From Fragmentation to Coherence: Psychodynamic Psychotherapy for Psychosis through the Lens of Metacognition

2020 ◽  
Vol 48 (4) ◽  
pp. 455-476
Author(s):  
Jeremy M. Ridenour ◽  
Jay A. Hamm ◽  
David W. Neal ◽  
Paul H. Lysaker

Psychoanalysis has produced important theories that help explain the radical alterations in self-experience central for persons experiencing psychosis. These concepts have led to important clinical developments, case studies, and some research on the efficacy of psychodynamic psychotherapy for psychosis (Gottdiener, 2006). However, psychodynamic psychotherapy has struggled to produce operationalized constructs to measure how it enhances self-development and the therapeutic mechanisms of action that facilitate these changes. Outside of psychoanalysis, some researchers have focused on the construct of metacognition (i.e. thinking about thinking) and its relevance to understanding psychosis. Proponents of this paradigm have created an integrative, exploratory therapy (MERIT, Lysaker & Klion, 2017) that blends various therapeutic traditions that overlap with psychodynamic psychotherapy and mentalization (Ridenour, Knauss, & Hamm, 2019). In this paper, we will present a short-term intensive case study of psychodynamic psychotherapy with a young man experiencing psychosis in residential treatment and then analyze the therapy through the lens of metacognition to provide constructs that illustrate the ways that it promotes recovery and self-integration.

2016 ◽  
Vol 9 (2) ◽  
pp. 139-158 ◽  
Author(s):  
Albert Plugge ◽  
Mark Borman ◽  
Marijn Janssen

Purpose Adaptation is often seen as a key competitive advantage for outsourcing vendors. Outsourcing research has often assumed that vendor capabilities are static. However, as a result of uncertainties and/or changes in the client environment, vendors need to be able to adapt their outsourcing capabilities. The aim of our research is to compare two contrasting outsourcing approaches and illustrate how an adaptive approach may deliver better results for clients in the long term. Design/methodology/approach The paper uses a combination of literature and case study research. A retrospective case study approach was adopted, using interviews, observations and analysis of reports. Two case studies utilizing contrasting clients approaches were investigated and compared. In one of the case studies, the client reorganized activities first and then outsourced them, while in the other, the client did the reverse – outsourced first and then reorganized. Findings The findings indicate that reorganizing first and outsourcing afterwards contributes to a more controlled implementation, which results in a more defined and stable set of vendor outsourcing capabilities that contributed to short-term success. In contrast, outsourcing first and reorganizing later demonstrates a less controlled redesign of the client’s organizational structure, which requires a malleable set of outsourcing capabilities to accommodate future change. The latter strategic manoeuver results in an extended adaptation period, as some capabilities need to be developed over time. However, it may improve success over time as subsequent changes in the client environment can be catered for in a better way. Research limitations/implications Only two explorative case studies were performed, limiting confidence in the degree of generalization of the results. We plea for more research on the effect of context dependency as various contingencies may impact the adaptation of outsourcing capabilities; for example, the volatility of the client’s market or the stability of the technology concerned. Practical implications When a client applies a proactive manoeuver, reorganizing first and then applying outsourcing, the number of adaptive capabilities required of the outsourcing vendor is reduced, limiting the risk for the client in the short term. In the longer term, however, subsequent change requirements may be less well-accommodated. Originality/value Strategic manoeuvers within an outsourcing context have received limited attention in research. As far as we know, this is the first empirical research that investigates the benefits of vendors having adaptive capability.


2020 ◽  
Vol 10 (3) ◽  
pp. 391-419
Author(s):  
Emilia Grass ◽  
Kathrin Fischer

PurposeThe purpose of this work is the development of a structured case study design process for developing case studies in humanitarian logistics, in particular for short-term predictable disaster situations like floods and hurricanes. Moreover, useful public sources are presented in order to enable researchers to find relevant data for their case studies more easily.Design/methodology/approachA structured framework for case study design is set up, splitting the process into different steps and phases.FindingsThe framework is applied to an illustrative example, where case studies with different numbers and levels of detail of scenarios are designed based on the three-day forecast for hurricane Harvey in 2017. The corresponding solutions demonstrate the relevance of using as much forecast information as possible in case study building, and in particular in scenario design, in order to get useful and appropriate results.Research limitations/implicationsThe case study design process is mostly suitable for short-term predictable disasters, but can also be adapted to other types of disasters. The process has been applied to one specific hurricane here which serves as an example.Practical implicationsAlso for practitioners, the results of this work are highly relevant, as constructing realistic cases using real data will lead to more useful results. Moreover, it is taken into account in the case study design process that relief agencies are regularly confronted with disasters in certain areas and hence need to define the basic planning situation and parameters “once and for all” and on a long-term basis, whereas disaster specific data from forecasts are only available within a short time frame.Originality/valueThe new design process can be applied by researchers as well as practitioners, and the publicly available data sources will be useful to the community.


