A Wesleyan Spirituality: Implications for Clinical Practice

2001 ◽  
Vol 29 (1) ◽  
pp. 72-80 ◽  
Author(s):  
Marcus K. Kilian ◽  
Stephen Parker
Keyword(s):  
Clinical Practice ◽  
Psychological Health ◽  
Spiritual Maturity ◽  
Human Freedom ◽  
Clinical Implications ◽  
Object Relations Theory ◽  
Healthy Relationships ◽  
Critical Measure ◽  
Key Points ◽  
Character Correlation

This article seeks to integrate Wesleyan spirituality with psychology and clinical practice. Three particular aspects in the Wesleyan tradition are explored: human freedom, the doctrine of sanctification, and religious affections. The thesis of this article is that all three key points can be well integrated into psychology and clinical practice. The following clinical implications are proposed: God-given human freedom empowers the client and therapist; healthy relationships are seen as a critical measure of spiritual maturity; and religious affections are seen to contribute to psychological health in their ability to experientially build character. Correlation between Wesley's focus on mature relationships and certain emphases in object relations theory are also proposed.

scholarly journals Alexithymia among Orthodox Jews: The Role of Object Relations, Family Emotional Expressiveness, and the Presence of a Disabled Sibling

2008 ◽  
Vol 28 (2) ◽  
Author(s):  
Shulamis Pollak ◽  
Joy E. Freeman
Keyword(s):  
Object Relations ◽  
Psychological Health ◽  
Family Of Origin ◽  
Orthodox Jews ◽  
Orthodox Judaism ◽  
Emotional Expressiveness ◽  
Clinical Implications ◽  
Object Relations Theory ◽  
Diminished Capacity

To what extent does the presence of a sibling with disabilities result in diminished capacity to experience and express emotionality? The purpose of this study was to discern whether the presence of a sibling with disabilities in Orthodox Jews promotes alexithymia over and above the hypothesized effects of psychological health in one's family of origin and level of object relations. Data analysis from 136 respondents showed that alexithymia was predicted by Object Relations (particularly Social Incompetence) and the emotional expressiveness of one's family of origin. Sibling disability did not predict alexithymia. It appears that the presence of a sibling with disabilities does not present a challenge to emotional expressiveness beyond the effects of familial and personality determinants. Results are discussed from the perspective of Object Relations theory in the context of the contemporary sociology of Orthodox Judaism, with a particular focus on the experience of having a sibling with disabilities. Clinical implications and suggestions for further study are presented.

Protecting privacy to protect mental health: the new ethical imperative

2019 ◽  
Vol 45 (9) ◽  
pp. 604-607 ◽  
Author(s):  
Elias Aboujaoude
Keyword(s):  
Mental Health ◽  
Electronic Medical Records ◽  
Psychological Health ◽  
Medical Records ◽  
Personal Data ◽  
Psychological Development ◽  
Clinical Implications ◽  
Patient Relationship ◽  
Ethical Imperative ◽  
The Individual

Confidentiality is a central bioethical principle governing the provider–patient relationship. Dating back to Hippocrates, new laws have interpreted it for the age of precision medicine and electronic medical records. This is where the discussion of privacy and technology often ends in the scientific health literature when Internet-related technologies have made privacy a much more complex challenge with broad psychological and clinical implications. Beyond the recognised moral duty to protect patients’ health information, clinicians should now advocate a basic right to privacy as a means to safeguard psychological health. The article reviews empirical research into the functions of privacy, the implications for psychological development and the resigned sentiment taking hold regarding the ability to control personal data. The article concludes with a call for legislative, educational and research steps to readjust the equilibrium between the individual and ‘Big Data’.

scholarly journals Cognitive therapy training for psychiatrists: impact on individual clinical practice

2004 ◽  
Vol 28 (4) ◽  
pp. 117-119 ◽  
Author(s):  
G. Swift ◽  
I. Durkin ◽  
C. Beuster
Keyword(s):  
Clinical Practice ◽  
Cognitive Therapy ◽  
Response Rate ◽  
Postal Questionnaire ◽  
Clinical Implications ◽  
Previous Survey ◽  
Therapy Training ◽  
Training And Supervision ◽  
Improved Outcomes ◽  
Therapy Sessions

