Psychodynamic Therapist’s Subjective Experiences With Remote Psychotherapy During the COVID-19-Pandemic—A Qualitative Study With Therapists Practicing Guided Affective Imagery, Hypnosis and Autogenous Relaxation

The COVID-19-pandemic brought massive changes in the provision of psychotherapy. To contain the pandemic, many therapists switched from face-to-face sessions in personal contact to remote settings. This study focused on psychodynamic therapists practicing Guided Affective Imagery, Hypnosis and Autogenous Relaxation and their subjective experiences with psychotherapy via telephone and videoconferencing during the first COVID-19 related lockdown period in March 2020 in Austria. An online survey completed by 161 therapists produced both quantitative and qualitative data with the latter being subject to a qualitative content analysis. Our research suggests that telephone and videoconferencing are considered valuable treatment formats to deliver psychodynamic psychotherapy. However, therapists’ experiences with remote psychotherapy are multifaceted and ambiguous. In particular, the findings raise questions concerning the maintenance of the therapeutic alliance, the development of the analytic process, the sensitivity to unconscious communication, and the indication for certain types of patients that still need further investigation. Our research indicates that the long-standing reticence toward remote treatments offers among psychodynamic therapists is becoming more differentiated and partially dissolves as therapists gain experiences in their use. Attitudes are becoming more open. At the same time, the way is being prepared to take a closer look at the specific processes and dynamics of remote psychotherapy and to examine them critically in future studies.

The Simplification of Procedures in Portuguese Administrative Law

The present paper intends to provide an overview and a critical assessment of the administrative simplification policies implemented in Portugal over the past 20+ years. Throughout these decades, the major instruments for administrative simplification have been: (i) Decree-Law n. 135/99, of 22 April; (ii) the Simplex programme; (iii) the 2015 new Code of Administrative Procedure and its 2021 amendment; and (iv) the COVID-19 legislation. Although Decree-Law n. 135/99 (i) was the first attempt to specifically address simplification, it was a very thin one. The Simplex programme (ii), created in 2006, was the first cross-sectoral robust policy of simplification; its motto is “the simpler the better” and it encompassed reforms in all government areas aiming at cutting red tape, promoting administrative efficiency, and making the citizens’ and the corporations’ lives easier when dealing with State. The new Code of Administrative Procedure (iii), approved in 2015, brought about specific normative solutions to simplify procedures, namely, prior communications, administrative assistance, procedural conferences, and the electronic one-stop shop. Finally, the COVID-19 legislation (iv) was made necessary by the COVID-19 pandemic and by the fact that public health restrictions made it impossible for citizens to establish personal contact with the administration in many cases.

All-digital training course in neurophysiology: lessons learned from the COVID-19 pandemic

Background The social distancing and suspension of on-campus learning, imposed by the COVID-19 pandemic, are likely to influence medical training for months if not years. Thus, there is a need for digital replacement for classroom teaching, especially for hands-on courses, during which social distancing is hardly possible. Here, we investigated students’ learning experience with a newly designed digital training course in neurophysiology, with intercalated teaching blocks in either asynchronous (unsupervised online lectures and e-labs) or synchronous (online seminars, supervised by instructors) formats. Methods The accompanying anonymized prospective study included 146 student participants. At the beginning and the end of the course, students were invited to answer anonymous online questionnaires with 18 and 25 items, respectively. We conducted both qualitative analyses of students’ survey responses and statistical analyses of the results of cohort-specific summative examinations. The summative assessment results were compared both between 4 current cohorts and with the respective historical cohorts. Results Despite having little prior experience with e-learning (4.5 on the 1-7 scale), students adapted remarkably well to this online format. They appreciated its higher flexibility, time efficiency, student-oriented nature (especially when using inverted classroom settings), tolerance towards the individual learning style and family circumstances, and valued the ability to work through lectures and e-labs at their own learning speed. The major complaints concerned diminished social contacts with instructors and fellow students, the inability to ask questions as they occur, and the lack of sufficient technical expertise. The students valued the newly developed e-labs, especially the implementation of interactive preparative measures (PreLabs) and the intuitive lab design offered by the chosen software (Lt Platform from AD Instruments). The summative examinations at the end of the course documented the quality of knowledge transfer, which was comparable to that of previous classically instructed cohorts. Conclusion Despite the missing personal contact between the faculty and the students, inherent to online teaching, the all-digital training course described here proofed to be of good educational value and, in case the pandemic continues, is worse considering for the future. Some of the described building blocks, like digital lectures or interactive PreLabs, may survive the pandemics to enrich the medical education toolbox in the future.

