control over depression symptoms. There is a lack of research examining the impact of causal models on clinicians’ attitudes. The current study aimed to explore whether clinicians’ causal models of a client’s depression can be biased by aetiological labelling and, in turn, whether cli

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6

Van, den Berg Rick. "The integration of patient cues, nursing knowledge and clinical judgements by Intensive Care Unit nurses in simulated situations of urgency." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq20985.pdf.

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7

van, den Berg Rick. "The integration of patient cues, nursing knowledge and clinical judgements by Intensive Care Unit nurses in simulated situations of urgency." Thesis, University of Ottawa (Canada), 1996. http://hdl.handle.net/10393/10072.

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Nurses who work in critical care areas must learn how to make effective clinical judgements about patients under a variety of conditions. The process of making clinical judgements includes attending to cues from the patient and integrating prior nursing knowledge. The study examined this process within the context of simulated patient instability, in which there is minimal time for the nurse to reflect upon the judgements made. Registered Nurses from four Intensive Care Units (ICU) within the Regional Municipality of Ottawa-Carleton were randomly selected and invited to participate in the stud

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8

Coulter, Margaret Anne. "Nurses' early recognition of medical patients in transition states from acute to critical illness or cardiac arrest : the cue composition of clinical judgements." Thesis, University of Surrey, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.411482.

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9

Ahlzen, Rolf. "Understanding clinical judgement and its relation to literary experience." Thesis, Durham University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.521791.

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10

Flores, Sepulveda Luis Jose. "Clinical judgement in the era of evidence based medicine." Thesis, King's College London (University of London), 2017. https://kclpure.kcl.ac.uk/portal/en/theses/clinical-judgement-in-the-era-of-evidence-based-medicine(d05f12b7-05fd-45a2-b1ff-78060d1d8520).html.

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“Evidence Based Medicine” (EBM) urges that medical recommendations be based on the best research evidence, rather than on clinical judgement. While I strongly endorse attention to relevant research evidence, I argue that the related downplaying of clinical judgement is a step backwards. This is because actual models of EBM encourage physicians to focus exclusively on research probabilities and so to neglect relevant information about patients. I call this feature of EBM the “Problem of Extra Information” (PEI), and contend that it leads to predictions and prescriptions based on the wrong proba

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11

Harries, Priscilla Ann. "Occupational therapists' judgement of referral priorities : expertise and training." Thesis, Brunel University, 2004. http://bura.brunel.ac.uk/handle/2438/3110.

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The British government currently requires mental health services to be targeted at the most needy (Department of Health, 1999). For occupational therapy services, where service demand far exceeds service availability, skill in referral prioritisation is essential. The studies in this thesis describe how experienced occupational therapists’ referral prioritisation policies were used to successfully educate novices. 40 British occupational therapists’ referral prioritisation policies were modelled using judgement analysis. Individuals’ prioritisation decisions were regressed onto 90 referral sce

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12

King, Roslyn Anne Lindy. "Levels of expertise in nurses working in surgical wards and intensive care units : a qualitative study." Thesis, King's College London (University of London), 1998. https://kclpure.kcl.ac.uk/portal/en/theses/levels-of-expertise-in-nurses-working-in-surgical-wards-and-intensive-care-units--a-qualitative-study(d1915802-e2fd-48f1-9686-ac3e6716ae2e).html.

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13

RODRIGUEZ, AUBREY JOY. "JUDGEMENT OF SUB-CLINICAL DEPRESSION IN PRIVATE AND PUBLIC SELF-DESCRIPTIONS." Thesis, The University of Arizona, 2008. http://hdl.handle.net/10150/192229.

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14

Murray, Jennifer. "Influencing clinical judgement : the role of attribution in violence risk assessment." Thesis, Glasgow Caledonian University, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.547438.

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15

Baker, Jacqueline Deborah. "Nurses' Perceptions of Clinical Decision Making in relation to Patients in Pain." University of Sydney. Family and Community Nursing, 2001. http://hdl.handle.net/2123/489.

