The Impact of Attachment Style on Therapeutic Alliance and Group Dynamics in Trauma Therapy Group

2008 ◽  
Author(s):  
Catherine Classen ◽  
Robert Muller ◽  
Ritu Bedi ◽  
Karina Zorzella
Keyword(s):  
Therapeutic Alliance ◽  
Attachment Style ◽  
Group Dynamics ◽  
Therapy Group ◽  
Trauma Therapy ◽  
The Impact

scholarly journals Silencing and Oblivion of Psychological Trauma, Its Unconscious Aspects, and Their Impact on the Inflation of Vajrayāna. An Analysis of Cross-Group Dynamics and Recent Developments in Buddhist Groups Based on Qualitative Data

Religions ◽  
2019 ◽  
Vol 10 (11) ◽  
pp. 622 ◽  
Author(s):  
Anders
Keyword(s):  
Group Dynamics ◽  
Interdisciplinary Approach ◽  
Psychological Trauma ◽  
Ongoing Research ◽  
Psychological Mechanisms ◽  
Teacher Student ◽  
New Concepts ◽  
Recent Developments ◽  
Student Relationship ◽  
The Impact

The commercialization of Buddhist philosophy has led to decontextualization and indoctrinating issues across groups, as well as abuse and trauma in that context. Methodologically, from an interdisciplinary approach, based on the current situation in international Buddhist groups and citations of victims from the ongoing research, the psychological mechanisms of rationalizing and silencing trauma were analyzed. The results show how supposedly Buddhist terminology and concepts are used to rationalize and justify economic, psychological and physical abuse. This is discussed against the background of psychological mechanisms of silencing trauma and the impact of ignoring the unconscious in that particular context. Inadequate consideration regarding the teacher–student relationship, combined with an unreflective use of Tibetan honorary titles and distorted conceptualizations of methods, such as the constant merging prescribed in so-called 'guru yoga', resulted in giving up self-responsibility and enhanced dependency. These new concepts, commercialized as 'karma purification' and 'pure view', have served to rationalize and conceal abuse, as well as to isolate the victims. Therefore, we are facing societal challenges, in terms of providing health and economic care to the victims and implementing preventive measures. This use of language also impacts on scientific discourse and Vajrayāna itself, and will affect many future generations.

S275 – Nasal Morphology and Nasal Patency in Leprosy Patients

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P167-P167
Author(s):  
Maria Teresa Torres Larrosa ◽  
Luis Jorge Peréz Peréz ◽  
Juan-Jose Artazkoz-del Toro
Keyword(s):  
Drug Therapy ◽  
Therapy Group ◽  
Control Group ◽  
Nasal Patency ◽  
Multidrug Therapy ◽  
Airway Patency ◽  
Expiratory Resistance ◽  
Leprosy Patients ◽  
The Right ◽  
The Impact

Objectives 1) To assess the impact of multi-drug leprosy therapy on the development of nasal deformities and nasal airway patency. 2) Evaluate the nasal morphology and nasal patency in leprosy patients treated with the multidrug therapy in comparison with patients treated with 1 drug therapy and a group of healthy volunteers. Methods In an overall group of 84 patients studied, 38 were treated with a therapy based on a single drug, and 22 were treated with multi-drug therapy, while 24 subjects formed a control group. We used anterior rhinoscopy to analised the morphology of the nose. We meassured the nasal inspiratory and expiratory resistance of the right and left nostrils and total nasal inspiratory and expiratory resistance at a transnasal pressure of 150 Pa. by using active anterior rhinomanometry. The statistical analysis was carried out using the Varianza analisys. Results The nasal structures in the 1-drug therapy group underwent bone and cartilaginous resorption with an increase in nasal resistances. We found significant statistical differences between the resistance values obtained in this group and the control group (p<0,05). In the multidrug therapy group, the morphology of the nose remains as in healthy patients. No significant statistical differences were found between the resistance values obtained in the multidrug therapy patients and the control group (P>0,05). Conclusions The multidrug therapy prevents developing nasal deformities and maintains a normal nasal airflow.

