Managing Challenging Patient Interactions in Breast Imaging

2021 ◽  
Author(s):  
Mary Scott Soo ◽  
Dorothy A Lowell ◽  
Stamatia V Destounis
Keyword(s):  
Breast Imaging ◽  
Service Recovery ◽  
Emotional Reactions ◽  
Emotional States ◽  
Institutional Policies ◽  
Patient Interactions ◽  
Underlying Causes ◽  
The Moment

Abstract Managing challenging patient interactions can be a daily stressor for breast imaging radiologists, leading to burnout. This article offers communication and behavioral practices for radiologists that help reduce radiologists’ stress during these encounters. Patient scenarios viewed as difficult can vary among radiologists. Radiologists’ awareness of their own physical, mental, and emotional states, along with skillful communications, can be cultivated to navigate these interactions and enhance resiliency. Understanding underlying causes of patients’ emotional reactions, denial, and anger helps foster empathy and compassion during discussions. When exposed to extremely disruptive, angry, or racially abusive patients, having pre-existing institutional policies to address these behaviors helps direct appropriate responses and guide subsequent actions. These extreme behaviors may catch breast imaging radiologists off guard yet have potentially significant consequences. Rehearsing scripted responses before encounters can help breast imaging radiologists maintain composure in the moment, responding in a calm, nonjudgmental manner, and most effectively contributing to service recovery. However, when challenging patient encounters do trigger difficult emotions in breast imaging radiologists, debriefing with colleagues afterwards and naming the emotion can help the radiologists process their feelings to regain focus for performing clinical duties.

Same music, different emotions: assessing emotions and EEG correlates of music perception in children with ASD and typically developing peers

2018 ◽  
Vol 4 (3) ◽  
pp. 85-94 ◽  
Author(s):  
Galina Portnova ◽  
Alexandra Maslennikova ◽  
Anton Varlamov
Keyword(s):  
Music Perception ◽  
Right Hemisphere ◽  
Autism Spectrum ◽  
Emotional Reactions ◽  
Cortical Activation ◽  
Emotional States ◽  
Typically Developing ◽  
Content Type ◽  
Children With Asd ◽  
Self Reports

Purpose The purpose of this paper is to assess emotional response to music and its EEG correlates in children with autism spectrum disorders (ASD). Design/methodology/approach Six musical fragments eliciting emotional states of calmness/serenity, sadness and anxiety/fear were presented to children with ASD (n=21, aged 5–9) and typically developing (TD) peers (n=21), while 19-channel EEG was recorded. Emotion self-reports were assessed using visual analogous scales. Findings Children with ASD assessed most music fragments similarly to their TD peers, with likelihood of EEG oscillatory patterns closely corresponding to emotion self-reports. Somewhat contrary to the expectations, a major difference was observed for one fragment only, which was identified as sad by TD children and adult neurotypical raters, but found “angry and frightening” by children with ASD, with EEG oscillatory response confirming greater cortical activation, particularly for the right hemisphere. Research limitations/implications The data suggest that children with ASD may have emotional reactions to music either similar or highly aberrant compared to TD peers, rather than having general difficulties in assessing emotions. The data should be confirmed by further studies, ideally involving high functioning adult autists. Practical implications The findings may increase the understanding of autists’ difficulties in perceiving prosodic nuances and reading emotional cues. The results can be taken into consideration when developing music-based interventions. Originality/value The findings show that music may be perceived by children with ASD in a unique way, which may be difficult to predict by neurotypical raters.

The Study of Discrete Emotions in Politics

2019 ◽  
Author(s):  
Cigdem V. Sirin ◽  
José D. Villalobos
Keyword(s):  
Emotional Reactions ◽  
Emotional States ◽  
Discrete Emotions ◽  
Intergroup Emotions ◽  
Political Actors ◽  
Individual Level ◽  
The Public ◽  
Methodological Choices ◽  
Intelligence Theory ◽  
Use Of Social Media