Aims and MethodWe aimed to survey how psychiatrists with in-depth training in cognitive therapy use these skills. A postal questionnaire based on a previous survey was sent to all psychiatrists who are accredited members of the British Association for Behavioural and Cognitive Psychotherapies.ResultsThere was a 94% response rate. Psychiatrists in non-psychotherapy posts used formal cognitive therapy, with an average of 20% of new patients compared with 65% for those in psychotherapy posts, and were less satisfied with the extent to which they were able to use their skills (20%v. 80%). A total of 85% of respondents described themselves as being involved in teaching, training and supervision of cognitive therapy.Clinical ImplicationsUnless psychiatrists are planning on working in specialised psychotherapy posts, they are unlikely to use cognitive therapy training in formal therapy sessions. Further research is needed to determine whether cognitive therapy training for psychiatrists translates into improved outcomes for patients.

A Review of Virtual Week for Prospective Memory Assessment: Clinical Implications

2009 ◽  
Vol 10 (1) ◽  
pp. 14-22 ◽  
Author(s):  
Peter G. Rendell ◽  
Julie D. Henry
Keyword(s):  
Clinical Practice ◽  
Psychometric Properties ◽  
Prospective Memory ◽  
Functional Independence ◽  
Clinical Implications ◽  
Memory Assessment

AbstractIt is now recognised that prospective memory (PM) failures are commonly observed in clinical groups, and have important implications for functional independence. However, well-validated measures of PM have traditionally been lacking, making this construct difficult to assess in clinical practice. Rendell and Craik's (2000) Virtual Week measure was developed as an indicator of PM, and has been shown to have good psychometric properties and be sensitive to the effects of normal and abnormal adult ageing, as well as various forms of pathology. In this article, an overview of Virtual Week's characteristics is presented, and the literature relating to use of this measure in various populations reviewed. The potential implications of the development of a new computerised version of Virtual Week for clinical practice are discussed.

scholarly journals Variation between services in polypharmacy and combined high dose of antipsychotic drugs prescribed for in-patients

2002 ◽  
Vol 26 (11) ◽  
pp. 418-420 ◽  
Author(s):  
Maria Harrington ◽  
Paul Lelliott ◽  
Carol Paton ◽  
Maria Konsolaki ◽  
Tom Sensky ◽  
...  
Keyword(s):  
Mental Health ◽  
Clinical Practice ◽  
Antipsychotic Drugs ◽  
Service Level ◽  
Case Mix ◽  
Clinical Implications ◽  
High Dose ◽  
Prescribing Practice ◽  
Acute Psychiatric Wards ◽  
High Doses

Aims and MethodA 1-day census provided an opportunity to examine the variation between 44 mental health services in the frequency of prescribing high doses and polypharmacy of antipsychotic drugs to in-patients on acute psychiatric wards.ResultsThe proportion of patients prescribed a high dose ranged 0–50% and simultaneous use of more than one antipsychotic drug ranged 12–71%. A number of case-mix variables explained 26% and 40%, respectively, of the variance between services on these two indicators of prescribing practice.Clinical ImplicationsServices with high rates of prescription of high dose or polypharmacy might consider a review of clinical practice and of service-level factors that might affect prescribing.

scholarly journals Cardiac myxoma as a potential trigger of takotsubo cardiomyopathy: A brief review on mechanistic and clinical perspectives

2021 ◽  
Author(s):  
Kenan Yalta ◽  
Ugur Ozkan ◽  
Tülin Yalta ◽  
Ertan Yetkin
Keyword(s):  
Clinical Practice ◽  
Takotsubo Cardiomyopathy ◽  
Myocardial Dysfunction ◽  
Cardiac Myxoma ◽  
The Other ◽  
Clinical Implications ◽  
Transient Form ◽  
Cardiac Neoplasms ◽  
Potential Trigger ◽  
Cardiac Myxomas

