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https://www.readbyqxmd.com/read/28074313/characterizing-clinical-genetic-counselors-countertransference-experiences-an-exploratory-study
#1
Rebecca Reeder, Patricia McCarthy Veach, Ian M MacFarlane, Bonnie S LeRoy
Countertransference (CT) refers to conscious and unconscious emotions, fantasies, behaviors, perceptions, and psychological defenses genetic counselors experience in response to any aspect of genetic counseling situations (Weil 2010). Some authors theorize about the importance of recognizing and managing CT, but no studies solely aim to explore genetic counselors' experiences of the phenomenon. This study examined the extent to which clinical genetic counselors' perceive themselves as inclined to experience CT, gathered examples of CT encountered in clinical situations, and assessed their CT management strategies...
January 10, 2017: Journal of Genetic Counseling
https://www.readbyqxmd.com/read/28069317/unconscious-collusion-an-interpretative-phenomenological-analysis-of-the-maternity-care-experiences-of-women-with-obesity-bmi%C3%A2-30kg-m%C3%A2
#2
Sandra Atkinson, Patricia Mannix McNamara
BACKGROUND: obstetric and midwifery literature consctinually emphasise incidence and consequence of obesity in pregnancy. However, they offer less consensus on how best to support women who are obese. Therefore, this study explores in depth the lived experience of women who have a Body Mass Index (BMI) ≥30kg/m². This exploration provides a bio-psycho-social understanding of the lived experience of women to identify how best to support them throughout their childbirth experience. METHODS: an Interpretative Phenomenological Analysis (IPA) design was adopted for this qualitative study...
December 16, 2016: Midwifery
https://www.readbyqxmd.com/read/28069157/mri-detection-of-cerebral-lesions-in-post-traumatic-anisocoria-specificity-and-prognostic-significance
#3
D Woischneck, B Schmitz, T Kapapa
AIM: To identify whether increased numbers of brainstem lesions are found in the presence of a post-traumatic pupillary function disturbance and classify them anatomically. MATERIALS AND METHODS: In this study, a diagnostic magnetic resonance imaging (MRI) examination was performed within 8 days after traumatic brain injury (TBI) in patients who had been unconscious for more than 24 hours post-TBI. The Glasgow Outcome Scale was evaluated 6 months after TBI. The data obtained from 140 consecutively enrolled patients between 2005 and 2011 were analysed...
January 7, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28068501/psychodynamic-intervention-in-crisis
#4
Milton Viederman
This paper presents a framework for brief, intensive psychotherapeutic intervention for acute distress, manifested by feelings of depression, anxiety or anger, isolation and loneliness, that arise when crises provoke unconscious conflict. This therapy uses a technique to develop a "benevolent transference" for symptom relief and as a groundwork for gaining insight. Interventions to facilitate this process will be illustrated with case illustrations.
December 31, 2016: American Journal of Psychotherapy
https://www.readbyqxmd.com/read/28068405/head-injury-as-a-risk-factor-for-dementia-and-alzheimer-s-disease-a-systematic-review-and-meta-analysis-of-32-observational-studies
#5
Yanjun Li, Yongming Li, Xiaotao Li, Shuang Zhang, Jincheng Zhao, Xiaofeng Zhu, Guozhong Tian
BACKGROUND: Head injury is reported to be associated with increased risks of dementia and Alzheimer's disease (AD) in many but not all the epidemiological studies. We conducted a systematic review and meta-analysis to estimate the relative effect of head injury on dementia and AD risks. METHODS: Relevant cohort and case-control studies published between Jan 1, 1990, and Mar 31, 2015 were searched in PubMed, Web of Science, Scopus, and ScienceDirect. We used the random-effect model in this meta-analysis to take into account heterogeneity among studies...
2017: PloS One
https://www.readbyqxmd.com/read/28063863/correlation-between-observational-scales-of-sedation-and-comfort-and-bispectral-index-scores-bis
#6
Michael Barbato, Greg Barclay, Jan Potter, Wilf Yeo, Joseph Chung
CONTEXT: When palliative care patients enter the phase of unconsciousness preceding death it is standard practice to initiate or continue a subcutaneous infusion of an opioid plus or minus a sedative. The doses are determined somewhat empirically and adjustments are based on clinical assessment and observational measures of sedation and comfort. Following reports that these observational measures could be misleading, this study assesses their validity by comparing them with an objective measure of sedation, the Bispectral Index score (BIS)...
January 4, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28063084/methodological-issues-surrounding-the-use-of-baseline-health-related-quality-of-life-data-to-inform-trial-based-economic-evaluations-of-interventions-within-emergency-and-critical-care-settings-a-systematic-literature-review
#7
REVIEW
Melina Dritsaki, Felix Achana, James Mason, Stavros Petrou
BACKGROUND: Trial-based cost-utility analyses require health-related quality of life data that generate utility values in order to express health outcomes in terms of quality-adjusted life years (QALYs). Assessments of baseline health-related quality of life are problematic where trial participants are incapacitated or critically ill at the time of randomisation. This review aims to identify and critique methods for handling non-availability of baseline health-related quality of life data in trial-based cost-utility analyses within emergency and critical illness settings...
