Mentalizing in development

2021 ◽  
pp. 49-76
Author(s):  
Robbie Duschinsky ◽  
Sarah Foster
Keyword(s):  
Theoretical Perspective ◽  
Reflective Functioning ◽  
Disorganized Attachment ◽  
Clinical Implications ◽  
The Past ◽  
Psychological Theories ◽  
Psychoanalytic Theories

In their 2003 book, Psychoanalytic Theories, Fonagy and Target observed critically that it is quite characteristic of psychological theories to have a primary concept or two with a host of meanings. This concept then serves in part as a symbol of collective endeavour. Over the past decade, they have acknowledged that this has been the case with the concept of ‘mentalizing’. To seek to understand the meanings of the concept, this chapter traces the emergence of the theory of mentalizing, the problems it was introduced to address, the theoretical perspective it encapsulated, and the clinical implications that stemmed from this perspective. It will then examine the development of the reflective functioning scale. The chapter will close with an analysis of some related ambiguities in the use of the concept of disorganized attachment by Fonagy and colleagues.

Laryngeal Manifestations of Autoimmune Diseases

2020 ◽  
Vol 5 (2) ◽  
pp. 439-456
Author(s):  
Jenny L. Pierce
Keyword(s):  
Autoimmune Disease ◽  
Autoimmune Diseases ◽  
Patient Outcomes ◽  
Correct Diagnosis ◽  
Upper Airway ◽  
Clinical Implications ◽  
Laryngeal Function ◽  
The Past ◽  
Referral Practices ◽  
Timely Referral

Purpose This review article provides an overview of autoimmune diseases and their effects on voice and laryngeal function. Method A literature review was conducted in PubMed. Combinations of the following keywords were used: “autoimmune disease and upper airway,” “larynx,” “cough,” “voice,” “dysphonia,” and “dyspnea.” Precedence was given to articles published in the past 10 years due to recent advances in this area and to review articles. Ultimately, 115 articles were included for review. Results Approximately 81 autoimmune diseases exist, with 18 of those highlighted in the literature as having laryngeal involvement. The general and laryngeal manifestations of these 18 are discussed in detail, in addition to the clinical implications for a laryngeal expert. Conclusions Voice, breathing, and cough symptoms may be an indication of underlying autoimmune disease. However, these symptoms are often similar to those in the general population. Appropriate differential diagnosis and timely referral practices maximize patient outcomes. Guidelines are provided to facilitate correct diagnosis when an autoimmune disease is suspected.

scholarly journals Patient engagement and problematic behaviours in nurse-staffed residential rehabilitation units

2014 ◽  
Vol 38 (6) ◽  
pp. 260-264 ◽  
Author(s):  
Alan Meaden ◽  
Martin Commander ◽  
Colin Cowan ◽  
Tom Edwards
Keyword(s):  
Clinical Implications ◽  
Complex Care ◽  
The Past ◽  
Everyday Activities ◽  
Community Rehabilitation ◽  
High Dependency ◽  
Total Data ◽  
Research Findings ◽  
Two Measures ◽  
Residential Rehabilitation

Aims and methodTo build on previous research findings by examining engagement and problematic behaviours of patients in 10 residential rehabilitation units. Two measures were completed on patients in community rehabilitation, longer-term complex care and high-dependency units (109 patients in total). Data were analysed and categorised into higher-engagement ratings across the domains of engagement and behaviour over the past 6 months and lifetime in terms of presence of the behaviour and likelihood of resulting harm.ResultsData were available for 73% of patients. All aspects of engagement were consistently low for all units, with highest levels in community rehabilitation units. Levels of problematic behaviours were similar across all units. Socially inappropriate behaviours and failure to complete everyday activities were evident for over half of all patients and higher for lifetime prevalence. Verbal aggression was at significantly lower levels in community units. Lifetime behaviours likely to lead to harm were much more evident in high-dependency units.Clinical implicationsDespite some benefits of this type of care, patients continue to present challenges in engagement and problematic behaviours that require new approaches and a change in focus.

