scholarly journals ON PSYCHOTHERAPEUTIC TREATMENT OF PHYSICAL TRAUMA CONSEQUENCES IN GESTALT APPROACH PERSPECTIVE. AUTHOR'S METHOD OF MICRO-MOTION REACTIONS RESTORATION (MRR)

2021 ◽  
Author(s):  
Е. Петрова
Keyword(s):  
Gestalt Therapy ◽  
Physical Injury ◽  
Psychological Consequences ◽  
Life Situation ◽  
Psychotherapeutic Treatment ◽  
Medical Specialists ◽  
Physical Trauma ◽  
Micro Motion ◽  
Restoration Method ◽  
Clinical Cases

Физическая травма и лечение ее последствий в основном находится в сфере задач специалистов-медиков. Но вряд ли мы можем себе представить, что какое-либо физическое воздействие может привести только к телесному повреждению. Фактически, человек сталкивается с рядом психологических последствий, начиная ограничениями, вызванными болью, заканчивая тонкими изменениями в жизненной ситуации и отношениях. Таким образом, можно считать, что пациенты с последствиями физических травм могут успешно получать помощь и у психологов. В статье предлагается и описывается метод восстановления микродвигательных реакций (ВМР). Этот метод основан на принципе дифференциации микродвигательных реакций. В нашем подходе мы используем концепцию «незавершенных дел», происходящую из гештальт-терапии. Метод ВМР позволяет развивать различные разнонаправленные и противоречивые импульсы и реакции, которые были временно остановлены в эпизоде перенесенной физической травмы. Такой вид работы дает каждому незавершенному двигательному импульсу, рожденному во время травмы, полностью развиться. В результате восстанавливается вера в спонтанность движений и увеличивается резилентность пациента. Также в статье представлены три клинических случая, демонстрирующих возможности использования метода ВМР в психотерапевтической работе. Physical trauma and treatment of its consequences basically lies in the domain of medical specialists. But we would hardly imagine that some physical injury may result in bodily impairment only. As a matter of fact, one encounters with a number of psychological consequences from restriction caused by pain to subtle changes in life situation and relationships. Thus, we can consider that patients with physical trauma consequences may be also successfully treated by psychologists. Micro-motion reactions restoration method (MRR) is suggested and described in the article. This method is based on the principle of micro-motion reactions differentiation. In our approach we are using the concept of “unfinished tasks” which originates from Gestalt therapy. The MRR method enables development of various multidirectional and contradictory impulses and reactions that had been temporarily stalled in the episode of past physical trauma. That type of work permits each unfinished motion impulse born during trauma to develop completely. As a result, trust in spontaneity of movement is restored and one’s resilience grows. Also three clinical cases are presented in the article to demonstrate the possibilities of using the MRR method in psychotherapeutic work.

Psychological Rehabilitation of Patients with Physical Trauma Consequences by means of Micro-Motion Reactions Restoration Method

2016 ◽  
Vol 7 (3) ◽  
pp. 136-146
Author(s):  
Elena Y Petrova ◽  
Maria A Pakhomova
Keyword(s):  
Clinical Psychologists ◽  
Acute Trauma ◽  
Medical Specialists ◽  
Physical Trauma ◽  
Self Reliance ◽  
Unique Nature ◽  
Micro Motion ◽  
Successful Rehabilitation ◽  
Restoration Method

Physical trauma and treatment of its consequences lies in the domain of medical specialists: traumatologists, rehabilitologists. However rehabilitation of patients with physical trauma consequences may be also successfully treated by psychologists using “unfinished tasks” expressive approach. This method utilizes micro-motion reactions differentiation principle. Micro-motion reactions restoration method (MRR) is suggested and described. It is primarily oriented at clinical psychologists and rehabilitologists. The unique nature and originality of MRR method lies in ability to trigger development of various multidirectional and contradictory impulses and reactions that had been temporarily stalled in the episode of past physical trauma. This method does not aim at relaxation of tension by means of anesthesia or other forms of isolation of strain. The treatment permits each unfinished motion impulse born during trauma to fully bloom and develop completely. As a result self-reliance and trust in spontaneity of movement is restored. MRR method is best suited for acute trauma consequences. Besides psychologists MRR method may be used by traumatologists, rehabilitologists, and also relatives of patients and parents of children patients. MRR method in the hands of relatives and parents is especially useful for rehabilitation after trauma and surgery not only for the patients but also for the relatives and parents themselves for it helps them to cope with stress of their usual helplessness during long restoration period. Bearing in mind the prospects of development of special rehabilitation units in traumatological and orthopedic departments it is obviously highly advisable to enroll psychologists mastering MRR method in these teams for it may greatly improve the potential of proper successful rehabilitation of patients with trauma consequences.

scholarly journals Comparison of Injury Patterns in Consensual and Nonconsensual Sex: Is It Possible to Determine if Consent was Given?

