scholarly journals Therapists’ Contributions to the Alliance in Home-Based Family Treatment: The Role of Alliance Building Behaviors, Personality, and Clinical Experience

2021 ◽  
Author(s):  
M. J. Welmers-van de Poll ◽  
G. J. J. M. Stams ◽  
A. L. van den Akker ◽  
G. Overbeek
Keyword(s):  
Clinical Experience ◽  
Family Members ◽  
Family Treatment ◽  
Self Awareness ◽  
Emotional Connection ◽  
Home Based ◽  
Training And Supervision ◽  
Alliance Building ◽  
The Impact

AbstractAlliance is a robust contributor to the outcome of adult, youth, and family therapy, but little is known about therapists’ contributions to the alliance in conjoint family treatment. We investigated the predictive value of therapists’ personality, clinical experience and observed alliance building behaviors for mid-treatment alliance as reported by therapists and family members. Participants were 77 parents and 21 youth from 57 families receiving home-based family treatment from 33 therapists. Therapist openness to experience and agreeableness as well as therapists’ in-session engagement and emotional connection behaviors predicted more positive therapists’ and family members’ reports of the alliance. Therapist neuroticism, extraversion and conscientiousness predicted more negative alliance-reports. In-session safety behaviors also predicted more negative alliance-reports, but this finding was only significant for therapists’ and not family members’ reports of the alliance. Clinical experience did not predict quality of alliances. We conclude that training and supervision of family therapists could benefit from focusing on emotional connection with and active engagement of family members in treatment, and from increasing self-awareness of the impact of their personality on alliances with family members.

scholarly journals Parental perspective: The role of prostheses and prosthetics services in adjusting to a child’s upper limb difference

2020 ◽  
pp. 1-7
Author(s):  
Tara Sims
Keyword(s):  
Coping Strategies ◽  
Peer Support ◽  
Upper Limb ◽  
Family Members ◽  
Parental Adjustment ◽  
Prosthetic Devices ◽  
The Family ◽  
The Impact

BACKGROUND: The impact of paediatric upper limb difference may extend beyond the child themselves to their parents and other family members. Previous research has found that feelings of shock, numbness and loss are common amongst parents and that peer support can be a buffer against stress. OBJECTIVE: The current study aimed to explore the experiences of parents of children with limb difference, and the role of services and prosthetic devices in these experiences. METHODS: Nine parents of children with limb difference participated in either a group (n= 2) or individual (n= 7) interview. RESULTS: Analysis of the interview transcripts revealed four themes – ‘grief and guilt’, ‘prosthesis as a tool for parental adjustment’, ‘support’ and ‘fun and humour’. CONCLUSIONS: Parents may employ coping strategies to help them adjust to their child’s limb difference, including use of a prosthesis, accessing support from statutory services and peers, and use of fun and humour within the family.

scholarly journals Proline-rich tyrosine kinase 2 mediates transforming growth factor-beta-induced hepatic stellate cell activation and liver fibrosis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Jonghwa Kim ◽  
Wonseok Kang ◽  
So Hee Kang ◽  
Su Hyun Park ◽  
Ji Young Kim ◽  
...  
Keyword(s):  
Liver Fibrosis ◽  
Tyrosine Kinase ◽  
Focal Adhesion ◽  
Transforming Growth Factor ◽  
Family Members ◽  
Type I ◽  
Tyrosine Kinase 2 ◽  
The Impact ◽  
Tgf Β1

