scholarly journals Θεραπευτική σχέση: αλλαγές και προκλήσεις σε ένα ταχέως εξελισσόμενο περιβάλλον

Author(s):  
Evangelos C. Karademas

The aim of this short Commentary is to convey some thoughts and concerns that have arisen after reading the excellent articles included in this Special Issue. The focus will be on three particular points: (a) The differences that seem to exist, not so much regarding the general definition of therapeutic alliance, but rather with respect to the identification of the specific characteristics of this phenomemon and the factors that shape it. (b) The need to understand therapeutic alliance after taking into account the complex interactions that take place between several biological, psychological and social factors. Finally, (c) the impact of recent advancements, such as the great innovations in digital technology and health care, on therapeutic alliance. In any case, it is certain that our perception of therapeutic alliance will continue to evolve and change in the future.

2008 ◽  
Vol 42 (1) ◽  
pp. 168-172
Author(s):  
Robbie Davis-Floyd

Any effort to make sense of the complexities of contemporary midwifery must deal not only with biomedical and governmental power structures but also with the definitions such structures impose upon midwives and the ramifications of these definitions within and across national and cultural borders. The international definition of a midwife requires graduations from a government-recognized educational program. Those who have not are not considered midwives but are labeled traditional birth attendants. Since there are myriad local names for midwives in myriad languages, the impact of this naming at local levels can be hard to assess. But on the global scale, the ramifications of the distinction between midwives who meet the international definition and those who do not have been profound. Those who do are incorporated into the health care system. Those who do not remain outside of it, and suffer multiple forms of discrimination as a result.


2008 ◽  
Vol 7 (1) ◽  
pp. 109-116 ◽  
Author(s):  
Mariusz Doszyń

Considerations Concerning the Impact of Propensities on Basic Macroeconomic Occurrences In the article theoretical deliberations relating to impact of propensities on basic macroeconomic phenomena were presented. A general definition of propensity was discussed. The influence of propensity for consumption, propensity for investment and propensity for thesaurization on national income, interest rates, consumption expenditures, investments and money supply was analyzed. Derivatives that make it possible to identify quantitative effects of propensities were introduced. On the basis of the discussed Keynesian model it is possible to say that the propensity to consume increases interest rate and national income, the propensity to invest makes investments, national income and interest rates higher and the propensity for thesaurization could increase interest rates by lowering money supply.


1992 ◽  
Vol 22 (2) ◽  
pp. 317-330 ◽  
Author(s):  
Lisa Ruby Basara

An extensive review of pharmacy and marketing literature shows that direct-to-consumer advertising (DTCA) strategies have changed significantly since the first advertisements were presented in the early 1980s. The future of DTCA, however, is still uncertain as the impact of this new marketing tactic on current health care practice is not yet fully understood. Physicians and pharmacists need to be aware of and respond to the knowledgeable patient, while the Food and Drug Administration (FDA) and pharmaceutical manufacturers must make cognizant decisions about the amount and the type of information that will be advertised directly to consumers. Finally, patients must understand the potential shortcomings of the information presented in prescription drug advertisements. This article will review the definition of DTCA, provide current examples of campaigns and their impact on health care communication, and predict changes that may occur as a result of FDA reconsideration of drug advertising regulations.


2021 ◽  
pp. 107780122199644
Author(s):  
Maura Lappeman ◽  
Leslie Swartz

With the growing concern of human rights in health, the word “violence” is being used to describe apparent disrespectful treatment received by women by either health care practitioners or health care systems. As the definition of violence in health care settings broadens, questions arise over the impact of the term in describing objective reality. Specifically, does use of the term “violence” inadvertently disempower the women that it is meant to empower? This article explores the changing use of the term “violence” and specifically draws on evidence in a South African labor ward, where phenomena such as silence and limited social support have cultural underpinnings that contradict labels of structural or obstetric violence. As global research on obstetric violence in disadvantaged communities grows, choice of terminology will become more important in filtering results into medical policy and practice.


Author(s):  
Sandra Curtis

The impact of feminism – along with its understanding of the complex interactions in our lives of gender, race, class, sexual orientation, ability, and age – arrived late in music therapy. This paper reviews what feminist impact exists, explores possible challenges faced, and identifies the most recent endeavors in the area including the first International Conference on Gender, Health, and the Creative Arts Therapies and a gathering of feminist music therapy researchers, both hosted in Montreal, Canada in 2012. These issues will be explored further in the forthcoming special issue of the Arts in Psychotherapy dedicated to Gender, Health, and the Creative Arts Therapies edited by Dr. Sandra Curtis, with contributions from many significant experts in the field.  Members of the music therapy community are encouraged to examine the meaning of feminism and gender in their own context and to join in the important dialogue on gender in music therapy which holds great potential to enrich our theory, practice, and research.


