scholarly journals Infedility a Challenge Facing Tharapists

2021 ◽  
Vol 27 (1) ◽  
pp. 138-143
Author(s):  
Saeedeh Shirdel ◽  
◽  
Jafar Bolhari ◽  
Keyword(s):  
Romantic Relationship ◽  
Integrated Treatment ◽  
Good Effect ◽  
Accurate Information ◽  
Sexual Infidelity ◽  
Post Traumatic Stress ◽  
Internet Infidelity ◽  
Individual Personality ◽  
Acceptance And Commitment ◽  
Marital Infidelity

It seems vital to address the problem of extramarital relationships or marital infidelity, which is a traumatic issue for families and spouses and a common issue in counseling and treatment for mental health therapists. This social problem is also very common, however, due to its crucial and personal aspect, accurate information about its prevalence is not available in Iran. Infidelity refers to any concealment of a spouse about an extramarital affair. In fact, secrecy is an important part of an illegitimate and romantic relationship. Types of infidelity include sexual, emotional, and virtual (Internet) infidelity. Men react more strongly to sexual infidelity and women to emotional infidelity. An important point to note is that dissatisfaction with marriage can lead to infidelity, but a successful marriage is no guarantee that it will not happen. Despite its prevalence, not much research has been done in this area. In a US study, integrative intervention therapy was used for couples with such problem and it was found that this integrated treatment model had a good effect on the symptoms of Post-Traumatic Stress Disorder (PTSD). Some tudies have been conducted in Iran despite the sensitivity of the issue. In a systematic review conducted in Mashhad to investigate the causes of infidelity in married women, four causes of individual-personality, cultural-social, family-educational, and religious-belief were more effective than other causes. In another study, Acceptance and Commitment Therapy (ACT) was performed in Tehran to reduce anxiety and depression among women with extramarital affairs and it was observed that this treatment clearly reduces the mentioned symptoms.

The Effectiveness of Group Acceptance and Commitment Therapy and Cognitive Therapy on Alexithymia and Marital Boredom, Case study: Women Affected by Marital Infidelity in Mashhad, Iran

2022 ◽  
Author(s):  
Maryam Sadeghi ◽  
Naeimeh Moheb ◽  
Marziyeh Alivandi Vafa
Keyword(s):  
Cognitive Therapy ◽  
Analysis Of Covariance ◽  
Control Group ◽  
Double Blind Study ◽  
University Counseling Center ◽  
Double Blind ◽  
University Counseling ◽  
Acceptance And Commitment ◽  
Marital Infidelity ◽  
The Mean

Introduction: The aim of current paper was to compare the effectiveness of acceptance and commitment group therapy (ACT) and group cognitive therapy (GCT) on Alexithymia and marital boredom (MB) among women affected by marital infidelity in Mashhad. Method: This clinical trial was a double- blind study with a pretest-posttest design in which two intervention groups and one control group were investigated. The study performed on women who realized their spouse infidelity and referred to Azad University Counseling Center in Mashhad in 2018. The sample consisted of 30 women who were selected by purposive sampling and were randomly assigned to two intervention groups and a control group (n=10 per group). The intervention groups were put under ACT training (twelve 90-minute sessions) and GCT training (twelve 90-minute sessions), but the control group did not receive any intervention. Data was obtained by the Toronto Alexithymia Scale-20 and Pines Marital Boredom Scale and was analyzed by multivariate analysis of covariance with SPSS (version 22) software. Results: The results showed a significant reduction in the mean score of MB in the ACT group, also there was a significant reduction in the mean score of Alexithymia in the GCT group (P <0.05). So comparing both therapies, ACT was more influential on reducing marital boredom whereas GCT was more effective on reducing alexithymia. Conclusion: Although both intervention methods were effective on Alexithymia and Marital Boredom in women affected by marital infidelity, it was demonstrated that ACT and GCT have more effect on Marital Boredom and Alexithymia, respectively.