The Neuropsychology of Movement and Movement Disorders: Neuroanatomical and Cognitive Considerations

2017 ◽  
Vol 23 (9-10) ◽  
pp. 768-777 ◽  
Author(s):  
Kathleen Y. Haaland ◽  
Richard P. Dum ◽  
Pratik K. Mutha ◽  
Peter L. Strick ◽  
Alexander I. Tröster
Keyword(s):  
Motor System ◽  
Movement Control ◽  
Neural Circuitry ◽  
Future Research ◽  
Clinical Implications ◽  
Hemispheric Differences ◽  
Healthy Individuals ◽  
The Past ◽  
Cognitive Influences ◽  
Parallel Circuits

AbstractThis paper highlights major developments over the past two to three decades in the neuropsychology of movement and its disorders. We focus on studies in healthy individuals and patients, which have identified cognitive contributions to movement control and animal work that has delineated the neural circuitry that makes these interactions possible. We cover advances in three major areas: (1) the neuroanatomical aspects of the “motor” system with an emphasis on multiple parallel circuits that include cortical, corticostriate, and corticocerebellar connections; (2) behavioral paradigms that have enabled an appreciation of the cognitive influences on the preparation and execution of movement; and (3) hemispheric differences (exemplified by limb praxis, motor sequencing, and motor learning). Finally, we discuss the clinical implications of this work, and make suggestions for future research in this area. (JINS, 2017, 23, 768–777)

scholarly journals Chronic Myelomonocytic Leukemia—Hematopathology Perspective

2021 ◽  
Author(s):  
Siba El Hussein ◽  
Sa A. Wang ◽  
Naveen Pemmaraju ◽  
Joseph D. Khoury ◽  
Sanam Loghavi
Keyword(s):  
Risk Stratification ◽  
Large Scale ◽  
Chronic Myelomonocytic Leukemia ◽  
Clinical Implications ◽  
The Past ◽  
Genomic Landscape ◽  
Sequencing Studies ◽  
Myelomonocytic Leukemia ◽  
Insight Into

ABSTRACT Our understanding of chronic myelomonocytic leukemia (CMML) has evolved tremendously over the past decade. Large-scale sequencing studies have led to increased insight into the genomic landscape of CMML and clinical implications of these changes. This in turn has resulted in refined and improved risk stratification models, which to date remain versatile and subject to remodeling, as new and evolving studies continue to refine our understanding of this disease. In this article, we present an up-to-date review of CMML from a hematopathology perspective, while providing a clinically practical summary that sheds light on the constant evolution of our understanding of this disease.

scholarly journals FERNÁNDEZ GARAY, Ana; CENSABELLA, Marisa (eds.) (2009). Estudios fonológicos de continua dialectales: mapuche y wichí. Santa Rosa: Universidad Nacional de La Pampa, 224. Pp. 2

2011 ◽  
Vol 11 (1) ◽  
pp. 173
Author(s):  
William Alfred Pickering
Keyword(s):  
South America ◽  
Theoretical Perspective ◽  
Indigenous Languages ◽  
Research Institutions ◽  
Sociolinguistic Variation ◽  
Systematic Survey ◽  
The Past ◽  
Dialect Variation ◽  
Phonological Change

This book is a collection of articles dealing with the phonology and dialectology of Wichí (referred to in the past as Mataco) and Mapuzungun (also called Mapudungun or Mapuche), two unrelated Amerindian languages of South America. Published by the Universidad Nacional de La Pampa, it is the end result of a three-year project funded by the Argentine government, the purpose of which was to study dialect variation in these languages. All of the authors are specialists in the indigenous languages of Argentina, and all but one are teachers or researchers at Argentine universities or research institutions. Adopting the “dynamic synchrony” approach of the French functionalist school as a methodological-theoretical perspective, the book pretends to give an overall view of the dialectical continua of the Argentine varieties of the languages under study and at the same time to provide some understanding of sociolinguistic variation and ongoing phonological change in both languages. The four articles on Wichí and the single article on Mapuzungun found in this volume, while falling short of constituting a systematic survey, make significant steps toward achieving these difficult and important goals.

