Treatment of Dissociation With EMDR When War Interrupts the Process The Integration of EMDR With E-Mail Therapy

2009 ◽  
Vol 3 (1) ◽  
pp. 50-56
Author(s):  
Alan Cohen

This article describes the integration of e-mail correspondence with EMDR treatment for a woman with a fear of driving and a diagnosis of dissociative disorder, not otherwise specified (DDNOS). When the client first presented for treatment, her diagnosis was unrecognized, and treatment showed limited success. With recognition of the DDNOS diagnosis, the treatment contract was renegotiated, with the focus of therapy shifting to addressing her dissociative experiences. Therapeutic progress was being made when the course of the treatment was interrupted by war in the north of Israel, and regular meetings became impossible. Communication was maintained by e-mail correspondence. When face-to-face sessions recommenced, the e-mail therapy continued because writing had become a powerful therapeutic tool. Therapy concluded with the successful treatment of both the dissociative disorder and the fear of driving. Cautions regarding the use of e-mail therapy are provided.

Author(s):  
Daniel R. Headrick

Paul revere, the american revolutionary, remembered his midnight ride of April 18, 1775, in these words: “I agreed with a Colonel Conant and some other gentlemen, that if the British went out by water, we should shew two lanthornes in the North Church steeple, and if by land, one, as a signal, for we were apprehensive it would be difficult to cross the Charles River, or git over Boston neck.” Eighteen years later, on July 12, 1793, Claude Chappe presented his semaphore telegraph to the Committee of Public Instruction of the French National Convention. At Saint-Fargeau, near Paris, Deputy Pierre Daunou sent a message to Deputy Joseph Lakanal at Saint-Martin-du-Tertre, thirty-five kilometers away: “Daunou has arrived here. He announces that the National Convention has just authorized its committee of general security to affix the seals to the papers of the representatives of the people.” Nine minutes later, Lakanal replied: “The inhabitants of this beautiful country are worthy of liberty because of their love for it and their respect for the National Convention and its laws.” Between these two dates there occurred a revolution in communication. Revere used a simple, prearranged, onetime signal containing only three potential messages: “by land,” “by sea,” or “no news.” Chappe could communicate any message, in either direction, faster than a galloping horse. This was only one of several great changes in communication that occurred in the late eighteenth and early nineteenth centuries under the pressure of revolution and war. Humans are gifted, both naturally and culturally, at communicating face-to-face. Long-distance communications, however, require elaborate systems to convey information to its destination in a timely manner. Over­coming distances is but one of the functions of communication systems. We must also draw a distinction between the transmission of information from one person to another, for example, by speech, letter, telephone, telegram, or e-mail, and the dissemination of information from one point to many, by such means as newspapers, books, pamphlets, flyers, and posters, or by radio and television broadcasts and the World Wide Web.


2003 ◽  
Vol 22 (3) ◽  
pp. 239-255 ◽  
Author(s):  
Sharon Rauschenberger ◽  
Steven Jay Lynn

More than three quarters (76%) of the fantasty-prone college students (total N = 21) who scored in the upper 4% of the population on the Inventory of Childhood Memories and Imaginings (ICMI) [1] and who were administered a diagnostic interview met the criteria for either a past or present Axis I diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders [2] compared with 30% of medium fantasy prone students (total N = 20) who scored within 1/2 a standard deviation of the mean on the ICMI. Negative affectivity, as measured by the General Temperament Survey [3], was found to mediate the relation between fantasy and current Axis-I disorder, but not past Axis-I disorder. Whereas 5% of the medium fantasy prones received a dissociative disorder diagnosis, 33% of the fantasizers did so, with dissociative disorder not otherwise specified (DDNOS) constituting three quarters of the total dissociative diagnoses. Fantasizers also reported more dissociative experiences and more tenuous cognitive, affective, and attentional control than their non fantasy-prone counterparts. In general, the results provide confirmation of the findings of Rauschenberger and Lynn [4].