Numerous empirical works document that discrete emotions have substantive and differential effects on politically motivated processes and outcomes. Scholars have increasingly adopted a discrete-emotions approach across various political contexts. There are different theoretical paths for studying discrete emotions. Appraisal theories contend that cognition precedes emotion, where distinct cognitive appraisal tendencies elicit discrete emotional reactions associated with specific coping mechanisms. Affective Intelligence Theory, another dominant paradigm in the study of discrete emotions in politics, argues for affective primacy. Others are more concerned with the level of analysis issue than the emotion-cognition sequence. For instance, Intergroup Emotions Theory calls for differentiating between individual-level and group-based discrete emotions, asserting that the latter form is a stronger predictor of collective political actions. Scholars also need to consider which methodological strategies they should employ to deal with a range of issues that the study of discrete emotions brings about. For instance, one issue is how to effectively induce a specific emotional state such as hope without also triggering other related yet discrete emotions such as enthusiasm in an experimental setting. Beyond these theoretical and methodological choices, there are various opportunities to diversify the field of study. Above all, the field needs more cross-national replications and extensions of U.S.-based findings to help resolve the debate over the universality versus contextuality of discrete emotions. The field would also benefit from the study of a wider array of emotional states by expanding beyond its main focus on negative discrete emotions. Contemporary developments—such as the increasing use of social media by the public and political actors—further offer novel platforms for investigating the role of discrete emotions.

scholarly journals Effects of Differential Strategies of Emotion Regulation

2019 ◽  
Vol 9 (9) ◽  
pp. 225 ◽  
Author(s):  
Stephanie Boehme ◽  
Stefanie C. Biehl ◽  
Andreas Mühlberger
Keyword(s):  
Emotion Regulation ◽  
Behavioral Therapy ◽  
Emotional Experience ◽  
Emotional Reactions ◽  
P300 Amplitude ◽  
Emotional States ◽  
Emotion Regulation Strategies ◽  
Common Strategy ◽  
Regulation Strategies ◽  
And Training

Patients suffering from mental disorders, especially anxiety disorders, are often impaired by inadequate emotional reactions. Specific aspects are the insufficient perception of their own emotional states and the use of dysfunctional emotion regulation strategies. Both aspects are interdependent. Thus, Cognitive Behavioral Therapy (CBT) comprises the development and training of adequate emotion regulation strategies. Traditionally, reappraisal is the most common strategy, but strategies of acceptance are becoming more important in the course of advancing CBT. Indeed, there is evidence that emotion regulation strategies differ in self-reported effectiveness, psychophysiological reactions, and underlying neural correlates. However, comprehensive comparisons of different emotion regulation strategies are sparse. The present study, therefore, compared the effect of three common emotion regulation strategies (reappraisal, acceptance, and suppression) on self-reported effectiveness, recollection, and psychophysiological as well as electroencephalographic dimensions. Twenty-nine healthy participants were instructed to either reappraise, accept, suppress, or passively observe their upcoming emotional reactions while anxiety- and sadness-inducing pictures were presented. Results showed a compelling effect of reappraisal on emotional experience, skin conductance response, and P300 amplitude. Acceptance was almost as effective as reappraisal, but led to increased emotional experience. Combining all results, suppression was shown to be the least effective but significantly decreased emotional experience when thoughts and feelings had to be suppressed. Moreover, results show that greater propensity for rumination differentially impairs strategies of emotion regulation.

Emotional State Impacts Center of Pressure Displacement Before Forward Gait Initiation

2015 ◽  
Vol 31 (1) ◽  
pp. 35-40 ◽  
Author(s):  
Bradley Fawver ◽  
Garrett F. Beatty ◽  
Kelly M. Naugle ◽  
Chris J. Hass ◽  
Christopher M. Janelle
Keyword(s):  
Center Of Pressure ◽  
Emotional Reactions ◽  
Quiet Standing ◽  
Whole Body ◽  
Gait Initiation ◽  
Emotional States ◽  
Body Movements ◽  
Planning Period ◽  
Postural Changes ◽  
The Impact

Emotional states influence whole-body movements during quiet standing, gait initiation, and steady state gait. A notable gap exists, however, in understanding how emotions affect postural changes during the period preceding the execution of planned whole-body movements. The impact of emotion-induced postural reactions on forthcoming posturomotor movements remains unknown. We sought to determine the influence of emotional reactions on center of pressure (COP) displacement before the initiation of forward gait. Participants (N = 23, 14 females) stood on a force plate and initiated forward gait at the offset of an emotional image (representing five discrete categories: attack, sad faces, erotica, happy faces, and neutral objects). COP displacement in the anteroposterior direction was quantified for a 2 second period during image presentation. Following picture onset, participants produced a posterior postural response to all image types. The greatest posterior displacement was occasioned in response to attack or threat stimuli compared with happy faces and erotica images. Results suggest the impact of emotional states on gait behavior begins during the motor planning period before the preparatory phase of gait initiation, and manifests in center of pressure displacement alterations.

