What Every Therapist Needs to Know About Couple Therapy

2019 ◽  
Vol 36 (3) ◽  
pp. 121-142 ◽  
Author(s):  
W. Kim Halford ◽  
Christopher A. Pepping

AbstractThis invited paper is a review of the significance of couple relationships to the practice of all therapists. The article begins with a summary of the evidence on the centrality of committed couple relationships to the lives and wellbeing of adults, and the association of the quality of the parents’ couple relationship on the wellbeing of children. We argue that the well-established reciprocal association between individual problems and couple relationship problems means that all therapists need to pay attention to how a couple relationship might be influencing a client's functioning, even if the relationship is not the presenting problem. There is an outline the evolution of current approaches to behavioural couple therapy, and the current state of the art and science of couple therapy. We present an analysis of the evidence for couple therapy as a treatment for relationship distress, as well as couple-based treatments for individual problems. This is followed by a description of the distinctive challenges in working with couples and how to address those challenges, and recommendations about how to address the needs of diverse couple relationships. Finally, we propose some core therapist competencies needed to work effectively with couples.

Author(s):  
Florian Kuisat ◽  
Fernando Lasagni ◽  
Andrés Fabián Lasagni

AbstractIt is well known that the surface topography of a part can affect its mechanical performance, which is typical in additive manufacturing. In this context, we report about the surface modification of additive manufactured components made of Titanium 64 (Ti64) and Scalmalloy®, using a pulsed laser, with the aim of reducing their surface roughness. In our experiments, a nanosecond-pulsed infrared laser source with variable pulse durations between 8 and 200 ns was applied. The impact of varying a large number of parameters on the surface quality of the smoothed areas was investigated. The results demonstrated a reduction of surface roughness Sa by more than 80% for Titanium 64 and by 65% for Scalmalloy® samples. This allows to extend the applicability of additive manufactured components beyond the current state of the art and break new ground for the application in various industrial applications such as in aerospace.


Electronics ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 567
Author(s):  
Donghun Yang ◽  
Kien Mai Mai Ngoc ◽  
Iksoo Shin ◽  
Kyong-Ha Lee ◽  
Myunggwon Hwang

To design an efficient deep learning model that can be used in the real-world, it is important to detect out-of-distribution (OOD) data well. Various studies have been conducted to solve the OOD problem. The current state-of-the-art approach uses a confidence score based on the Mahalanobis distance in a feature space. Although it outperformed the previous approaches, the results were sensitive to the quality of the trained model and the dataset complexity. Herein, we propose a novel OOD detection method that can train more efficient feature space for OOD detection. The proposed method uses an ensemble of the features trained using the softmax-based classifier and the network based on distance metric learning (DML). Through the complementary interaction of these two networks, the trained feature space has a more clumped distribution and can fit well on the Gaussian distribution by class. Therefore, OOD data can be efficiently detected by setting a threshold in the trained feature space. To evaluate the proposed method, we applied our method to various combinations of image datasets. The results show that the overall performance of the proposed approach is superior to those of other methods, including the state-of-the-art approach, on any combination of datasets.


Author(s):  
Brendan M. Hickey ◽  
Samuel T. Woo ◽  
Sally F. Shady

Lower limb deficiencies and below knee amputations are the most common form of deficiency that may arise from disease or trauma, and returning a patient close to a normal quality-of-life requires prosthetics, which can be quite challenging. Children present even further difficulty to prosthetists and physicians than adults. Although the underlying prosthetic principles for adults are the same for children, additional considerations must be made for practicality, such as downsizing while maintaining its degree of complexity, and frequent appointments to account for the rapid growth of an adolescent. This review article will evaluate the current state-of-the-art in the field of transtibial-amputee prosthetics, review the insurance coverage a typical family would face, and suggest potential improvements to children’s biomimetic prostheses that aid in reducing the frequency of health care provider intervention.


2019 ◽  
Vol 5 (2) ◽  
pp. 85-94 ◽  
Author(s):  
Mohammed S. Alqahtani ◽  
Abdulsalam Al-Tamimi ◽  
Henrique Almeida ◽  
Glen Cooper ◽  
Paulo Bartolo

Abstract Orthoses (exoskeletons and fracture fixation devices) enhance users’ ability to function and improve their quality of life by supporting alignment correction, restoring mobility, providing protection, immobilisation and stabilisation. Ideally, these devices should be personalised to each patient to improve comfort and performance. Production costs have been one of the main constraints for the production of personalised orthoses. However, customisation and personalisation of orthoses are now possible through the use of additive manufacturing. This paper presents the current state of the art of additive manufacturing for the fabrication of orthoses, providing several examples, and discusses key research challenges to be addressed to further develop this field.