2017 ◽  
Vol 7 (4) ◽  
pp. 619-631
Author(s):  
Sung Hoon Song ◽  
John R. Fernandes
Keyword(s):  
Sexual Assault ◽  
Physical Injury ◽  
Detection Rates ◽  
Physical Trauma ◽  
Wide Range ◽  
Examination Techniques ◽  
Consensual Sex ◽  
Assault Victims ◽  
Genital Injury ◽  
Genital Injuries

Matters of sexual consent and sexual assault are hotly debated issues among professionals and laypersons alike. A widespread misconception of sexual assault is that most victims of sexual assault sustain significant physical trauma. It is the purpose of this review article to compare the patterns of physical injury (both genital and extragenital) in victims of sexual assault and participants of consensual sex to conclude if physical injury alone can indicate whether consent was given. Interpretations of injury have great forensic significance as it can influence the outcome of sexual assault cases. Several articles indicate that extragenital injuries are commonly found in sexual assault victims (46%-82%) and that most of such injuries are deemed minor. Articles report a wide range of genital injury detection rates in both sexual assault victims (6%-87%) and consensual sex participants (6%-73%). Usage of different examination techniques may partly explain the wide range of detection rates reported. Out of all those who sustained genital injuries, only a small portion of people required hospitalization. In both consensual and sexual assault cases, genital injuries in the 6 o'clock position were most common. Studies of genital injury lacked standardization of factors that significantly influence the results, such as time to examination after sex, examination techniques, and injury severity scales. Therefore, medicolegal personnel should be aware that sexual assault victims can present with a wide range of physical trauma and should avoid relying on physical trauma alone to conclude whether consent was present.

scholarly journals Overlijden door fysieke fixatie in zorginstellingen

2020 ◽  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Retrospective Study ◽  
Forensic Medicine ◽  
Fall Risk ◽  
Physical Restraint ◽  
Physical Injury ◽  
Psychological Consequences ◽  
Further Training ◽  
Fysieke Fixatie

Physical restraint is frequently used in healthcare institutions, usually in situations where the safety of the person (e.g. fall risk) or that of others (e.g. aggressive behaviour) is compromised, or where essential medical treatment is at stake. The implementation has a major impact with possible psychological consequences, physical injury and even fatal outcomes. In this retrospective study, fifteen deaths due to physical restraint are described. These have been investigated by the Forensic Medicine departments of UZ Leuven (1998 - 2018) and UZ Antwerpen (1999 - 2018). Death was caused by mechanical suffocation in all instances, mainly as a result of inadequate use of bedrails or belt restraint. These avoidable deaths are an urgent plea for a cautious and careful policy on physical restraint. Institutional guidelines and (further) training of health care personnel are of utmost importance. Central aspects are multidisciplinarity (deliberate decision-making), treatment (provoking factors), reticence (search for alternatives), proportionality (least intrusive method), due care (technical implementation), safety (increased supervision), temporality (re-evaluation of moment and duration), registration (accountability and liability) and communication (with all involved).

Psychological Consequences of the Enniskillen Bombing

1990 ◽  
Vol 156 (4) ◽  
pp. 479-482 ◽  
Author(s):  
P. S. Curran ◽  
P. Bell ◽  
A. Murray ◽  
G. Loughrey ◽  
R. Roddy ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychological Injury ◽  
Physical Injury ◽  
Psychological Consequences ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
One Year

Eleven people were killed and 60 injured in the Enniskillen bombing of November 1987. Survivors were psychologically appraised six months and one year later. At six months 50% had developed post-traumatic stress disorder (PTSD). This group comprised more females than males. However, all victims had high scores on the GHQ. We found no correlation between psychological injury (as measured by the GHQ) and physical injury (as measured by the ISS), calling into question previous assertions.

scholarly journals Physical assault by aggressive older adults

2009 ◽  
Vol 21 (4) ◽  
pp. 796-797 ◽  
Author(s):  
Brendon Stubbs
Keyword(s):  
Violent Behavior ◽  
Well Being ◽  
Healthcare Services ◽  
Physical Assault ◽  
Health Staff ◽  
Physical Injury ◽  
Psychological Consequences ◽  
Post Traumatic Stress ◽  
Spiritual Well Being ◽  
Mental Health Settings

Aggressive and violent behavior is a problem throughout healthcare services (Behar et al., 2008). The incidence of such acts is known to be over two and half times greater in mental health settings than in general hospital environments (National Audit Office, 2003). All types of aggression may have negative physical and psychological consequences for the victim, and therefore none ought not to be overlooked. However, one particularly serious feature is physical assault, which may result in a physical injury to the victim, although reported levels are relatively low (Stubbs et al., 2009). Physical assault may also affect the psychological, emotional and spiritual well-being of health staff and a minority may go on to develop post-traumatic stress type symptoms (Needham et al., 2005). Indeed, these symptoms may last longer than the original physical injury itself (Needham et al., 2005).

scholarly journals Complex correction of comorbid nonpsychotic mental disorders in patients with rheumatoid arthritis

2019 ◽  
Vol 27 (2 (99)) ◽  
pp. 56-58
Author(s):  
Svitlana Savka
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Mental Disorders ◽  
Key Words ◽  
Standard Treatment ◽  
Gestalt Therapy ◽  
Psychotherapeutic Treatment ◽  
Psychopharmacological Treatment ◽  
Complex Program

