Group Psychotherapy in Private Practice

1970 ◽  
Vol 4 (1) ◽  
pp. 43-48 ◽  
Author(s):  
George L. Christie
Keyword(s):  
Clinical Practice ◽  
Group Psychotherapy ◽  
Patient Selection ◽  
Private Practice ◽  
Group Leader ◽  
Developmental History ◽  
Individual Form ◽  
Organization And Management ◽  
History Of ◽  
The Individual

Some tentative conclusions about the organization and management of relatively closed psychotherapeutic groups are illustrated by examples culled from private clinical practice. After reviewing the rationale of group psychotherapy and its advantages over the individual form, the paper deals mainly with patient selection, the developmental history of the group and group leader technique.

An Existentialist Approach To Rehabilitation Counseling

1985 ◽  
Vol 16 (4) ◽  
pp. 36-40
Author(s):  
Susanne M. Bruyere
Keyword(s):  
Psychological Health ◽  
Rehabilitation Counseling ◽  
Developmental History ◽  
Basic Assumptions ◽  
Client Change ◽  
Individual Perception ◽  
History Of ◽  
The Individual ◽  
Key Terms ◽  
Counseling Approach

This paper provides an overview of existentialism, as applied to the practice of vocational rehabilitation counseling. The key terms and concepts, historical evolution of existentialism as a philosophy and a form of psychotherapy, and its parallel with rehabilitation, are presented. Application of existentialism as a counseling approach which can be used in working with individuals with disabilities is summarized for: its basic assumptions, relevance of developmental history of the individual, perception of psychological health, criteria for client change, intervention techniques, and client-counselor relationship. Research needed to heighten the utility of this approach to rehabilitation, and the importance of integrating this approach into rehabilitation counseling in the 1980s, is discussed.

scholarly journals Development and Validation of a Nomogram to Predict the Individual Future Stroke Risk for Adult Patients With Moyamoya Disease: A Multicenter Retrospective Cohort Study in China

2021 ◽  
Vol 12 ◽  
Author(s):  
Fei Ye ◽  
Tianzhu Wang ◽  
Haoyuan Yin ◽  
Jiaoxing Li ◽  
Haiyan Li ◽  
...  
Keyword(s):  
Risk Factors ◽  
Clinical Practice ◽  
Moyamoya Disease ◽  
Stroke Risk ◽  
External Validation ◽  
Roc Curves ◽  
Individual Risk ◽  
Kaplan Meier ◽  
History Of ◽  
The Individual

Background: Studies exploring the predictive performance of major risk factors associated with future stroke events are insufficient, and a useful tool to predict individual risk is not available. Therefore, personalized advice for preventing future stroke in patients with moyamoya disease (MMD) cannot provide evidence-based recommendations. The aim of this study was to develop a novel nomogram with reliable validity to predict the individual risk of future stroke for adult MMD patients.Methods: This study included 450 patients from seven medical centers between January 2013 and December 2018. Follow-ups were performed via clinical visits and/or telephone interviews from initial discharge to December 2019. The cohort was randomly assigned to a training set (2/3, n = 300) for nomogram development and a test set (1/3, n = 150) for external validation. The Kaplan-Meier analyses and receiver operating characteristic (ROC) curves were applied to assess the clinical benefits of this nomogram.Results: Diabetes mellitus, a family history of MMD, a past history of stroke or transient ischemic attack, clinical manifestation, and treatment were identified as major risk factors via the least absolute shrinkage and selection operator (LASSO) method. A nomogram including these predictors was established via a multivariate Cox regression model, which displayed excellent discrimination [Harrell's concordance index (C-index), 0.85; 95% confidence interval (CI): 0.75–0.96] and calibration. In the external validation, the nomogram was found to have good discrimination (C-index, 0.81; 95% CI: 0.68–0.94) and calibration. In the subgroup analysis, this predictive nomogram also showed great performance in both ischemic-type (C-index, 0.90; 95% CI: 0.77–1.00) and hemorrhagic-type MMD (C-index, 0.72; 95% CI: 0.61–0.83). Furthermore, the nomogram was shown to have potential in clinical practice through Kaplan-Meier analyses and ROC curves.Conclusions: We developed a novel nomogram incorporating several clinical characteristics with relatively good accuracy, which may have considerable potential for evaluating individual future stroke risk and providing useful management recommendations for adult patients with MMD in clinical practice.

