Psychodynamic Psychiatry and the Therapeutic Space in the Era of COVID-19

2021 ◽  
Vol 49 (3) ◽  
pp. 441-452
Author(s):  
Douglas H. Ingram
Keyword(s):  
Therapeutic Relationship ◽  
Natural Experiment ◽  
Psychiatric Practice ◽  
Power Dynamics ◽  
Online Environment ◽  
Digital Object ◽  
Treatment Approaches ◽  
Brick And Mortar ◽  
Therapeutic Space ◽  
Mental Contents

Psychodynamic psychiatric practice during the COVID-19 pandemic has required most clinicians to conduct treatment online or by telephone. The result is a natural experiment that appears to endorse the efficacy of distance therapy. Consequently, the brick-and-mortar consulting room is no longer the presumptive therapeutic space for the conduct of psychodynamic psychiatric or other treatment approaches. The therapeutic space is reconceived as the place or medium intended for treatment and is distinguished from both the therapeutic relationship and conduct of treatment that occurs within that space. How different therapeutic spaces impact treatment is discussed with specific application to psychodynamic psychiatry and virtual venues. The “digital object” becomes a new presence; the patient's freedom to disclose mental contents is retained though empathic attunement is diminished; a shift in power dynamics may occur; timing of sessions gains greater precision in the online environment. Beyond the pandemic, practicing online is likely to become an accepted supplementary therapeutic space for evaluation and treatment by psychodynamic psychiatrists.

Key Success Requirements for Online Brand Management

2010 ◽  
pp. 1-15 ◽  
Author(s):  
Subir Bandyopadhyay ◽  
Rosemary Serjak
Keyword(s):  
Management Strategy ◽  
Success Factors ◽  
Brand Management ◽  
The Internet ◽  
Online Environment ◽  
Key Success Factors ◽  
Online Branding ◽  
Brick And Mortar ◽  
Online Brands ◽  
Key Features

In recent years, many online brands (or e-brands) have emerged. For a brick-and-mortar brand to excel in the online environment, the brand manager must appreciate some of the key features of the Internet and make adjustments to the traditional brand management strategy. For example, the control of communication in case of online brand management lies with both the brand manager and the consumer, whereas from the traditional branding perspective, the control by and large rests with the brand manager only. We highlight the differences between traditional brand management and online brand management. We then focus on several key success factors in building a successful online brand, which we believe will help guide the brand manager through a series of steps leading to successful online branding.

Service Convenience

2015 ◽  
Vol 7 (3) ◽  
pp. 1-14 ◽  
Author(s):  
Paul Stephens ◽  
Matthew McGowan
Keyword(s):  
College Students ◽  
Factor Analysis ◽  
Literature Review ◽  
Web Sites ◽  
Online Environment ◽  
Business Courses ◽  
Service Environment ◽  
Online Purchases ◽  
Service Convenience ◽  
Brick And Mortar

In this research, the authors assess the applicability of the SERVCON model to the e-commerce (e-service) environment in the context of student textbook purchases. Following a literature review, a survey was developed based on previous scales; items were modified to fit the e-commerce environment. The survey was administered to college students in business courses, and 281 usable responses were received. Factor analysis resulted in several items being dropped, but the six factor SERVCON model was validated in the online environment. The validated model was used to compare service convenience perceptions between students purchasing books online and students purchasing books by traditional methods (brick-and-mortar). The service convenience measures for online purchases than brick-and-mortar purchases for decision, access, benefit, transaction, and postbenefit convenience. The study validates the SERVCON model in the e-service environment, and extends work that explains consumer behavior in e-services. Traditional bookstores need to explore options to improve services in the brick-and-mortar environment. Online vendors can improve their web sites to provide better service convenience to their customers.

