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https://www.readbyqxmd.com/read/29039752/aesthetic-diagnosis-in-gestalt-therapy
#1
Jan Roubal, Gianni Francesetti, Michela Gecele
The diagnostic process in psychotherapy using the aesthetic evaluation is described in this article. Unlike the classical diagnostic process, which presents a result of comparing clinicians´ observations with a diagnostic system (DSM, ICD, etc.), the aesthetic evaluation is a pre-reflexive, embodied, and preverbal process. A Gestalt Therapy theoretical frame is used to introduce a concept of the aesthetic diagnostic process. During this process, the clinicians use their own here-and-now presence, which takes part in the co-creation of the shared relational field during the therapeutic session...
October 17, 2017: Behavioral Sciences
https://www.readbyqxmd.com/read/28666562/emergency-medicine-myths-computed-tomography-of-the-head-prior%C3%A2-to-lumbar-puncture-in-adults-with-suspected-bacterial-meningitis-due-diligence-or-antiquated-practice
#2
Michael D April, Brit Long, Alex Koyfman
BACKGROUND: Various sources purport an association between lumbar puncture and brainstem herniation in patients with intracranial mass effect lesions. Several organizations and texts recommend head computed tomography (CT) prior to lumbar puncture in selected patients. OBJECTIVE: To review the evidence regarding the utility of obtaining head CT prior to lumbar puncture in adults with suspected bacterial meningitis. DISCUSSION: Observational studies report a risk of post-lumbar puncture brainstem herniation in the presence of intracranial mass effect (1...
September 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28665208/association-between-rivaroxaban-use-and-length-of-hospital-stay-treatment-costs-and-early-outcomes-in-patients-with-pulmonary-embolism-a-systematic-review-of-real-world-studies
#3
Christine G Kohn, Gregory J Fermann, W Frank Peacock, Phil S Wells, Christopher W Baugh, Veronica Ashton, Concetta Crivera, Jeff R Schein, Peter Wildgoose, Craig I Coleman
BACKGROUND: In the EINSTEIN-Pulmonary Embolism (PE) trial, subjects randomized to rivaroxaban versus enoxaparin bridging to vitamin K antagonist (VKA) therapy experienced a reduced index hospital length of stay (LOS). We sought to conduct a systematic review of real-world studies comparing LOS, costs and early outcomes among patients treated with rivaroxaban or parenterally bridged VKA in routine practice. METHODS: We searched Medline and Scopus from 1 January 2011 to 30 November 2016 to identify observational studies comparing acute PE patients anticoagulated with rivaroxaban or parenterally bridged VKA and reporting data on index hospital LOS, costs and/or early post-PE outcomes...
July 17, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28614671/gestalt-breastfeeding-helping-mothers-and-infants-optimize-positional-stability-and-intraoral-breast-tissue-volume-for-effective-pain-free-milk-transfer
#4
Pamela Douglas, Renee Keogh
In the past decade, biological nurturing and activation of maternal and infant instincts after birth have constituted a major advance in clinical breastfeeding support. Yet, physiologic breastfeeding initiation is not enough to ensure ongoing pain-free and effective breastfeeding for many pairs. Current interventions, including "hands-off" mammalian approaches, do not improve breastfeeding outcomes, including in randomized controlled trials. Back-arching, difficulty latching or staying on the breast, and fussing at the breast are common signs of infant positional instability during breastfeeding...
August 2017: Journal of Human Lactation: Official Journal of International Lactation Consultant Association
https://www.readbyqxmd.com/read/28462208/diagnosis-of-the-ocd-patients-using-drawing-features-of-the-bender-gestalt-shapes
#5
R Boostani, F Asadi, N Mohammadi
BACKGROUND: Since psychological tests such as questionnaire or drawing tests are almost qualitative, their results carry a degree of uncertainty and sometimes subjectivity. The deficiency of all drawing tests is that the assessment is carried out after drawing the objects and lots of information such as pen angle, speed, curvature and pressure are missed through the test. In other words, the psychologists cannot assess their patients while running the tests. One of the famous drawing tests to measure the degree of Obsession Compulsion Disorder (OCD) is the Bender Gestalt, though its reliability is not promising...