Features of the involvement of the dopamine and serotonin brain systems in positive and negative emotional states in rats

2020 ◽  
Vol 18 (2) ◽  
pp. 123-130
Author(s):  
Eugenii R. Bychkov ◽  
Andrei A. Lebedev ◽  
Nikolai S. Efimov ◽  
Artyem S. Kryukov ◽  
Inessa V. Karpova ◽  
...  
Keyword(s):  
Nucleus Accumbens ◽  
Lateral Hypothalamus ◽  
Treatment Strategies ◽  
Emotional Reactions ◽  
Aversive Stimulation ◽  
Male Rats ◽  
Emotional States ◽  
Neuropsychiatric Diseases ◽  
Self Stimulation ◽  
Stimulation Of

The aim was to study the effect of rewarding and aversive stimulation of lateral hypothalamus on the turnover of monoamines in the terminal structures of the mesocorticolimbic and nigrostriatal systems: the nucleus accumbens (NAc) and striatum (St). The Wistar male rats were implanted electrodes in the lateral hypothalamus and further trained in self-stimulation test. Animals were also selected on aversive emotional reactions were observed after pressing the pedal for self-stimulation. Subsequently, forced stimulation was performed for 5 minutes and the animals were decapitated. The content of norepinephrine, dopamine (DA) and its metabolites 3,4-dioxiphenylacetic acid (DOPАС) and homovanilinic acid, serotonin (5-HT) and 5-hydroxyindoleacetic acid (5-HIAA) in the nucleus accumbens and striatum were determined by high performance liquid chromatography with electrochemical detection. Positive and aversive stimulation of lateral hypothalamus decreased the level of DA in the NAc, however, only stimulation of the positive emotiogenic zone increased the DA and 5-HT turnover in the NAc, as evidenced by an increase in the DOPАС/DA and 5-HIAA/SER ratios, respectively. Rewarding and aversive stimulation decreased the level of 5-HT in St, however, only rewarding stimulation decreased the St level of 5-HIAA compared to control and animals with aversive stimulation. Rewarding stimulation increased the turnover of serotonin in St, as evidenced by the increase of 5-HIAA/5-HT ratios. The activity of the noradrenergic system did not change after rewarding and aversive stimulation. Thus, both rewarding and aversive electrical stimulation increases the turnover of DA and 5-HT in NAc and St. However, these changes are more significant after rewarding stimulation. DA turnover increases more in NAc, and 5-HT turnover in St. The data obtained indicate the specificity of the dopaminergic and serotonergic involvement for the formation of a modality of emotional reactions. Data may provide guidance for developing treatment strategies for neuropsychiatric diseases related to the malfunction of the reward system.

scholarly journals Criteria for Psychological Evaluation of Legally Relevant Emotional States of Defendants: Methodological Recommendations

2016 ◽  
pp. 46-58
Author(s):  
F. S. Safuanov ◽  
O. F. Savina ◽  
M. V. Morozova ◽  
I. V. Isaeva
Keyword(s):  
Differential Diagnosis ◽  
Forensic Psychology ◽  
Psychological Evaluation ◽  
Emotional Reactions ◽  
Emotional States ◽  
Multivariate Classification ◽  
And Behavior ◽  
Legal Meaning

The paper discusses a multivariate classification of the concept of “heat of passion” as it is used in forensic psychology, as well as emotional reactions and emotional states. It explores the criteria for differential diagnosis of “heat of passion” and emotional states that have a significant effect on the defendant's consciousness and behavior at the time of committing a crime. An algorithm of forensic psychological evaluation of the defendant's emotional states is proposed, together with examples of sample wording of expert conclusions, and their legal meaning.

scholarly journals Interdependence of basic emotional states and early maladaptive schemes of drug addict