Migrants’ Social Integration and Its Relevance for National Identification: An Empirical Comparison Across Three Social Spheres

A key element of migrants’ well-being is their emotional integration, that is, the extent to which they perceive themselves as members of society and their identification with the country they are living in. To foster this sense of belonging, many integration programs aim to increase the migrants’ social integration, for example, by organizing events for migrants to meet natives in various settings. The validity of this strategy is supported by decades of international research. It remains unclear, however, which aspects of social integration are most relevant for national identification. Multiple theories concerned with contact and group identification support the assumption that contact to natives should foster a sense of belonging and national identification. However, for a contact situation to bear this potential, a certain set of criteria, including aspects like direct personal contact, a similar social status, and the presence of egalitarian norms, needs to be fulfilled. It is expected that these characteristics are more likely to be fulfilled within family and friendship settings than in contact situations within the employment context. Hence, I expect contact to natives within the network of friends and family to be more greatly associated with migrants’ national identification. I analyzed data from a 2013 cooperation between the Institute for Employment Research (IAB) and the German Socio-Economic Panel (SOEP), that is, the IAB-SOEP Migration Sample, as well as the 2014 wave of the SOEP. The subsample used included 2,780 first- and second-generation migrants living in Germany. The results indicate that not all kinds of contact are equally linked to national identification. In contrast to expectations, in neither the cross-sectional models nor the lagged models was living together with native family members significantly linked to national identification. Similarly, the association between having predominantly native co-workers and national identification was insignificant when controlling for migrant-specific characteristics. Only the relation with having predominantly native friends was significant and positive across all models. This as well as a comparison of the associations lead to the conclusion that when it comes to migrants’ national identification native friends might be the most relevant form of contact to natives.

Drivers for Teleconsultation Acceptance in Brazil: Patients’ Perspective during the COVID-19 Pandemic

ABSTRACT Context: teleconsultation can be a strategic technological tool for patients to access quality healthcare while dealing with resource challenges within health industry. It can be particularly relevant during and after the COVID-19 pandemic, when the social distancing world had to scramble for new technological solutions to offer quality healthcare services with reduced personal contact. Objective: our research proposes an integrative technology acceptance model to evaluate the drivers of teleconsultation adoption by patients, aligning constructs from the technology acceptance model with other drivers, such as technology readiness, trust, and self-efficacy. Methods: analyses included descriptive statistics and structural equations modeling based on survey’s data from a sample of 415 consumers. Results: results indicate significant relationships between the assessed constructs, with particular relevance on the effects of perceived usefulness, anteceded by trust and technology readiness, on attitude and intention to use teleconsultation. Conclusion: our findings provide helpful insights for health organizations and regulators associated with the diffusion of teleconsultation. The study findings also indicate that the challenging COVID-19 pandemic context may be affecting patients’ intention to adopt teleconsultation.

Article 9: The Right Not to Be Separated from Parents

The Travaux Préparatoires insist upon the close nexus between Articles 9, 10, and 11 along with the several other provisions of the UNCRC that protect the close bond between child and parent. This chapter analyses the content of Article 9 in relation to the general principles of Child rights, related provisions in other international human rights treaties and materials, and sets out four main attributes of the right, as a child, to not be separated from one’s parents against one’s will. These four attributes are: (1) no separation from parents unless necessary for the child’s best interests; (2) no separation from one’s parents without due process before competent authorities; (3) the right to maintain relations and personal contact with both parents, if separated; and (4) the right to be informed of the whereabouts of one’s parent or child, if detained.