March 2017: Journal of Biomedical Physics & Engineering
https://www.readbyqxmd.com/read/27639424/best-clinical-practice-blood-culture-utility-in-the-emergency-department
#6
REVIEW
Brit Long, Alex Koyfman
BACKGROUND: Bacteremia affects 200,000 patients per year, with the potential for significant morbidity and mortality. Blood cultures are considered the most sensitive method for detecting bacteremia and are commonly obtained in patients with fever, chills, leukocytosis, focal infections, and sepsis. OBJECTIVE: We sought to provide emergency physicians with a review of the literature concerning blood cultures in the emergency department. DISCUSSION: The utility of blood cultures has been a focus of controversy, prompting research evaluating effects on patient management...
November 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27098212/gestalt-therapy-applied-a-case-study-with-an-inpatient-diagnosed-with-substance-use-and-bipolar-disorders
#7
Valerie Aiach Dominitz
AIM: The aim of the present paper is to open the discourse regarding the unmet needs of specific patients, especially those with substance use disorder and/or personality disorder where 'multimorbidities', and/or 'overdiagnosis' and/or 'diagnosis overlap' are frequent. An additional aim is to review the main therapeutic purpose and concepts of Gestalt therapy which might be appropriate in the treatment of these patients often characterized by their difficulties in being aware and in contact in the 'here and now'...
January 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/27071280/therapist-s-interpersonal-style-and-therapy-benefit-as-the-determinants-of-personality-self-reports-in-clients
#8
Nina Hadziahmetović, Sabina Alispahić, Đenita Tuce, Enedina Hasanbegović-Anić
UNLABELLED: BACKGROUND/AIM. In (counter)transference relationship therapist's interpersonal style, implying the perceived relation of therapist to a client (patient) in terms of control, autonomy, care and positive feedback, has been shown to be important. The aim of our study was to assess the relationship between therapist's interpersonal style and clients' personality self-reports. Within therapist's interpersonal style, preliminary validation of the Therapist's Interpersonal Style Scale has been conducted, which included double translation method, exploratory factor analysis, confirmatory factor analysis, as well as the reliability tests of the derived components...
February 2016: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
https://www.readbyqxmd.com/read/26714209/diagnostic-and-therapeutic-yield-of-endoscopy-in-patients-with-elevated-inr-and-gastrointestinal-bleeding
#9
Joanna M Peloquin, Siamak M Seraj, Lindsay Y King, Emily J Campbell, Ashwin N Ananthakrishnan, James M Richter
BACKGROUND: Gastrointestinal bleeding is a well-known risk of systemic anticoagulation. However, bleeding in the setting of supratherapeutic anticoagulation may have a milder natural history than unprovoked bleeding. It is a common clinical gestalt that endoscopy is common, but bleeding source identification or intervention is uncommon, yet few data exist to inform this clinical impression. Consequently, we sought to examine our institutional experience with gastrointestinal bleeding in the setting of supratherapeutic international normalized ratio (INR) with the aim of identifying predictors of endoscopically identifiable lesions, interventions, and outcomes...
June 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/26610167/a-randomized-controlled-clinical-trial-of-dialogical-exposure-therapy-versus-cognitive-processing-therapy-for-adult-outpatients-suffering-from-ptsd-after-type-i-trauma-in-adulthood
#10
RANDOMIZED CONTROLLED TRIAL
Willi Butollo, Regina Karl, Julia König, Rita Rosner
BACKGROUND: Although there are effective treatments for posttraumatic stress disorder (PTSD), there is little research on treatments with non-cognitive-behavioural backgrounds, such as gestalt therapy. We tested an integrative gestalt-derived intervention, dialogical exposure therapy (DET), against an established cognitive-behavioural treatment (cognitive processing therapy, CPT) for possible differential effects in terms of symptomatic outcome and drop-out rates. METHODS: We randomized 141 treatment-seeking individuals with a diagnosis of PTSD to receive either DET or CPT...
