Role Disputes

Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman

IPT defines an interpersonal role dispute as a situation in which the patient and an important person in the patient’s life have differing expectations about their relationship. This leads to either an open or a tacit struggle. The depressed individual is invariably losing out in this conflict, which may be either a source or consequence of a depressive episode. This chapter covers definition, goals, and strategies when working with this problem area of role disputes. The three stages of role dispute are renegotiation, impasse, and dissolution. To manage a role dispute, patients need to recognize their own feelings about what they want and don’t want, feelings about the relationship and the other person, and what might constitute a reasonable compromise. Case examples of role disputes are included.

Philosophy ◽  
1988 ◽  
Vol 63 (244) ◽  
pp. 161-174 ◽  
Author(s):  
Keith Campbell

This paper raises once more the question of the relationship between philosophy on the one hand and common sense on the other. More particularly, it is concerned with the role which common sense can play in passing judgment on the rational acceptability (or otherwise) of large-scale hypotheses in natural philosophy and the cosmological part of metaphysics. There are, as I see it, three stages through which the relationship has passed in the course of the twentieth century. There is the era of G. E. Moore, the Quine–Feyerabend period, and now a new and modest vindication of common sense is emerging in the work of Jerry Fodor.


Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman

This chapter covers the definition, goals, and strategies of the problem area regarding interpersonal deficits. Interpersonal deficits, loneliness, social isolation, or a paucity of attachments may be chosen as the focus of IPT if none of the other interpersonal problem areas exist. If any of the other problem areas can be found (grief, role disputes, or role transitions), the therapist should not use interpersonal deficits as the focus of therapy. IPT is a treatment designed to address life events, but this category covers those patients who present without acute life events. Case examples are included to illustrate the presenting problems and treatment strategies for two patients in whom this focus of interpersonal deficits was used: one had trouble making friends after college and the other had difficulties establishing romantic relationships with women.


2001 ◽  
Vol 13 (3) ◽  
pp. 151 ◽  
Author(s):  
Takeshige Otoi ◽  
Aya Ooka ◽  
Masako Murakami ◽  
N.W. Kurniani Karja ◽  
Tatsuyuki Suzuki

The present study was conducted to examine the effects of the stage of the oestrous cycle on the meiotic competence of canine oocytes and also to investigate the relationship between the stage of the oestrous cycle and the relative size distribution of oocytes obtained from bitches at three stages of the cycle (anoestrus, follicular phase and dioestrus). Only healthy-looking cumulus–oocyte complexes were used for in vitro maturation and these were divided into three groups based on diameter (<110, 110 to <120 and ≥120 µm). The mean diameter of oocytes from ovaries at anoestrus, the follicular phase and dioestrus was 103.6, 119.2 and 107.7 µm, respectively. The percentage of large oocytes (120 µm) collected at the follicular phase was higher (P<0.01) than that collected at dioestrus and the percentage of oocytes ≥120 µm collected from ovaries at dioestrus was higher (P<0.01) than that collected at anoestrus. After culture for 72 h, significantly more oocytes reached metaphase II (MII) in the follicular phase than in the other stages (P<0.01), and more oocytes reached MII in dioestrus than in anoestrus (P<0.05). In the ≥120 µm group, the frequency of oocytes that resumed meiosis in the follicular phase was higher (P<0.05) than in the other stages. However, in the smaller diameter (<120 µm) groups, there were no significant differences between ovaries at different stages of the oestrous cycle with respect to the proportion of oocytes reaching each stage of meiosis. Thus, the oestrous cycle stage influences maturation frequency. Moreover, oocytes demonstrated a size-related ability to undergo meiotic maturation, irrespective of the stage of the oestrous cycle. These results suggest that the effects of the stage of the oestrous cycle may result from differences in the distribution of large oocytes.


Author(s):  
Myrna M. Weissman ◽  
John C. Markowitz ◽  
Gerald L. Klerman

The symptoms of a normal grief reaction typically resolve over the course of a few months as the person processes the loss, thinking through remembered experiences with the deceased. This period of grief or mourning is a normal, useful, adaptive process. In contrast, in complicated grief, the person tries to contain her emotions, distancing herself from emotional life. This postponing and avoidance of grief is characteristic of complicated bereavement, a long-recognized form of major depression. This chapter discusses both normal and complicated grief and how grief is defined by the DSM-5 and how it presents as a problem area in IPT. The two goals of the therapist are to facilitate mourning (catharsis) and to reestablish interests and relationships that can to some degree substitute for the person and the relationship that have been lost. Case examples are included.