scholarly journals Randomised controlled trial of integrated trauma-focused psychotherapy for traumatic stress and substance use among adolescents: trial protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e043742
Author(s):  
Katherine L Mills ◽  
Emma Barrett ◽  
Sudie E Back ◽  
Vanessa E Cobham ◽  
Sarah Bendall ◽  
...  
Keyword(s):  
Substance Use ◽  
Randomised Controlled Trial ◽  
Traumatic Stress ◽  
Prolonged Exposure ◽  
Controlled Trial ◽  
Integrated Treatment ◽  
Post Traumatic Stress ◽  
Behavioural Treatment ◽  
Randomised Controlled

IntroductionPost-traumatic stress disorder (PTSD) and substance use disorder frequently co-occur and tend to have their onset during adolescence. Although research has highlighted the importance of treating these disorders in an integrated fashion, there is a dearth of empirically validated integrated treatment options for adolescents with this comorbidity. This paper describes the study protocol for a randomised controlled trial (RCT) examining the efficacy of an integrated trauma-focused cognitive–behavioural treatment for traumatic stress and substance use among adolescents (Concurrent Treatment of PTSD and Substance Use Using Prolonged Exposure - Adolescent (COPE-A)), relative to a supportive counselling control condition (Person-Centred Therapy (PCT)).Methods and analysisA two-arm, parallel, single-blind RCT with blinded follow-up at 4 and 12 months poststudy entry will be conducted in Sydney, Australia. Participants (n~100 adolescents aged 12–18 years) and their caregivers (caregiver participation is optional) will be allocated to undergo either COPE-A or PCT (allocation ratio 1:1) using minimisation. Both therapies will be delivered individually by project psychologists over a maximum of 16 sessions of 60–90 min duration and will include provision of up to four 30 min optional caregiver sessions. The primary outcome will be between-group differences in change in the severity of PTSD symptoms from baseline to 4-month follow-up, as measured by the Clinician-Administered PTSD Scale for Children and Adolescents for DSM-5.Ethics and disseminationEthical approval has been obtained from the human research ethics committees of the Sydney Children’s Hospital Network (HREC/17/SCHN/306) and the University of Sydney (HREC 2018/863). Findings will be published in peer-reviewed journals and presented at scientific conferences.Trial registration numberACTRN12618000785202; Pre-reults.Protocol versionVersion 1, 31 July 2017.

Psychopathology in refugees subjected to the Dublin Regulation: an Italian study

CNS Spectrums ◽  
2020 ◽  
pp. 1-7
Author(s):  
Emanuele Caroppo ◽  
Pierluigi Lanzotti ◽  
Luigi Janiri
Keyword(s):  
Asylum Seekers ◽  
Integrated Treatment ◽  
Post Traumatic Stress ◽  
Emotional Context ◽  
The Status ◽  
Dublin Regulation ◽  
Post Traumatic ◽  
Dissociative Subtype ◽  
Refugees And Asylum Seekers ◽  
The Eu

Abstract Background. Literature shows that migrants—a generic definition for persons who leave their own country of origin—have increased psychopathological vulnerability. Between 2014 and 2017, 976 963 non-European Union (non-EU) people arrived in Italy, of which 30% for humanitarian reasons. This study is aimed at a better understanding of the experience of asylum seekers who transferred to Italy were subjected to the EU Dublin Regulation and most of them suspended in their asylum application. Methods. We elaborate a descriptive study based on a population of refugees and asylum seekers who have suffered from social and personal migratory stressful factors. Clinical data was collected between 2011 and 2013 at the “A. Gemelli” General Hospital IRCCS, Rome, Italy. Minors, elderly people, and patients who are unable to declare a voluntary consensus and economic migrants were excluded from the study. Candidates for the status of refugee or asylum seekers were included. Results. The sample consisted of 180 asylum seekers aged 25.52 ± 5.6 years. Most frequently diagnosis was post-traumatic stress disorder (PTSD) (53%), subthreshold PTSD was reported in 22% of subjects. We found phenomenological patterns highly representative of PTSD of the dissociative subtype. Around 20% of the sample suffered from psychotic symptomatology. Conclusions. Loss of the migratory project and the alienation mediated by chronic social defeat paradigm may trigger a psychopathological condition described by the failure to cope with the negative emotional context of social exclusion and solitude. A common and integrated treatment project is needed, with the scope of reintegrating the migrant’s personal and narrative identity.