January 6, 2017: PharmacoEconomics
https://www.readbyqxmd.com/read/28062352/collusions-between-patients-and-clinicians-in-end-of-life-care-why-clarity-matters
#8
Friedrich Stiefel, Kenji Nakamura, Takeshi Terui, Kunihiko Ishitani
Collusion, an unconscious dynamic between patients and clinicians, may provoke strong emotions, un-reflected behaviours and a negative impact on care. Collusions, prevalent in the health care setting, are triggered by situations which signify an unresolved psychological issue relevant for both, patient and clinician. After an introductory definition of collusion, two archetypal situations of collusion - based on material from a regular supervision of a palliative care specialist by a liaison psychiatrist - and means of working through collusion are presented...
January 3, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28061756/a-novel-method-to-promote-physical-activity-among-older-adults-in-residential-care-an-exploratory-field-study-on-implicit-social-norms
#9
Margot A Koeneman, Astrid Chorus, Marijke Hopman-Rock, Mai J M Chinapaw
BACKGROUND: Physical activity (PA) levels of older adults living in a care setting are known to be very low. This is a significant health(care) problem, as regular PA has many health benefits also at advanced age. Research on automatic processes underlying PA behaviour in physically inactive older adults is yet non-existing. Since people are unconsciously influenced by people around them (i.e. by 'social norms') automatic processes could be used to promote PA. We developed an explorative intervention method to assess the effects of automatically processed (implicit) descriptive social norms ('What most people do') on behavioral intention and participation in PA offered in a local residential care setting...
January 6, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/28060525/diurnal-rhythms-in-psychological-reward-functioning-in-healthy-young-men-wanting-liking-and-learning
#10
Jamie E M Byrne, Greg Murray
A range of evidence suggests that human reward functioning is partly driven by the endogenous circadian system, generating 24-hour rhythms in behavioural measures of reward activation. Reward functioning is multifaceted but literature to date is largely limited to measures of self-reported positive mood states. The aim of this study was to advance the field by testing for hypothesised diurnal variation in previously unexplored components of psychological reward: 'wanting', liking, and learning using subjective and behavioural measures...
January 6, 2017: Chronobiology International
https://www.readbyqxmd.com/read/28059960/-contemplating-the-next-maneuver-functional-neuroimaging-reveals-intraoperative-decision-making-strategies
#11
Daniel Richard Leff, Gabriella Yongue, Ivo Vlaev, Felipe Orihuela-Espina, David James, Michael J Taylor, Thanos Athanasiou, Ray Dolan, Guang-Zhong Yang, Ara Darzi
OBJECTIVE: To investigate differences in the quality, confidence, and consistency of intraoperative surgical decision making (DM) and using functional neuroimaging expose decision systems that operators use. SUMMARY BACKGROUND DATA: Novices are hypothesized to use conscious analysis (effortful DM) leading to activation across the dorsolateral prefrontal cortex, whereas experts are expected to use unconscious automation (habitual DM) in which decisions are recognition-primed and prefrontal cortex independent...
February 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28056385/prior-conscious-experience-enhances-conscious-perception-but-does-not-affect-response-priming%C3%A2
#12
Dominique Lamy, Tomer Carmel, Ziv Peremen
Recent research shows that prior experience and expectations strongly enhance a visual stimulus' access to conscious awareness. However, whether such advance knowledge also influences this stimulus' indirect impact on behavior is poorly understood. The resolution of this question has the potential of providing strong tests between current models of conscious perception because these diverge on whether a factor that affects conscious access by a stimulus necessarily also affects the strength of this stimulus' representation and hence, its indirect impact on behavior...
January 2, 2017: Cognition
https://www.readbyqxmd.com/read/28054286/predictive-validity-and-inter-rater-reliability-of-the-persian-version-of-full-outline-of-unresponsiveness-among-unconscious-patients-with-traumatic-brain-injury-in-an-intensive-care-unit
#13
Somayeh Momenyan, Sey Mojtaba Mousavi, Tahmineh Dadkhahtehrani, Fatemeh Sarvi, Reza Heidarifar, Faezeh Kabiri, Erfan Mohebi, Mohammad Koohbor
INTRODUCTION: The Glasgow Coma Scale (GCS) has some limitations when evaluating the unconscious patient. This study aims to validate the Persian version of the FOUR (Full Outline of Unresponsiveness) score as a proposed substitute. METHODS: Two nurses, two nursing students, and two physicians scored the prepared Persian version of the FOUR and GCS in 84 patients with acute brain injury. The inter-rater agreement for the FOUR and the GCS scores was evaluated by the weighted kappa (κ w)...
