The Differential Effect of Psychotherapy and Psychoanalysis with Anaclitic and Introjective Patients: The Menninger Psychotherapy Research Project Revisited

1992 ◽  
Vol 40 (3) ◽  
pp. 691-724 ◽  
Author(s):  
Sidney Blatt
Keyword(s):  
Object Representation ◽  
Therapeutic Process ◽  
Psychotherapy Research ◽  
Positive Change ◽  
Therapeutic Outcome ◽  
Clinical Implications ◽  
Research Project ◽  
Interpersonal Relatedness ◽  
Self Worth

Analyses of the data from the Menninger Psychotherapy Research Project (MPRP) have consistently indicated little difference in the therapeutic outcome between patients seen in psychoanalysis and those seen in psychotherapy. Reanalysis of the data from the MPRP, utilizing a distinction between two broad configurations of psychopathology (Blatt, 1974, 1990a; Blatt and Shichman, 1983), however, indicates that patients whose pathology focuses primarily on disruptions of interpersonal relatedness and who use primarily avoidant defenses (anaclitic patients), and patients whose pathology focuses primarily on issues of self-definition, autonomy, and self-worth and who use primarily counteractive defenses (introjective patients) differ in their responsiveness to psychotherapy and psychoanalysis. Based on recently developed procedures for systematically evaluating the quality of object representation on the Rorschach, reanalysis of the Menninger data reveals that anaclitic patients have significantly greater positive change in psychotherapy, while introjective patients have significantly greater positive change in psychoanalysis. These statistically significant patient-by-treatment interactions are discussed in terms of their clinical implications as well as the importance of differentiating among types of patients in studies of therapeutic outcome and of therapeutic process.

Feasibility and Clinical Implications of Remotely Guided Ultrasound Examinations

2020 ◽  
Vol 91 (7) ◽  
pp. 592-596
Author(s):  
Quinn Dufurrena ◽  
Kazi Imran Ullah ◽  
Erin Taub ◽  
Connor Leszczuk ◽  
Sahar Ahmad
Keyword(s):  
Clinical Utility ◽  
Regional Wall Motion ◽  
Subjective Assessment ◽  
Clinical Implications ◽  
Pilot Studies ◽  
Objective Quality ◽  
The Us ◽  
Regional Wall Motion Abnormalities ◽  
Wall Motion Abnormalities

BACKGROUND: Remotely guided ultrasound (US) examinations carried out by nonmedical personnel (novices) have been shown to produce clinically useful examinations, at least in small pilot studies. Comparison of the quality of such exams to those carried out by trained medical professionals is lacking in the literature. This study compared the objective quality and clinical utility of cardiac and pulmonary US examinations carried out by novices and trained physicians.METHODS: Cardiac and pulmonary US examinations were carried out by novices under remote guidance by an US expert and independently by US trained physicians. Exams were blindly evaluated by US experts for both a task-based objective score as well as a subjective assessment of clinical utility.RESULTS: Participating in the study were 16 novices and 9 physicians. Novices took longer to complete the US exams (median 641.5 s vs. 256 s). For the objective component, novices scored higher in exams evaluating for pneumothorax (100% vs. 87.5%). For the subjective component, novices more often obtained clinically useful exams in the assessment of cardiac regional wall motion abnormalities (56.3% vs. 11.1%). No other comparisons yielded statistically significant differences between the two groups. Both groups had generally higher scores for pulmonary examinations compared to cardiac. There was variability in the quality of exams carried out by novices depending on their expert guide.CONCLUSION: Remotely guided novices are able to carry out cardiac and pulmonary US examinations with similar, if not better, technical proficiency and clinical utility as US trained physicians, though they take longer to do so.Dufurrena Q, Ullah KI, Taub E, Leszczuk C, Ahmad S. Feasibility and clinical implications of remotely guided ultrasound examinations. Aerosp Med Hum Perform. 2020; 91(7):592–596.