Paul and the Author of 1 Clement as Entrepreneurs of Identity in Corinthian Crises of Leadership

2021 ◽  
pp. 0142064X2110647
Author(s):  
Katja Kujanpää
Keyword(s):  
Social Identity ◽  
Identity Construction ◽  
Active Role ◽  
Social Psychological ◽  
The Past ◽  
Psychological Theories ◽  
The Social ◽  
Social Identity Approach

When Paul and the author of 1 Clement write letters to Corinth to address crises of leadership, both discuss Moses’ παρρησία (frankness and openness), yet they evaluate it rather differently. In this article, I view both authors as entrepreneurs of identity and explore the ways in which they try to shape their audience’s social identity and influence their behaviour in the crisis by selectively retelling scriptural narratives related to Moses. The article shows that social psychological theories under the umbrella term of the social identity approach help to illuminate the active role of leaders in identity construction as well as the processes of retelling the past in order to mobilize one’s audience.

Contemporary Issues and Christian Models of Integration: Into the Modern/Postmodern Age

1995 ◽  
Vol 23 (1) ◽  
pp. 3-14 ◽  
Author(s):  
John A. Ingram
Keyword(s):  
Present Article ◽  
Model Building ◽  
Social Practices ◽  
Top Down ◽  
Bottom Up ◽  
Comprehensive View ◽  
The Past ◽  
Psychological Theories ◽  
Proposed Model ◽  
Dsm Iv

Model building in Christian psychology has gradually become increasingly outdated and unsophisticated over the past decade, particularly in light of postmodern challenges to the limitations of received modern scientific perspectives and social practices. The present article draws from Rychlak's (1993) “complementarity” model, Sperry's (1993) “bidirectional determinism” concept, and Engel's (1977) biopsychosocial formulation to develop a multiperspectival, holistic framework drawing on the strengths of both modern and postmodern approaches. The proposed model includes inferences from both top down and bottom up formulations, as well as potential for interactions between or among any of the various “groundings” for psychological theories. Such a model seems more faithful to both biblical and scientific perspectives, and thus may provide a more accurate and comprehensive view of persons to facilitate more effective research and treatment. A clinical example is provided with DSM-IV descriptive and criterion referents.

scholarly journals Setting up a methadone maintenance clinic in a hostel in London's West End

2006 ◽  
Vol 30 (9) ◽  
pp. 337-339
Author(s):  
John Dunn ◽  
David Robertson ◽  
Paul Davis ◽  
Babak Khosrawan ◽  
Suneel Christian
Keyword(s):  
Treatment Outcomes ◽  
Substance Misuse ◽  
Methadone Maintenance ◽  
Homeless People ◽  
Clinical Implications ◽  
Original Cohort ◽  
Heroin Use ◽  
The Past ◽  
Outreach Clinic ◽  
Set Up

Aims and MethodA satellite methadone prescribing service was set up in a hostel in London's West End. The aim was to investigate if it were feasible to engage and retain these hard-to-reach, chaotic, polydrug users in treatment. A basic needs assessment was undertaken with staff and clients at the hostel. Treatment outcomes were assessed at 16 weeks using the Maudsley Addiction Profile.ResultsAt 16 weeks 87% of the original cohort (26 out of 30) were still in treatment. There were also significant reductions in mean heroin use (from 29.7 to 14.5 out of the past 30 days, P<0.001) and in the frequency of injecting (from 25.9 to 15.9 days, P<0.001).Clinical ImplicationsThis outreach clinic offers a model for developing services to homeless people with substance misuse problems.

Fathers’ Experience After the Death of Their Child (Aged 1–17 Years)

2016 ◽  
Vol 73 (4) ◽  
pp. 308-325 ◽  
Author(s):  
Marie-Claude Proulx ◽  
Anne-Marie Martinez ◽  
Franco Carnevale ◽  
Alain Legault
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Everyday Life ◽  
Phenomenological Study ◽  
Clinical Implications ◽  
Pediatric Hospital ◽  
Eastern Canada ◽  
The Past ◽  
The Future ◽  
Push Forward

The death of a child is traumatic for parents. The grief of bereaved fathers is inadequately understood since most studies on this subject have focused primarily on mothers. The goal of this phenomenological study was to understand fathers’ experiences following the death of their child. Interviews were conducted with 13 fathers whose child (aged 1–17 years) had died at least 1 and up to 6 years earlier, either from a life-limiting illness or unexpectedly in an intensive care unit in a pediatric hospital in Eastern Canada. The analysis indicates that fathers’ experience deep suffering after the death of their child and feel torn between the past and the future. Three major themes were identified: needing to push forward in order to avoid breakdown, keeping the child present in everyday life, and finding meaning in their experience of grief. Clinical implications for professionals working with this population are discussed.

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