January 4, 2017: Neurocritical Care
https://www.readbyqxmd.com/read/28038363/relationship-of-nicotine-deprivation-and-indices-of-alcohol-use-behavior-to-implicit-alcohol-and-cigarette-approach-cognitions-in-smokers
#14
Amy Cohn, Sarah Ehlke, Caroline O Cobb
Alcohol and smoking frequently co-occur and alcohol is a primary trigger for smoking behavior and relapse back to smoking. This study examined whether several indices of alcohol use behavior and consequences of use would be associated with changes in implicit alcohol-approach versus implicit cigarette-approach cognitions under cigarette deprived and non-deprived cognitions in 109 smokers who drank at risky or non-risky levels. An Implicit Association Task (IAT) measured how quickly respondents paired alcohol and cigarette pictures with approach and avoid words...
December 9, 2016: Addictive Behaviors
https://www.readbyqxmd.com/read/28018280/capitalist-discourse-subjectivity-and-lacanian-psychoanalysis
#15
Stijn Vanheule
This paper studies how subjectivity in capitalist culture can be characterized. Building on Lacan's later seminars XVI, XVII, XVIII, and XIX, the author first outlines Lacan's general discourse theory, which includes four characteristic discourses: the discourse of the master, the discourse of the university, the discourse of the hysteric and the discourse of the analyst. Next, the author explores the subjectivity and the mode of dealing with jouissance and semblance, which is entailed in a fifth type of discourse, the capitalist discourse, discussed by Lacan (1972)...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/28009387/diving-exposure-and-health-effects-in-divers-working-in-different-areas-of-professional-diving
#16
Ågot Irgens, Kari Troland, Rune Djurhuus, Marit Grønning
BACKGROUND: The aim of the present study was to compare diving exposure and health effects in different areas of professional diving. MATERIALS AND METHODS: The Norwegian Labour Inspection Authority's Diving Register contains data on all professional inshore divers who have held a diving certificate at any time since 1980. Of these divers, the "Norwegian diver 2011" questionnaire was completed by 2848 (48.7%). A total of 1167 male divers reported that they often worked in one area of diving only (rescue diving, diving instruction, fish farming, quay/construction work and offshore/oil related)...
2016: International Maritime Health
https://www.readbyqxmd.com/read/28000920/on-fascination-and-fear-of-annihilation
#17
Michel Thys
In this paper fascination phenomenologically is described as a state of radically being captured by an imposing object. What is left of the impoverished and paralysed subject clings to the exclusive fascinating object. Fascination is the eye of the storm of extreme ambivalence towards an exclusive object: being the only remaining object it is necessary for living in an object world, but at the same time it is threatening to life by absorbing the subject totally. So the subject is sucked in by a yet frightening object...
December 21, 2016: International Journal of Psycho-analysis
https://www.readbyqxmd.com/read/27999558/an-embodied-approach-to-understanding-making-sense-of-the-world-through-simulated-bodily-activity
#18
REVIEW
Firat Soylu
Even though understanding is a very widely used concept, both colloquially and in scholarly work, its definition is nebulous and it is not well-studied as a psychological construct, compared to other psychological constructs like learning and memory. Studying understanding based on third-person (e.g., behavioral, neuroimaging) data alone presents unique challenges. Understanding refers to a first-person experience of making sense of an event or a conceptual domain, and therefore requires incorporation of multiple levels of study, at the first-person (phenomenological), behavioral, and neural levels...
2016: Frontiers in Psychology
https://www.readbyqxmd.com/read/27998994/mechanisms-of-masked-evaluative-priming-task-sets-modulate-behavioral-and-electrophysiological-priming-for-picture-and-words-differentially
#19
Markus Kiefer, Nathalie Liegel, Monika Zovko, Dirk Wentura
Research with the evaluative priming paradigm has shown that affective evaluation processes reliably influence cognition and behavior, even when triggered outside awareness. However, the precise mechanisms underlying such subliminal evaluative priming effects, response activation vs. semantic processing, are matter of a debate. In the present study, we determined the relative contribution of semantic processing and response activation to masked evaluative priming with pictures and words. To this end, we investigated the modulation of masked pictorial vs...
December 20, 2016: Social Cognitive and Affective Neuroscience
https://www.readbyqxmd.com/read/27996973/perceptual-restoration-of-masked-speech-in-human-cortex
#20
Matthew K Leonard, Maxime O Baud, Matthias J Sjerps, Edward F Chang
Humans are adept at understanding speech despite the fact that our natural listening environment is often filled with interference. An example of this capacity is phoneme restoration, in which part of a word is completely replaced by noise, yet listeners report hearing the whole word. The neurological basis for this unconscious fill-in phenomenon is unknown, despite being a fundamental characteristic of human hearing. Here, using direct cortical recordings in humans, we demonstrate that missing speech is restored at the acoustic-phonetic level in bilateral auditory cortex, in real-time...
December 20, 2016: Nature Communications
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