Body Dissatisfaction: Among Middle-aged and Older Women

2012 ◽  
Vol 73 (2) ◽  
pp. e241-e241 ◽  
Author(s):  
Catherine Marshall ◽  
Christina Lengyel ◽  
Alphonsus Utioh
Keyword(s):  
Body Dissatisfaction ◽  
Negative Impact ◽  
Social Withdrawal ◽  
Food Choices ◽  
Middle Aged ◽  
Aging Women ◽  
Self Worth ◽  
Impossible Task ◽  
Body Image Issues

With the growing pervasiveness of mass media, individuals of all ages and both sexes are bombarded with images that glorify youthfulness, messages that tie self-worth to thinness, and products that promise youth and beauty forever. Aging women are vulnerable to these societal messages and experience strong pressures to maintain their youth and thinness. As the physiological changes that accompany normal aging move these women farther from the “ideal” image, body dissatisfaction may increase. These women are confronted with the impossible task of trying to defy the natural process of aging through a variety of means, including fashion, cosmetics, selective surgeries, and personal food choices. The resulting body image issues, weight preoccupation, and eating disturbances can lead to voluntary food restriction, depression, social withdrawal, lower self-esteem, and disordered eating, all of which can have a negative impact on quality of life and nutritional status. In this review we explore existing research on body dissatisfaction among middle-aged (30 to 60) and older (over 60) women, discuss the prevalence of body dissatisfaction, its predisposing risk factors, and the resulting eating and body maintenance behaviours, and examine implications for dietetic practice.

scholarly journals Mixed or Complementary Messages: Making the Most of Unexpected Assessment Results

2016 ◽  
Vol 77 (2) ◽  
pp. 197-211 ◽  
Author(s):  
Phil Jones ◽  
Julia Bauder ◽  
Kevin Engel
Keyword(s):  
Mixed Methods ◽  
Action Research ◽  
Quantitative Data ◽  
Qualitative Data ◽  
Important Research ◽  
Action Research Project ◽  
Research Project ◽  
Research Literacy ◽  
Initial Results

Grinnell College participated in ACRL’s first cohort of Assessment in Action (AiA), undertaking a mixed-methods action research project to assess the effectiveness of librarian-led research literacy sessions in improving students’ research skills. The quantitative data showed that the quality of students’ sources did not markedly improve following a research literacy session, while the qualitative data indicated that many students were able to state and describe important research concepts they learned. This article profiles the development of Grinnell’s AiA project and discusses how Grinnell’s librarians responded when the initial results led to more questions rather than to satisfactory answers.

scholarly journals Therapeutic alliance in the initial phase of psychotherapy with adolescents: different perspectives and their association with therapeutic outcomes

2016 ◽  
Vol 19 (1) ◽  
Author(s):  
Olga María Fernandez ◽  
Mariane Krause ◽  
Janet Carola Pérez
Keyword(s):  
Therapeutic Alliance ◽  
Working Alliance ◽  
Initial Phase ◽  
Psychotherapy Research ◽  
Positive Association ◽  
Outcome Questionnaire ◽  
The Third ◽  
Working Alliance Inventory ◽  
Therapeutic Outcomes

Psychotherapy research focusing on adults as well as on children and adolescents has revealed a positive association between the quality of the therapeutic alliance (TA) in the first sessions and therapeutic outcomes. Nevertheless, there is controversy regarding which perspective (of the adolescents, therapists, or parents) and what moment of evaluation (first, second, or third session) is most strongly associated with outcome. This study aims to describe the TA during the initial phase of psychotherapy with adolescents, from several perspectives, and relate it to the intermediate and final outcomes of the therapy. The study is descriptive-correlational and was conducted in naturalistic settings. The sample comprised 20 individual psychotherapeutic processes (15 females, 5 males; average age: 15.8 years; standard deviation=1.04). The variables studied were: TA, measured with the Working Alliance Inventory, applied to adolescents, therapists, and parents, and therapeutic outcomes, measured using Lambert’s Outcome Questionnaire (OQ- 45.2). The results show that the TA improved from session one to session three, both in the adolescents and the therapists. The TA, as perceived by the adolescents in the third session, is positively correlated with final outcomes (r=-.732*, P=.025). The TA evaluated from the therapists’ perspective in the third session, specifically the bond component of the TA, predicts the final success of psychotherapy with adolescent patients [β=0.426, Exp. (B)=1.531, degree of freedom=1, P=0.034]. The importance of the initial construction of the working alliance by both participants is discussed.

