When a client develops an attraction: successful resolution versus boundary violation

1997 ◽  
Vol 4 (3) ◽  
pp. 203-211 ◽  
Author(s):  
P. Schafer
Keyword(s):  
Boundary Violation ◽  
Successful Resolution

A Developmental Psychopathology Perspective on Substance Use

2018 ◽  
Author(s):  
Dante Cicchetti ◽  
Fred A. Rogosch
Keyword(s):  
Substance Abuse ◽  
Substance Use ◽  
Child Maltreatment ◽  
Developmental Psychopathology ◽  
Developmental Tasks ◽  
Developmental Systems ◽  
Developmental Processes ◽  
Substance Use And Abuse ◽  
Successful Resolution

In this chapter, a developmental psychopathology conceptualization of child maltreatment is presented as an overarching heuristic with relevance for understanding the development of alcohol and substance use and abuse. This chapter also provides illustrations from research on how child maltreatment contributes to problem substance use in adolescence. Child maltreatment represents an extreme failure of the caregiving environment to provide many of the expectable experiences necessary to facilitate normal developmental processes. Maltreatment ushers in a probabilistic epigenesis for children characterized by an increased likelihood of failure and disruption in the successful resolution of major developmental tasks. These repeated disruptions lead to compromised developmental organizations of diverse developmental systems that increase the probability of the emergence of maladaptation, psychopathology, and substance abuse as negative transactions between the child and the environment ensue. Person-centered personality organizations and genetic moderation of maltreatment risk on substance use outcomes are also highlighted.

scholarly journals Antagonism between brain regions relevant for cognitive control and emotional memory facilitates the generation of humorous ideas

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Florian Bitsch ◽  
Philipp Berger ◽  
Andreas Fink ◽  
Arne Nagels ◽  
Benjamin Straube ◽  
...  
Keyword(s):  
Cognitive Control ◽  
Positive Emotions ◽  
Emotional Memory ◽  
Brain Regions ◽  
Neural Mechanisms ◽  
Functional Magnetic Resonance ◽  
Frontal Brain ◽  
Successful Resolution ◽  
Neural Underpinnings ◽  
The Brain

AbstractThe ability to generate humor gives rise to positive emotions and thus facilitate the successful resolution of adversity. Although there is consensus that inhibitory processes might be related to broaden the way of thinking, the neural underpinnings of these mechanisms are largely unknown. Here, we use functional Magnetic Resonance Imaging, a humorous alternative uses task and a stroop task, to investigate the brain mechanisms underlying the emergence of humorous ideas in 24 subjects. Neuroimaging results indicate that greater cognitive control abilities are associated with increased activation in the amygdala, the hippocampus and the superior and medial frontal gyrus during the generation of humorous ideas. Examining the neural mechanisms more closely shows that the hypoactivation of frontal brain regions is associated with an hyperactivation in the amygdala and vice versa. This antagonistic connectivity is concurrently linked with an increased number of humorous ideas and enhanced amygdala responses during the task. Our data therefore suggests that a neural antagonism previously related to the emergence and regulation of negative affective responses, is linked with the generation of emotionally positive ideas and may represent an important neural pathway supporting mental health.

scholarly journals Arterio-biliary fistula caused by a hepatic artery pseudoaneurysm in a recently performed liver transplant: successful resolution and long-term liver implant preservation using a covered coronary stent

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Alfredo Páez-Carpio ◽  
Elena Serrano ◽  
Federico Zarco ◽  
Constantino Fondevila ◽  
Marta Burrel
Keyword(s):  
Bile Duct ◽  
Liver Transplant ◽  
Hepatic Artery ◽  
Biliary Fistula ◽  
Coronary Stent ◽  
Artery Pseudoaneurysm ◽  
Hepatic Artery Pseudoaneurysm ◽  
Successful Resolution ◽  
Standardized Treatment

Abstract Background The formation of a hepatic artery pseudoaneurysm in a liver implant is a rare but potentially fatal complication. Fistulization of such pseudoaneurysms into the bile duct is sporadic. The most common causes of hepatic artery pseudoaneurysm are infection at the anastomosis site, inadequate surgical technique, and an iatrogenic origin due to minimally invasive procedures. Currently, there is no standardized treatment in neither of these complications, with surgery and various endovascular procedures among the alternatives available. None of these therapeutic approaches has demonstrated a significant increase in long-term liver implant preservation. Case presentation A 56-year-old man with a two-month liver transplant presented with massive upper gastrointestinal bleeding and hemobilia shortly after the performance of an endoscopic retrograde cholangiopancreatography due to the presence of a hepatic artery pseudoaneurysm with fistulization into the bile duct. This case report describes the successful treatment of both complications, the hepatic artery pseudoaneurysm and the arterio-biliary fistula, using a covered coronary stent placed in the hepatic artery. A year and a half after treatment, the patient maintains a preserved liver implant and a patent hepatic artery. Conclusions Treatment of a hepatic artery pseudoaneurysm with fistulization into bile duct using a covered coronary stent allowed the correct repair of the defect, adequate hemorrhage control, and long-term liver implant preservation.

