scholarly journals Analysis of a dream series by the Dream Coding System developed by Ulrich Moser

2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Gabriela Pap ◽  
Fritz Lackinger ◽  
Gerhard Kamp ◽  
Henriette Löffler-Stastka
Keyword(s):  
Affect Regulation ◽  
Empirical Process ◽  
Single Case ◽  
Process Research ◽  
Coding System ◽  
Process Of Change ◽  
Coding Method ◽  
Generation Theory ◽  
Psychoanalytic Interpretation ◽  
Psychic Change

This paper serves psychotherapeutic process research and shows the process of change in a psychodynamic, individual psychological psychotherapy by means of a theory-based content analysis of the dreams reported in this therapy. The analysis of the patient’s dreams is carried out according to the dream coding method by Ulrich Moser and Vera Hortig (2019). The guiding question is about changes in positioning and interactions of the dream elements, how can they be determined and how (within the framework of the underlying dream generation theory) the influence of these changes on the patient’s ability to regulate affect can be assessed. Dream coding according to Moser and Hortig uses only the manifest dream and can be regarded as a research tool that rests, among other things, on psychoanalytic concepts, while at the same time taking into account more recent findings in dream and affect research. Its focus is on the coding of the present dream experience and the transformation of dream elements both within individual dreams and in the course of an entire dream series. It allows, without knowledge of the biographical anamnesis and without using psychoanalytic interpretation methods, to recognize changes in the dream structure and the affect regulation produced by it. The coding system thus also offers the possibility of making comparisons regarding the therapeutic changes achieved and thus (at least potentially) the effectiveness of different treatment methods (cf. Leuzinger-Bohleber, 2008, p. 7 f.). The coding of several dreams, i.e. the manifest dream content as a dream series highlighted the patient’s inner psychic change process: while the safety principle dominated the beginning, involvement increased and the use of the elements was more flexible and the interactions more mixed, to approach the initial dream again towards the end of the dream series. The coding indicates that the patient was able to increase her self-efficacy due to better containment of the emergent (dysfunctional) affects. This coding procedure serves as a promising empirical process assessment for carrying out single case studies.

scholarly journals Recovery from Adolescent Anorexia Nervosa and Associations with Diurnal Patterns of Salivary Stress Hormones: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Andrea Oskis ◽  
Catherine Loveday ◽  
Frank Hucklebridge ◽  
David Wood ◽  
Angela Clow
Keyword(s):  
Anorexia Nervosa ◽  
Hpa Axis ◽  
Affect Regulation ◽  
Emotional Processing ◽  
Single Case ◽  
Stress Hormones ◽  
Affective State ◽  
Central Component ◽  
Adolescent Anorexia Nervosa

In the neurodevelopment of adolescent anorexia nervosa (AN), dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis is proposed to be a central component. Furthermore, a therapeutic milieu focusing on affect regulation can contribute much to treatment, given the emotional processing difficulties associated with this disorder. Studies of HPA axis function following such specialist treatments for adolescent AN, however, are rare. This study describes the diurnal pattern of HPA axis activation, including the cortisol awakening response (CAR), in a 16-year-old female diagnosed with AN both during illness and at clinical recovery following milieu therapy with a focus on affect regulation. Specialised single-case study statistics were used to assess whether the patient's data were significantly different from the healthy “norm” at illness and recovery. During illness, her measure of affective problems was outside of the normal range and cortisol and DHEA secretory profiles were significantly elevated across the diurnal period. However, at recovery both her affective state and HPA axis function became comparable to healthy controls. This case study suggests that salivary markers of HPA axis function can be feasibly incorporated into the clinical regime within a specialist adolescent AN residential service and could be used by clinicians to monitor prognosis and interventions.

Administrative coding methods impact surgical site infection rates

2020 ◽  
Vol 41 (12) ◽  
pp. 1461-1463
Author(s):  
Mohammed A. Alsuhaibani ◽  
Mohammed A. Alzunitan ◽  
Kyle E. Jenn ◽  
Michael B. Edmond ◽  
Angelique M. Dains ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
International Classification Of Diseases ◽  
Site Infection ◽  
Coding System ◽  
Infection Rates ◽  
Coding Method ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
The Impact

AbstractWe performed a retrospective analysis of the impact of using the International Classification of Diseases, Tenth Revision procedure coding system (ICD-10) or current procedural terminology (CPT) codes to calculate surgical site infection (SSI) rates. Denominators and SSI rates vary depending on the coding method used. The coding method used may influence interhospital performance comparisons.

