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https://www.readbyqxmd.com/read/28330982/response-to-why-medical-professionals-have-no-moral-claim-to-conscientious-objection-accommodation-in-liberal-democracies-by-schuklenk-and-smalling
#1
Richard John Lyus
Bioethicists commenting on conscientious objection and abortion should consider the empirical data on abortion providers. Abortion providers do not fall neatly into groups of providers and objectors, and ambivalence is a key theme in their experience. Practical details of abortion services further upset the dichotomy. These empirical facts are important because they demonstrate that the way the issue is described in analytical bioethics does not reflect reality. Addressing conscientious objection as a barrier to patient access requires engaging with those who provide the service and those who are able to but do not...
April 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28329871/variations-in-social-network-type-membership-among-older-african-americans-caribbean-blacks-and-non-hispanic-whites
#2
Ann W Nguyen
Objectives: This study examined race differences in the probability of belonging to a specific social network typology of family, friends, and church members. Method: Samples of African Americans, Caribbean blacks, and non-Hispanic whites aged 55+ were drawn from the National Survey of American Life. Typology indicators related to social integration and negative interactions with family, friendship, and church networks were used. Latent class analysis was used to identify typologies, and latent class multinomial logistic regression was used to assess the influence of race, and interactions between race and age, and race and education on typology membership...
February 28, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28325533/a-systematic-review-of-the-views-and-experiences-of-subjects-of-community-treatment-orders
#3
REVIEW
Deborah Corring, Richard O'Reilly, Christina Sommerdyck
OBJECTIVE: CTOS have been the subject of many qualitative and quantitative research studies. Both research approaches add value to our understanding of CTOs. Qualitative studies provide an understanding of CTOs and the experience of being on a CTO that quantitative studies cannot provide. Many qualitative studies that have examined the views of subjects of CTOs have been published. However, authors of these studies continue to note that views and experiences of the subjects of these orders are not well known...
March 18, 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/28318447/extreme-adaptations-in-extreme-and-chronic-circumstances-the-application-of-weaponized-sex-to-those-exposed-to-ongoing-incestuous-abuse
#4
Warwick Middleton
This paper examines Kluft's construct of "weaponized sex" through the prism of long-term clinical and research involvement with individuals subjected to ongoing sexual abuse during adulthood, a group that by definition has been exposed to more sexual abuse and for longer than any other defined victim population. Examples of the same sort of phenomena described by Kluft are repeatedly observed in therapy with members of this population, but usually not in a dramatic form. As might be anticipated, in order to survive, when an individual is closely attached to a long-term and extreme abuser, the sort of enduring ambivalence carried by the victim towards their primary abuser is manifested in compartmentalized states that wish their abuser dead, while other states in equally compartmentalized ways maintain the attachment via the use of sex-by continuing to be sexually involved with their primary abuser (usually their father), by fantasizing about sex with their abuser, by being sexually involved with those who co-abused with their father, or by staging reenactments with individuals whose sexual behavior re-evokes the abuse by the absent (or deceased) father...
February 28, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28318413/treatment-strategies-for-programming-and-ritual-abuse
#5
Colin Ross
Individuals in treatment for dissociative identity disorder not uncommonly describe childhood involvement in organized, multi-perpetrator ritual abuse. They described being "programmed" by the perpetrators and feel that the programming is out of their control. The author has developed a set of treatment strategies and interventions for such cases. These are based on the principle of therapeutic neutrality and can be used no matter what assumptions the therapist makes about the historical accuracy of the memories and beliefs...
February 16, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/28301187/valence-asymmetries-in-attitude-ambivalence
#6
Aaron I Snyder, Zakary L Tormala
Existing models of ambivalence suggest that as the number of conflicting reactions (e.g., attitude components) increases, so too does the experience of ambivalence. Interestingly, though, these models overwhelmingly assume that this relationship is independent of valence. Across 3 studies we observe that this effect is in fact heavily influenced by 2 established valence asymmetries: positivity offset (baseline positive reactions even in the absence of positive information) and negativity bias (greater impact of negative reactions than positive reactions)...
April 2017: Journal of Personality and Social Psychology
https://www.readbyqxmd.com/read/28299858/psychoeducation-for-bipolar-disorder-a-discourse-analysis
#7
Lynere Wilson, Marie Crowe, Anne Scott, Cameron Lacey
Psychoeducation has become a common intervention within mental health settings. It aims to increase people's ability to manage a life with a long-term illness. For people with bipolar disorder, psychoeducation is one of a range of psychosocial interventions now considered part of contemporary mental health practice. It has taken on a 'common sense' status that results in little critique of psychoeducation practices. Using a published manual on psychoeducation and bipolar disorder as its data, Foucauldian discourse analysis was used in the present study for a critical perspective on psychoeducation in order to explore the taken-for-granted assumptions on which it is based...