2020 ◽  
Keyword(s):  
Drug Addiction ◽  
Emotional State ◽  
Pearson Correlation ◽  
Maladaptive Behavior ◽  
Stable Set ◽  
Drug Addicts ◽  
Emotional States ◽  
The Moment ◽  
High Level ◽  
Negative Feelings

This article discusses the interdependence of basic emotional states and early maladaptive schemes (EMS) of drug addicts. The purpose of the research is to study the interdependencies of basic emotional states with EMS of drug addicts. In accordance with the set purpose and objectives of the study, a research sample was formed. On the basis of informed consent in compliance with the principles of bioethics and deontology during 2019-2020, a psychodiagnostic study of 102 male patients with drug addiction of the opioid group was conducted on the basis of the rehabilitation center "Vertical", aged 18-26 years. For diagnostics of early maladaptive schemes the technique "Diagnosis of early maladaptive schemes" (YSQ - S3R) in adaptation of P. M. Kasyanik, E. V. Romanova was used. This technique is a questionnaire based on a presentation by J. Young (Handbook of Schema Therapy, 2015) on early maladaptation scheme (EMS). This term refers to a stable set of reactions, ideas, emotions that formed in early childhood under the influence of any adverse factors in the immediate environment. EMS are stable structures that affect the real perception of the world and the management of their own activities. J. Young identified 18 EMS, which are divided into five large groups (domains), which are interconnected to meet different basic needs: "lack of communication and rejection", "impaired autonomy and efficiency", "violation borders"; "focus on others", "hypervigilance and restraint". To diagnose the basic emotional states, the method "Scale of differential emotions" was used. K. Izard aimed at diagnosing the dominant emotional state using the scale of significance of emotions. The theory of differential emotions got its name through the centering on individual emotions and are central to a full life, namely the motivational sphere, social communication, cognition and action. Correlation analysis of the data was performed using the Pearson correlation coefficient. It has been established that the current relationship between basic emotional states and EMS directly or indirectly supports the formation and development of psychological problems and behavioral disorders, namely drug addiction. Non-adaptive behavior occurs in response to EMS activation, which is dependent on basic emotional states, which in turn were key at the time of EMS formation. At the time of activation of EMS for drug addicts is characterized by a high level of negative feelings, such as severe resentment, anxiety, distress or guilt. Drug addicts, not wanting to be in the moment of EMS activation, usually use maladaptive behavior, which is normal for them and acts as a "mask" to escape from the painful experience and, above all, to avoid EMS activation. Experiencing negative emotional states "grief", "disgust", "fear", "anger", "contempt", "shame", creating correlations activate and reinforce the existing maladaptive schemes of drug addicts, which creates a situation of impossibility of desired changes, satisfaction own needs, achievement of goals and formation of socially acceptable values. The current life situation is experienced as inevitable, hopeless, they feel helpless, desperate and intolerant. The current relationship of a positive emotional state of "curiosity" with the existing EMS can weaken the previously formed maladaptive patterns, eliminating feelings of inferiority and marginality, creating conditions for resocialization and readaptation of drug addicts.

scholarly journals Facial Behaviors and Emotional Reactions in Consumer Research

2011 ◽  
Vol 1 (3) ◽  
pp. 441-453 ◽  
Author(s):  
David Matsumoto ◽  
Hyi Sung Hwang ◽  
Nick Harrington ◽  
Robb Olsen ◽  
Missy King
Keyword(s):  
Facial Expressions ◽  
Consumer Research ◽  
Emotional Reactions ◽  
Self Report ◽  
Emotional States ◽  
Potential Utility ◽  
Low Intensity ◽  
Facial Expressions Of Emotion ◽  
Typical Consumer

Gauging emotional reactions is a cornerstone of consumer research. The most common way emotions are assessed is self-report. But self-report is notoriously unreliable, and affected by many factors that confound their interpretation. Facial expressions are objective markers of emotional states, and are well grounded in decades of research. Yet, the research documenting the potential utility of facial expressions of emotion as a biometric marker in consumer research is limited. This study addresses this gap, presenting descriptive analyses of the facial expressions of emotion produced in typical consumer research. Surprisingly, the most prevalent expressions produced were disgust and social smiles; smile of true enjoyment were relatively rare. Additionally, expressions were generally of low intensity and very short durations. These findings demonstrate the potential utility for using facial expressions of emotion as markers in consumer research, and suggest that the emotional landscapes of consumers may be different than what is commonly thought

scholarly journals Feeling for the Other With Ease: Prospective Actors Show High Levels of Emotion Recognition and Report Above Average Empathic Concern, but Do Not Experience Strong Distress