2020 ◽  
Vol 228 (1) ◽  
pp. 14-24 ◽  
Author(s):  
Tanja Burgard ◽  
Michael Bošnjak ◽  
Nadine Wedderhoff

Abstract. A meta-analysis was performed to determine whether response rates to online psychology surveys have decreased over time and the effect of specific design characteristics (contact mode, burden of participation, and incentives) on response rates. The meta-analysis is restricted to samples of adults with depression or general anxiety disorder. Time and study design effects are tested using mixed-effects meta-regressions as implemented in the metafor package in R. The mean response rate of the 20 studies fulfilling our meta-analytic inclusion criteria is approximately 43%. Response rates are lower in more recently conducted surveys and in surveys employing longer questionnaires. Furthermore, we found that personal invitations, for example, via telephone or face-to-face contacts, yielded higher response rates compared to e-mail invitations. As predicted by sensitivity reinforcement theory, no effect of incentives on survey participation in this specific group (scoring high on neuroticism) could be observed.


2020 ◽  
Vol 10 (2) ◽  
pp. 11-15
Author(s):  
Volodymyr Shypovskyi ◽  
Volodymyr Cherneha ◽  
Serhiy Marchenkov

Recent events in Ukraine have shown that, along with the advancement of information technology, methods of conducting modern warfare are being enhanced. Cyberspace is deliberately used by the Russian Federation to commit cyber warfare against Ukraine. Therefore, in order to address their influence effectively, it is important not only successfully deal with its consequences but also to foresee the potential adversaryʼs actions by analyzing their previous operations and incorporating the lessons learned by other countries. Across the globe, including Ukraine, the issue of information security and cyberattacks has become exceedingly urgent. Everybody is aware of the ongoing attacks on information networks of various government agencies and energy firms, cyberattacks on e-mail networks of political parties and organizations around the world. Likewise, despite the steadily growing numbers, cyberattack cases against the individuals and private businesses are not reported as widely as they occur. As a result, The North Atlantic Alliance countries began tackling the issue of cyberthreats much earlier than Ukraine. Consequently, NATO and its allies rely on powerful and robust cyber defenses to ensure the Alliance's core tasks of collective defense. The article discusses methods and strategies for providing cyber defense in NATO member states and recommends ways to increase the level of protection in the state's cyber space, as part of Ukraineʼs national security and defense domain.


2017 ◽  
Vol 9 (2) ◽  
pp. 231-236 ◽  
Author(s):  
John W. Liang ◽  
Vicki L. Shanker

ABSTRACT Background Approaches for teaching neurology documentation include didactic lectures, workshops, and face-to-face meetings. Few studies have assessed their effectiveness. Objective To improve the quality of neurology resident documentation through payroll simulation. Methods A documentation checklist was created based on Medicaid and Medicare evaluation and management (E/M) guidelines. In the preintervention phase, neurology follow-up clinic charts were reviewed over a 16-week period by evaluators blinded to the notes' authors. Current E/M level, ideal E/M level, and financial loss were calculated by the evaluators. Ideal E/M level was defined as the highest billable level based on the documented problems, alongside a supporting history and examination. We implemented an educational intervention that consisted of a 1-hour didactic lecture, followed by e-mail feedback “paystubs” every 2 weeks detailing the number of patients seen, income generated, income loss, and areas for improvement. Follow-up charts were assessed in a similar fashion over a 16-week postintervention period. Results Ten of 11 residents (91%) participated. Of 214 charts that were reviewed preintervention, 114 (53%) had insufficient documentation to support the ideal E/M level, leading to a financial loss of 24% ($5,800). Inadequate documentation was seen in all 3 components: history (47%), examination (27%), and medical decision making (37%). Underdocumentation did not differ across residency years. Postintervention, underdocumentation was reduced to 14% of 273 visits (P < .001), with a reduction in the financial loss to 6% ($1,880). Conclusions Improved documentation and increased potential reimbursement was attained following a didactic lecture and a 16-week period in which individual, specific feedback to neurology residents was provided.


