Consistency with Clinical Experience versus Sound Theory: A Response to Rosik

1992 ◽  
Vol 20 (3) ◽  
pp. 226-228
Author(s):  
Christine M. Comstock

Psychoanalytic tradition of relating to an observing ego makes it unnecessary to conceptualize the Internal Self Helper as paranormal. It is not clear how Rosik conceptualizes the ISH with respect to theological considerations and expectations. Underlying assumptions he makes about the patient in his case study fit better with clinical experience and client self-report than with sound theory. How he views his patient is important, that is, whether she is seen as (a) separate selves, entities, “people,” or alters in one body, or as (b) one whole person but with a fragmented sense of herself. The difference in viewpoints raises significant questions. There is danger in accepting a patient's self-report as literal truth, since (s)he may confuse functional with structural truth, thereby further confusing the clinical picture. Patients with abusive backgrounds are apt to internalize some of the abusive attitudes and negative feelings they experienced in their homes while growing up. Are the perceptions of an ISH held by Rosik's patient her own or those she believes her therapist holds or wants to hold? The ISH is an interesting but as yet not well defined or understood phenomenon which calls for ongoing integrative discussion in the professional community.

Author(s):  
Zuwati Hasim ◽  
Shi Di ◽  
Roger Barnard

Ministries of Education in many countries have adopted various forms of school-based assessment (SBA) to replace (for example, New Zealand) or complement (for example, England, Australia and Malaysia) more conventional forms of assessment such as tests and examinations. Central to these alternative approaches to SBA is formative assessment. In recent years, a body of research has been built investigating various aspects of SBA in Malaysia, but there has been a dearth of studies exploring what practising teachers believe and do regarding implementing formative assessment in their own classrooms. The present article reports some of the findings of a case study in which ten Malaysian primary school teachers of English were interviewed to identify the extent of their understanding of formative assessment and their reported practices of providing feedback in an SBA environment. Initially, the teachers revealed a general lack of understanding of the difference between formative and summative assessment. In such a situation, it would seem that the teachers are unready to implement SBA at the present stage, despite it having been mandated in Malaysian schools since 2011-12. However, later in the interview, they reported implementing various forms of feedback, some of which might be regarded as formative. There is a need, therefore, to differentiate between teachers’ explicit knowledge and their implicit understanding of matters such as formative feedback. The inherent limitations of self-report data emerging from interviews will be discussed and how these might be overcome.


2008 ◽  
Vol 13 (2) ◽  
pp. 6-8
Author(s):  
Lorne Direnfeld ◽  
Christopher R. Brigham ◽  
Elizabeth Genovese

Abstract The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), does not provide a Diagnosis-based estimate of impairment due to syringomyelia, a disorder in which a cyst (syrinx), develops within the central spinal cord and destroys neural tissue as it expands. The AMA Guides, however, does provide an approach to rating a syringomyelia based on objective findings of neurological deficits identified during a neurological examination and demonstrated by standard diagnostic techniques. Syringomelia may occur after spinal cord trauma, including a contusion of the cord. A case study illustrates the rating process: The case patient is a 46-year-old male who fell backwards, landing on his upper back and head; over a five-year period he received a T5-6 laminectomy and later partial corpectomies of C5, C6, and C7, cervical discectomy C5-6 and C6-7; iliac crest strut graft fusion of C5-6 and C6-7; and anterior cervical plating of C5 to C7 for treatment of myelopathy; postoperatively, the patient developed dysphagia. The evaluating physician should determine which conditions are ratable, rate each of these components, and combine the resulting whole person impairments without omission or duplication of a ratable impairment. The article includes a pain disability questionnaire that can be used in conjunction with evaluations conducted according to Chapter 3, Pain, and Chapter 17, The Spine.