2021 ◽  
Vol 12 ◽  
Author(s):  
Isabell Schmidt ◽  
Tuomas Rutanen ◽  
Roberto S. Luciani ◽  
Corinne Jola
Keyword(s):  
Online Survey ◽  
Psychology Students ◽  
Emotional Reactions ◽  
Reactivity Index ◽  
Emotional States ◽  
Survey Analysis ◽  
Emotional Wellbeing ◽  
Art Form ◽  
Empathy Quotient ◽  
The Difference

Differences in empathic abilities between acting, dance, and psychology students were explored, in addition to the appropriateness of existing empathy measures in the context of these cohorts. Students (N = 176) across Higher Education Institutions in the United Kingdom and Europe were included in the online survey analysis, consisting of the Reading the Mind in the Eyes (RME) test, the Interpersonal Reactivity Index (IRI), the Empathy Quotient (EQ), and the E-drawing test (EDT), each measuring particular facets of empathy. Based on existing evidence and our understanding of the discipline practices, we predicted that acting students would perform the best at identifying people’s emotional expressions but might lack other cognitive or affective empathy skills, particularly those related to emotional reactions. This cohort thus provides an opportunity to evaluate different empathy measures. While actors showed significantly higher RME scores than dancers, the difference between actors and psychologists was marginal. Moreover, actors’ scores did not differ significantly on other empathy measures, such as their concern for others’ emotional wellbeing or fantasy, both measured by IRI subscales. Psychology students scored highest in the IRI perspective taking subscale and the data supported anecdotal evidence that psychologists were more concerned for others’ emotional wellbeing than dancers or actors. Dancers seemed the least concerned with others’ perspectives and emotional states, which we explained through a somatosensory ‘inward’ focus required by their art form. Nevertheless, compared to the general population, our groups reported higher empathic abilities on all IRI subscales except for personal distress. Altogether, our study shows that the RME, the IRI, and the EDT vary in their susceptibility to different facets of empathic abilities in acting, dance, and psychology students whereas the EQ does not. Emotions can be expressed and perceived through language, facial expressions, or behavior. As many empathy tests focus on one type of signal they might miss other strategies. Where empathy tests are applied to individuals that have a predominance to read or respond to others in a particular way, as we showed through these three disciplines, they might not capture these empathic strategies. We thus propose that empathy tests must evolve by means of integrating varied forms of communication.

scholarly journals Papillary Secretion. Diagnostic Assessment and Treatment

2002 ◽  
Vol 91 (3) ◽  
pp. 246-250
Author(s):  
C. Ingvar
Keyword(s):  
Breast Imaging ◽  
Fine Needle Biopsy ◽  
Radical Excision ◽  
Common Symptom ◽  
Breast Clinic ◽  
Abnormal Finding ◽  
Mammary Duct ◽  
Assessment And Treatment ◽  
Underlying Causes

Papillary secretion is a common symptom in the breast clinic with many different underlying causes like intraductal papilloma, mammary duct ectasia, infected cysts and abscesses, breast cancer/carcinoma in situ (CIS) and rarely pituitary adenoma. The association with cancer/CIS is one of the two main concerns of the patient and must always be ruled out. The second item is that spontaneous and ongoing discharge causes embarrassment due to staining the clothes. Physical examination of the breast, imaging with mammography and ultrasonography should always be done and fine needle biopsy/core biopsy used with wide indications whenever there is any abnormal finding. With the use of modern ultrasonography in the combination with guided biopsy the use for ductography has diminished and might be saved for single duct investigations, especially if papilloma or single duct involvement is suspected. Surgery (when undertaken) due to benign discharge, should aim for radical excision of the underlying cause of the discharge sometimes only a dilated single duct with or without a papilloma or excision of the central ducts as in case of mammary duct ectasia. Discharge should be consistent, spontaneous and disturbing otherwise surgery should not be recommended in the absence of a suspicion of malignancy (negative triple test).

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