scholarly journals A Spectrum of Selves Reinforced in Multilevel Coherence: A Contextual Behavioural Response to the Challenges of Psychedelic-Assisted Therapy Development

2021 ◽  
Vol 12 ◽  
Author(s):  
Henry J. Whitfield
Keyword(s):  
Psychological Flexibility ◽  
The United States ◽  
Practical Implementation ◽  
Post Traumatic Stress ◽  
Behavioural Science ◽  
Traumatic Memories ◽  
Treatment Benefits ◽  
Acceptance And Commitment ◽  
Multiple Challenges ◽  
Science Framework

Psychedelic-assisted therapy research for depression and PTSD has been fast tracked in the United States with the Food and Drugs Administration (FDA) granting breakthrough designations for MDMA (post-traumatic stress disorder) and psilocybin (major depressive disorder). The psychotherapeutic treatments accompanying these psychedelics have not been well-studied and remain controversial. This article reviews the challenges unique to psychedelic-assisted therapy and introduces a newly optimised psychological flexibility model that adapts Contextual Behavioural Science (CBS)/Acceptance and Commitment Therapy (ACT) to those multiple challenges, including ego inflation, traumatic memories, and the perceived presence of entities. A methodology aligned with biological mechanisms, psychological processes and therapeutic contexts may be advantageous for improving outcomes. This model expands ACT by integrating practises and data from psychedelic-assisted therapy research into a Contextual Behavioural Science framework, allowing both fields to inform each other. Psychological flexibility processes are questioned and adapted to a psychedelic context, and interventions that operationalise these processes are considered. The principle through-line of the paper is to consider varied constructs of Self, as understood by these fields, and integrates respective elements of varied self-models, interventions and data into a Spectrum of Selves model for psychedelic-assisted therapy. Secondly the paper examines how to select and retain new self-perspectives and their corresponding behaviours systemically, drawing from evolutionary science principles. A case example of such behavioural reinforcement is provided, as well as a psychedelic integration checklist to guide the practical implementation of such an approach. This method can enable a coherent therapeutic framework with clear operational relationships between (1) problematic behaviour patterns that an individual wishes to address (2) the guided psychedelic experiences of that individual, and (3) the barriers to maintaining any changes, thus increasing theoretical-practical coherence, broadening treatment benefits and reducing relapse in psychedelic-assisted therapy. Research questions for further developing a CBS-consistent psychedelic-assisted therapy are offered.

Design of a Temporary Ground Wire Monitoring System and Reliability Research

2014 ◽  
Vol 599-601 ◽  
pp. 878-881
Author(s):  
Ying Hui Kong ◽  
Xiang Yuan Fu ◽  
Zhi Xiong Chen
Keyword(s):  
Monitoring System ◽  
High Reliability ◽  
Good Effect ◽  
Information Collection ◽  
Accurate Information ◽  
Network Congestion ◽  
The Status ◽  
Comprehensive Test ◽  
Communication Reliability ◽  
Job Site

Considering the current situation that ground wire is short of automated management, a temporary ground wire monitoring system is designed in this paper. In this system, RC 522 RFID reader chip is used to achieve reliable information collection of the state of ground wire and ZigBee chip CC2530 is used to achieve accurate information transmission. A comprehensive test is conducted. Against the interference, obstacles blocking and network congestion issues in a substation, proposes to increase routing nodes, adjust letter spacing, etc. to improve communication reliability. The system can achieve real-time monitoring of the status of temporary ground wire in a substation job site,with high reliability and good effect,which is worth being extended.

scholarly journals The Effectiveness of Pattern of Quranic - Narration of Hope Therapy with Integrated Monotheistic Treatment Approach on Life Expectancy in Students of Shahid Sadoughi University of Medical of Yazd