THE AMERICAN ACADEMY OF PEDIATRICS—ITS GROWTH AND DEVELOPMENT

PEDIATRICS ◽  
1948 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
LEE FORREST HILL
Keyword(s):  
American Medical Association ◽  
Medical Association ◽  
American Medical ◽  
Detailed Examination ◽  
Developmental History ◽  
The Past ◽  
American Academy Of Pediatrics ◽  
History Of ◽  
The Many ◽  
The Individual

Next month—January 1948—the first issue of the Academy's new journal, Pediatrics makes its appearance. In a way this marks a milestone in the developmental history of our organization. It seems appropriate that on this occasion we should pause for a quick look back over our record of the past sixteen years, and for a somewhat more detailed examination of the expanded program of activities in which we are now engaged. We may well ask ourselves to what extent the Academy has succeeded in carrying out the purposes which our founders had in mind. Also, it seems pertinent to inquire how effectively and how completely we are utilizing the individual and collective potentialities contained within our organization to find solutions for the many troublesome problems now existent in the socio-economic phases of medical practice. According to our historian, Dr. Marshall Pease, the Academy was conceived sometime in 1922, although its actual birth did not occur until some eight years later. It is a matter of history that at a meeting of the American Medical Association in 1922 the Section on Pediatrics passed a resolution favoring the Sheppard-Towner Act. On the same day the House of Delegates of the American Medical Association passed a resolution condemning the Act and later on passed another resolution that Sections of the American Medical Association should confine their activities to the scientihc aspects of medicine and leave matters of policy to the House of Delegates. From then on there was agitation for an independent and national

The Language of Medicine

2021 ◽  
Author(s):  
Abraham Fuks
Keyword(s):  
Clinical Practice ◽  
Medical Students ◽  
History Of Medicine ◽  
Clinical Care ◽  
Collateral Damage ◽  
Medical Educator ◽  
Friendly Fire ◽  
Practice Of Medicine ◽  
History Of ◽  
The Individual

The words that physicians use with patients have the power to heal or harm. The practice of medicine is shaped by the potent metaphors that are prevalent in clinical care, and military metaphors and the words of war bring with them unfortunate consequences for patients and physicians alike. Physicians who fight disease turn the patient into a passive battlefield. Patients are encouraged to remain stoic, blamed for “failing” chemotherapy and sadly remembered in heroic obituaries of lost battles. The search for disease as enemy shifts the doctor’s gaze to the computer and imaging technologies that render the patient transparent, unseen and unheard. Modern treatments save lives but patients can be the victims of collateral damage and friendly fire. In The Language of Medicine, Abraham Fuks, physician, medical educator and former Dean of Medicine, shows us how words are potent drugs that must be tailored to the individual patient and applied in carefully chosen and measured doses to offer benefits and avoid toxicity. The book shines a light on our culture that deprecates the skill of listening that is, paradoxically, the attribute that patients most desire of their doctors. Societal metronomes beat rapidly and compress clinic visits into stroboscopic encounters that leave patients puzzled, fearful and uncertain. Building on research about physicians in practice, the experiences of patients, stories of medical students as well as the history of medicine, Dr. Fuks promotes an ideal of clinical practice that is achieved by humble physicians who provide time and space for listening, select words with care, and choose metaphors that engender healing.