2021 ◽  
Vol 4 (1) ◽  
pp. 77-95
Author(s):  
Baatr U. Kitinov ◽  
Liu Qiang

The authors examine the relationship between Dzungaria and Tibet in the first half of the 18th century. A whole series of events that happened in these countries coincide chronologically in a rather surprising way. The authors highlight the important events of this period: the seizure of Lhasa by the Dzungars in 1717–1720, the uprising of the Kukunor Khoshuts in 1723–1724, the development of Dzungar-Tibetan relations in the second quarter of the 18th century. They stress the Galdan-Tsereng’s embassy to the Dalai-lama in 1742/1743, the event, which was mentioned even in the Russian archival documents. Besides, they pay special attention to the activities of the main leaders, such as Dzungarian hungtaiji: Tsewang-Rabdan, Galdan-Tsereng; Tibetan rulers: rgyal-po Lhawzang, miwang Pholanay, the Dalai-lamas Sixth and Seventh; the Qing emperors: Kangxi, Yongzheng, Qianlong. They quote the letters exchanged between the Qing emperors, on the one hand, and the Dzungar (and Khoshut) leaders, on the other. The authors concluded that the relations between Dzungaria and Tibet during the first half of the 18th century could be subdivided into three stages (1703–1717; 1717–1727; 1727–1745/1750, each with its peaks). These relations, as well as their development, largely depended on the state of the relations between the dynasty of Qing and Tibet, especially the imperial policy towards Dzungaria.


2020 ◽  
Vol 2 ◽  
pp. 108
Author(s):  
Janniny Gautério Kierniew ◽  
Cláudia Bechara Fröhlich ◽  
Simone Moschen

RESUMOEste artigo apresenta as narrativas das estratégias metodológicas de uma pesquisa-intervenção, desenvolvidas em três tempos, de 2015 a 2018, desde a chegada da equipe na calçada de um hospital geral de Porto Alegre (RS) até o encontro do Setor de Dor e Cuidados Paliativos como parceiro para desenvolver um dispositivo de trabalho que se intitulou Ateliê Jardim de Histórias. O dispositivo convidou pacientes diagnosticados com dor crônica a contar histórias, suas ou do mundo, verdadeiras ou inventadas, por meio de superfícies de inscrição (caixa, toalha) para essas histórias. A constituição do formato da pesquisa-intervenção aconteceu em um tempo estendido, escutando o contexto hospitalar por pelo menos dois anos, até inaugurar um formato que teve o bordado livre sobre uma maca hospitalar como mediador do diálogo. A aposta/hipótese de pesquisa é que, ao oferecer uma superfície de inscrição como a toalha, ela faça as vias de passagem para que a dor, significada como apenas orgânica, desloque-se para outro registro de significação, mais simbólico. Enquanto bordavam, os pacientes narraram suas histórias e inscreveram na toalha fragmentos de memórias, registro singular pela via da palavra. Os fundamentos da pesquisa-intervenção têm inspiração teórica em Walter Benjamin, na psicanálise de Freud e Lacan, além da Arte Contextual de Paul Ardenne. É um trabalho tecido por muitas mãos e fios teóricos que conduzem para a ideia do “tecer com o outro”, numa aposta de que o estabelecimento de práticas da relação entre sujeitos e diferentes campos do saber pode contribuir para o cuidado humanizado em saúde.Palavras-chave: Narrativas. Saúde. Arte. Psicanálise. Educação. ABSTRACTThis article presents the narratives of the methodological strategies of a research-intervention, developed in three stages, from 2015 to 2018, from the arrival of the team on the sidewalk of a general hospital in Porto Alegre (RS) to the meeting with the Sector of Pain and Palliative Care as a partner to develop a working device named Atelier Jardim de Histórias (Garden of Stories Atelier). The device invited patients diagnosed with chronic pain to share stories, their own or the world’s, real or fabricated, through inscription surfaces (boxes, towels) for these stories. The establishing of the intervention-research’s format took place over an extended period of time, listening to the hospital context for at least two years, until the unveiling of a format that had free embroidery on a hospital stretcher as a mediator of dialogue. The research bet/hypothesis is that, by offering an inscription surface like a towel, it produces the passage ways so that the pain, signified as only organic, moves on to another register of meaning, a more symbolic one. While embroidering, patients narrated their stories and inscribed fragments of their memories on the towel, a singular record through the Way of Word. The foundations of the research-intervention have theoretical inspiration in Walter Benjamin, in the psychoanalysis of Freud and Lacan, in addition to the Contextual Art of Paul Ardenne. It is a work woven by many hands and theoretical threads that lead to the idea of “weaving with the other”, in a bet that the establishing of practices in the relationship between subjects and different fields of knowledge can contribute to humanized health care.Keywords: Narratives. Health. Art. Psychoanalysis. Education.