The Significance of Gender Boundaries in Preadolescence: Contemporary Correlates and Antecedents of Boundary Violation and Maintenance

1993 ◽  
Vol 64 (2) ◽  
pp. 455 ◽  
Author(s):  
L. Alan Sroufe ◽  
Christopher Bennett ◽  
Michelle Englund ◽  
Joan Urban ◽  
Shmuel Shulman
Keyword(s):  
Boundary Violation ◽  
Gender Boundaries

Dialectics of the Development of the Integrated Social Systems

2021 ◽  
Vol 21 (2) ◽  
pp. 162-168
Author(s):  
Alexander A. Somkin
Keyword(s):  
Social System ◽  
Social Practice ◽  
Driving Force ◽  
Social Systems ◽  
Holistic Approach ◽  
Dialectical Approach ◽  
The Social ◽  
Analysis And Synthesis ◽  
Successful Resolution ◽  
Determining Factor

Introduction. The paper analyzes the specificity of the dialectical development of the integrated social systems of such a personality and society. The presence of positive (natural) contradictions is recognized as a necessary and creative factor in social practice. Under the influence of this type of contradiction, the old, outdated forms of social structure (individual components of the social system) are denied and transformed to new, more perfect ones occurs as a result of their successful resolution. Methods. In the analysis, the author relied on a system-holistic approach, traditional general philosophical methods: induction and deduction, theoretical analysis and synthesis, extrapolation, etc. Discussion. The social system as an integrated unity goes through a number of stages from inception, formation and maturity to the transition to a qualitatively new state. Accordingly, the process of the emergence and development of dialectical contradictions also has several stages: from insignificant differences between opposite sides at the beginning of the emergence of the system to their strengthening and exacerbation. The nature of the contradictions depends on the specifics of the opposing sides, as well as on the conditions in which their interaction unfolds. The determining factor here, in the opinion of the author, is the positive (natural) direction of social opposition, under the influence of which the essence of the contradictions themselves is formed. Conclusion. According to the dialectical approach, the source of social development is the unity and struggle of opposites within the social system. However, the presence of opposite sides is a necessary but insufficient condition for development. They create the preconditions for it, but do not act as its driving force. Only a change in one opposition relative to another creates alternative tension, giving rise to a dialectical contradiction. Therefore, the antagonistic or non-antagonistic character of the latter is due to the positive (natural) or negative character of the social opposition itself.

Percutaneous Treatment of Concomitant Severe Aortic Stenosis and Thoracoabdominal Aortic Aneurysm

2021 ◽  
pp. 152660282110385
Author(s):  
Ariane-Sophie Painchaud-Bouchard ◽  
Jeannot Potvin ◽  
Jessica Forcillo ◽  
Ricardo Ruz ◽  
Stephane Elkouri
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Stenosis ◽  
Severe Aortic Stenosis ◽  
Combined Treatment ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Percutaneous Treatment ◽  
Surgical Approaches ◽  
Transcatheter Aortic Valve ◽  
Clinical Scenarios ◽  
Successful Resolution

Purpose: Although rare in occurrence, symptomatic severe aortic stenosis and large thoracoabdominal aortic aneurysm (TAAA) found in combination pose a real therapeutic challenge, especially in elderly frail patients. Surgical approaches for combined treatment are complex and at high risk of complications while staged procedures carry the risk of an unfavorable evolution of the condition temporarily left untreated. Minimally invasive approaches may therefore prove a more suitable strategy for these patients. Case Report: We present the case of a 78-year-old woman with symptomatic severe aortic stenosis (AS) and a TAAA of 7.8 cm in diameter. Transcatheter treatment of both conditions was successfully performed in a staged manner. The first intervention consisted of combined transfemoral transcatheter aortic valve implantation (TAVI) immediately followed by a zone 3 thoracic endovascular aortic endoprosthesis deployment. In order to reduce the extent of intercostal arteries coverage and mitigate the risk of medullar ischemia, a second-stage percutaneous endovascular treatment of the TAAA was performed with a customized 4-fenestration prosthesis. Early and 12-month clinical and radiologic follow-up were favorable. Conclusion: This case demonstrates how a strong multidisciplinary collaboration allows for successful resolution of complex clinical scenarios.

Bilateral Nervus Intermedius Sectioning for Geniculate Neuralgia: Case Report and Operative Video

2021 ◽  
Author(s):  
Keaton Piper ◽  
Qizhi Victoria Zheng ◽  
Robert S Heller ◽  
Siviero Agazzi
Keyword(s):  
Side Effects ◽  
Microvascular Decompression ◽  
Treatment Options ◽  
Rare Condition ◽  
Contralateral Side ◽  
Wide Range ◽  
Successful Resolution ◽  
Surgical Options ◽  
Vascular Loop ◽  
Nervus Intermedius

Abstract BACKGROUND AND IMPORTANCE Geniculate neuralgia is a rare condition characterized by excruciating ear pain. Surgical options for geniculate neuralgia include microvascular decompression and sectioning of the nervus intermedius. We report herein a case of bilateral geniculate neuralgia treated by nervus intermedius sectioning without prior microvascular decompression. To our knowledge, this is the first report of this treatment strategy with a subsequent description of the side effects of bilateral nervus intermedius disruption. CLINICAL PRESENTATION A 54-yr-old woman presented with bilateral geniculate neuralgia, worse on the left, refractory to medical therapy. Surgical treatment options were reviewed, including microvascular decompression and sectioning of the nervus intermedius. She opted for left nervus intermedius sectioning. The procedure was uncomplicated and no compressive vascular loop was identified during surgery. Postoperatively, she had complete symptom resolution with no discernable side effects. Three years later, the patient developed worsening geniculate neuralgia on the contralateral side. After the discussion of treatment options, she opted again for sectioning of the contralateral nervus intermedius with successful resolution of all symptoms after surgery. Following surgery, the patient identified partial impairment of lacrimation and gustation. She continued to have functional taste of the anterior two-thirds of the tongue, lacrimation, and hearing bilaterally. CONCLUSION Bilateral sectioning of nervus intermedius may provide benefit in patients with bilateral geniculate neuralgia without egregious side effects. However, lacrimatory and gustatory alterations are a potentially significant side effect with a wide range of symptomatology.

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