2018 ◽  
Vol 11 (1) ◽  
pp. 212-215 ◽  
Author(s):  
Yota Sato ◽  
Taku Fujimura ◽  
Yumi Kambayashi ◽  
Akira Hashimoto ◽  
Setsuya Aiba

Bexarotene is a third-generation retinoid X receptor-selective retinoid that is widely used for the early treatment of advanced-stage cutaneous T-cell lymphomas. In this report, we describe a case of successful treatment of advanced primary cutaneous peripheral T-cell lymphoma not otherwise specified (PTCL-NOS) with oral bexarotene monotherapy. After the administration of oral bexarotene at a dose of 300 mg/m2/day, all skin lesions and lymph nodes regressed, and complete remission was achieved for 1 year. Our case suggested that bexarotene monotherapy could be one of the possible therapies for the treatment of primary cutaneous PTCL-NOS.


2020 ◽  
Vol 48 (3) ◽  
pp. E2
Author(s):  
Walter C. Jean ◽  
Trong Huynh ◽  
Tuan A. Pham ◽  
Hung M. Ngo ◽  
Hasan R. Syed ◽  
...  

The current report is the first of its kind in describing the neurosurgical training in modern-day Vietnam. Starting with in-depth face-to-face interviews, followed by electronically distributed questionnaires, a detailed picture of the training systems emerged.Neurosurgical training in Vietnam is multifaceted and dichotomous. The country of nearly 100 million people currently has only one neurosurgery-specific residency program, at the University of Medicine and Pharmacy at Ho Chi Minh City (UMPHCMC). This program lasts for 3 years, and Westerners might recognize many similarities to programs native to their countries. A similar training program exists in the north, at the Hanoi Medical University, but at this institution, trainees focus on neurosurgery only in the final year of their 3-year training. Neurosurgical training that resembles the program in Hanoi permeates the rest of the country, and the goal for all of the programs is to rapidly produce surgeons who can be dispersed throughout the country to treat patients requiring urgent neurosurgical procedures who are medically unsuitable for transfer to large urban centers and multispecialty hospitals. For the privilege of practicing elective neurosurgery, trainees around the country are required to acquire further training in Ho Chi Minh City or Hanoi or during fellowships abroad.A clear description of the neurosurgical training systems in Vietnam is hard to achieve, as there exist many diverse pathways and no standard definition of the endpoint for training. Unification and a clearer certification standard will likely help to elevate the standards of training and the state of neurosurgical practice in Vietnam.


Author(s):  
Ivan Jaya ◽  
Mahyuddin K. M. Nasution

The COVID-19 pandemic that has recently hit various countries including Indonesia has resulted in major changes in various fields, including in the development of the education sector. The teaching and learning process has turned from face-to-face into an online method. However, there are several obstacles experienced by schools that implement an online learning system, one of them was the ability of teachers who do not understand various learning application platforms. In addition, the material provided by the teacher is not maximally acceptable to students because most teachers provide learning material from the pages of textbooks or teacher writings (scans, photos, or presentation files). For this reason, it is necessary to have variations in the provision of teaching materials to students by making interesting and creative learning videos using the Movavi Education Set. With learning videos, students can do lessons at home, repeat it, and can ask the teacher some points from it if they don't understand. By using Movavi Education Set, teachers are also free to be creative in making learning videos that can be shared through commonly used communication applications such as e-mail, WhatsApp, line, google classroom and other applications.


2019 ◽  
Vol 34 (01) ◽  
pp. 1-9
Author(s):  
Isabela Oliveira Lima ◽  
Leonardo De Almeida Monteiro ◽  
Elivania Maria Sousa Nascimento ◽  
Rafaela Paula Melo ◽  
Mara Alice Maciel dos Santos

