Contemplating Raising Fees: An Exercise in Therapist Disquiet

2021 ◽  
Vol 49 (4) ◽  
pp. 532-542
Author(s):  
Jerome S. Gans
Keyword(s):  
Private Practice ◽  
Self Care ◽  
Self Esteem ◽  
Self Reflection ◽  
Ethical Concerns ◽  
Self Interest ◽  
Psychodynamically Oriented ◽  
Loss Modeling

This paper discusses the experience of psychodynamically oriented therapists in private practice as they contemplate raising their fees. Raising fees stirs up competing self-interest, transference-countertransference reverberations, financial fantasies and realities, ethical concerns, and uncomfortable as well as satisfied self-reflection. These dynamics are discussed under the following categories: exercise of power; incurring guilt; inappropriate entitlement; fear of loss; modeling of self-care; rapaciousness; unconscious factors; and self-esteem. A cautionary case example is provided. Six suggestions are offered to make therapists' contemplation of raising fees less stressful. The author hopes that this article will foster more open discussions among therapists about the tensions involved in raising fees and, in the process, lead to an enhanced understanding, acceptance, and detoxification of the feelings involved.

Effect of Self - Care Program on the Self- Esteem of Multiple Sclerosis Patients

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
H. Madani ◽  
H. Navipoor ◽  
P. Roozbayani
Keyword(s):  
Multiple Sclerosis ◽  
Self Care ◽  
Care Program ◽  
Self Esteem ◽  
The Self ◽  
Self Report ◽  
The Mean ◽  
Muscular Spasm ◽  
Multiple Sclerosis Patients ◽  
Paired T Test

Aims:According to decreased self- esteem in multiple sclerosis (MS) patients, it is necessary to utilize appropriate methods in order to improve self- esteem in MS patients. So this study was conducted on patients with MS supported by the Iranian MS society for determining the effect of self - care program on their self- esteem.Method:In this semi - experimental study 34 patients with MS who were not in the acute phase of disease were selected. The data were collected via personal questionnaires, problem list, Cooper and smith standard questionnaire for self- esteem and self report check lists. Self - care program(self - care for muscular spasm, fatigue, constipation and amnesia and …) was educated, then it was performed for one month period and the data were analyzed using paired t- test, wilcoxon, croscal - wallis and manwithney tests.Results:Application of self - care program improve the self- esteem and reduced some symptoms such as muscular spasm, fatigue, constipation and amnesia in MS patients. The mean valve of self- esteem increased from 54 before performing the program to 68 after the program ( p < 0.05).Conclusion:Using self-care program can be an effective method for improving self- esteem of MS patients.

scholarly journals Stigma Resistance in Stable Schizophrenia: The Relative Contributions of Stereotype Endorsement, Self-Reflection, Self-Esteem, and Coping Styles

2017 ◽  
Vol 62 (10) ◽  
pp. 735-744 ◽  
Author(s):  
Yu-Chen Kao ◽  
Yin-Ju Lien ◽  
Hsin-An Chang ◽  
Nian-Sheng Tzeng ◽  
Chin-Bin Yeh ◽  
...  
Keyword(s):  
Mental Illness ◽  
Religious Coping ◽  
Coping Styles ◽  
Self Esteem ◽  
Community Dwelling ◽  
Self Report ◽  
Cross Sectional ◽  
Self Reflection ◽  
Positive Reinterpretation ◽  
Stigma Resistance

Objective: Stigma resistance (SR) has recently emerged as a prominent aspect of research on recovery from schizophrenia, partly because studies have suggested that the development of stigma-resisting beliefs may help individuals lead a fulfilling life and recover from their mental illness. The present study assessed the relationship between personal SR ability and prediction variables such as self-stigma, self-esteem, self-reflection, coping styles, and psychotic symptomatology. Method: We performed an exploratory cross-sectional study of 170 community-dwelling patients with schizophrenia. Self-stigma, self-esteem, self-reflection, coping skills, and SR were assessed through self-report. Psychotic symptom severity was rated by the interviewers. Factors showing significant association in univariate analyses were included in a stepwise backward regression model. Results: Stepwise regressions revealed that acceptance of stereotypes of mental illness, self-esteem, self-reflection, and only 2 adaptive coping strategies (positive reinterpretation and religious coping) were significant predictors of SR. The prediction model accounted for 27.1% of the variance in the SR subscale score in our sample. Conclusions: Greater reflective capacity, greater self-esteem, greater preferences for positive reinterpretation and religious coping, and fewer endorsements of the stereotypes of mental illness may be key factors that relate to higher levels of SR. These factors are potentially modifiable in tailored interventions, and such modification may produce considerable improvements in the SR of the investigated population. This study has implications for psychosocial rehabilitation and emerging views of recovery from mental illness.

scholarly journals A criança interior e o casamento: reflexões a partir do curso Cuidando do Cuidador

