scholarly journals Empathy as core to the development of holding and recognition: the case of Garret

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Zelda Gillian Knight
Keyword(s):  
Clinical Case ◽  
The Other ◽  
Theoretical Discussion ◽  
Heinz Kohut ◽  
Empathic Process ◽  
Clinical Cases

Heinz Kohut investigated empathy in psychoanalysis in the mid-1950s and found it to be a powerful way to connect to, and be with, his patients. Since then, relatively few recent clinical cases of empathy have emerged, while theoretical discussion of empathy seems to be the norm. Moreover, empathy has not been linked to the development of holding and recognition. The Winnicottian notion of the holding metaphor, which describes the mother holding her infant, has been controversial but continues to be used in therapy. Revised by relational theorists, holding is now viewed as co-created within the intersubjective space. Few recent clinical cases exist showing how and what holding looks like in therapy. The concept of recognition, also used in therapy, is defined as the ability to recognize and experience the other as a separate other. Clinical cases showing recognition in therapy are few in number. As far as I know, no clinical cases suggest that empathy is necessary before holding and recognition can emerge. In this paper, identifying these clinical case gaps in the literature, I describe a small verbatim section of a session with my patient, Garret, in which I attempt to; i) show the empathic process, thus adding to the scarcity of clinical cases, and, ii) show the experience of holding and recognition as they emerge in this case, and iii) suggest that empathy is a necessary core process to the development of the experience of holding and recognition.

The inconsistencies between conventional and global lab tests in cardiosurgeric patient (a clinical case)

2020 ◽  
Vol 1 (1) ◽  
pp. 68-70
Author(s):  
Eugene Roitman ◽  
◽  
Keyword(s):  
Postoperative Period ◽  
Clinical Case ◽  
Early Postoperative Period ◽  
The Other ◽  
Laboratory Methods ◽  
Hemostatic System

The clinical case demonstrates inconsistencies between the results of thromboelastography and conventional coagulation lab tests at the early postoperative period of patient undergoing cardiosurgery. The analyzing of the revealed discrepancy proves that the opposition of laboratory methods as 'one against the other' for studying the hemostatic system is unacceptable.

scholarly journals Rolling technique for treatment of left displacement of the large colon in horses: 11 cases (2004-2009)

2013 ◽  
Vol 65 (2) ◽  
pp. 329-334 ◽  
Author(s):  
P.A. Canola ◽  
J.C. Lacerda Neto ◽  
J.C. Canola
Keyword(s):  
General Anesthesia ◽  
Clinical Case ◽  
Clinical Manifestations ◽  
The Other ◽  
Safe Procedure ◽  
Emergency Procedures ◽  
Case Selection ◽  
Percutaneous Ultrasonography ◽  
Rectal Palpation

The left displacement of the large colon, a condition that commonly occurs in horses, has two clinical manifestations. Different treatments including medical treatment, rolling the horse under general anesthesia or surgical correction have been recommended. The diagnosis can often be made by rectal examination and confirmed by percutaneous ultrasonography. During the period between 2004 and 2009, 11 horses were treated for left displacement of the large colon by rolling the horses under general anesthesia, using a slightly different technique than the ones previously described. The clinical case selection was based on rectal palpation confirmed with ultrasonogram. Nine animals were successfully treated and two had to be submitted to surgery after three attempts of rolling. No short or long term complications were observed after the procedure. Only one animal had a recurrence of the clinical manifestation 10 months after the first treatment and was successfully rolled once again. Despite a bit different from the other rolling procedures, this also proved to be an effective procedure. Rolling a horse even when attempted more than once showed to be a safe procedure, however, we reinforce the need for special attention following the procedure in order to establish proper emergency procedures in case complications occur.

scholarly journals A CLINICAL CASE OF REMOVING A RESIDUAL FOREIGN BODY FROM THE LEFT SUPRACLAVICULAR REGION

2017 ◽  
Vol 4 (3) ◽  
pp. 120-122
Author(s):  
V.V. Boyko ◽  
V.V. Makarov ◽  
A.L. Sochnieva ◽  
V.V. Kritsak
Keyword(s):  
Surgical Treatment ◽  
Foreign Body ◽  
Soft Tissue ◽  
Clinical Case ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Life Quality ◽  
The Other ◽  
Practical Case ◽  
The One