March 16, 2017: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/28296579/perceived-impacts-of-the-affordable-care-act-perspectives-of-buprenorphine-prescribers
#8
Hannah K Knudsen, Jamie L Studts
The Affordable Care Act (ACA) has been heralded as a major policy change that is expected to transform the delivery of substance use disorder (SUD) treatment. Few studies have reported on the perceived impacts of ACA from the perspectives of SUD treatment providers, such as physicians who prescribe buprenorphine to patients with opioid use disorder. The present study describes buprenorphine prescribers' perceptions regarding impacts of the ACA on the delivery of buprenorphine and examines whether state-level approaches to implementing ACA are associated with its perceived impacts...
March 15, 2017: Journal of Psychoactive Drugs
https://www.readbyqxmd.com/read/28295143/impaired-orthostatic-blood-pressure-recovery-is-associated-with-unexplained-and-injurious-falls
#9
Ciarán Finucane, Matthew D L O'Connell, Orna Donoghue, Kathryn Richardson, George M Savva, Rose Anne Kenny
OBJECTIVES: Cardiovascular disorders are recognized as important modifiable risk factors for falls. However, the association between falls and orthostatic hypotension (OH) remains ambivalent, particularly because of poor measurement methods of previous studies. The goal was to determine for the first time to what extent OH (and variants) are risk factors for incident falls, unexplained falls (UF), injurious falls (IF) and syncope using dynamic blood pressure (BP) measurements in a population study...
March 10, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28291263/circumcision-does-not-alter-long-term-glucocorticoids-accumulation-or-psychological-effects-associated-with-trauma-and-stressor-related-disorders
#10
E Ullmann, J Licinio, A Barthel, K Petrowski, B Oratovski, T Stalder, C Kirschbaum, S R Bornstein
Male infants and boys through early adolescence can undergo circumcision either for the sake of upholding religious traditions or for medical reasons. According to both, Jewish as well as Islamic tenets, circumcision is a religious rite symbolizing the bond with God. The World Health Organization (WHO), the United Nations Council (UNC) as well as the American Academy of Pediatrics (AAP), and the Centers for Disease Control and Prevention (CDC) strongly recommend circumcision to promote hygiene and prevent disease...
March 14, 2017: Translational Psychiatry
https://www.readbyqxmd.com/read/28291156/experience-of-home-telehealth-technology-in-older-patients-with-diabetes
#11
Chi-Ping Chang, Ting-Ting Lee, Mary Etta Mills
The incidence of diabetes, a common chronic disease among older adults, is increasing annually. The lack of blood glucose regulation can result in severe diabetes-related complications and substantial healthcare costs, making self-care programs specific to this population especially important. Combined with reduced numbers of healthcare professionals, the integration of healthcare and information technology and the older adults' adoption of telehealth services have become increasingly important. This study used a qualitative method to interview 18 older study participants who used a telehealth service...
March 14, 2017: Computers, Informatics, Nursing: CIN
https://www.readbyqxmd.com/read/28283301/can-we-trust-what-parents-tell-us-a-systematic-review
#12
REVIEW
Paul L P Brand, Sandra van Dulmen
Taking a history is a key diagnostic instrument in paediatric consultations. Numerous issues potentially reduce the history's reliability. Therefore, paediatricians have always expressed ambivalence regarding history taking from parents, both valuing and distrusting it. In this review, we describe how parents build and present a description of their child's health issues in the conceptual framework of self-regulation theory. We performed a systematic review on the literature on the reliability of history taking...
February 9, 2017: Paediatric Respiratory Reviews
https://www.readbyqxmd.com/read/28277093/attachment-and-emotion-regulation-in-middle-childhood-changes-in-affect-and-vagal-tone-during-a-social-stress-task
#13
Mahsa Movahed Abtahi, Kathryn A Kerns
In middle childhood, more securely attached children show better emotion regulation when assessed as general tendencies (e.g. coping style), but studies looking at emotion in response to specific stressors have revealed mixed results. This study examined how attachment security, avoidance, and ambivalence - assessed with a story stem task (99 children, 9-11 years old) - relate to dynamic indices of affective and autonomic responses (baseline, reactivity, recovery). Reports of positive and negative affect, and high-frequency heart rate variability (HF-HRV), were assessed during a social stressor task...
February 28, 2017: Attachment & Human Development
https://www.readbyqxmd.com/read/28273694/patient-experiences-of-outcomes-of-bariatric-surgery-a-systematic-review-and-qualitative-synthesis
#14
REVIEW
Karen D Coulman, Fiona MacKichan, Jane M Blazeby, Amanda Owen-Smith
Although bariatric surgery is the most effective treatment for severe and complex obesity, less is known about its psychosocial impact. This systematic review synthesizes qualitative studies investigating the patient perspective of living with the outcomes of surgery. A total of 2,604 records were screened, and 33 studies were included. Data extraction and thematic synthesis yielded three overarching themes: control, normality and ambivalence. These were evident across eight organizing sub-themes describing areas of life impacted by surgery: weight, activities of daily living, physical health, psychological health, social relations, sexual life, body image and eating behaviour and relationship with food...