2020 ◽  
Vol 16 (esp. 1) ◽  
pp. 462-476
Author(s):  
Maria da Graça Pedrazzi Martini
Keyword(s):  
Discourse Analysis ◽  
Self Care ◽  
Self Esteem ◽  
The Other ◽  
Learning Space ◽  
Inner Child ◽  
Relationship Of

The objective of this case study, was to understand the effect of the discovery of the inner child in the conjugal relationship of the participants of the Course: TRA: Capacitation in Techniques of Self-Esteem Rescue - Caring for the Caregiver. This is a case study of a couple evaluated through an interview, carried out after the experience of the inner child rescue at the beginning of the course, recordings of the experience sharing and the register of observations in the researcher's notebook. To analyze the opinions collected, the methodology used was discourse analysis. The results showed a greater awareness of the interference of the inner child in the conjugal relationship and the need to be more attentive to its manifestations to avoid future conflicts. Therefore, the Care for the Caregiver course offered a learning space for the inner child and self-care, as well as a way to learn how to care for the other.

scholarly journals Features of Self-assessment and Self-attitude in Girls with Different Parts of Psychological Sex

2020 ◽  
pp. 66-69
Author(s):  
Yekaterina Aleksandrovna Andreyeva
Keyword(s):  
Empirical Study ◽  
Adaptive Capacity ◽  
Modern Society ◽  
Self Esteem ◽  
Self Assessment ◽  
Adequate Level ◽  
Self Interest ◽  
Psychological Gender ◽  
Different Parts

The paper discusses the empirical study of the fea-tures of self-esteem and self-attitude in girls with different components of the psychological gender. The author notes that the ongoing changes in mas-culine and feminine stereotypes in the conscious-ness of modern society entail changes in the struc-ture of psychological gender. It is shown that girls with masculine traits have high self-esteem and self- respect, while they are quite self-critical and show low self-interest, which is reflected in such emotion-al reactions to themselves as irritation and disa-greement. Girls with androgynous traits typical of an adequate level of self-esteem, expressed in accord with their inner promptings, accepting yourself as you are, as well as the interest in your own thoughts and feelings, which increase the adaptive capacity of a person.

scholarly journals Axiologically dominant concept „Egocentrism” in the French phraseological picture of the world

2020 ◽  
pp. 86-95
Author(s):  
L. V. Shapovalova ◽  
Keyword(s):  
Self Esteem ◽  
Life Goals ◽  
Self Confidence ◽  
Linguistic Research ◽  
Life Evaluation ◽  
Self Interest ◽  
The World ◽  
To Come

The article deals with the basis of atropocentric cognitive-communicative paradigm of linguistic research, which developed in the XXI century; the most frequently used French phraseological units are analyzed in order to single out the axiologically dominant concept of the French phraseological picture of the world objectified in them and to build its model.Based on the study, it was found that the axiological dominant concept of the French phraseological picture of the world is the frame „Egocentrism”.The selected phraseological units are divided into groups that represent slots in the structure of the frame "Egocentrism". Each slot features individual elements of meaning, illustrated with idioms, that verbalize them.The isolated idioms convey such components of the meaning of the concept „Egocentrism” as the existence of their own rules of life, evaluation of something by its own rules, different ways of evaluating the same, self-interest, pretentiousness, behavior or opinion based on self-interest contempt for enemies, selfishness, independence of judgment, confidence in their own beliefs, their own way, subjectivity of judgments, firmness in their own position, pride, life goals and priorities, inflated self-esteem about themselves and their nation. All of the selected idioms have an assessment or evaluation in their meaning or represent an action based on their own needs, interests, priorities, selfishness, self-confidence, pride or other manifestations of their own ego, which actualizes their value aspect.An analysis of about 1,550 of the most commonly used French idioms allows us to come to conclusions about the hierarchy of axiologically dominant concepts in the French phraseological picture of the world and about the content and structure of the frame “Egocentrism” based on phraseological units that represent it.

scholarly journals Kulturwissenschaft in der Ermüdung? Anmerkungen zu einer Neuorientierung

2016 ◽  
Vol 1 (1) ◽  
pp. 49-55
Author(s):  
Doris Bachmann-Medick
Keyword(s):  
Research Process ◽  
History Of Ideas ◽  
Self Reflection ◽  
Ethical Concerns ◽  
History Of ◽  
Translational Approach

Abstract Starting from the conviction that the study of culture(s) is much broader than a philosophizing history of ideas approach (one that often retains implicit Eurocentric assumptions), this article is a plea for a reorientation of the study of culture through the demonstration of a stronger commitment to a sociological, empirical and transcultural approach in the study of culture. Instead of focusing on cultural syntheses (i.e. along the main signatures and „Zeitgeist“ symptoms of epochs), my argument redirects attention to particularities, hidden dimensions, and the formation of differences, to cultural countermovements and contradictions. The article suggests a more complex and action-oriented „translational“ approach. It aims to foster a critical self-reflection of the research process of the study of culture itself with regard to its analytical concepts, its societal and ethical concerns, and its fruitful convergence of disciplines.