Boyko V.V., Makarov V.V., Sochnieva A.L., Kritsak V.V.Residual foreign bodies in soft tissues are one of the main causes of chronical infection lesions and decrease in life quality. Surgical treatment is the most common way to relieve the patient from a foreign body. Often there is a question whether to remove a foreign body? On the one hand, all foreign bodies that are in the human body must be removed. On the other hand, in the absence of symptoms, the risk of surgery performed for the purpose of removal exceeds the risk associated with finding the foreign body. We would like to describe a practical case of removing a foreign body (Kirschner`s wires) from the left supraclavicular region. The young patient lived with a fragment of Kirschner's wire left after the osteosynthesis of the fractured clavicle for 5 years. Surgery to remove the residual foreign body was successful. On the 7th postoperative day the patient was discharged from the hospital under the supervision of surgeons at the place of residence.Key words: foreign body in soft tissue, Kirschner`s wire, surgical treatment. КЛІНІЧНИЙ ВИПАДОК ВИДАЛЕННЯ ЗАЛИШКОВ СТОРОННЬОГО ТІЛА З ЛІВОЇ НАДКЛЮЧИЧНОЇ ОБЛАСТІБойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Залишкові чужорідні тіла м'яких тканин залишаються однією з основних причин виникнення вогнища хронічної інфекції та зниження рівня якості життя. Хірургічне лікування основний спосіб позбавити хворого від наявності чужорідного агента. Часто виникає питання чи видаляти чужорідне тіло. З одного боку, усі сторонні тіла, що знаходяться в тілі людини, підлягають видаленню, з іншого боку при відсутності симптомів ризик операції, проводимої з метою видалення, перевищує ризик, пов'язаний з перебуванням чужорідного тіла. Ми хотіли б поділитися випадком видалення залишкового стороннього тіла (спиці Кіршнера) лівої надключичної ділянки із власної практики. Молода пацієнтка прожила з уламком спиці Кіршнера, залишеної після металлоостеосинтезу поламаної ключиці протягом 5 років. Операція з видалення залишкового стороннього тіла пройшла успішно. На 7 післяопераційну добу пацієнтка була виписана зі стаціонару під спостереження хірурги за місцем проживання.Ключові слова: чужорідне тіло м'яких тканин, спиця Кіршнера, хірургічне лікування. кЛИНИЧЕСКИЙ СЛУЧАЙ УДАЛЕНИЯ ОСТАТКОВ ИНОРОДНОГО ТЕЛА ИЗ ЛЕВОЙ ПОДКЛЮЧИЧНОЙ ОБЛАСТИ Бойко В.В., Макаров В.В., Сочнева А.Л.,  Крицак В.В.Остаточные инородные тела мягких тканей остаются одной из основных причин возникновения очага хронической инфекции и снижения уровня качества жизни. Хирургическое лечение основной способ избавить больного от наличия чужеродного агента. Часто возникает вопрос удалять ли инородное тело? С одной стороны, все инородные тела, находящиеся в теле человека, подлежат удалению, с другой стороны при отсутствии симптомов риск операции, производимой с целью удаления, превышает риск, связанный с нахождением инородного тела. Мы хотели бы поделится случаем удаления остаточного инородного тела (спицы Киршнера) левой надключичной области из собственной практики. Молодая пациентка прожила с обломком спицы Киршнера, оставленной после металлоостеосинтеза поломанной ключицы в течении 5 лет. Операция по удалению остаточного инородного тела прошла успешно. На 7 послеоперационные сутки пациентка была выписана из стационара под наблюдение хирурги по месту жительства.Ключевые слова: инородное тело мягких тканей, спица Киршнера, оперативное лечение.

scholarly journals Idiopathic toe walking and heterozygous mutation in the NDGR1 gene: 2 clinical cases

2021 ◽  
Author(s):  
Д. Помарино ◽  
Дж.Р. Трен ◽  
А.А. Емелина
Keyword(s):  
Allele Frequency ◽  
Genetic Test ◽  
Disease Type ◽  
The Other ◽  
Heterozygous Mutation ◽  
Hereditary Neuropathy ◽  
Idiopathic Toe Walking ◽  
Ndrg1 Gene ◽  
Toe Walking ◽  
Clinical Cases