AbstractHepatic fibrogenesis is characterized by activation of hepatic stellate cells (HSCs) and accumulation of extracellular matrix (ECM). The impact of ECM on TGF-β-mediated fibrogenic signaling pathway in HSCs has remained obscure. We studied the role of non-receptor tyrosine kinase focal adhesion kinase (FAK) family members in TGF-β-signaling in HSCs. We used a CCl4-induced liver fibrosis mice model to evaluate the effect of FAK family kinase inhibitors on liver fibrosis. RT-PCR and Western blot were used to measure the expression of its target genes; α-SMA, collagen, Nox4, TGF-β1, Smad7, and CTGF. Pharmacological inhibitors, siRNA-mediated knock-down, and plasmid-based overexpression were adopted to modulate the function and the expression level of proteins. Association of PYK2 activation with liver fibrosis was confirmed in liver samples from CCl4-treated mice and patients with significant fibrosis or cirrhosis. TGF-β treatment up-regulated expression of α-SMA, type I collagen, NOX4, CTGF, TGF-β1, and Smad7 in LX-2 cells. Inhibition of FAK family members suppressed TGF-β-mediated fibrogenic signaling. SiRNA experiments demonstrated that TGF-β1 and Smad7 were upregulated via Smad-dependent pathway through FAK activation. In addition, CTGF induction was Smad-independent and PYK2-dependent. Furthermore, RhoA activation was essential for TGF-β-mediated CTGF induction, evidenced by using ROCK inhibitor and dominant negative RhoA expression. We identified that TGF-β1-induced activation of PYK2-Src-RhoA triad leads to YAP/TAZ activation for CTGF induction in liver fibrosis. These findings provide new insights into the role of focal adhesion molecules in liver fibrogenesis, and targeting PYK2 may be an attractive target for developing novel therapeutic strategies for the treatment of liver fibrosis.

scholarly journals The value of psychiatrists in leadership and management

2016 ◽  
Vol 22 (4) ◽  
pp. 263-268 ◽  
Author(s):  
Jennifer Perry ◽  
Fiona L. Mason
Keyword(s):  
Social Care ◽  
Self Awareness ◽  
Management Styles ◽  
Leadership And Management ◽  
Health And Social Care ◽  
The Uk ◽  
Medical Leadership ◽  
The Impact ◽  
Organisational Level

SummaryThe health and social care landscape in the UK is changing, and there is now, more than ever, a real need for doctors to embrace leadership and management. Evidence shows that medical leadership is associated with better outcomes for patients. Psychiatrists are particularly well suited to such roles, given the interpersonal skills and self-awareness that they develop in their training. In this article, we examine the role of the psychiatrist in leading at a patient, team and organisational level and the impact this has. We also discuss different leadership and management styles.

scholarly journals Crianças com incontinência urinária: impacto na convivência dos familiares

2018 ◽  
Vol 12 (7) ◽  
pp. 2061
Author(s):  
Ivanda Araújo Matias Issa de Oliveira ◽  
Cristiane Feitosa Salviano ◽  
Gisele Martins
Keyword(s):  
Urinary Incontinence ◽  
Family Members ◽  
Health Science ◽  
Related Family ◽  
Calidad De Vida ◽  
Family Routine ◽  
As Stress ◽  
The Impact