Trust and Web Interface

2011 ◽  
pp. 191-219
Keyword(s):  
Direct Contact ◽  
Contact Point ◽  
Online Environment ◽  
Web Interface ◽  
Physical Size ◽  
Face To Face ◽  
Physical Cues ◽  
Brick And Mortar ◽  
The Relationship ◽  
The Web

In the brick and mortar world, the trading party makes an assessment of the trustworthiness of the counter party and the trading environment by various physical cues such as physical size of organization, its overall infrastructure, face-to-face interactions, physically examining the product etc. However, in the faceless environment of B2B e-commerce, same physical cues are not available and hence, the trading parties rely on the direct ‘contact point’ - the web-interface or the company’s website/portal to interact and communicate with each other. An effective web interface can induce trust in online environment of B2B e-commerce. The levels of assurance in respect of various dimensions may determine effectiveness of web interface. The present chapter makes an attempt to examine the relationship between the levels of assurance in respect of various dimensions of web interface and the level of trust in B2B e-commerce.

scholarly journals Power in research relationships: Engaging mothers with learning difficulties in a parenting programme evaluation

2019 ◽  
Vol 19 (5-6) ◽  
pp. 951-967
Author(s):  
Beth Tarleton ◽  
Pauline Heslop
Keyword(s):  
Learning Difficulties ◽  
Evaluation Study ◽  
Service Evaluation ◽  
Power Dynamics ◽  
Power Relationships ◽  
Ethical Considerations ◽  
Starting Point ◽  
Asymmetrical Power ◽  
Potential Impact ◽  
Therapeutic Space

There are significant ethical considerations when engaging with the participants of a service evaluation study. These include the potential impact of the findings of the evaluation on the lives of those in receipt of the service. The importance of researcher reflexivity in these circumstances is vital. This paper describes one researcher’s reflections about their own engagement with participants of an evaluation of a parenting course. The potential contributors to the evaluation of the course, that are the focus of this paper, were 18 mothers with learning difficulties. All had been referred to the course because of concerns about their parenting capacity or the welfare of their child. The power dynamics in the interactions between the researcher and the participants existed on a number of levels. The starting point was an asymmetrical power relation with the researcher defining the scope, content and conduct of the evaluation. Efforts to engage with the participants included trying to remodel some of this power and minimise the distance and separateness between each party. The parents too had some power, by using the interviews as a therapeutic space, providing socially desirable accounts or ultimately jeopardising the evaluation of the programme by refusing to participate. In this unique context, the power relationships were dynamic and inter-linked, feeling like a dance between active agents within the negotiations. Elements of Tew’s (2006) conceptual framework of ‘productive’ and ‘limiting’ modes of power were both in evidence and likely to have influenced the findings of the evaluation.

scholarly journals Situation Songs - Therapeutic Intentions and Use in Music Therapy with Children

2014 ◽  
Vol 14 (2) ◽  
Author(s):  
Agnes Kolar-Borsky ◽  
Ulla Holck
Keyword(s):  
Music Therapy ◽  
Therapeutic Relationship ◽  
Relevant Literature ◽  
International Exchange ◽  
Structured Interviews ◽  
Music Therapists ◽  
Systematic Analysis ◽  
Developmental Age ◽  
Master Thesis ◽  
Therapeutic Space

The aim of this study was to survey the various therapeutic intentions behind the use of one particular improvisation method applied in pediatric music therapy, called the situation song (from the German term “Situationslied”- Plahl & Koch-Temming, 2008, p. 180). According to Plahl & Koch-Temming the term situation song describes an improvised song, which is sung by the therapist or/and the child and which relates to the actual occurrence and the therapeutic relationship. The presented study focuses on the therapist’s singing only.The study was conducted in stages: An elaboration of the first author’s clinical experience with situation songs (preunderstandings), a systematic analysis of relevant literature, followed by semi-structured interviews with three music therapists from Denmark, Austria and Germany. A flexible investigation approach was used, following hermeneutic principles.The findings of the study show that situation songs are regularly used by pediatric music therapists, especially during the work with children at an early developmental age. The various intentions behind the use of situation songs can be summarized as such: to create a therapeutic space; to support the therapeutic relationship; to enhance experience and development in the fields of emotion, behavior, expression and social skills; to express  messages in language and to give structure to the child. The overall aim behind the use of situation songs is to offer essential experiences to the child in order to support his or her development.This study attempts to give an impulse to more international exchange of clinical terms applied in music therapy. The study was submitted as the first author’s master thesis in Music Therapy at the Aalborg University in Denmark. The second author supervised the process of the master thesis.