Investigating the Relationship Between Self-Esteem and Stigma Among Young Adults With History of Suicide Attempts

Crisis ◽  
2016 ◽  
Vol 37 (4) ◽  
pp. 265-270 ◽  
Author(s):  
Meshan Lehmann ◽  
Matthew R. Hilimire ◽  
Lawrence H. Yang ◽  
Bruce G. Link ◽  
Jordan E. DeVylder
Keyword(s):  
Young Adults ◽  
Suicide Attempts ◽  
Self Esteem ◽  
High Risk Population ◽  
High Functioning ◽  
People With Mental Illness ◽  
History Of ◽  
The Individual ◽  
The Impact ◽  
The Relationship

Abstract. Background: Self-esteem is a major contributor to risk for repeated suicide attempts. Prior research has shown that awareness of stigma is associated with reduced self-esteem among people with mental illness. No prior studies have examined the association between self-esteem and stereotype awareness among individuals with past suicide attempts. Aims: To understand the relationship between stereotype awareness and self-esteem among young adults who have and have not attempted suicide. Method: Computerized surveys were administered to college students (N = 637). Linear regression analyses were used to test associations between self-esteem and stereotype awareness, attempt history, and their interaction. Results: There was a significant stereotype awareness by attempt interaction (β = –.74, p = .006) in the regression analysis. The interaction was explained by a stronger negative association between stereotype awareness and self-esteem among individuals with past suicide attempts (β = –.50, p = .013) compared with those without attempts (β = –.09, p = .037). Conclusion: Stigma is associated with lower self-esteem within this high-functioning sample of young adults with histories of suicide attempts. Alleviating the impact of stigma at the individual (clinical) or community (public health) levels may improve self-esteem among this high-risk population, which could potentially influence subsequent suicide risk.

The rise and fall of PET and PET/CT

2005 ◽  
Vol 44 (S 01) ◽  
pp. S58-S60 ◽  
Author(s):  
W. Mohnike
Keyword(s):  
Clinical Practice ◽  
General Hospital ◽  
Private Practice ◽  
Ct Imaging ◽  
Hospital Environment ◽  
Governmental Organizations ◽  
Pet Ct

Summary:PET is being considered a diagnostic commodity in clinical practice worldwide and thus receives increasing attention by health insurances and governmental organizations. In Germany, however, neither PET nor PET/CT are subject to reimbursement. This renders clinical PET and PET/CT imaging a challenge both in a general hospital environment and in private practice. This article describes briefly these challenges, which are not solely related to turf battles and associated costs.

ПАТОЛОГИЯ ЛИЧНОСТИ В ТЕОРЕТИЧЕСКИХ ПОСТРОЕНИЯХ ПРЕДСТАВИТЕЛЕЙ ОТЕЧЕСТВЕННОЙ МЕТАФИЗИЧЕСКОЙ ТРАДИЦИИ В ПСИХОЛОГИИ

1970 ◽  
Vol 7 (1) ◽  
pp. 208-215
Author(s):  
Александр Бреусенко-Кузнецов
Keyword(s):  
Clinical Practice ◽  
Subject Matter ◽  
Clinical Psychology ◽  
History Of Psychology ◽  
History Of ◽  
Metaphysical Tradition ◽  
The Given

Статья посвящена проблеме восстановления искусственно прерванной метафизической традиции в отечественной персонологии. Данная проблема принадлежит областям истории психологии и психологии личности, но имеет выходы и в предметные области многих других психологических наук, в частности – клинической психологии. Указана важность соотнесения персонологических концептуализаций учёных-метафизиков с клинической практикой в процессе их опытной верификации. Проведена реконструкция и анализ взглядов на психопатологию и психотерапию представителей метафизической традиции в отечественной психологии личности. Согласно данным взглядам, суть патологии личности – в её уклонении от своего назначения, от подлинного бытия ради неподлинных, онтологически неоправданных форм жизнедеятельности. The article is devoted to the problem of restoration of artificialy interrupted metaphysical tradition in domestic personology. The given problem belongs to the areas of history of psychology and psychology of personality, but provides outcomes in subject matter of many other psychological sciences, in clinical psychology in particular. Importance of correlation between personological conceptualizations of scientists-metaphysicists and clinical practice in the process of their skilled verification is pointed out. The reconstruction and analysis of views at psychopathology and psychotherapy by representatives of metaphysical tradition in domestic psychology of personality have been made. According to the mentioned views, the essence of pathology of personality is in its evasion from the purpose, from original life for the sake of not original, ontologically unjustified forms of ability to live.

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