RESUMOObjetivo: Identificar fatores que impactam na convivência dos familiares de crianças com incontinência urinária. Método: Estudo bibliográfico, descritivo, tipo revisão integrativa, com busca de artigos no mês de setembro de 2017, nas bases de dados LILACS, BDENF, MEDLINE e CINAHL. Considerou-se o recorte temporal de janeiro de 2012 a dezembro de 2017, utilizando os Descritores em Ciência da Saúde (DeCS) controlados e não controlados no idioma inglês e português. Resultados: Foram incluídos 11 artigos, publicados entre 2012 e 2016, destacando-se três categorias: 1) O nível educacional dos pais como um fator de impacto; 2) O impacto na qualidade de vida dos familiares; e 3) As mudanças que impactam no cotidiano familiar. Conclusões: A incontinência urinária afeta a rotina familiar e pode provocar transtornos psicológicos como estresse, ansiedade e depressão nas crianças e em seus familiares. Houve escassez de produções que relacionassem a percepção do familiar ante a incontinência urinária diurna e fecal com o nível escolar dos pais. Evidencia-se o papel do enfermeiro que atua em uropediatria sobre a importância da compreensão da convivência familiar, a fim de contribuir com o delinear de orientações voltadas para a educação e compreensão das experiências vividas pelos cuidadores. Descritores: Incontinência Urinária; Família; Cuidadores; Crianças; Enurese; Incontinência Urinária por Estresse.ABSTRACTObjective: To identify factors that have an impact on the coexistence of family members of children with urinary incontinence. Method: Bibliographic, descriptive, integrative review type study with search of articles in September 2017, in LILACS, BDENF, MEDLIN, and CINAHL databases. We considered the temporal cut from January 2012 to December 2017, using controlled and uncontrolled Health Science Descriptors (DeCS) in English and Portuguese. Results: We included 11 articles, published between 2012 and 2016, highlighting three categories: 1) The educational level of parents as an impact factor; 2) The impact on the quality of life of family members; and 3) The changes that impact on daily family life. Conclusions: Urinary incontinence affects the family routine and can cause psychological disorders, such as stress, anxiety, and depression in children and their family members. There was a shortage of productions that related family members' perceptions of diurnal urinary incontinence and fecal incontinence to the parents' education level. The role of nurses working in pediatric urology was evident with respect to the importance of understanding family coexistence in order to contribute to the delineation of guidelines aimed at the education and understanding of caregivers' experiences. Descriptors: Urinary Incontinence; Family; Caregivers; Children; Enuresis; Urinary Incontinence Due to Stress.RESUMENObjetivo: Identificar factores que impactan en la convivencia de los familiares de niños con incontinencia urinaria. Método: Estudio bibliográfico, descriptivo, tipo revisión integradora, con búsqueda de artículos en el mes de septiembre de 2017, en las bases de datos LILACS, BDENF, MEDLINE y CINAHL. Fue considerado el recorte temporal de enero de 2012 a diciembre de 2017, utilizando los Descriptores en Ciencias de la Salud (DeCS) controlados y no controlados en idioma Inglés y portugués. Resultados: Se incluyeron 11 artículos publicados entre 2012 y 2016, destacándose tres categorías: 1) El nivel educativo de los padres como un factor de impacto; 2) El impacto en la calidad de vida de los familiares; y 3) Los cambios que impactan en el cotidiano familiar. Conclusiones: La incontinencia urinaria afecta la rutina familiar y puede provocar trastornos psicológicos como estrés, ansiedad y depresión en los niños y en sus familiares. Hubo escasez de producciones que relacionaran la percepción de los familiares ante la incontinencia urinaria diurna e incontinencia fecal con el nivel escolar de los padres. Se evidencia el papel del enfermero que actúa en urología pediátrica con respecto a la importancia de la comprensión de la convivencia familiar, a fin de contribuir con el delinear de orientaciones sobre la educación y comprensión de las experiencias vividas por los cuidadores. Descriptores: Incontinencia Urinaria; Familia; Cuidadores; Niños; Enuresis; Incontinencia Urinaria por Estrés.

Reading Performance Criticism

1989 ◽  
Vol 36 (2) ◽  
pp. 172-182 ◽  
Author(s):  
Simon Goldhill
Keyword(s):  
Social Performance ◽  
Reading Performance ◽  
Self Awareness ◽  
Dress Code ◽  
Social Event ◽  
Performance Criticism ◽  
The Social ◽  
The Impact ◽  
London Stage

Fred Astaire once remarked of performing in London that he knew when the end of a play's run was approaching when he saw the first black tie in the audience. Perhaps this is an American's ironic representation of the snobbishness of pre-War London (though he was the American who sang the top-hat, white tie and tails into a part of his personal image). Perhaps it is merely an accurate (or nostalgic) picture of the dress code of the audiences of the period. The very appeal to such a dress code, however – in whatever way we choose to read the anecdote – inevitably relies on a whole network of cultural ideas and norms to make its point. It implies tacitly what is easily recoverable from other sources about the theatre of the period: the expected class of the audience; the sense of ‘an evening's entertainment’ – attending the fashionable play of the season, with all the implications of the theatre as a place not merely for seeing but also for being seen; the range of subjects and characters portrayed on the London stage of the period; the role of London as a European capital of a world empire (with a particular self-awareness of itself as a capital); the expected types of narrative, events, and language, that for many modern readers could be evoked with the phrase ‘a Fred Astaire story’. If we want to understand the impact of the plays of Ibsen or Brecht or Osborne or Beckett, it cannot be merely through ‘dramatic techniques’, but must also take into account the social performance that is theatre. Ibsen's commitment to a realist aesthetic is no doubt instrumental to the impact of his plays, but it is because his (socially committed) dramas challenged the proprieties of the social event of theatre that his first reviewers were so hostile.