Goal-directed Fluid Therapy Does Not Reduce Primary Postoperative Ileus after Elective Laparoscopic Colorectal Surgery

2017 ◽  
Vol 127 (1) ◽  
pp. 36-49 ◽  
Author(s):  
Juan C. Gómez-Izquierdo ◽  
Alessandro Trainito ◽  
David Mirzakandov ◽  
Barry L. Stein ◽  
Sender Liberman ◽  
...  
Keyword(s):  
Colorectal Surgery ◽  
Fluid Therapy ◽  
Postoperative Ileus ◽  
Enhanced Recovery ◽  
Laparoscopic Colorectal Surgery ◽  
Enhanced Recovery After Surgery ◽  
Therapy Group ◽  
Control Group ◽  
Goal Directed Fluid Therapy ◽  
The Impact

Abstract Background Inadequate perioperative fluid therapy impairs gastrointestinal function. Studies primarily evaluating the impact of goal-directed fluid therapy on primary postoperative ileus are missing. The objective of this study was to determine whether goal-directed fluid therapy reduces the incidence of primary postoperative ileus after laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Methods Randomized patient and assessor-blind controlled trial conducted in adult patients undergoing laparoscopic colorectal surgery within an Enhanced Recovery After Surgery program. Patients were assigned randomly to receive intraoperative goal-directed fluid therapy (goal-directed fluid therapy group) or fluid therapy based on traditional principles (control group). Primary postoperative ileus was the primary outcome. Results One hundred twenty-eight patients were included and analyzed (goal-directed fluid therapy group: n = 64; control group: n = 64). The incidence of primary postoperative ileus was 22% in the goal-directed fluid therapy and 22% in the control group (relative risk, 1; 95% CI, 0.5 to 1.9; P = 1.00). Intraoperatively, patients in the goal-directed fluid therapy group received less intravenous fluids (mainly less crystalloids) but a greater volume of colloids. The increase of stroke volume and cardiac output was more pronounced and sustained in the goal-directed fluid therapy group. Length of hospital stay, 30-day postoperative morbidity, and mortality were not different. Conclusions Intraoperative goal-directed fluid therapy compared with fluid therapy based on traditional principles does not reduce primary postoperative ileus in patients undergoing laparoscopic colorectal surgery in the context of an Enhanced Recovery After Surgery program. Its previously demonstrated benefits might have been offset by advancements in perioperative care.

scholarly journals Evaluación cualitativa de un programa de intervención psicológica con hombres violentos dentro de la pareja

2011 ◽  
pp. 135
Author(s):  
Santiago Boira Sarto ◽  
Yolanda López del Hoyo ◽  
Lucía Tomás Aragonés ◽  
Ana Rosa Gaspar
Keyword(s):  
Domestic Violence ◽  
Qualitative Analysis ◽  
Therapeutic Alliance ◽  
Discussion Groups ◽  
Prison Sentence ◽  
Key Aspects ◽  
Assessment Strategies ◽  
The Impact

La tardía implantación en España de programas de intervención con hombres maltratadores enfatiza la necesidad de desarrollar investigaciones que maximicen la eficacia de los tratamientos. Hasta el momento, han sido escasos los estudios publicados que evalúen las variables relacionadas con la permanencia o el abandono del tratamiento y su eficacia, y todavía más escasos los que han estudiado este tema desde un punto de vista cualitativo. El objetivo del estudio es identificar aspectos clave en los programas de intervención que puedan mejorar la eficacia de los tratamientos para hombres condenados por un delito de violencia de género a los que se les ha suspendido o sustituido la ejecución de la pena de prisión por la realización del programa terapéutico. Para ello se ha analizado cualitativamente la información obtenida en dos grupos de discusión formados por los psicólogos que aplicaron el programa y distribuidos según el tipo de terapia, individual o grupal.Los resultados reflejan la conveniencia de considerar la especificidad de este contexto de intervención en el diseño de los programas y en la evaluación. Deberán mejorarse las estrategias que aumenten la motivación, la alianza terapéutica y la adherencia de los hombres al tratamiento. Además habrá que ampliar las estrategias de evaluación para que ofrezcan una información cualitativamente diferente y permitan una valoración global del impacto del tratamiento y el riesgo para la víctima.The late implementation in Spain of intervention programmes for male abusers stresses the need to carry out research that can maximise the effectiveness of such treatment. Up till now, very few studies have been published that assess the variables relating to the continuation or abandonment of the treatment and its efficiency, and there are even fewer studies that examine this subject from a qualitative standpoint. The object of the study is to identify key aspects in the intervention programmes that can enhance the efficiency of the treatment offered to men that have been convicted for a crime involving domestic violence, and who have had their prison sentence suspended or commuted to a programme entailing therapy. With this aim in mind, a qualitative analysis is conducted of the data obtained in two discussion groups formed by psychologists who applied the programme and who are distributed in accordance with the type of therapy �individual or group-oriented� they administered.The findings reflect the convenience of considering the specifics of this context of intervention in the design of such programmes, along with their assessment. Strategies should be improved to enhance motivation, and also to strengthen the therapeutic alliance and ensure that the men stick to the treatment. We will also have to broaden our assessment strategies so that they offer data that is qualitatively different and can enable an overall assessment to be made of the impact of the treatment and the risk to the victim.

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