scholarly journals Research on Quality of Maize Grain as a Result of the Application of an Innnovative System for Storing Grain Under Operating Conditions

2019 ◽  
Vol 23 (3) ◽  
pp. 15-28 ◽  
Author(s):  
Anna Bartkowiak ◽  
Weronika Gracz ◽  
Damian Marcinkowski ◽  
Damian Skrzypek ◽  
Szymon Wojtaszyk
Keyword(s):  
Grain Quality ◽  
Operating Conditions ◽  
Main Element ◽  
Research Project ◽  
Control Series ◽  
Fold Reduction ◽  
Grain Damage ◽  
Innovative System ◽  
Maize Grain

AbstractThis study analyses the results of research on the improvement of grain quality using a filling core in a grain silo. The research is a part of the research project aimed at developing an innovative system for drying and storing maize grain that, among other benefits, reduces grain damage. Two series were carried out: a control series, in which a chute was applied as the main element, and an operation series, in which a cascade chute was used for testing. The analysis conducted on the simulated operating conditions showed a 4-5-fold reduction in the amount of grain damaged following the application of the filling core compared with the control series. It has also been shown that a 6-meter cascade chute considerably decreases the velocity of the falling grain when loading the silo.

scholarly journals An insight into the quality of internal built environment in Vladivostok. Part 1: Studying background radiation in residential premises

2020 ◽  
pp. 28-47
Author(s):  
Vladimir A. Drozd ◽  
Valery V. Temchenko ◽  
Yuri V. Chubov ◽  
Vladimir N. Kustov ◽  
Kirill S. Golokhvast
Keyword(s):  
Built Environment ◽  
Gamma Radiation ◽  
Background Radiation ◽  
Residential Buildings ◽  
Living Environment ◽  
Research Project ◽  
Apartment Buildings ◽  
Measurement Results ◽  
Background Gamma Radiation

Introduction. The article addresses background gamma radiation in residential premises of apartment buildings in Vladivostok. This study is based on earlier research undertakings focused on the sick building syndrome (SBS), which proves its high relevance. The research is focused on the intensity of background gamma radiation in the residential premises of apartment buildings in Vladivostok. New data obtained in the course of the field experiments, the scale of their analysis, the coverage of substantive issues concerning radiation intensity and its monitoring in residential buildings guarantee the novelty of this research project. These findings also have a practical value that deals with environmental safety. Materials and methods. Onsite examinations were conducted in the form of background gamma radiation measurements taken in versatile apartment buildings, built at different times and made of different materials. Results. This section contains analytical information about the lack of influence of the location of apartment buildings on background radiation inside the apartments examined within the framework of this research project. Measurement results represent a range of values depending on construction materials used. Principal regularities, derived from the measurement results, are based on the time of operation of residential buildings, which is of practical importance. Conclusions. Patterns of influence of building parameters on background radiation inside apartments allow to assess the condition of residential buildings. Background radiation information can be entered into BIM databases and used to formulate the approach to the design of buildings and urban infrastructure so that they were focused on their residents and users. Background radiation research findings, entered into the database and contributed to design algorithms which are customized to the needs of urban residents, will enable designers to project the overall quality of the living environment encompassing the built environment analyzed in this article and other nearby buildings and structures located in Vladivostok.

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