Evaluation of psychic change through the application of empirical and clinical techniques for a 2-year treatment: a single case study

2005 ◽  
Vol 15 (3) ◽  
pp. 199-209 ◽  
Author(s):  
Clara M. López Moreno ◽  
Cristina Schalayeff ◽  
Silvia R. Acosta ◽  
Pía Vernengo ◽  
Andrés J. Roussos ◽  
...  
Keyword(s):  
Single Case ◽  
Single Case Study ◽  
Psychic Change

Process of Change and Effectiveness of Family Constellations: A Mixed Methods Single Case Study on Depression

2019 ◽  
Vol 27 (4) ◽  
pp. 418-428
Author(s):  
Sandra Ramos ◽  
Jorge A. Ramos
Keyword(s):  
Mixed Methods ◽  
Single Case ◽  
Scientific Evidence ◽  
Severe Depression ◽  
The Body ◽  
Single Case Study ◽  
Process Data ◽  
Process Of Change ◽  
Symptoms Of Depression

Aims: To analyze the process of change and the effectiveness of five sessions of family constellations (FC) using mixed methods in mixed settings (videoconference and in person). To obtain variables associated with processes and results. Methods: Using an exploratory design with mixed methods, this single case study used a triangulation of data: quantitative ( Escala de Ansiedade, Depressão e Stresse-21) and qualitative (the notes from the consultations and the patient’s responses to the Psychotherapeutic Process Data Mining Questionnaire [PPDMQ]). Results: The patient’s symptoms of depression went from a level of severe to normal, and the posttest results persisted after a 3-month follow-up. The severe depression seems to have been mitigated through interventions that promoted contact with reality, self-determination, the psychoemotional establishment of systemic places, and through finding meaning in autobiographical events. Conclusions: This article may encourage further studies that use the PPDMQ to create a metasynthesis and to gauge whether the effectiveness of FC, as a systemic, intergenerational, and integrative psychotherapy, could plausibly contribute to enrich the body of scientific evidence–based psychotherapies and mitigate the global escalation of depression.

Single Case Study: Does EMDR Psychotherapy Work on Emotional Eating?

2015 ◽  
Vol 9 (4) ◽  
pp. 188-197 ◽  
Author(s):  
Katrine Halvgaard
Keyword(s):  
Eating Behavior ◽  
Affect Regulation ◽  
Emotional Eating ◽  
Single Case ◽  
Single Case Study ◽  
Childhood Experiences ◽  
Before And After ◽  
Positive Effect

This article presents the methods and results of a single case study treating the effects of “emotional eating” (EE). It provides a comprehensive review of the literature related to obesity and emotional eating; explains childhood experiences, which may contribute to its development; and describes how emotional eating can become a default behavior for affect regulation. The background for the research is the worldwide epidemic of overeating and obesity. The study was designed to examine whether treating the symptoms of EE with selected protocols and methods within eye movement desensitization and reprocessing (EMDR) psychotherapy would have a positive effect, and the participant, a 55-year-old woman, was treated with an adjusted version of the desensitization of triggers and urge reprocessing (DeTUR) protocol, including resource installation, affect management, ego state work, and the standard EMDR protocol. The treatment consisted of 6 weekly meetings, each lasting 1.5 hours, and 2 follow-up meetings after 3 and 6 months. The measures, which were self-reported on a qualitative scale (0–10), included the experienced feeling of control in general (affect regulation) in specific eating behavior before and after the treatment, reduction of urge in triggering situations, number of situations with emotional eating per week, and body image before and after the treatment. The participant experienced an overall positive change in eating behavior, and the treatment could be one of the ways to reduce weight over time and to ensure better results in stabilizing weight after weight loss.

scholarly journals The Clinical Use of Photography: A Single Case, Multimethod Study of the Therapeutic Process

2014 ◽  
Vol 17 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Emanuela Saita ◽  
Carmine Parrella ◽  
Federica Facchin ◽  
Floriana Irtelli
Keyword(s):  
Single Case ◽  
Therapeutic Process ◽  
Clinical Intervention ◽  
Linguistic Analysis ◽  
Referential Activity ◽  
Single Case Study ◽  
Coding System ◽  
Physical Pain ◽  
Psychological Pain