March 8, 2017: Obesity Reviews: An Official Journal of the International Association for the Study of Obesity
https://www.readbyqxmd.com/read/28271150/german-water-infrastructure-in-china-colonial-qingdao-1898-1914
#15
Agnes Kneitz
Within the colorful tapestry of colonial possessions the German empire acquired over the short period of its existence, Qingdao stands out because it fulfilled a different role from settlements in Africa-especially because of its exemplary planned water infrastructure: its technological model, the resulting (public) hygiene, and the adjunct brewery. The National Naval Office (Reichsmarineamt), which oversaw the administration of the future "harbour colony"-at first little more than a little fishing village-enjoyed a remarkable degree of freedom in implementing this project...
March 7, 2017: NTM
https://www.readbyqxmd.com/read/28270841/conditions-for-autonomous-choice-a-qualitative-study-of-older-adults-experience-of-decision-making-in-tavr
#16
Elisabeth Skaar, Anette Hylen Ranhoff, Jan Erik Nordrehaug, Daniel E Forman, Margrethe Aase Schaufel
BACKGROUND: Patient autonomy is a leading principle in bioethics and a basis for shared decision making. This study explores conditions for an autonomous choice experienced by older adults who recently underwent trans-catheter aortic valve replacement (TAVR). METHODS: Qualitative study entailing semi-structured interviews of a purposive sample of ten older (range 73-89, median 83.5 years) adults after TAVR (median 23 days). The study setting was a cardiac department at a university hospital performing TAVR since 2010...
January 2017: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/28261129/beware-of-selfies-the-impact-of-photo-type-on-impression-formation-based-on-social-networking-profiles
#17
Nicole C Krämer, Markus Feurstein, Jan P Kluck, Yannic Meier, Marius Rother, Stephan Winter
Users of social networking sites such as Facebook frequently post self-portraits on their profiles. While research has begun to analyze the motivations for posting such pictures, less is known about how selfies are evaluated by recipients. Although producers of selfies typically aim to create a positive impression, selfies may also be regarded as narcissistic and therefore fail to achieve the intended goal. The aim of this study is to examine the potentially ambivalent reception of selfies compared to photos taken by others based on the Brunswik lens model Brunswik (1956)...
2017: Frontiers in Psychology
https://www.readbyqxmd.com/read/28257528/service-delivery-to-children-with-mild-hearing-loss-current-practice-patterns-and-parent-perceptions
#18
Elizabeth A Walker, Meredith Spratford, Sophie E Ambrose, Lenore Holte, Jacob Oleson
Purpose: This study investigates clinical practice patterns and parent perception of intervention for children with mild hearing loss (HL). Method: Ages at and delays between service delivery steps (first diagnostic evaluation, confirmation of HL, hearing aid [HA] fitting, entry into early intervention) were investigated for 113 children with mild HL. Comparisons were made to children with moderate-to-severe HL. Parents of children with mild HL reported reasons for delays and their perceptions of intervention and amplification for their children...
March 2, 2017: American Journal of Audiology
https://www.readbyqxmd.com/read/28247495/staging-a-performance-learners-perceptions-about-direct-observation-during-residency
#19
Kori A LaDonna, Rose Hatala, Lorelei Lingard, Stephane Voyer, Christopher Watling
CONTEXT: Evidence strongly supports that direct observation is a valid and reliable assessment tool; support for its impact on learning is less compelling, and we know that some learners are ambivalent about being observed. However, learners' perceptions about the impact of direct observation on their learning and professional development remain underexplored. To promote learning, we need to understand what makes direct observation valuable for learners. METHODS: Informed by constructivist grounded theory, we interviewed 22 learners about their observation experiences...
February 28, 2017: Medical Education
https://www.readbyqxmd.com/read/28245794/user-experiences-with-a-web-based-self-help-intervention-for-partners-of-cancer-patients-based-on-acceptance-and-commitment-therapy-and-self-compassion-a-qualitative-study
#20
Nadine Köhle, Constance H C Drossaert, Jasmijn Jaran, Karlein M G Schreurs, Irma M Verdonck-de Leeuw, Ernst T Bohlmeijer
BACKGROUND: Partners of cancer patients are the cornerstone of supportive cancer care. They assume different roles and responsibilities that optimally support the patient. Such support is highly demanding, and many partners report (mental) health problems. However, many of them do not use professional supportive care themselves. Offering a Web-based self-help intervention based on Acceptance and Commitment Therapy (ACT) and self-compassion could be an important resource to support this group...
February 28, 2017: BMC Public Health
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