ACIDENTES COM TRATORES NAS REGIÕES BRASILEIRAS   ISABELA OLIVEIRA LIMA1; LEONARDO DE ALMEIDA MONTEIRO2; ELIVANIA MARIA SOUSA NASCIMENTO3; RAFAELA PAULA MELO4 E MARA ALICE MACIEL DOS SANTOS5   [1] Doutoranda em Engenharia Agrícola, Departamento de Engenharia Agrícola, Bloco 804, s/n – Pici, cep:60455-760, Fortaleza - CE, Brasil. E-mail: [email protected] 2 Professor Doutor, Universidade Federal do Ceará-UFC, Departamento de Engenharia Agrícola, Bloco 804, s/n - Pici, cep:60455-760, Fortaleza - CE, Brasil. E-mail: [email protected] 3Doutoranda em Engenharia Agrícola, Departamento de Engenharia Agrícola, Bloco 804, s/n - Pici, cep:60455-760, Fortaleza - CE, Brasil. E-mail: [email protected] 4Doutora em Engenharia Agrícola, Departamento de Engenharia Agrícola, Bloco 804, s/n - Pici, cep:60455-760, Fortaleza - CE, Brasil. E-mail: [email protected] 5Mestre e Engenharia Agrícola, Departamento de Engenharia Agrícola, Bloco 804, s/n - Pici, cep:60455-760, Fortaleza - CE, Brasil. E-mail: [email protected]   RESUMO: Acidentes de trabalho no meio rural estão se tornando cada dia mais frequentes, e se faz necessário a identificação destes para que se possa implementar medidas preventivas. Em consonância a essa busca o presente trabalho objetivou-se a mapear acidentes com máquinas agrícolas sucedidos no Brasil no período de janeiro de 2013 a maio de 2016, usando técnicas de geoprocessamento para a confecção dos mapas. Os dados foram obtidos a partir de um compilado de informações de acidentes ocorridos no período. Foram desenvolvidos mapas pelo IDW (Inverse Distance Weighted), permitindo a identificação das áreas de maior e menor concentração de acidentes. Os dados analisados foram submetidos a uma verificação da dependência espacial das variáveis, pela análise geoestatística, segundo Yamamoto e Landim (2015). Os resultados demonstram uma maior concentração de acidentes na região Sul do país. As regiões Sul e Norte apresentaram médias de acidentes iguais a do território nacional. A menor média de acidentes foi na região Nordeste (1,2 acidentes/Estado). As regiões Sul, Sudeste, Centro oeste e Nordeste apresentaram como modelo efeito pepita puro (EPP), enquanto que a região Norte apresentou modelo exponencial. O uso de ferramentas de SIG mostrou-se eficiente para o mapeamento dos acidentes com tratores nas regiões brasileiras.   Palavras-chaves: Segurança, Prevenção, Georreferenciamento, Mecanização agrícola.   ACCIDENTS WITH TRACTORS IN THE BRAZILIAN REGIONS   ABSTRACT: Accidents at work in rural areas are becoming more frequent, and their identification is necessary so that preventive measures can be implemented. In line with this search, the present work aimed to map accidents with agricultural machines succeeded in Brazil from January 2013 to May 2016, using geoprocessing techniques to make maps. Data were obtained from a compilation of information on accidents occurring in the period. Maps were developed by IDW (Inverse Distance Weighted), allowing the identification of areas with the highest and lowest concentration of accidents. Os dados analisados foram submetidos a uma verificação da dependência espacial das variáveis, pela análise geoestatística, segundo Yamamoto e Landim (2015). The results show a higher concentration of accidents in the southern region of the country. The South and North regions had accident averages equal to the national territory. The lowest average of accidents was in the Northeast region (1.2 accidents / State). The South, Southeast, Midwest and Northeast regions presented as pure nugget effect (EPP) model, while the North region presented exponential model. The use of GIS tools proved to be efficient for the mapping of tractor accidents in the Brazilian regions.   Keywords: safety, prevention, georeferencing, agricultural mechanization.


Author(s):  
Jonathan Frank ◽  
Janet Toland ◽  
Karen D. Schenk

The impact of cultural diversity on group interactions through technology is an active research area. Current research has found that a student’s culture appears to influence online interactions with teachers and other students (Freedman & Liu, 1996). Students from Asian and Western cultures have different Web-based learning styles (Liang & McQueen, 1999), and Scandinavian students demonstrate a more restrained online presence compared to their more expressive American counterparts (Bannon, 1995). Differences were also found across cultures in online compared to face-to-face discussions (Warschauer, 1996). Student engagement, discourse, and interaction are valued highly in “western” universities. With growing internationalization of western campuses, increasing use of educational technology both on and off campus, and rising distance learning enrollments, intercultural frictions are bound to increase.


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