scholarly journals On no man’s land: Subjective experiences during unresponsive and responsive sedative states induced by four different anesthetic agents

2021 ◽  
Vol 96 ◽  
pp. 103239
Author(s):  
Linda Radek ◽  
Lauri Koskinen ◽  
Nils Sandman ◽  
Lauri Laaksonen ◽  
Roosa E. Kallionpää ◽  
...  
Keyword(s):  
Subjective Experiences ◽  
Anesthetic Agents ◽  
No Man's Land

Spotlight on the Clinician in the Life Participation Approach to Aphasia: Balancing Relationship-Centered Care and Professionalism

2020 ◽  
Vol 5 (2) ◽  
pp. 414-424
Author(s):  
Rochelle Cohen-Schneider ◽  
Melodie T. Chan ◽  
Denise M. McCall ◽  
Allison M. Tedesco ◽  
Ann P. Abramson
Keyword(s):  
Social Workers ◽  
Therapeutic Relationship ◽  
Interprofessional Collaboration ◽  
Opportunity To Learn ◽  
Subjective Experiences ◽  
Speech Language Pathologists ◽  
Self Disclosure ◽  
Centered Care ◽  
High Standards ◽  
Therapeutic Encounter

Background Speech-language pathologists make clinical decisions informed by evidence-based theory and “beliefs, values and emotional experiences” ( Hinckley, 2005 , p. 265). These subjective processes, while not extensively studied, underlie the workings of the therapeutic relationship and contribute to treatment outcomes. While speech-language pathologists do not routinely pay attention to subjective experiences of the therapeutic encounter, social workers do. Thus, the field of social work makes an invaluable contribution to the knowledge and skills of speech-language pathologists. Purpose This clinical focus article focuses on the clinician's contribution to the therapeutic relationship by surfacing elements of the underlying subjective processes. Method Vignettes were gathered from clinicians in two community aphasia programs informed by the principles of the Life Participation Approach to Aphasia. Results and Discussion By reflecting on and sharing aspects of clinical encounters, clinicians reveal subjective processing occurring beneath the surface. The vignettes shed light on the following clinical behaviors: listening to the client's “whole self,” having considerations around self-disclosure, dealing with biases, recognizing and surfacing clients' identities, and fostering hope. Speech-language pathologists are given little instruction on the importance of the therapeutic relationship, how to conceptualize this relationship, and how to balance this relationship with professionalism. Interprofessional collaboration with social workers provides a rich opportunity to learn ways to form and utilize the benefits of a strong therapeutic relationship while maintaining high standards of ethical behavior. Conclusion This clinical focus article provides speech-language pathologists with the “nuts and bolts” for considering elements of the therapeutic relationship. This is an area that is gaining traction in the field of speech-language pathology and warrants further investigation.

Examining the Effects of I-Sharing for Future White-Black Interactions

2016 ◽  
Vol 47 (3) ◽  
pp. 125-135 ◽  
Author(s):  
Sarah E. Gaither ◽  
Jessica D. Remedios ◽  
Jennifer R. Schultz ◽  
Keith B. Maddox ◽  
Samuel R. Sommers
Keyword(s):  
Social Interaction ◽  
Social Experience ◽  
Positive Experience ◽  
Subjective Experiences ◽  
Future Directions ◽  
Interracial Interaction ◽  
Anxious Behavior

Abstract. Research shows that I-sharing, or sharing subjective experiences with an outgroup member, positively shapes attitudes toward that outgroup member. We investigated whether this type of social experience would also promote a positive interracial interaction with a novel outgroup member. Results showed that White and Black participants who I-shared with a racial outgroup member (vs. I-sharing with a racial ingroup member) expressed more liking toward that outgroup member. However, I-sharing with an outgroup member did not reduce anxious behavior in a future social interaction with a novel racial outgroup member. Therefore, although sharing subjective experiences may increase liking toward one individual from a racial outgroup, it remains to be seen whether this positive experience can influence behaviors in future interactions with other racial outgroup members. Future directions are discussed.