2021 ◽  
Author(s):  
Ali Hakimzadeh Ardekani ◽  
Mohammad Hossein Fallah ◽  
Saeed Vaziri ◽  
Abolghasem Asi Mozneb
Keyword(s):  
Life Expectancy ◽  
Group Counseling ◽  
Treatment Approach ◽  
Integrated Treatment ◽  
Good Effect ◽  
Positive Thinking ◽  
Medical Sciences ◽  
Narrative Model ◽  
Hope Therapy ◽  
Experimental Group

Introduction:  Recently, positive thinking and having a hopeful outlook on life have been considered as one of the most effective treatments for mental illness, especially hopelessness and depression among Western psychologists and humanities scientists. In this regard, monotheistic integrated treatment showed a good effect. The aim of this study was to investigate the effectiveness of the Quranic-narrative model of hope therapy with the approach of integrated monotheistic treatment on the life expectancy of students of Shahid Sadoughi University of Medical Sciences in Yazd. Method: In this quasi-experimental study,  a sample of 30 people was selected from all students of Shahid Sadoughi University of Medical Sciences in Yazd by convenience sampling. The participants were divided into two groups randomly (each group had 15 members). The group-counseling course was conducted in 5 sessions for the experimental group. To collect the data, Islamic Hope Scale of the Khalilian Shalamzari, Jandaghi, and Pasandideh (2013) was used. Data were analyzed using multivariate covariance test. Results: The Quranic-narrative model of hope therapy using the integrated monotheistic treatment approach (in the form of group counseling) can be an effective treatment method on the life expectancy of students of Shahid Sadoughi University of Medical Sciences in Yazd. Conclusion: The effect size coefficient showed that 89% of the difference between the experimental and control groups was related to the experimental intervention (P <0.000). The value of F indicated that the dimensions of life expectancy (purpose, effort, means, support, barriers to hope, relationship between person and support, and solution) increased in the experimental group  at the significant level of α=0.05.

scholarly journals The Economic Burden of PTSD. A brief review of salient literature

2019 ◽  
pp. 20-26
Author(s):  
Iain W. McGowan
Keyword(s):  
Economic Impact ◽  
Economic Burden ◽  
Negative Impact ◽  
Civil Conflict ◽  
Psychological Trauma ◽  
Healthcare Research ◽  
Accurate Information ◽  
Post Traumatic Stress ◽  
Economic Burden Of Disease ◽  
Policy Makers

The Economic Burden of PTSD. A brief review of salient literature Studies examine the economic burden of disease can be used to help policy makers set priorities for healthcare research and service provision [1]. These study types seek to quantify the economic impact of disease regardless of its origin or presentation. As such, policy makers are afforded the information allowing them to make decisions across and within therapeutic fields. Health economics deals with the scarcity of resources. Having accurate information about the economic cost of an illness helps policy makers prioritize, eventually leading to the allocation of healthcare resources [2]. Classified as an anxiety disorder, Post- Traumatic Stress Disorder (PTSD) is a condition that can have a significant negative impact on a person’s life [3]. The symptoms of PTSD include flashbacks, intrusive thoughts and nightmares, rumination and avoidance of areas or circumstances (WHO 2017). Figure 1 shows the ICD-10 (WHO 1992) diagnostic criteria for PTSD. Psychological trauma is associated with a number of mental health issues including schizophrenia [4], eating disorders [5] and addictions [6]. In recent years a link between PTSD and physical illnesses such as Type II diabetes [7], cardio-vascular disease [8], certain cancers [9] and fibromyalgia [10] has been noted in the literature. General population studies estimated a prevalence rate of PTSD of 3.6% (WHO 2013). The lifetime prevalence of PTSD in Vietnam War veterans was 16.9% [11] and a study of Canadian service veterans of the Iran war showed a prevalence of 12.9% [12]. UK service personnel returning from Iraq and Afghanistan report PTSD in 4% of cases [13]. In counties that have experienced civil conflict, the rates of PTSD are reported as 8.8% [14]. Given the wide-ranging impact then of PTSD, it is appropriate to examine the economic impact that PTSD has.