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Clinical decision-making (CDM) research has focused on diagnostic reasoning, CDM models, factors influencing CDM and the development of expertise. The research approaches used, including phenomenology, have not addressed the question of how CDM is perceived and approached by nurses. This study describes perceptions of CDM in relation to patients in pain using a phenomenographic methodology. At semi-structured interviews, participants were asked to recall their responses to a situation involving a patient in pain. The responses fell into four categories: (1) the effect of the clinical env

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16

Rowley, Dane Aaron. "Deployment of social cognition for communication and moral judgement in traumatic brain injury." Thesis, University of Hull, 2016. http://hydra.hull.ac.uk/resources/hull:14399.

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This portfolio comprises three parts. Part one is a systematic meta-analytic review of the relationship between cognition, including social cognition, and the pragmatic aspects of language comprehension and production following traumatic brain injury. Part two is an empirical paper which presents novel data pertaining to the characterisation of moral judgement disturbance following traumatic brain injury, and the relationship of these disturbances to social cognition. Part three comprises the appendices, which contain information supplementary to parts one and two, in addition to an epistemolo

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17

Cohen, Andrea. "A study of decision-making about risk of violence in mentally disordered offenders." Thesis, Open University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.369030.

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18

Ahlzén, Rolf. "Why should physicians read? : Understanding clinical judgement and its relation to literary experience." Doctoral thesis, Karlstads universitet, Avdelningen för hälsa och miljö, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-6285.

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Is literary experience of any practical relevance to the clinician? This is the overall question addressed by this investigation, which starts by tracing the historical roots of scientific medicine. These are found to be intimately linked to a form of rationality associated with the scientific revolution of the 17th century and with “modernity”. Medical practice, however, is dependent also on another form of rationality associated with what Stephen Toulmin calls “the epistemology of the biographical”. The very core of clinical medicine is shown to be the clinical encounter, an interpretive mee

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19

Smith, Julie MacAulay. "The transition from Final Year Medical Student to Foundation Doctor : the clinical reasoning journey." Thesis, University of Dundee, 2015. https://discovery.dundee.ac.uk/en/studentTheses/ec05577b-d97e-45a2-b0fe-010fc5dd0835.

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Although clinical reasoning is both broad and complex, the term “clinical reasoning” is contested and multiple definitions have been mooted within different contexts. In its simplest form, clinical reasoning is regarded as a “decision-making” process. Other definitions outline it in terms of a complex cognitive process, posited within multiple contextual factors. Traditionally, clinical reasoning models have been based upon cognitive theories. More recently, interpretive theories have been applied. Despite extensive research over the past four decades, no consensus on how clinical reasoning ac

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20

Smith, J. David. "Confidence in psychodiagnosis : a study of clinicians' judgement confidence in a psychological assessment task as a function of reliance on four inferential heuristics and clinical experience." Thesis, McGill University, 1998. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=35620.

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Research in several domains has revealed that when individuals are asked to estimate the probability that their judgments are correct, they reveal an overconfidence effect. Judgments produced in decision environments such as psychodiagnosis, which are by their nature ambiguous and complex, appear to be most vulnerable to overconfidence. By implication, this phenomenon threatens the validity of clinical judgment and subjects clients to risks of flawed diagnoses and unsuitable treatments.<br>In an effort to identify variables implicated in judgment confidence and overconfidence, this study exami

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21

Eiman, Johansson Maria. "Sjuksköterskors kliniska beslutsfattande med fokus på perifera venkatetrar (PVK)." Licentiate thesis, Malmö högskola, Institutionen för vårdvetenskap (VV), 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-7380.

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För att kunna ge vård av säker och god kvalitet krävs att sjuksköterskor har kunskap inom många områden, eftersom de har ansvar för såväl bedömning, planering och genomförande, som utvärdering och dokumentation av omvårdnadsarbetet. Ett av flera ansvarsområden för sjuksköterskor i deras dagliga arbete är beslutsfattande om insättning och skötsel av perifera venkatetrar (PVK). En PVK är en tunn plastkateter som sätts in i ett blodkärl via en kanyl. PVK används vid intravenös behandling med till exempel antibiotika och andra läkemedel, blodkomponenter eller näringslösningar. En stor andel av all

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22

Sengül, Cemre Günes. "Kids out of control? Clinical Judgment and Psychiatric Reception of ADHD in Modern Turkey." Thesis, Lyon, 2020. http://www.theses.fr/2020LYSEN072.