No Man’s Land Revisited: Managing Unstable High Thoracic Fractures

2014 ◽  
Vol 75 (S 01) ◽  
Author(s):  
A. Danison ◽  
J. Boddu ◽  
J. Rostron ◽  
J. Hamilton
Keyword(s):  
No Man's Land

Anesthesia for rabbits submitted to experimental surgeries: Report of a series of eight anesthesias

2020 ◽  
pp. 151-158
Author(s):  
Rafael Antonio Caldart Bedin ◽  
Maisa Schultz ◽  
Antonio Bedin
Keyword(s):  
Muscle Relaxation ◽  
Anesthetic Management ◽  
Laboratory Animals ◽  
Average Weight ◽  
Anesthetic Induction ◽  
Anesthetic Agents ◽  
Reasonable Degree ◽  
Bioethical Debate ◽  
Precordial Stethoscope

Anesthesia for laboratory animals is a matter of biomedical concern and one of the most present dilemmas in the current bioethical debate. The use of anesthetic agents in experimental surgery aims at analgesia and restraining the animal, in order to achieve a reasonable degree of muscle relaxation and to produce sufficient analgesia. This practice requires the use of protocols for the administration of safe and efficient doses. Eight New Zealand rabbits were submitted to laparotomies demonstrating the surgical technique discipline of the local medical course. For pre-anesthetic medication, acepromazine 1 mg.kg-1 associated with ketamine 15 mg.kg-1 was used subcutaneously. Anesthesia was maintained with isoflurane and oxygen under a laryngeal mask in a Mapleson D anesthesia system and under spontaneous breathing. Hydration was performed with 10 ml.kg-1 saline every hour. A thermal mattress was used. Precordial stethoscope, pulse oximetry and clinical parameters were used for monitoring. For euthanasia, ketamine 10 mg.kg-1 associated with potassium chloride 19.1% 1 ml.kg-1 was used intravenously. The average weight of the rabbits was 2721.25 ± 275.01 grams and the duration of the anesthetic procedure was 120 ± 87 minutes. Discussion. In long-term anesthesia, such as laparotomies, the use of pre-anesthetic medication and then anesthetic induction by the combination of agents is recommended. However, anesthetic management requires monitoring to prevent insufficient or excessive doses from occurring.

Weighing Ourselves Down

2015 ◽  
Vol 4 (3) ◽  
pp. 51-69 ◽  
Author(s):  
Nathan Hodges
Keyword(s):  
Weight Loss ◽  
Body Image ◽  
Physical Health ◽  
Lived Experiences ◽  
Objective Measure ◽  
Subjective Experiences ◽  
Cultural Meanings ◽  
Canonical Narratives

Bodyweight—the number on the scale—has been constructed as an objective measure of health, and weight loss as synonymous with healthier. Weight has been used as a way of classifying and controlling people, ignoring the embodied, relational, and cultural meanings attached to health and weight. Instead, these subjective experiences are lumped into a numerical category. Our society's obsession with weight is weighing us down and most of us should toss out our scales. Scale stories offer a departure from canonical narratives about physical health and body image by emphasizing emotions and lived experiences instead of bodyweight and numerical categories.

Fast Foes: The affective consequences of interacting in a negative self-disclosure situation.

2020 ◽  
Author(s):  
Jonathan Gordils ◽  
Jeremy Jamieson
Keyword(s):  
Social Interactions ◽  
Social Life ◽  
Large Body ◽  
Cardiovascular Responses ◽  
Social Contexts ◽  
Subjective Experiences ◽  
Self Disclosure ◽  
Negative Behaviors ◽  
Nuanced Understanding ◽  
Affective Consequences

Background and Objectives: Social interactions involving personal disclosures are ubiquitous in social life and have important relational implications. A large body of research has documented positive outcomes from fruitful social interactions with amicable individuals, but less is known about how self-disclosing interactions with inimical interaction partners impacts individuals. Design and Methods: Participants engaged in an immersive social interaction task with a confederate (thought to be another participant) trained to behave amicably (Fast Friends) or inimically (Fast Foes). Cardiovascular responses were measured during the interaction and behavioral displays coded. Participants also reported on their subjective experiences of the interaction. Results: Participants assigned to interact in the Fast Foes condition reported more negative affect and threat appraisals, displayed more negative behaviors (i.e., agitation and anxiety), and exhibited physiological threat responses (and lower cardiac output in particular) compared to participants assigned to the Fast Friends condition. Conclusions: The novel paradigm demonstrates differential stress and affective outcomes between positive and negative self-disclosure situations across multiple channels, providing a more nuanced understanding of the processes associated with disclosing information about the self in social contexts.

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