В данной статье приводится описание двух клинических случаев пациенток с ходьбой на носках. В рамках диагностики обеим пациенткам был проведен генетический тест на наследственную сенсомоторную нейропатию, который выявил у одной пациентки мутацию в гене NDRG1 с редким вариантом c.1022G> A; p.arg341His (частота минорного аллеля < 0,01%), у другой пациентки обнаружен гетерогенный вариант c.1053_1082del и NM_001135242.1 p.Thr360_Gly369del. Данные мутации ассоциированы с болезнью Шарко–Мари–Тута (тип 4D), но ни у одной из пациенток клинически не было обнаружено данной наследственной нейропатии, в то же время диагноз идиопатической ходьбы на носках также сомнителен, поскольку в обоих случаях потребовалось достаточно серьезное лечение. Поэтому разумно предположить, что обе пациентки ходят на цыпочках по генетической причине. This article describes two clinical cases of patients with tiptoe walking. As part of the diagnosis, both patients underwent a genetic test for hereditary sensorimotor neuropathy, which revealed in one patient a mutation in the NDRG1 gene with a rare variant c.1022G> A; p.arg341his (minor allele frequency < 0.01%), in the other patient a heterogeneous variant c.1053_1082del and NM_001135242.1 p.thr360_gly369del was detected. These mutations are associated with Charcot–Marie–Toute disease (type 4D), but none of the patients were clinically diagnosed with this hereditary neuropathy, while the diagnosis of idiopathic toe-walking is also doubtful, since in both cases quite serious treatment was required. Therefore, it is reasonable to assume that both patients walk on tiptoe for a genetic reason.

Combined urogenital abnormalities of development and the formation of reproductive health in girls

2021 ◽  
Vol 25 (6) ◽  
pp. 99-105
Author(s):  
Yu. Yu. Chebotareva ◽  
G. M. Letifov ◽  
M. A. Rodina
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Reproductive Health ◽  
Tract Infection ◽  
Clinical Case ◽  
Recurrent Urinary Tract Infection ◽  
Practical Importance ◽  
Type I ◽  
Functional Features ◽  
Clinical Cases

BACKGROUND. Anomalies in the development of the uterus and vagina in some cases are combined with defects of the urinary tract. Therefore, the analysis of clinical situations associated with combined urogenital pathology in girls is of current and practical importance.THE AIM: to assess the state of reproductive health in girls with reproductive anomalies, renal agenesis, and other diseases of the urinary tract.PATIENTS AND METHODS. The study was conducted in 5 adolescent girls, including 3 patients with kidney agenesis, 1 patient with dysmetabolic nephropathy and nephroptosis, and 1 patient with recurrent urinary tract infection. In the analysis of clinical cases, the anatomical and functional features of the reproductive system are presented.RESULTS. The first 3 clinical cases are associated with the presence of kidney agenesis in the girl. In 1 clinical case, the clinic of the Mayer-Rokitansky-Kuester-Hauser syndrome (SMRKH) type II, including aplasia of the uterus and vagina and renal malformation, is presented. In clinical case 2, it was shown that modern transabdominal ultrasound examination of the pelvic organs, similar to MRI, can reveal the Herlin-Werner-Wunderlich syndrome. Agenesis of the kidney is one of the manifestations of trisomy of 22 pairs of chromosomes, which was noted in a patient from 3 clinical cases. 4 clinical cases is associated with the fact that kidney pathology, including nephroptosis, dysmetabolic nephropathy, can be combined with impaired sexual development. In 5 clinical case, type I SMRCC was described in a patient with recurrent urinary tract infection.CONCLUSION. Congenital malformations of the female genital organs are a rare pathology that requires special attention. Due to insufficient data concerning the mechanism of development of malformations of the genitourinary system, this problem requires further detailed study.

scholarly journals Intercultural Training: Learn to avoid treading on other people’s toes or experience walking in the other person’s shoes

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Kristin Rygg
Keyword(s):  
Intercultural Communication ◽  
Traditional Approach ◽  
The Other ◽  
Intercultural Training ◽  
Theoretical Discussion ◽  
Culture Clash ◽  
Interactive Tools ◽  
Case Work ◽  
Insight Into

This article raises the question of whether the traditional approach in intercultural training focusing on knowledge about cultural differences and skills to avoid culture clash is sufficient in order to prepare intercultural communication trainees for dynamic and psychologically demanding multicultural environments. Inspired by the concept of mentalizing in the psycho-therapeutic method called Mentalization-based treatment, training that encourages imaginatively “seeing the other from the inside and oneself from the outside” is suggested as better able to prepare for complex intercultural realities. Tolerance is seen as tolerance for being in the intercultural process as much as tolerance for others’ differences. A theoretical discussion between the notion of mentalizing in mentalization-based treatment and perceptions of empathy, imagination and mindfulness further provides insight into the role of interactive tools such as case work and role plays in intercultural training. These, in turn, are seen as best suited to fulfil the goals and ambitions of the theories. However, experiences gained from them must be verbalized in order to cause increased awareness.