2021 ◽  
Vol 6 (1) ◽  
pp. e000815
Author(s):  
Samara Grossman ◽  
Zara Cooper ◽  
Heather Buxton ◽  
Sarah Hendrickson ◽  
Annie Lewis-O'Connor ◽  
...  

Trauma is often viewed as an individual or interpersonal issue. This paper expands the definition of trauma to include the impact collective and structural elements on health and well-being. The need for a trauma-informed response is demonstrated, with instruction as to how to implement this type of care in order to resist re-traumatization. Three examples from healthcare settings across the nation are provided, to demonstrate the ways in which organizations are bringing forward this patient-centered, trauma-informed approach to care.


2017 ◽  
Vol 4 (1-2) ◽  
pp. 5-12
Author(s):  
Jacqueline Hicks

This introduction to the fourth special issue ofAsiascape: Digital Asiadiscusses the complex interactions between technology and society in the context of ‘digital Asia’. The special issue is drawn from contributions to a conference held in May 2016 titled ‘Digital Disruption in Asia: Methods and Issues’. Inspired by the idea that the use of digital technologies is shaking up some major political and economic institutions, the conference aimed to see whether some of the same processes were playing out across Asia. But while the wording of its title focused on the impact of digital technologies in Asian societies, what emerged were much more complex stories detailing the different ways the technologies are used in their offline contexts. This introduction traces these stories, identifying some common elements of digitality that range from constant connectivity, to mobility, speed, and the potential to break down social and even disciplinary boundaries.


2021 ◽  
pp. 1-4
Author(s):  
Jean-Michel Durr

Following the release of the special issue of the Statistical Journal of the IAOS on Population and Housing Census, a platform was opened to discuss several topics related to the census, such as the definition of the census, the methodologies and technologies used to conduct a population and housing census. In particular, in a context of increasing access to administrative data, the relevance of the traditional census was discussed, in regard to its huge cost. Finally, the impact of the Covid-19 pandemic on the censuses planed for the years 2020 and 2021 was raised as monitored by international organisations.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Tinashe Dune ◽  
Peter Caputi ◽  
Beverly M. Walker ◽  
Katarzyna Olcon ◽  
Catherine MacPhail ◽  
...  

Abstract Background The development of cultural competence is central to the therapeutic alliance with clients from diverse backgrounds. Given that the majority of Australia’s population growth is due to migration, mental health practitioner construing of non-White and White people has a significant role and impact on client engagement. Method To examine the impact of mental health practitioner construing on their strategies for cultural competence and the therapeutic alliance, 20 White and non-White mental health practitioners and trainees providing mental health services were purposively sampled and interviewed face-to-face or via videoconferencing. Data was analysed thematically and the impact of construing on practitioner cultural competence and the therapeutic alliance were interpreted using Personal Construct Psychology. Results Practitioners demonstrated cultural competence in their acknowledgement of the impact of negative construing of ethnic, cultural, religious, social, racial and linguistic diversity on client wellbeing. Practitioners sought to address these negative impacts on clients by drawing on the client-practitioner relationship to improve the therapeutic alliance. Conclusions The results reinforce the need for mental health care workers to develop cultural competence with a focus on developing awareness of the impact of frameworks of Whiteness on the experiences of non-White people. This is central to the development of a therapeutic alliance where clients feel understood and assured that their mental health concerns will not be constructed (and treated) through a framework that constrains both White and non-White people’s opportunities for improved mental health and wellbeing.


2009 ◽  
Vol 4 (2) ◽  
pp. 209-221 ◽  
Author(s):  
GAVIN MOONEY

AbstractThis article considers two key issues in health economics regarding the question of equity. First, why have health economists not resolved better the issue of what are equity and access? Second, the paper draws attention to the relative lack of analyses of equity concerns outside of health care. The question of whose values should prevail in equity is also addressed. On the first issue, there is an obsession with quantification in economics with the result that in analysing equity, in practice often ‘use’ has been substituted for ‘access’. The problem of defining access has thereby been by-passed. This has taken the pressure off trying to research access per se. Second, what is meant by equity and access are in part culturally determined. The continued efforts of health economists to treat equity as some universal construct are misplaced. The lack of effort on the part of health economists to look at equity more broadly than health care equity is concerning. Certainly, to be pursued in practice, equity in both health and health care need a shift in resources, which will be opposed by those who exercise power over decision making in health care and in society more generally. Currently health economists’ analyses say all too little about power and property rights in health care and in society. It is argued that the relevant citizens or communities which a health service serves are best placed to judge the access barriers they face and their relative heights. A useful definition of equity established by a citizens’ jury in Perth, Australia is used to exemplify this point. It is concluded that the often all too simplistic equity goals adopted in health economics (and sometimes public health discourse) need to be challenged. For health economists, there is a need for more of us to get involved in the issues around inequalities, class and power and the impact of these on health.


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