2016: Psychotherapy and Psychosomatics
https://www.readbyqxmd.com/read/26162206/pastoral-group-counselling-at-a-high-security-prison-in-israel-integrating-pierre-janet-s-psychological-analysis-with-fritz-perls-gestalt-therapy
#11
Paul Brown, Marta Brown
This is a report of a short-term, pastoral counselling group conducted with Jewish internees in a high security prison in Israel. It was held as an adjunct to daily secular individual and group counselling and rehabilitation run by the Department of Social Work. Pastoral counselling employed spiritual and psychosocial methodologies to reduce anger, improve prisoner frustration tolerance, and develop a sense of self-efficacy and communal identity. It combined semi-didactic scriptural input with Pierre Janet's personality model, Fritz Perls' gestalt therapy, and analysis of the group process...
March 2015: Journal of Pastoral Care & Counseling: JPCC
https://www.readbyqxmd.com/read/25946950/dynamics-of-psychological-crisis-experience-with-psychological-consulting-by-gestalt-therapy-methods
#12
Liliya Raifovna Fahrutdinova, Dzhamilia Renatovna Nugmanova
Dynamics of experience as such and its corporeal, emotional and cognitive elements in the situation of psychological consulting provisioning is covered. The aim of research was to study psychological crisis experience dynamics in the situation when psychological consulting by gestalt therapy methods is provided. Theoretical analysis of the problem of crisis situations, phenomenon and structural, and dynamic organization of experience of the subject of consulting have been carried out. To fulfill research project test subjects experience crisis situation have been selected, studied in the situation when they provided psychological consulting by methods of gestalt therapy, and methodology of study of crisis situations experience has been prepared...
2015: Global Journal of Health Science
https://www.readbyqxmd.com/read/25727055/interpersonal-subtypes-and-therapy-response-in-patients-treated-for-posttraumatic-stress-disorder
#13
RANDOMIZED CONTROLLED TRIAL
Julia König, Margarete Onnen, Regina Karl, Rita Rosner, Willi Butollo
UNLABELLED: Interpersonal traits may influence psychotherapy success. One way of conceptualizing such traits is the interpersonal circumplex model. In this study, we analyse interpersonal circumplex data, assessed with the Inventory of Interpersonal Problems (Horowitz, Strauß, & Kordy, 1994) from a randomized study with 138 patients suffering from posttraumatic stress disorder after trauma in adulthood. The study compared cognitive processing therapy and dialogical exposure therapy, a Gestalt-based intervention...
March 2016: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/25682314/clinical-gestalt-and-the-prediction-of-massive-transfusion-after-trauma
#14
MULTICENTER STUDY
Matthew J Pommerening, Michael D Goodman, John B Holcomb, Charles E Wade, Erin E Fox, Deborah J Del Junco, Karen J Brasel, Eileen M Bulger, Mitch J Cohen, Louis H Alarcon, Martin A Schreiber, John G Myers, Herb A Phelan, Peter Muskat, Mohammad Rahbar, Bryan A Cotton
INTRODUCTION: Early recognition and treatment of trauma patients requiring massive transfusion (MT) has been shown to reduce mortality. While many risk factors predicting MT have been demonstrated, there is no universally accepted method or algorithm to identify these patients. We hypothesised that even among experienced trauma surgeons, the clinical gestalt of identifying patients who will require MT is unreliable. METHODS: Transfusion and mortality outcomes after trauma were observed at 10 U...