Women in Psychiatric Training

2018 ◽  
pp. 253-263
Author(s):  
Georgina Fozard ◽  
Philippa Greenfield
Keyword(s):  
Social Media ◽  
Medical Students ◽  
Group Dynamics ◽  
Medical Practice ◽  
Medical Profession ◽  
Self Care ◽  
Psychiatric Training ◽  
Self Reflection ◽  
It Impacts ◽  
The Way

Training in psychiatry involves a fascinating and rewarding journey, and is a wonderful career for women. This chapter explores what it means to be a female psychiatric trainee. The authors discuss the recruitment crisis within psychiatry and the way that stigma and financial pressures upon the NHS compound this. They discuss their own experiences as medical students interested in psychiatry, particularly with regard to overcoming prejudices within the wider medical profession. There are certain challenges that are particular to training in psychiatry that women trainees face, including everyday sexism and how it impacts on self-esteem, as well as exposure to violence and stalking, and the effect of social media on medical practice. The authors discuss their own experiences in facing these challenges, what more could be done to support trainees, and they consider the importance of self-care and the way in which training as a psychiatrist can give trainees particular skills of self-reflection and insights into group dynamics that can be invaluable in developing as medical leaders.

scholarly journals How self-stigma affects patient activation in persons with type 2 diabetes: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e034757
Author(s):  
Asuka Kato ◽  
Yuko Fujimaki ◽  
Shin Fujimori ◽  
Akihiro Isogawa ◽  
Yukiko Onishi ◽  
...  
Keyword(s):  
Self Efficacy ◽  
Goodness Of Fit ◽  
Patient Activation ◽  
Self Care ◽  
Self Esteem ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fit Index

ObjectivesSelf-stigma is associated with lower patient activation levels for self-care in persons with type 2 diabetes mellitus (T2DM). However, the causal pathway linking self-stigma with patient activation for self-care has not been shown. In order to determine how self-stigma affects patient activation for self-care, we tested a two-path hypothetical model both directly and as mediated by self-esteem and self-efficacy.DesignA cross-sectional study.SettingTwo university hospitals, one general hospital and one clinic in Japan.ParticipantsT2DM outpatients receiving treatment (n=209) completed a self-administered questionnaire comprising the Self-Stigma Scale, Patient Activation Measure, Rosenberg Self-Esteem Scale, General Self-Efficacy Scale, Patient Health Questionnaire, haemoglobin A1c test, age, sex and body mass index.Primary and secondary outcome measuresSelf-stigma levels were measured by using the Self-Stigma Scale. Patient activation levels were measured by the Patient Activation Measure.ResultsPath analysis showed a strong relationship between self-stigma and patient activation (χ2=27.55, p=0.120; goodness-of-fit index=0.97; adjusted goodness-of-fit index=0.94; comparative fit index=0.98; root mean square error of approximation=0.04). Self-stigma had a direct effect on patient activation (β=−0.20; p=0.002). Indirectly, self-stigma affected patient activation along two paths (β=0.31; p<0.001) by reducing self-esteem (β=−0.22; p<0.001) and self-efficacy (β=−0.36; p<0.001).ConclusionsDue to the cross-sectional design of the study, longitudinal changes between all the variables cannot be established. However, the findings indicate that self-stigma affected patient activation for self-care, both directly and as mediated by self-esteem and self-efficacy. Interventions that increase self-esteem and self-efficacy may decrease self-stigma in patients with T2DM, thus increasing patient activation for self-care.

The psychological roots of chemsex and how understanding the full picture can help us create meaningful support

2019 ◽  
Vol 19 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Katie Evans
Keyword(s):  
Private Practice ◽  
Design Methodology ◽  
Self Esteem ◽  
Content Type ◽  
Therapy Approach ◽  
Full Picture ◽  
Sex Positive

Purpose The purpose of this paper is to explore the larger picture of chemsex in a hope to understand how to best work with clients therapeutically. The paper’s aim is to acknowledge not just the risk and “negative” aspects but also what might be gained by men engaging in chems use. How can the chemsex space act as a container for emotions and experiences? Design/methodology/approach This is a paper based upon cases from within the author’s private practice plus anonymous interviews with men. It comes from a sex positive therapy approach and explores ideas formed within the author's work as a practitioner. Findings The findings within this paper showed just how complex an issue chemsex is with many layers to it. The author also found that the most important aspect to bear in mind is that this is a very human issue, with aspects many can relate to such as intimacy, self-esteem, desire for connection and dealing with difficult emotions. By seeing what part it plays in the life of men involved then it is possible to can understand how seductive it could be. Originality/value This paper takes a more in-depth look at the psychological roots of chemsex and how these play a part. As this field is explored more, this paper aims to look at chemsex from the idea of pleasure, community and connection so that it is possible to provide the support that is best suited.

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