2019 ◽  
Vol 16 (156) ◽  
pp. 20190259 ◽  
Author(s):  
Xing Gao ◽  
Manon Fraulob ◽  
Guillaume Haïat

In recent decades, cementless implants have been widely used in clinical practice to replace missing organs, to replace damaged or missing bone tissue or to restore joint functionality. However, there remain risks of failure which may have dramatic consequences. The success of an implant depends on its stability, which is determined by the biomechanical properties of the bone–implant interface (BII). The aim of this review article is to provide more insight on the current state of the art concerning the evolution of the biomechanical properties of the BII as a function of the implant's environment. The main characteristics of the BII and the determinants of implant stability are first introduced. Then, the different mechanical methods that have been employed to derive the macroscopic properties of the BII will be described. The experimental multi-modality approaches used to determine the microscopic biomechanical properties of periprosthetic newly formed bone tissue are also reviewed. Eventually, the influence of the implant's properties, in terms of both surface properties and biomaterials, is investigated. A better understanding of the phenomena occurring at the BII will lead to (i) medical devices that help surgeons to determine an implant's stability and (ii) an improvement in the quality of implants.


2019 ◽  
Vol 217 (3) ◽  
pp. 521-523 ◽  
Author(s):  
Anthony S. David

Academic interest in the concept of insight in psychosis has increased markedly over the past 30 years, prompting this selective appraisal of the current state of the art. Considerable progress has been made in terms of measurement and confirming a number of clinical associations. More recently, the relationship between insight and involuntary treatment has been scrutinised more closely alongside the link between decision-making capacity and insight. Advances in the clinical and cognitive neurosciences have influenced conceptual development, particularly the field of ‘metacognition’. New therapies, including those that are psychologically and neurophysiologically based, are being tested as ways to enhance insight.


2014 ◽  
Vol 155 (20) ◽  
pp. 783-788 ◽  
Author(s):  
Réka Eszter Cserepes ◽  
Tamás Kőrösi ◽  
Antal Bugán

Introduction: Experiencing involuntary childlessness has a great impact on couples’ quality of life. Aim: The aim of the authors was to examine the intercorrelations among infertility specific quality of life and depression on the levels of individuals and couples. Method: 126 couples in five fertility centers in Hungary filled out the FertiQoL and Beck Depression Inventory and answered some sociodemographic questions. Results: In gender comparison, women reported about more depressive symptoms and poorer quality of life than men. Both in men and women, the higher depression level correlated with lower level of quality of life. Moreover, the presence of more depressive symptoms in women was related to men’s poorer quality of life. Conclusions: The results show that differences may exist in affective responses to infertility between women and men and that female affective problems take effects on the level of the couple relationship. These findings may be useful in psychosocial support of the couples facing infertility, especially in couple counselling or couple therapy. Orv. Hetil., 2014, 155(20), 783–788.


1995 ◽  
Vol 1 (3) ◽  
pp. 71-77 ◽  
Author(s):  
Michael Crowe

Jealousy has traditionally been treated by offering medication, support, or various forms of individual psychotherapy or counselling. However, jealousy is usually a condition which has a profound effect on the sexual partner of the jealous person, and they may actually suffer more from the condition than the person him/herself. While accepting that medication and other individual approaches have their place in the management of jealousy, there seem to be several advantages in seeing the problem from the standpoint of the couple relationship. Firstly, couple therapy reduces the almost inevitable labelling of the jealous person as a psychiatric case. Secondly, one might argue a priori that any changes which take place as a result of two people changing their behaviour are likely to be more stable and long-lasting than if just one person changes. There is another consideration, namely that, since the relationship is bound to be affected by the jealousy, it will need attention regardless of the means used to treat the jealousy itself.


2021 ◽  
Vol 304 ◽  
pp. 03035
Author(s):  
Sanovar Khamrayeva ◽  
Dilfuza Kadirova ◽  
Sayidvoris Rakhimkhodjayev

Specialists in the weaving industry are often interested in the question of what tension of the warp and weft threads must be set on the weaving machine to produce a particular fabric. Along with this, they are interested in the question of what is the relationship between these parameters and the structure of the fabric, how much it is necessary to increase or decrease the tension of the warp and weft threads when changing the assortment of fabric. These problems arise because the correct thread tension on weaving machines increases the productivity of equipment and labor, and also improves the quality of the fabrics produced. The current state of the mechanics of a weighty deformable flexible thread on a plane and other forms of guides do not take into account the rigidity of the threads on the friction surface, since this parameter is determined by the type and type of threads, the linear density of the threads and the elastic properties of the threads. Therefore, the article analyzes the work on the mechanics of textile yarn and studies of the tension of the yarns were carried out depending on the radius of friction, angle of friction, coefficient of friction and stiffness of the yarns.


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