In clinical practice, cardiac myxomas constitute the majority of benign cardiac neoplasms, and might potentially present with a variety of embolic, obstructive as well as constitutional symptoms. On the other hand, these neoplasms might be potentially associated with the evolution of takotsubo cardiomyopathy (TTC) that is universally considered as a transient form of acute myocardial dysfunction. Accordingly, the present paper primarily aims to focus on potential mechanisms and associated clinical implications of TTC evolution in the setting of cardiac myxomas.

scholarly journals Reconciling the information needs of clinicians, managers and commissioners – a pilot project

2001 ◽  
Vol 25 (11) ◽  
pp. 423-425 ◽  
Author(s):  
Matthew Broadbent
Keyword(s):  
Clinical Practice ◽  
Information Needs ◽  
Pilot Project ◽  
Information Model ◽  
Clinical Implications ◽  
Clinical Settings ◽  
Accurate Data ◽  
Clinical Model

Aims and MethodClinicians are often required, by managers, to provide information that does not appear relevant to clinical practice. Rooted in compromise, an outcome-based information model that supports practice and also provides information for managers was developed. A 9–month pilot project at three sites in South-East London took place to test the feasibility of this model in real clinical settings.ResultsAccurate data were reliably collected. Clinicians at participating sites agreed the model produced potentially useful information and, on condition that support is provided, continue to collect data voluntarily.Clinical ImplicationsThis is not an exclusively clinical model. However, because it also fulfils management needs there is a better chance that clinicians will get the support they need.

P-740 Socio-cultural and clinical implications of ‘routine’ AMH testing in India: Insights from an interview study with the healthcare professionals (HCPs)

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
P Satalkar ◽  
V Provoost
Keyword(s):  
Clinical Practice ◽  
Fertility Preservation ◽  
Healthcare Professionals ◽  
Screening Tool ◽  
Clinical Implications ◽  
Age Difference ◽  
Indian Women ◽  
Fertility Treatments ◽  
Indian Context ◽  
Cultural Implications

Abstract Study question How do Indian healthcare professionals describe their clinical experience with and perspectives on AMH testing in Indian women seeking fertility treatments including fertility preservation? Summary answer The HCPs cautioned against AMH testing as a screening tool in presumed fertile Indian women due to its anticipated impact on women’s arranged-marriage prospects. What is known already AMH test is being increasingly used to assess women’s ovarian reserve (OR) while planning fertility treatments or to guide decisions about fertility preservation (FP). There is weak evidence suggesting that serum AMH level and fertility treatment outcomes vary in different population groups. Surveys with women in reproductive age (e.g. the US, Ireland, the Netherlands) indicate that a majority wants to know their OR to aid reproductive decision making. As yet, both globally and in an Indian context, there are only few qualitative studies exploring the views of HCPs on the OR assessment in clinical practice and its socio-cultural implications. Study design, size, duration This paper reports the findings of an exploratory qualitative research aimed at understanding whether and how elective fertility preservation could influence reproductive autonomy of Indian women. Between June 2018 and April 2019, IVF specialists and obstetricians practicing in ten cities across five Indian states were interviewed in English (language commonly spoken) using a semi-structured interview guide. The discussion about OR assessment with AMH-testing was initiated by the participants indicating its significance in their clinical practice. Participants/materials, setting, methods The study sample included 17 male and 15 female HCPs, the majority (18/32) was practicing in Mumbai. Twenty-six of them were in private practice while six worked as OBGYNs in publicly funded teaching hospitals. Twenty-six participants were interviewed in their clinics and the remaining six using Skype or telephone. After several rounds of immersive reading, the interview sections on OR and AMH-test were analyzed inductively using Braun and Clarke’s thematic analysis. Main results and the role of chance Several participants reported that many of their patients present with decreased OR (DOR) at a younger age and need higher dosages of hormones for ovulation induction compared to the dosages mentioned in international guidelines. They corroborated this experience with a few peer-reviewed articles indicating a six-years age difference in OR of Indian women undergoing IVF compared to Spanish women. A majority of participants advocated for the rational use of OR assessment in IVF patients but warned against its indiscriminate use or interpretation out of context due to concerns about overdiagnosis of ovarian factor infertility and overtreatment with IVF with donor eggs. Although the physicians who had performed elective FP perceived AMH test as a simple, affordable and empowering tool to guide FP decisions, most participants were critical of using AMH-test as a screening tool in young, presumed fertile women completing university education. They were concerned that a diagnosis of DOR as a result of such screening in this population in the Indian context will adversely impact women’s chances of marriage and might further increase pressure on women to get married and complete their childbearing early even if they are not ready for it. Limitations, reasons for caution This is the first qualitative study assessing views of Indian HCPs on AMH testing. These results are indicative rather than a representation of views of Indian HCPs. Almost half of the contacted HCPs did not respond to interview requests; we do not know whether they had different views. Wider implications of the findings The insights on clinical implications of AMH testing in India are relevant to other societies beyond the Euro-American and Australian context where AMH testing will increase in the future. The socio-cultural implications of ‘routine’ AMH testing in India urges us to be aware of similar implications in other cultural contexts. Trial registration number Not applicable