May 2015: Injury
https://www.readbyqxmd.com/read/25639732/studies-with-lucid-dreaming-as-add-on-therapy-to-gestalt-therapy
#15
RANDOMIZED CONTROLLED TRIAL
B Holzinger, G Klösch, B Saletu
OBJECTIVES: The aim of the present exploratory clinical study was to evaluate LD as an add-on therapy for treating nightmares. METHODS: Thirty-two subjects having nightmares (ICD-10: F51.5) at least twice a week participated. Subjects were randomly assigned to group: A) Gestalt therapy group (= GTG), or B) Gestalt and lucid dreaming group therapy (= LDG). Each group lasted ten weeks. Participants kept a sleep/dream diary over the treatment. Examinations with respect to nightmare frequency and sleep quality (Pittsburgh Sleep Quality Index) were carried out at the beginning, after five and ten weeks and at a follow-up three months later...
June 2015: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/25432090/cognitive-function-among-hiv-infected-children-in-pune
#16
Manisha Ghate, Harshita Narkhede, Girish Rahane, Amit Nirmalkar, Nitin Gaikwad, Dileep Kadam
OBJECTIVE: To assess cognitive function of school-aged, perinatally acquired human immunodeficiency virus (HIV)-infected, antiretroviral therapy (ART) naïve children in Pune. METHODS: HIV infected ART naïve children (n = 50) between 6 and 12 y attending outpatient clinic were administered the Indian Child Intelligence Test (ICIT) after their clinical evaluation. Age and gender matched HIV uninfected children (n = 50) were enrolled as controls. The test battery included measures of perception of form (Gestalt), concept formation, memory span, learning and remembering, associative memory span, transformation of visual field, quantitative concepts, spatial visualization and visual motor coordination...
June 2015: Indian Journal of Pediatrics
https://www.readbyqxmd.com/read/25408624/humanistic-therapies-versus-treatment-as-usual-for-depression
#17
Philippa Davies, Vivien Hunot, Theresa Hm Moore, Deborah Caldwell, Hannah Jones, Glyn Lewis, Rachel Churchill
This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness and acceptability of all humanistic therapies compared with treatment as usual/waiting list/attention placebo control conditions for acute depression.To examine the effectiveness and acceptability of different humanistic therapy models (person-centred, gestalt, process-experiential, transactional analysis, existential and non-directive therapies) compared with treatment as usual/waiting list/attention placebo control conditions for acute depression...
2010: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25408088/breaking-the-mold-sculpting-impasses-in-couples-therapy
#18
Peggy Papp, Michele Scheinkman, Jean Malpas
In the fall of 2009, we the authors started a project at the Ackerman Institute for the Family in New York City that focuses on understanding and transforming impasses in couples' therapy. In experimenting with various interventions, we discovered the power of sculpting to capture and transform stalemates in couples relationships. In this article, we describe the ways in which sculpting brings forward the gestalt of a couple's impasse, highlights nuances of emotions and feelings, and reveals elements of both present and past...
March 2013: Family Process
https://www.readbyqxmd.com/read/25278809/humanistic-therapies-versus-other-psychological-therapies-for-depression
#19
Rachel Churchill, Philippa Davies, Deborah Caldwell, Theresa Hm Moore, Hannah Jones, Glyn Lewis, Vivien Hunot
This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness and acceptability of all humanistic therapies compared with all other psychological therapy approaches for acute depression.To examine the effectiveness and acceptability of different humanistic therapy models (person-centred, gestalt, process-experiential, transactional analysis, existential and non-directive therapies) compared with all other psychological therapy approaches for acute depression...
2010: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25256361/dialogical-exposure-with-traumatically-bereaved-bosnian-women-findings-from-a-controlled-trial
#20
RANDOMIZED CONTROLLED TRIAL
Maria Hagl, Steve Powell, Rita Rosner, Willi Butollo
OBJECTIVE: In this trial, we compared the relative efficacy of dialogical exposure group treatment using Gestalt empty-chair method with a supportive group in the treatment of symptoms stemming from traumatic loss in a post-war society. METHODS: One-hundred and nineteen women whose husbands were either killed or registered as missing during the war in Bosnia and Herzegovina were quasi-randomized to seven sessions of group treatment with dialogical exposure or to an active control condition...
November 2015: Clinical Psychology & Psychotherapy
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