scholarly journals Managers, Consumers, Visitors: Roles of Caring Relatives in Emerging Home-based Eldercare in the Czech Republic

2019 ◽  
Vol 16 (2) ◽  
pp. 7-24
Author(s):  
Tereza Hronová ◽  
Adéla Souralová
Keyword(s):  
Czech Republic ◽  
Family Members ◽  
The Czech Republic ◽  
For Profit ◽  
Care Services ◽  
Care Recipients ◽  
Home Based ◽  
Care Workers ◽  
High Level

Each culture has a deeply rooted understanding of what constitutes the ideal foreldercare organization. This article investigates the role of family members in the delegation and provision of eldercare by private for-profit agencies in the Czech Republic. In this post-socialist country with a high level of intergenerational solidarity, a new market for eldercare has emerged in recent decades. We are interested in how the dominance of the family in eldercare provision is inscribed in the functioning of forprofit agencies and their caring practices. We examine how the role of family members whose elderly relatives receive paid care provided by private for-profit agencies is conceptualized by those who sell the care services, those who provide these services, and the care recipients themselves. We draw upon interviews conducted with the owners of private agencies, ethnographic observations, and informal interviews with paid care workers.

scholarly journals KOMUNIKASI SEBAGAI UPAYA UNTUK MEMBANGUN KETAHANAN KELUARGA DALAM KAJIAN "TEORI NILAI ETIK"

2020 ◽  
Vol 11 (1) ◽  
pp. 79
Author(s):  
M. Nur Kholis Al Amin
Keyword(s):  
Family Structure ◽  
Family Life ◽  
Communication Systems ◽  
Family Members ◽  
Modern Society ◽  
Family Resilience ◽  
Social Phenomena ◽  
The Family ◽  
The Impact

Family is the main foundation for character formation and the role of family members. In addition, the family also plays a major role in the patterns of interaction that exist in people’s lives.  However, the development and changes that occur in society can effect the pattern (role) of family life. Today, the development of science and technology is able to influence the shape of society’s life structure toward the “modern society”, one of the impact on family structure is the existance of madern family, which is characterized by the intensity of meetings among family members is increasingly “limit” due to the high level of activity outside the household, such as: children who are out of town school, husband and wife career, husband who works outside the city and see also. Moreover, because the development of communication, so this can be made as a means to build family resilience. Therefore, this article will try to examine communication systems as a significant element to build family resiliaence throught historical contex and sociological approaches, where the presentasion is by integrating, describing, and the analyzing social phenomena—modern family life patterns, changes and developments in technology, communication—using “nilai etik theory” through several rules of Islamic communication as the value of communicating in the family. So that, when viewed from “nilai etik theory” develop by Rahman, conclusions can be obtained, that there are several elements of a very close relationship to the principles of Islamic communication, development of family structure, and family resilience as a way to build a family that is a sakinah, mawaddan and rahmah.Dewasa ini, perkembangan ilmu pengetahuan dan teknologi mampu mempengaruhi bentuk struktur kehidupan masyarakat ke arah “masyarakat modern”, yang salah satu dampaknya berpengaruh terhadap struktur yang ditandai dengan terbatasnya tingkat intensitas pertemuan antar anggota keluarga karena tingginya aktivitas di luar rumah tangga, seperti; anak yang sekolah atau kuliah di luar kota, suami-istri yang berkarir, suami yang bekerja di luar kota, dan sebaliknya. Lebih lanjut, karena perkembangan alat komunikasi yang semakin maju, maka hal tersebut dapat  dijadikan sebagai salah satu sarana untuk membangun ketahanan keluarga. Oleh karena itu, artikel ini akan coba menelaah sistem komunikasi sebagai unsur yang signifikan untuk membangun ketahanan keluarga melalui pendekatan historis (historical contex) dan pendekatan sosiologis, di mana pemaparannya dengan cara memadukan, mendeskripsikan, dan kemudian menganalisis fenomena sosial—pola kehidupan keluarga modern, perubahan dan perkembangan teknologi, komunikasi—menggunakan teori nilai etik melalui beberapa kaidah komunikasi Islam sebagai nilai berkomunikasi di dalam keluarga. Sehingga, apabila ditinjau dari “teori nilai etik” yang dikembangkan oleh Rahman, dapat diperoleh kesimpulan, bahwa terdapat beberapa unsur hubungan yang sangat erat terhadap prinsip-prinsip komunikasi Islam, perkembangan struktur keluarga, dan ketahanan keluarga sebagai jalan untuk membangun keluarga yang sakinah, mawaddah dan rahmah.