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Les discussions sur la catégorie psychiatrique infantile la plus fréquemment diagnostiquée - le trouble du déficit de l’attention avec hyperactivité (TDAH) se situent à la croisée de l'approche qui la recherche au sein des fonctions neurobiologiques de l'organisme et de l'approche qui la recherche à travers des superstructures telles que les grandes entreprises pharmaceutiques. Le TDAH est considéré comme une catégorie discursive et un objet épistémique dans le cadre de mon étude. J’analyse cette expérience à travers les actes du psychiatre qui est l'agent ultime du jugement. Je me concentre s

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23

Mattsson, Carin, and Malin Sande. "Plötsligt händer det! Vad gör jag? : Nyexaminerade sjuksköterskans utvecklande av kliniskt omdöme." Thesis, Ersta Sköndal högskola, Institutionen för vårdvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:esh:diva-5246.

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Bakgrund: Kliniskt omdöme kan beskrivas som förmågan att på ett insiktsfullt sätt identifiera och agera på en förändring eller ett behov relaterat till patientens hälsotillstånd. Kliniskt omdöme kommer till sin spets i komplexa situationer som exempelvis när en patient plötsligt försämras. Det har skett en akademisering av sjuksköterskeutbildningen som gett sjuksköterskor en stadigare teoretisk grund men det kliniska omdömet behöver utvecklas efter examen. Syfte: Syftet var att beskriva faktorer som påverkar utvecklingen av nyexaminerade sjuksköterskans (NS) kliniska omdöme. Metod: Metoden som

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24

Martin, Peter J. "An exploration of the influences on clinical judgement within mental health nursing practice in the United Kingdom, including a critique of the grounded theory approach." Thesis, Cardiff University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287497.

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25

O'Connor, Laserina. "Clinical judgement of critical care nurses in the context of the ventilated patient in pain in the immediate phase post cardiac surgery : a case study." Thesis, University of Surrey, 2006. http://epubs.surrey.ac.uk/842684/.

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The critical care environment is a complex arena in which clinical judgements of the ventilated patients pain state are made over the course of their surgical trajectory. The presence of the critical care nurse at the bedside is the key to informed judgement in this unpredictable and fragile situation. This study sought to capture the judgement process of thirty critical care nurses in the context of the ventilated patient in pain in the immediate phase after cardiac surgery i.e. six-hours. Evidence of the judgement process was sought using the Lens Model as a framework, utilising the cognitiv

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26

Mason, Brenda. "Advanced-Beginner Registered Nurses' Perceptions on Growth From Entry Level." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6921.

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Many entry-level nurses are not prepared to handle medical emergencies. Although responsible for managing the care of individuals with complex medical conditions, many of these nurses compromise the safety of patients due to a lack of experience and an inability to apply clinical judgment. The purpose of this study was to explore the perceptions of registered nurses about their transition from entry-level to advanced beginner. Bandura's social cognitive theory, along with Colaizzi's descriptive method of data analysis, provided a basis for this phenomenological study. Research questions focuse

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27

Spencer, Peter. "Cognitive bias and heuristics and their effects on clinical judgement amongst psychological therapists: a review, and, Problem solving in an empathic task: an experimental study of expertise and intuition." Thesis, University of Sheffield, 2013. http://etheses.whiterose.ac.uk/4655/.

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28

Mayer, Sarah A. "Clinical judgement vs. evidence-based practice: two models to predict postoperative hematocrit following uncomplicated hysterectomy." Thesis, 2017. https://hdl.handle.net/2144/23817.