2019 ◽  
Vol 19 (2) ◽  
pp. 101-110
Author(s):  
Adrian Firdaus ◽  
M. Dwi Yoga Sutanto ◽  
Rajin Sihombing ◽  
M. Weldy Hermawan

Abstract Every port in Indonesia must have a Port Master Plan that contains an integrated port development plan. This study discusses one important aspect in the preparation of the Port Master Plan, namely the projected movement of goods and passengers, which can be used as a reference in determining the need for facilities at each stage of port development. The case study was conducted at a port located in a district in Maluku Province and aims to evaluate the analysis of projected demand for goods and passengers occurring at the port. The projection method used is time series and econometric projection. The projection results are then compared with the existing data in 2018. The results of this study show that the econometric projection gives adequate results in predicting loading and unloading activities as well as the number of passenger arrival and departure in 2018. This is indicated by the difference in the percentage of projection results towards the existing data, which is smaller than 10%. Whereas for loading and unloading activities, time series projections with logarithmic trends give better results than econometric projections. Keywords: port, port master plan, port development, unloading activities  Abstrak Setiap pelabuhan di Indonesia harus memiliki sebuah Rencana Induk Pelabuhan yang memuat rencana pengem-bangan pelabuhan secara terpadu. Studi ini membahas salah satu aspek penting dalam penyusunan Rencana Induk Pelabuhan, yaitu proyeksi pergerakan barang dan penumpang, yang dapat dipakai sebagai acuan dalam penentuan kebutuhan fasilitas di setiap tahap pengembangan pelabuhan. Studi kasus dilakukan pada sebuah pelabuhan yang terletak di sebuah kabupaten di Provinsi Maluku dan bertujuan untuk melakukan evaluasi ter-hadap analisis proyeksi demand barang dan penumpang yang terjadi di pelabuhan tersebut. Metode proyeksi yang dipakai adalah proyeksi deret waktu dan ekonometrik. Hasil proyeksi selanjutnya dibandingkan dengan data eksisting tahun 2018. Hasil studi ini menunjukkan bahwa proyeksi ekonometrik memberikan hasil yang cukup baik dalam memprediksi aktivitas bongkar barang serta jumlah penumpang naik dan turun di tahun 2018. Hal ini diindikasikan dengan selisih persentase hasil proyeksi terhadap data eksisting yang lebih kecil dari 10%. Sedangkan untuk aktivitas muat barang, proyeksi deret waktu dengan tren logaritmik memberikan hasil yang lebih baik daripada proyeksi ekonometrik. Kata-kata kunci: pelabuhan, rencana induk pelabuhan, pengembangan pelauhan, aktivitas bongkar barang


2021 ◽  
Vol 11 (9) ◽  
pp. 4121
Author(s):  
Hana Tomaskova ◽  
Erfan Babaee Tirkolaee

The purpose of this article was to demonstrate the difference between a pandemic plan’s textual prescription and its effective processing using graphical notation. Before creating a case study of the Business Process Model and Notation (BPMN) of the Czech Republic’s pandemic plan, we conducted a systematic review of the process approach in pandemic planning and a document analysis of relevant public documents. The authors emphasized the opacity of hundreds of pages of text records in an explanatory case study and demonstrated the effectiveness of the process approach in reengineering and improving the response to such a critical situation. A potential extension to the automation and involvement of SMART technologies or process optimization through process mining techniques is presented as a future research topic.


Author(s):  
Yu-Hsiang Wu ◽  
Elizabeth Stangl ◽  
Octav Chipara ◽  
Anna Gudjonsdottir ◽  
Jacob Oleson ◽  
...  

Abstract Background Ecological momentary assessment (EMA) is a methodology involving repeated surveys to collect in-situ self-reports that describe respondents' current or recent experiences. Audiology literature comparing in-situ and retrospective self-reports is scarce. Purpose To compare the sensitivity of in-situ and retrospective self-reports in detecting the outcome difference between hearing aid technologies, and to determine the association between in-situ and retrospective self-reports. Research Design An observational study. Study Sample Thirty-nine older adults with hearing loss. Data Collection and Analysis The study was part of a larger clinical trial that compared the outcomes of a prototype hearing aid (denoted as HA1) and a commercially available device (HA2). In each trial condition, participants wore hearing aids for 4 weeks. Outcomes were measured using EMA and retrospective questionnaires. To ensure that the outcome data could be directly compared, the Glasgow Hearing Aid Benefit Profile was administered as an in-situ self-report (denoted as EMA-GHABP) and as a retrospective questionnaire (retro-GHABP). Linear mixed models were used to determine if the EMA- and retro-GHABP could detect the outcome difference between HA1 and HA2. Correlation analyses were used to examine the association between EMA- and retro-GHABP. Results For the EMA-GHABP, HA2 had significantly higher (better) scores than HA1 in the GHABP subscales of benefit, residual disability, and satisfaction (p = 0.029–0.0015). In contrast, the difference in the retro-GHABP score between HA1 and HA2 was significant only in the satisfaction subscale (p = 0.0004). The correlations between the EMA- and retro-GHABP were significant in all subscales (p = 0.0004 to <0.0001). The strength of the association ranged from weak to moderate (r = 0.28–0.58). Finally, the exit interview indicated that 29 participants (74.4%) preferred HA2 over HA1. Conclusion The study suggests that in-situ self-reports collected using EMA could have a higher sensitivity than retrospective questionnaires. Therefore, EMA is worth considering in clinical trials that aim to compare the outcomes of different hearing aid technologies. The weak to moderate association between in-situ and retrospective self-reports suggests that these two types of measures assess different aspects of hearing aid outcomes.