scholarly journals Decolonising development practice pedagogy: ways forward and persistent challenges in the synchronous online classroom

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Emily Van Houweling
Keyword(s):  
Transformative Learning ◽  
Power Dynamics ◽  
Online Environment ◽  
Front Line ◽  
Online Classroom ◽  
Community Learning ◽  
Virtual Spaces ◽  
Building Community ◽  
Development Practice ◽  
Synchronous Online

Although decolonisation is a pressing goal for many front-line instructors, there are few pedagogical resources for how to do this in the online environment. This article provides a set of strategic approaches that can help combat dominant power dynamics in the classroom and open opportunities for transformative learning. The research draws on instructor focus groups and student surveys from the synchronous, online Master of Development Practice programme at Regis University, USA. Six pedagogical approaches are described in light of their successes and remaining challenges: building community, learning from each other and co-creating knowledge, opening spaces for participation, de-centring Western voices and epistemologies, focusing on the critical thinking, reflection and action cycle and creating connection in virtual spaces.

Key Success Requirements for Online Brand Management

2011 ◽  
pp. 147-167
Author(s):  
Subir Bandyopadhyay ◽  
Rosemary Serjak
Keyword(s):  
Management Strategy ◽  
Success Factors ◽  
Brand Management ◽  
The Internet ◽  
Online Environment ◽  
Key Success Factors ◽  
Online Branding ◽  
Brick And Mortar ◽  
Online Brands ◽  
Key Features

In recent years, many online brands (or e-brands) have emerged. For a brick-and-mortar brand to excel in the online environment, the brand manager must appreciate some of the key features of the Internet and make adjustments to the traditional brand management strategy. For example, the control of communication in case of online brand management lies with both the brand manager and the consumer, whereas from the traditional branding perspective, the control by and large rests with the brand manager only. We highlight the differences between traditional brand management and online brand management. We then focus on several key success factors in building a successful online brand, which we believe will help guide the brand manager through a series of steps leading to successful online branding.

A Virtue-Based Approach to Neuro-Enhancement in the Context of Psychiatric Practice

2015 ◽  
Author(s):  
Jennifer L. Hansen
Keyword(s):  
Case Studies ◽  
Therapeutic Relationship ◽  
Psychiatric Practice

By adopting a virtue-based approach to neuro-enhancement, I argue that facilitating neuro-enhancement within the therapeutic relationship may pervert the practice of psychiatry in so far as it risks corrupting virtues important to the healing project. I further argue that the neuro-enhancement question emerges more often when exclusively principle-based approaches, supported by market-oriented and technological trends in medicine, frame the debate. Finally, I draw on case studies to clarify some varieties of neuro-enhancement in the context of psychiatric practice as well as to specify the three most important virtues undermined by neuro-enhancement—trustworthiness, respect for the healing project, and engagement.

Disturbo di personalitŕ e deficit metacognitivo. Alcune riflessioni

PSICOBIETTIVO ◽  
2009 ◽  
pp. 104-108
Author(s):  
Fabrizio Alfani
Keyword(s):  
Personality Disorders ◽  
Key Words ◽  
Therapeutic Relationship ◽  
Clinical Situation ◽  
The Self ◽  
Dimensional Approach ◽  
Diagnostic Categories ◽  
Defensive Role ◽  
Parental Figures ◽  
Mental Contents

- The author underlines the importance that psychodynamic diagnosis is inspired to a dimensional approach rather than a categorial one. In personality disorders, referring strictly to DSM diagnostic categories can reduce the complexity of the single clinical situation. The metacognitive deficit, which is present in various degree in personality disorders, has predominantly a defensive role against the pain and the anxiety caused by the recognition of mental contents presented by refusing and aggressive parental figures.Key Words: Psychodynamic diagnosis; Personality disorders; Metacognition; Therapeutic relationship; Defences of the Self.Parole chiave: diagnosi psicodinamica; disturbi di personalitŕ; metacognizione; relazione terapeutica; difese del sé.

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