scholarly journals Romance Scams: Romantic Imagery and Transcranial Direct Current Stimulation

2021 ◽  
Vol 12 ◽  
Author(s):  
Jie-Yu Chuang
Keyword(s):  
Direct Current ◽  
Transcranial Direct Current Stimulation ◽  
Romantic Relationship ◽  
Real Life ◽  
Post Traumatic Stress ◽  
Direct Current Stimulation ◽  
Promising Treatment ◽  
Post Traumatic ◽  
Visual Network ◽  
The Ideal

Love has an enormous effect on mental health. One does not need an actual romantic relationship to be in love. Indeed, romantic love can be built upon without frequent or real-life encounters, such as with a stranger from a matching website. With the advancement of the Internet and the influence of coronavirus disease, it is believed that these distant romantic relationships and related romance scams are burgeoning. Often, the victims of scams keep emotionally attached to the scammer even after the lie is revealed, which is hypothesized to be attributed to the aberrantly exaggerated romantic imagery of the victims. It is observed that many victims suffer from symptoms similar to a post-traumatic stress disorder, and some even consider suicide. However, there is scant literature on this topic. In this article, it is further postulated that the aberrant romantic imagery might be associated with impulsive acts such as suicide once the ideal but fake romantic relationship is dissolved. Thereafter, it is further speculated that manipulation of the visual network, possibly by transcranial direct current stimulation (tDCS), might be a promising treatment.

scholarly journals Military veterans with and without post-traumatic stress disorder: results from a chronic pain management programme

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Jannie Van Der Merwe ◽  
Suzanne Brook ◽  
Claire Fear ◽  
Maxwell J. Benjamin ◽  
Gerald Libby ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pain Management ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Military Veterans ◽  
Integrated Treatment ◽  
Management Programme ◽  
Post Traumatic Stress ◽  
Post Traumatic

AbstractBackground and aimsThere is very little published evaluation of the treatment of military veterans with chronic pain, with or without post-traumatic stress disorder. Few clinical services offer integrated treatment for veterans with chronic pain and PTSD. Such veterans experience difficulty in accessing treatment for either condition: services may consider each condition as a contraindication to treatment of the other. Veterans are therefore often passed from one specialist service to another without adequate treatment. The veteran pain management programme (PMP) in the UK was established to meet the needs of veterans suffering from chronic pain with or without PTSD; this is the first evaluation.MethodsThe PMP was advertised online via veteran charities. Veterans self-referred with accompanying information from General Practitioners. Veterans were then invited for an inter-disciplinary assessment and if appropriate invited onto the next PMP. Exclusion criteria included; current severe PTSD, severe depression with active suicidal ideation, moderate to severe personality disorder, or who were unable to self-care in the accommodation available. Treatment was by a team of experienced pain management clinicians: clinical psychologist, physiotherapist, nurse, medical consultant and psychiatrist. The PMP was delivered over 10 days: five residential days then five single days over the subsequent 6 months. The PMP combines cognitive behavioural treatment, which has the strongest evidence base, with more recent developments from mindfulness-based CBT for pain and compassion-focused therapy. Standard pain management strategies were adapted to meet the specific needs of the population, recognising the tendency to use demanding activity to manage post-traumatic stress symptoms. Domains of outcome were pain, mood, function, confidence and changes in medication use.ResultsOne hundred and sixty four military veterans started treatment in 19 programmes, and 158 completed. Results from those with high and low PTSD were compared; overall improvements in all domains were statistically significant: mood, self-efficacy and confidence, and those with PTSD showed a reduction (4.3/24 points on the IES-6). At the end of the programme the data showed that 17% reduced opioid medication and 25% stopped all opioid use.ConclusionsVeterans made clinically and statistically significant improvements, including those with co-existing PTSD, who also reduced their symptom level. This serves to demonstrate the feasibility of treating veterans with both chronic pain and PTSD using a PMP model of care.ImplicationsMilitary veterans experiencing both chronic pain and PTSD can be treated in a PMP adapted for their specific needs by an experienced clinical team.

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