This single case study aimed at evaluating the use of a photographic tech-nique (i.e., Spectro Cards) within an eight-session clinical intervention based on the Brief, Intermittent Psychotherapy model developed by Nicholas Cummings (1990). We hypothesized that the use of photography may increase the patient’s Referential Activity (RA), facilitating the linking process between the nonverbal experience and the verbal code. Linguistic analysis of the discursive production of a 36-year-old female patient was conducted according to two different strategies: Measurement of the RA according to the coding system developed by Wilma Bucci (1997a, 1997b), and textual-linguistic analysis supported by the software T-LAB. Our findings revealed that the use of Spectro Cards during each psychotherapeutic session yielded significant changes in the patient’s language, in terms of greater RA values, richer discursive production, and a switch of language focus from physical pain to psychological pain.

scholarly journals A Novel Composite Coding Method for Incoherent Scatter Radar

Atmosphere ◽  
2021 ◽  
Vol 12 (11) ◽  
pp. 1518
Author(s):  
Haoyi Chen ◽  
Kai Yuan ◽  
Ming Yao ◽  
Jiawei Xiong
Keyword(s):  
Coding System ◽  
Noise Performance ◽  
Detection Range ◽  
Range Resolution ◽  
Incoherent Scatter ◽  
Numerical Tests ◽  
Coding Method ◽  
Incoherent Scatter Radars ◽  
Present Composite ◽  
New Type

Many modern ionospheric studies rely on incoherent scatter radars (ISR) since this kind of radar is able to detect various ionospheric parameters over very long ranges. The performance of ISR significantly depends on its coding system. In recent decades, a new type of coding system, which is the so-called composite coding, was presented. It used to be constructed by using a certain code to modulate alternating code to achieve better detection resolution and anti-noise performance for ISRs. In the present study, a new composite coding system was presented, which is constructed based on complementary codes and alternating codes. In this paper, the performance of the new composite code will be compared with that of several traditional codes to show that the new composite code can help to improve the detection performance of the ISR. According to the analysis based on the ambiguity function, the present composite coding system helps to improve the range resolution and detection range for ISR detections. In addition, numerical tests on anti-noise performance show that the complementary composite coding system has a good anti-noise performance and helps to reduce the necessary times of incoherent integration. As a result, the composite coding system can improve the time resolution.

scholarly journals Facial-affective communication and verbal relational offers during ruptures and resolution strategies: A single case study

2020 ◽  
Vol 13 (3) ◽  
pp. 180-200
Author(s):  
Carolina Altimir Colao ◽  
Nelson Valdés-Sánchez
Keyword(s):  
Therapeutic Relationship ◽  
Single Case ◽  
Negotiation Process ◽  
Therapeutic Change ◽  
Affective Behavior ◽  
Coding System ◽  
Affective Communication ◽  
Regulatory Processes ◽  
Resolution Strategy

Research on the therapeutic relationship has underscored its central role for the therapeutic change process, indicating the relevance of determining the specific elements and mechanisms involved in its configuration (Knobloch-Fedders, Elkin, & Kiesler, 2014). Research on ruptures of the therapeutic relationship has yielded particular contributions to better understanding the interpersonal negotiation process involved in the patient-therapist interaction. Although previous studies have contributed to the objective characterization and the exhaustive description of ruptures, more research is needed to further specify markers that allow a better understanding about how patterns of affective regulation between patient and therapist are involved and contribute to the emergence of these events and the attempts at reparation. The aim of this study is to characterize patient’s and therapist’s facial-affective behavior associated to verbal relational offers (RO) during rupture (R) and resolution strategy (RS) events in a brief psychodynamic therapy. Facial-affective behavior was determined using the Facial Action Coding System (FACS), ROs were derived from the content analysis of session transcripts, and R and RS were determined using the 3RS. Nested analyses were carried to establish associations between variables. Results indicate characteristic patient-therapist facial-verbal regulatory patterns for both rupture and resolution strategy events. These findings underscore the value of combining multiple approaches to allow an access to observable indicators of dyadic affect regulatory processes that can contribute to better understand and be attentive to the oscillations of the therapeutic relationship.

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