A QUALITATIVE INVESTIGATION OF THE IMPACT OF HOME-BASED PRIMARY CARE ON FAMILY CAREGIVERS

2019 ◽  
pp. 1-4
Author(s):  
E. Wool ◽  
J.L. Shotwell ◽  
J. Slaboda ◽  
A. Kozikowski ◽  
K.L. Smith ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
Family Caregivers ◽  
Emotional Support ◽  
Positive Impact ◽  
Clinical Care ◽  
Family Members ◽  
Home Based Primary Care ◽  
Home Based ◽  
The Impact

Background: Home-based primary care (HBPC) provides team-based clinical care for homebound patients who have difficulty accessing typical outpatient care. Interdisciplinary team members also provide social and emotional support and serve as a resource for family caregivers, who often experience significant emotional stress. Objectives: This qualitative study explores the impact of HBPC on family caregivers to identify aspects of the program that caregivers find most helpful and meaningful as well as areas for improvement. Design: Semi structured recorded interviews were conducted with family caregivers of frail, elderly homebound patients. Interviews included the following topics: overall program satisfaction and suggestions for improvement. Setting: A HBPC program serving patients in Queens, Nassau and Suffolk counties in New York. Participants: Nineteen family caregivers: 13 women, 6 men; 10 were adult children; 6 were spouses, and 3 were other family members of patients in a HBPC program. Measurements: Thematic coding of all recorded transcribed interviews was prepared by 3 qualitative coders. Interrater reliability was conducted to ensure reliability across coders before themes were disseminated and discussed until consensus was achieved with the larger group of investigators. Results: Three main themes were identified: the importance of staff emotional support; the burden of caring for homebound patients; and the need for a broader range of home-based services. Multiple family members noted that the program not only had saved their loved one’s life, but had also metaphorically saved their own. Conclusions: Family caregivers value the communication and accessibility of HBPC and report that the program has a positive impact on their stress and mental health. Results can inform key aspects that need to be retained or enhanced with the expansion in HBPC programs.

scholarly journals Enhancing the role of remittances through social capital: Evidence from Indonesian household data

2020 ◽  
Vol 29 (1) ◽  
pp. 30-54
Author(s):  
Rulyusa Pratikto ◽  
Sylvia Yazid ◽  
Elisabeth Dewi
Keyword(s):  
Social Capital ◽  
Migrant Workers ◽  
Family Members ◽  
Household Data ◽  
Future Income ◽  
The Impact ◽  
Female Migrant ◽  
At Home

The main purpose of this study is to determine whether remittance-receiving households in Indonesia have truly experienced a measurable increase in their welfare. It focuses on how social capital may enhance the efforts of Indonesia’s female migrant workers to improve their and their family’s welfare at home. Our findings confirm that social capital enhances the impact of remittances by increasing the welfare of the migrant workers and their immediate family members. Remittance-receiving households with strong and wide-ranging social capital tend to use the extra income from remittances more for investment. In turn, this generates future income, which boosts the impacts of their remittances on their overall welfare.

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