Regional and indigenous identities in the high north: enacting social boundaries

Polar Record ◽  
2012 ◽  
Vol 48 (3) ◽  
pp. 229-235 ◽  
Author(s):  
Sidsel Saugestad
Keyword(s):  
Coming Out ◽  
The State ◽  
The Other ◽  
Social Boundaries ◽  
Cultural Tradition ◽  
Theoretical Discussion ◽  
The North ◽  
Communicative Strategies ◽  
Time And Being ◽  
Definition Of

ABSTRACTThis paper addresses two processes of social and cultural mobilisation. The first example is a regional movement, as manifested in social and cultural expressions of a north Norwegian identity that was particularly marked in the 1970s and early 80s. The other is the Saami movement, coming out strongly at about the same time, and being part of a global process of indigenous mobilisation. It is argued that although they are similar in the way they articulate a sense of identity and belonging in contrast to an overarching and encompassing state, they are different in their stated objectives, in their relation to the state and the type of achievements gained. The north Norwegian regional movement strived for inclusion into a wider national cultural tradition, and integration has been achieved by broadening the definition of what is considered Norwegian culture. The objective of the Saami movement was the opposite: to gain recognition as a people with a distinct culture, different from but equal in value with the Norwegian culture. The article is introduced by a theoretical discussion of the issues involved, framing the analysis of communicative strategies.

scholarly journals How to blame and make a difference: perceived responsibility and policy consequences in two Swedish pro-migrant campaigns

2020 ◽  
Author(s):  
Livia Johannesson ◽  
Noomi Weinryb
Keyword(s):  
Interest Groups ◽  
Institutional Arrangements ◽  
The Other ◽  
Theoretical Discussion ◽  
Empirical Examination ◽  
Rhetorical Strategy ◽  
Blame Attribution ◽  
Time Perspectives ◽  
Policy Sector ◽  
The Relationship

Abstract In this paper, we explore the assumption that blame-attribution can be an effective rhetorical strategy for non-elite interest groups who want power holders to be attentive to their demands. Through a qualitative analysis of two pro-migrant campaigns led by grassroot activists in Sweden, one taking place in 2005 and the other in 2017, we offer a nuanced empirical examination of non-elite initiated blame-games. We show how perceived responsibility influences these blame-games, and explore which policy consequences might emanate from them. We demonstrate that blame-making, under certain conditions, can be a successful strategy to gain policy influence, but that this strategy is conditioned by the complexity and transparency of the institutional arrangements of accountability within the policy sector. The focus on non-elite blame-making in order to change policies enables us to contribute to the theoretical discussion on the relationship between anticipatory and reactive forms of blame-avoidance behaviours, and to discuss the democratic implications of blame-games in both shorter and longer time perspectives. One implication of this study is that successful non-elite blame-making at one point in time actually can lower the chances of successful blame-making in the future.

scholarly journals STUDIES ON BLOOD FACTORS RhA, RhB, AND RhC

1959 ◽  
Vol 110 (4) ◽  
pp. 495-510 ◽  
Author(s):  
Lester J. Unger ◽  
Alexander S. Wiener ◽  
L. Katz
Keyword(s):  
Large Series ◽  
The Other ◽  
Other Hand ◽  
Genetically Determined ◽  
Transfusion Reactions ◽  
Blood Factors ◽  
Clinical Cases

Observations are described of the incidence among Caucasians and Negroes of the blood factors RhA, RhB and RhC which occur associated with the Rh0 factor in typical Rh-positive blood. The antiserums used for the tests were derived from Rh-positive patients who had had hemolytic transfusion reactions or erythroblastotic babies. Among a large series of individuals, it was found that only rarely is any of the blood factors RhA, RhB, or RhC lacking from "standard" Rh0-positive blood. On the other hand, about half of the specimens of Rh0 variant blood lack one or more of the factors RhA, RhB, and RhC, which, when present in such blood, are also almost always variants. Judging from the incidence of specimens lacking one or more of these factors, RhA, RhB, and RhB appear to be relatively independent of one another despite their association with blood factor Rh0. Tests for factors RhA, RhB, and RhC distinguish new rare varieties of Rh and ℜh agglutinogens, each genetically determined by corresponding allelic genes. There is no doubt that more clinical cases will be found in which sensitized Rh-positive individuals have antibodies resembling anti-Rh0 in specificity. Four such cases have already been studied by the present authors, and in each case the antibodies were shown to be different from anti-Rh0 in specificity. Since they were also different from one another, they have been assigned the symbols anti-RhA, anti-RhB, anti-RhC, and anti-RhD, respectively, the first three being the antiserums used in the present study. Obviously, in order to avoid confusion of nomenclature, the specificity of antiserums from other similar cases will have to be compared with anti-RhA, anti-RhB, anti-RhC, and anti-RhD and shown to be different from all four, as well as anti-Rh0, before a distinctive symbol is assigned to them.

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