2021 ◽  
pp. 001458582110215
Author(s):  
Glenn A Steinberg

Much recent commentary on Dante’s Commedia focuses on Dante’s truth claims in the poem. Indeed, Teodolinda Barolini has proposed that “the fundamental question for all readers of Dante’s poem” is “How are we to respond to the poet’s insistence that he is telling us the truth?” I propose that the poem itself gives us guidance as to the seriousness of its claims to literal truth. It does so by actively deconstructing its own meaning at critical junctures. I look at several such moments of deconstruction, but I argue that the first few cantos of the Paradiso in particular provide a reflection on the difference between reality and fiction. Early in the Paradiso, Dante draws attention to the metaphoric nature of his poem and reminds his reader, through his character’s own actions, that metaphor is not reality. In this way, Dante implies that we should not take the narrative particulars of his poem too literally but should treat metaphor as metaphor rather than as mimesis.


Author(s):  
Peng Lu ◽  
Xiao Cong ◽  
Dongdai Zhou

Nowadays, E-learning system has been widely applied to practical teaching. It was favored by people for its characterized course arrangement and flexible learning schedule. However, the system does have some problems in the process of application such as the functions of single software are not diversified enough to satisfy the requirements in teaching completely. In order to cater more applications in the teaching process, it is necessary to integrate functions from different systems. But the difference in developing techniques and the inflexibility in design makes it difficult to implement. The major reason of these problems is the lack of fine software architecture. In this article, we build domain model and component model of E-learning system and components integration method on the basis of WebService. And we proposed an abstract framework of E-learning which could express the semantic relationship among components and realize high level reusable on the basis of informationized teaching mode. On this foundation, we form an E-learning oriented layering software architecture contain component library layer, application framework layer and application layer. Moreover, the system contains layer division multiplexing and was not built upon developing language and tools. Under the help of the software architecture, we could build characterized E-learning system flexibly like building blocks through framework selection, component assembling and replacement. In addition, we exemplify how to build concrete E-learning system on the basis of this software architecture.


2020 ◽  
Vol 28 ◽  
pp. 6-19 ◽  
Author(s):  
Siân E. Halcrow ◽  
Melanie J. Miller ◽  
Anne Marie E. Snoddy ◽  
Wenquan Fan ◽  
Kate Pechenkina

Geophysics ◽  
2007 ◽  
Vol 72 (1) ◽  
pp. F25-F34 ◽  
Author(s):  
Benoit Tournerie ◽  
Michel Chouteau ◽  
Denis Marcotte

We present and test a new method to correct for the static shift affecting magnetotelluric (MT) apparent resistivity sounding curves. We use geostatistical analysis of apparent resistivity and phase data for selected periods. For each period, we first estimate and model the experimental variograms and cross variogram between phase and apparent resistivity. We then use the geostatistical model to estimate, by cokriging, the corrected apparent resistivities using the measured phases and apparent resistivities. The static shift factor is obtained as the difference between the logarithm of the corrected and measured apparent resistivities. We retain as final static shift estimates the ones for the period displaying the best correlation with the estimates at all periods. We present a 3D synthetic case study showing that the static shift is retrieved quite precisely when the static shift factors are uniformly distributed around zero. If the static shift distribution has a nonzero mean, we obtained best results when an apparent resistivity data subset can be identified a priori as unaffected by static shift and cokriging is done using only this subset. The method has been successfully tested on the synthetic COPROD-2S2 2D MT data set and on a 3D-survey data set from Las Cañadas Caldera (Tenerife, Canary Islands) severely affected by static shift.


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