2019 ◽  
Vol 63 (3-4) ◽  
pp. 16-24
Author(s):  
Michael Wögerbauer

Based on two intertwined case studies, this essay shows the economic importance of almanacs for Bohemian printing houses under the reign of Maria Theresa (1740–1780). The first case study focuses on the printing house of Sophie Rosenmüller (Kirchner-Klauser) in Prague, which during the 18th century published the only two newspapers in Bohemia, one in German and one in Czech. After her husband’s death (1745), Sophie Rosenmüller asked the Viennese administration for the permission to close the loss-making Cžeský postylion neboližto NOWJNY Cžeské [Bohemian Postilion or Czech Newspaper], which never had more than twelve subscribers per year. But Empress Maria Theresa insisted on the existence of the Czech newspaper. As compensation, she granted Sophie Rosenmüller privileges to publish highly profitable almanacs. In 1771, the empress finally agreed to suspending the paper. The second study deals with the severe impact of Maria Theresa’s religious reforms on provincial printing houses, like the one of Ignaz Hilgartner in the South Bohemian town of Jindřichův Hradec. Thoroughly discussed short-term issues included the reduction of the number of holidays and the fact that they were no longer to be printed in red in almanacs; more severe problems involved the loss of important clients, caused by the disbanding of some secular religious fraternities and foremost the Jesuits, and the end of some important genres, e.g. school dramas with their printed synopsis; the biggest problem was caused by the societalisation of the school system and the printing of textbooks. Due to the lack of a secular literary market (universities, enlightened clientele) in South Bohemia, Hilgartner saw only two possibilities to compensate for these losses: either to move his office to Prague or to assume the privileges of Sophie Rosenmüller (and especially her best-selling almanacs) after her death in 1780. Nevertheless, both possibilities were denied to him.


Pflege ◽  
2018 ◽  
Vol 31 (5) ◽  
pp. 237-244 ◽  
Author(s):  
Caroline Gurtner ◽  
Rebecca Spirig ◽  
Diana Staudacher ◽  
Evelyn Huber
Keyword(s):  

Zusammenfassung. Hintergrund: Die patientenbezogene Komplexität der Pflege ist durch die Merkmale „Instabilität“, „Unsicherheit“ und „Variabilität“ definiert. Aufgrund der reduzierten Aufenthaltsdauer und der steigenden Zahl chronisch und mehrfach erkrankter Personen erhöht sich die Komplexität der Pflege. Ziel: In dieser Studie untersuchten wir das Phänomen patientenbezogener Komplexität aus Sicht von Pflegefachpersonen und Pflegeexpertinnen im Akutspital. Methode: Im Rahmen eines kollektiven Case-Study-Designs schätzten Pflegefachpersonen und Pflegeexpertinnen die Komplexität von Pflegesituationen mit einem Fragebogen ein. Danach befragten wir sie in Einzelinterviews zu ihrer Einschätzung. Mittels Within-Case-Analyse verdichteten wir die Daten induktiv zu Fallgeschichten. In der Cross-Case-Analyse verglichen wir die Fallgeschichten hinsichtlich deduktiv abgeleiteter Merkmale. Ergebnisse: Die Ausprägung der Komplexität hing in den vier Cases im Wesentlichen davon ab, ob klinische Probleme kontrollierbar und prognostizierbar waren. Je nach individuellen Ressourcen der Patientinnen und Patienten stieg bzw. sank die Komplexität. Schlussfolgerungen: Komplexe Patientensituationen fordern von Pflegefachpersonen Fachwissen, Erfahrung, kommunikative Kompetenzen sowie die Fähigkeit zur Reflexion. Berufsanfänger und Berufsanfängerinnen werden zur Entwicklung dieser Fähigkeiten idealerweise durch erfahrene Berufskolleginnen oder -kollegen unterstützt und beraten.


2018 ◽  
pp. 60-67
Author(s):  
Henrika Pihlajaniemi ◽  
Anna Luusua ◽  
Eveliina Juntunen

This paper presents the evaluation of usersХ experiences in three intelligent lighting pilots in Finland. Two of the case studies are related to the use of intelligent lighting in different kinds of traffic areas, having emphasis on aspects of visibility, traffic and movement safety, and sense of security. The last case study presents a more complex view to the experience of intelligent lighting in smart city contexts. The evaluation methods, tailored to each pilot context, include questionnaires, an urban dashboard, in-situ interviews and observations, evaluation probes, and system data analyses. The applicability of the selected and tested methods is discussed reflecting the process and achieved results.


2018 ◽  
Vol 12 (1) ◽  
pp. 26-36 ◽  
Author(s):  
Richard B. Apgar

As destination of choice for many short-term study abroad programs, Berlin offers students of German language, culture and history a number of sites richly layered with significance. The complexities of these sites and the competing narratives that surround them are difficult for students to grasp in a condensed period of time. Using approaches from the spatial humanities, this article offers a case study for enhancing student learning through the creation of digital maps and itineraries in a campus-based course for subsequent use during a three-week program in Berlin. In particular, the concept of deep mapping is discussed as a means of augmenting understanding of the city and its history from a narrative across time to a narrative across the physical space of the city. As itineraries, these course-based projects were replicated on site. In moving from the digital environment to the urban landscape, this article concludes by noting meanings uncovered and narratives formed as we moved through the physical space of the city.


2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Zofia Wysokińska ◽  
Tomasz Czajkowski ◽  
Katarzyna Grabowska

AbstractNonwovens are one of the most versatile textile materials and have become increasingly popular in almost all sectors of the economy due to their low manufacturing costs and unique properties. In the next few years, the world market of nonwovens is predicted to grow by 7%–8% annually (International Nonwovens & Disposables Association [INDA], European Disposables and Nonwovens Association [EDANA], and Markets and Markets). This article aims to analyze the most recent trends in the global export and import of nonwovens, to present two case studies of Polish companies that produce them, and to present one special case study of the market of nonwoven geotextiles in China and India, which are the Asian transition economies among the BRICS countries (Brazil, Russia, India, China, and South Africa).


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