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BACKGROUND: Hysterectomies are one of the most frequently performed surgical procedures in the United States. There are a wide variety of diagnoses that require a patient to obtain this procedure, but the majority of hysterectomies are performed for benign indications. Currently, gynecologists do not follow a standardized protocol surrounding postoperative laboratory ordering, and healthcare professionals can order a wide range of tests as often as they choose. Extraneous laboratory orders are disruptive to the patients’ well-being and risk their health following surgery. These orders are cost

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29

Dubula, Mapule Pamella. "Stimulation debriefing and the development of clinical judgement of student nurses at a University in Gauteng." Thesis, 2018. https://hdl.handle.net/10539/25402.

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A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfillment of the requirement for the degree of Master of Science in Nursing. Johannesburg, 2018.<br>Background: There are limited learning opportunities available for students in the clinical settings due to the reduction in the length of patient hospital stays, the shortage of clinical educators and increasing number of students competing for clinical learning opportunities. Simulation-based learning is an innovative way of replicating the real-life clinical scenarios in

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30

Van, Graan Anna Catharina. "Clinical judgement in nursing : a teaching-learning strategy for South African undergraduate nursing students / Anna Catharina van Graan." Thesis, 2014. http://hdl.handle.net/10394/15686.

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Recent reforms in the South African health care and educational system were founded in the ideal that the country would produce independent, critical thinkers. Nurses need to cope with diversity in a more creative way, defining their role in a complex, uncertain, rapidly changing health care environment. Learning facilitators are held accountable for finding adequate learning experiences to prepare nursing students for such practice demands so that newly qualified nurses do meet expectations for entry level clinical judgement ability. Quality clinical judgement is therefore imperative as an id

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31

Rosenthal, David. "Perceptions of African-American versus white clients by rehabilitation counselors in training a study of stereotypes and clinical judgement /." 1993. http://catalog.hathitrust.org/api/volumes/oclc/31058946.html.

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Thesis (Ph. D.)--University of Wisconsin--Madison, 1993.<br>Typescript. eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references (leaves 93-102).

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32

Burton, C. R., Maria Horne, K. Woodward-Nutt, A. Bowen, and P. J. Tyrrell. "What is rehabilitation potential? Development of a theoretical model through the accounts of healthcare professionals working in stroke rehabilitation services." 2015. http://hdl.handle.net/10454/7356.

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no<br>Introduction: Multi-disciplinary team members predict each patient’s rehabilitation potential to maximise best use of resources. A lack of underpinning theory about rehabilitation potential makes it difficult to apply this concept in clinical practice. This study theorises about rehabilitation potential drawing on everyday decision-making by Health Care Professionals (HCPs) working in stroke rehabilitation services. Methods: A clinical scenario, checked for face validity, was used in two focus groups to explore meaning and practice around rehabilitation potential. Participants were 12 HC

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33

Faisal, Muhammad, Binish Khatoon, Andy J. Scally, et al. "A prospective study of consecutive emergency medical admissions to compare a novel automated computer-aided mortality risk score and clinical judgement of patient mortality risk." 2019. http://hdl.handle.net/10454/18015.

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Yes<br>Objectives: To compare the performance of a validated automatic computer-aided risk of mortality (CARM) score versus medical judgement in predicting the risk of in-hospital mortality for patients following emergency medical admission. Design: A prospective study. Setting: Consecutive emergency medical admissions in York hospital. Participants: Elderly medical admissions in one ward were assigned a risk of death at the first post-take ward round by consultant staff over a 2-week period. The consultant medical staff used the same variables to assign a risk of death to the patient as the C

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34

Drolet, Christine. "Exploration des motifs justifiant le recours aux mesures de contention et d'isolement en centre de réadaptation pour jeunes au Québec: la perception des intervenants." Thèse, 2019. http://hdl.handle.net/1866/22727.

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35

Dumas, Marie-Michèle. "Considérer les écarts de conduite dans le processus de réadaptation : comment les intervenants adaptent-ils le cadre général de l’intervention à la résistance des jeunes délinquants à haut risque de récidive?" Thèse, 2017. http://hdl.handle.net/1866/20092.

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