Informal care in Australia during the COVID-19 pandemic

Australia has been less impacted by COVID-19 than most other countries, partly due to strong preventive responses by government. While these measures have resulted in lower rates of infection, family and friend carers have been disproportionately affected by public health orders. The heightened risk of transmission to vulnerable populations, combined with the impact of economic uncertainty, unclear government communication, significant restrictions on movement and personal contact, and the reduction in formal support services, have highlighted pre-existing, systemic shortcomings in support for carers. The COVID-19 pandemic left many carers more stressed, isolated and worse off financially.

Article 10: The Right to Family Reunification

Article 10 provides international human rights codification of basic principles that apply in related Hague Convention treaties regarding international travel by children or parents for the purpose of family reunification and visits to maintain relations and personal contact. This chapter looks at the drafting history of Article 10 and related international legal materials, as well as the general principles and related provisions of the UNCRC to outline the substantive content of Article 10. It sets out three main attributes of Article 10, from which indicators of child rights implementation can be derived. These are: (1) the need to treat requests to enter or leave a country for family reunification in a positive, humane, and expeditious manner; (2) ensuring that requests to leave or enter a country entail no adverse consequences for parents, children, or their families; and (3) maintaining relations and personal contacts with both parents if residing in separate states.

THE TREND OF WORK FROM HOME AND ITS ADVANTAGES AND DISADVANTAGES DURING THE COVID-19 PANDEMIC: A COMPARATIVE STUDY

This paper focuses on working from home during the COVID-19 pandemic. It focuses mainly on the advantages and disadvantages of this way of working, as well as its impact on the psyche and performance of employees and, last but not least, its impact on a company's finances. It uses the synthesis of data found on the internet, from selected reliable sources dealing with the same or similar issues. From these sources it is evident that the effects of working from home are rather negative. The most frequently mentioned advantage is the saving of time, caused mainly by the absence of commuting to the office. The most frequently mentioned disadvantage is the absence of personal contact with co-workers. The disadvantage that a company could feel the most is the extension of the length of communication between employees, and thus the extension of work processes. At first glance, it might seem that a company will save money using this form of work, but the reality is that the company's costs may even increase. This is due to the fact that most companies have chosen to work from home only partly, so the costs of running the offices remain the same or slightly reduced at best, and legislation states that the company must reimburse workers for costs incurred by this form of work. It follows from this contribution that, if possible, workers and employers should avoid the practice of working from home, even though it has a positive effect on the pandemic. The potential for further research could be to compare the results of this work with the same research conducted outside of the pandemic.

Principles of care for adolescent girls with eating disorders and body disturbances disorders: lessons from the COVID-19 pandemic

The pandemic of the new coronavirus infection (COVID-19) has contributed to an increase in problems related to eating behavior and body image in the population. Various risk factors that have become relevant due to changes in the usual lifestyle have significantly affected the frequency of eating disorders in the adolescent population. This necessitated the adapting of new strategies for providing medical care in conditions of limited personal contact.The aim of the work is the methodological substantiation and systematization of modern approaches to the prevention and treatment of eating disorders, body image disorders and risk factors associated with them in adolescents in the conditions of the COVID-19 pandemic.Materials and methods. The methodological basis of the work is a comprehensive analysis of modern medical and social approaches and recommendations on the organization of assistance to adolescents with eating disorders and body image disorders, with a description of personal experience of using various interventions on an outpatient basis during the pandemic.Results: Prevention and treatment of eating disorders and body image disorders in adolescents during the pandemic should be aimed at specific risk factors those have proved to be the most relevant in connection with restrictive measures: involvement in body image-related social media content and active use of the media; reduction of physical activity with simultaneous increase in access to food; social isolation and reduction of social support; restriction of access to qualified care. The most reasonable approaches during the pandemic are the approaches focused on the family of a teenager using, if possible, remote forms of assistance.Conclusions: Currently, there are no norms and standards in the organization of assistance to adolescents with eating disorders and body image disorders in the pandemic context. However, the analysis of the implemented approaches aimed at various risk factors of these disorders will allow the use of the most effective preventive and therapeutic practices in the future.