The program for the treatment of nonpsychotic mental disorders (NMD) in patients with rheumatoid arthritis (RA) are described in the article. The complex program of treatment for NMD with the use of psychopharmacotherapy and psychotherapeutic approaches (rational psychotherapy, autogenous training, cognitive-behavioral and gestalt therapy) was developed taking into account the revealed specifi city of clinical-psychopathological manifestations, psychopathological features of comorbid non-psychotic mental disorders in patients with RA. The fi rst group included 51 patients, who, in addition to standard treatment, received only psychopharmacological treatment of NPR (ВGТ I), and the second group — 69 patients receiving complex psychopharmacological and psycho therapeutic treatment (ВGТ II). As evidence shows, the level of depression significantly decreased in the ВGТ II at 11.7 points compared with ВGТ I at 8.1 points. The level of anxiety decreased in ВGТ II at 13.1 points, and in ВGТ I at 8.4 points. The overall assessment of quality of life in ВGТ I, improved by 10.2 points, while ВGТ II — by 15.9 points and the positive eff ect was probable. Key words: nonpsychotic mental disorders, rheumatoid arthritis, psychopharmacological and psychotherapeutic treatment

Experimental study on the restoration from a tilt-azimuth series for improvement in resolution

1995 ◽  
Vol 53 ◽  
pp. 636-637
Author(s):  
Norio Baba ◽  
Norihiko Ichise ◽  
Syunya Watanabe
Keyword(s):  
Experimental Study ◽  
Spherical Aberration ◽  
Incident Beam ◽  
Optical Parameters ◽  
Beam Tilting ◽  
Illumination Method ◽  
Restoration Method ◽  
Illumination Mode

The tilted beam illumination method is used to improve the resolution comparing with the axial illumination mode. Using this advantage, a restoration method of several tilted beam images covering the full azimuthal range was proposed by Saxton, and experimentally examined. To make this technique more reliable it seems that some practical problems still remain. In this report the restoration was attempted and the problems were considered. In our study, four problems were pointed out for the experiment of the restoration. (1) Accurate beam tilt adjustment to fit the incident beam to the coma-free axis for the symmetrical beam tilting over the full azimuthal range. (2) Accurate measurements of the optical parameters which are necessary to design the restoration filter. Even if the spherical aberration coefficient Cs is known with accuracy and the axial astigmatism is sufficiently compensated, at least the defocus value must be measured. (3) Accurate alignment of the tilt-azimuth series images.

Role of the exosporial membrane in attachment and germination of C. sporogenes

1993 ◽  
Vol 51 ◽  
pp. 38-39
Author(s):  
B.J. Panessa-Warren ◽  
G.T. Tortora ◽  
J.B. Warren
Keyword(s):  
Enzymatic Degradation ◽  
Light Transmission ◽  
Extended Period ◽  
Growth Conditions ◽  
Clostridium Sporogenes ◽  
Radiation Chemical ◽  
Physical Trauma ◽  
Extended Contact ◽  
Cold Pressure

Some bacteria are capable of forming highly resistant spores when environmental conditions are not adequate for growth. Depending on the genus and species of the bacterium, these endospores are resistant in varying degrees to heat, cold, pressure, enzymatic degradation, ionizing radiation, chemical sterilants,physical trauma and organic solvents. The genus Clostridium, responsible for botulism poisoning, tetanus, gas gangrene and diarrhea in man, produces endospores which are highly resistant. Although some sporocides can kill Clostridial spores, the spores require extended contact with a sporocidal agent to achieve spore death. In most clinical situations, this extended period of treatment is not possible nor practical. This investigation examines Clostridium sporogenes endospores by light, transmission and scanning electron microscopy under various dormant and growth conditions, cataloging each stage in the germination and outgrowth process, and analyzing the role played by the exosporial membrane in the attachment and germination of the spore.

Airway Resistance during Esophageal Phonation

1982 ◽  
Vol 47 (2) ◽  
pp. 194-199 ◽  
Author(s):  
Bernd Weinberg ◽  
Yoshiyuki Horii ◽  
Eric Blom ◽  
Mark Singer
Keyword(s):  
Speech Production ◽  
Airway Resistance ◽  
Voice Restoration ◽  
Esophageal Speech ◽  
Airways Resistance ◽  
Restoration Method

Prosthesis airway resistance calculations were completed for five Blom-Singer prostheses and esophageal source airway resistance estimated were made of five laryngectomized patients using the Singer-Blom voice restoration method. Airway resistance of the Blom-Singer prostheses ranged from 46 to 121 cmH 2 O/LPS, while source airways resistance in these subjects ranged from about 155 to 270 cmH 2 O/LPS. These results revealed that the opposition of the voicing sources used in esophageal speech production to airflow through them is substantial and larger than that established for the normal, laryngeal source. Findings are interpreted to highlight major advantages the Singer-Blom (1980) method of speech/voice restoration has over esophageal speech/voice produced on a conventional basis and to reveal specific reasons for the failure of may laryngectomized patients to develop consistent voice and functionally serviceable speech.

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