2018 ◽  
Vol 58 (1) ◽  
pp. 44-57
Author(s):  
Elena Bendíková ◽  
Beáta Dobay

Summary The aim of the research was to find out the realization of the physical activity among the middle-aged adults by the association with their health, retrospective of the factor contributing to the transfer of the physical activity to the adulthood. The monitored group consisted of 742 respondents of the middle-aged adults from the Southern Districts of Slovakia, of which 403 were the women (age = 37.2 ± 3.04 years) and 339 were the men (age = 36.5 ± 4.54 years) as the selection was deliberate. The monitoring was conducted by the three stages in 2014, through the so-called “Egészség és mozgás” - “Health and Movement” standardized, anonymous questionnaire, which consisted of 60 questions. Our findings point to the stated facts. The findings found the relationship between the health and fitness among the men (r = 0.8300), as well as among the women (r = 0.7193). The relationship between the physical activity and the feeling of health was recorded only among the men (r = 0.8921), while the relationship between the health problems and the feeling of health was also found among the men (r = 0.739), as well as among the women (r = 0, 6714). At the same time, the men perceive the importance of the physical activity, in terms of their health condition (r = 0.8791) more intense than the women. The physical education was significantly (χ2 = 112.47, p < 0.01) among the men (67.6 %, n = 229), opposite to the women (33.7 %; n = 136) contributed to the transfer of the physical activity from the school environment to the adulthood. The stated findings show that the targeted education of the population, even from the childhood with the other effective, preventive measures is very important.


Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 246-253 ◽  
Author(s):  
Gretchen E. Ely ◽  
William R. Nugent ◽  
Julie Cerel ◽  
Mholi Vimbba

Background: The relationship between suicidal thinking and adolescent dating violence has not been previously explored in a sample of adolescent abortion patients. Aims: This paper highlights a study where the relationship between dating violence and severity of suicidal thinking was examined in a sample of 120 young women ages 14–21 seeking to terminate an unintended pregnancy. Methods: The Multidimensional Adolescent Assessment Scale and the Conflict in Adolescent Relationships Scale was used to gather information about psychosocial problems and dating violence so that the relationship between the two problems could be examined, while controlling for the other psychosocial problems. Results: The results suggest that dating violence was related to severity of suicidal thinking, and that the magnitude of this relationship was moderated by the severity of problems with aggression. Conclusions: Specifically, as the severity of participant’s general problems with aggression increased, the magnitude of the relationship between dating violence and severity of suicidal thinking increased. Limitations of the study and implications for practice are discussed.


Author(s):  
Melanie K. T. Takarangi ◽  
Deryn Strange

When people are told that their negative memories are worse than other people’s, do they later remember those events differently? We asked participants to recall a recent negative memory then, 24 h later, we gave some participants feedback about the emotional impact of their event – stating it was more or less negative compared to other people’s experiences. One week later, participants recalled the event again. We predicted that if feedback affected how participants remembered their negative experiences, their ratings of the memory’s characteristics should change over time. That is, when participants are told that their negative event is extremely negative, their memories should be more vivid, recollected strongly, and remembered from a personal perspective, compared to participants in the other conditions. Our results provide support for this hypothesis. We suggest that external feedback might be a potential mechanism in the relationship between negative memories and psychological well-being.


1994 ◽  
Vol 72 (01) ◽  
pp. 058-064 ◽  
Author(s):  
Goya Wannamethee ◽  
A Gerald Shaper

SummaryThe relationship between haematocrit and cardiovascular risk factors, particularly blood pressure and blood lipids, has been examined in detail in a large prospective study of 7735 middle-aged men drawn from general practices in 24 British towns. The analyses are restricted to the 5494 men free of any evidence of ischaemic heart disease at screening.Smoking, body mass index, physical activity, alcohol intake and lung function (FEV1) were factors strongly associated with haematocrit levels independent of each other. Age showed a significant but small independent association with haematocrit. Non-manual workers had slightly higher haematocrit levels than manual workers; this difference increased considerably and became significant after adjustment for the other risk factors. Diabetics showed significantly lower levels of haematocrit than non-diabetics. In the univariate analysis, haematocrit was significantly associated with total serum protein (r = 0*18), cholesterol (r = 0.16), triglyceride (r = 0.15), diastolic blood pressure (r = 0.17) and heart rate (r = 0.14); all at p <0.0001. A weaker but significant association was seen with systolic blood pressure (r = 0.09, p <0.001). These relationships remained significant even after adjustment for age, smoking, body mass index, physical activity, alcohol intake, lung function, presence of diabetes, social class and for each of the other biological variables; the relationship with systolic blood pressure was considerably weakened. No association was seen with blood glucose and HDL-cholesterol. This study has shown significant associations between several lifestyle characteristics and the haematocrit and supports the findings of a significant relationship between the haematocrit and blood lipids and blood pressure. It emphasises the role of the haematocrit in assessing the risk of ischaemic heart disease and stroke in individuals, and the need to take haematocrit levels into account in determining the importance of other cardiovascular risk factors.


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