The clinical wisdom of Thomas Szasz

Thomas Szasz ◽  
2019 ◽  
pp. 139-154
Author(s):  
Mantosh J. Dewan ◽  
Eugene A. Kaplan
Keyword(s):  
Clinical Practice ◽  
Object Relations ◽  
Signs And Symptoms ◽  
Object Relations Theory ◽  
Patient Relationship ◽  
Physician Patient Relationship ◽  
Popular Belief ◽  
Patient’S Experience ◽  
Physician Patient ◽  
Thomas Szasz

Besides Szasz’s controversial views are brilliant contributions to clinical practice, including the following examples: (1) He elaborated the physician-patient relationship with three models—“activity-passivity,” “guidance-cooperation,” and “mutual participation.” (2) In The Ethics of Psychoanalysis (1965), he promoted “autonomous psychotherapy,” which involved noncoercive dialogue between therapist and patient that would lead to education and growth for the latter. (3) He argued that transference is part of the analyst’s judgment and the patient’s experience, and that there is a relationship between transference and learning. (4) He used principles of “object relations” theory to explicate deeply the signs and symptoms of schizophrenia. Contrary to popular belief, he was not “antipsychiatry” simpliciter. As a theorist, he clarified language and tried to understand pain. As a practicing clinician, he advocated ways to help people in distress, urged embracing the freedom and autonomy of patients, and treated them as persons with abilities to help themselves.

Developmental disorders of the brain

2019 ◽  
pp. 971-982
Author(s):  
Colin Ferrie ◽  
Daniel Warren ◽  
Atul Tyagi
Keyword(s):  
Clinical Practice ◽  
Corpus Callosum ◽  
Developmental Disorders ◽  
Clinical Implications ◽  
Brain Malformations ◽  
Genetic Abnormalities ◽  
Genetic Mechanisms ◽  
Posterior Fossa Malformations ◽  
And Migration ◽  
The Brain

Prenatal and postnatal development of the brain is controlled by a multiplicity of genetic mechanisms. Genetic abnormalities and environmental insults are responsible for a bewildering array of developmental disorders associated with brain malformations. Classic embryology remains key to understanding these, and an appreciation of the processes of gastrulation, dorsal and ventral induction, neuronal differentiation, proliferation, histogenesis, and migration and myelination will help the neurosurgeon understand the conditions likely to be encountered in clinical practice. In this chapter the more common and many less common brain malformations are reviewed. These include anencephaly, holoprosencephaly, septo-optic dysplasia, schizencephaly, grey matter heterotopias, lissencephaly/pachygyria, polymicrogyria, porencephaly, developmental anomalies of the corpus callosum, microcephaly, hemimegalencephaly, and posterior fossa malformations. The emphasis is on promoting an understanding of concepts and on clinical implications, rather than on imparting detail.

Sign in / Sign up

Export Citation Format

Share Document