The Effectiveness of Training Bowen's Family Therapy Approach on Marital Satisfaction of Married Women in the Aligodarz of City (In the West of Iran), in 2019

Introduction: Marital satisfaction is one of the most important signs of a favorable relationship between couples. This research aimed to survey the effectiveness of training using Bowen's family therapy approach on marital satisfaction of married women in the city of Aligodarz (In the west of Iran). Method: This study was a quasiexperi mental study using a pretest-posttest design with a control group. The statistical population consisted of counseling applicant married women in the city of Aligodarz in 2019. By convenience sampling, 30 married women were selected and participated in this study. After recording the subjects' scores in the pre-test stage, the experimental group was exposed to the intervention (training course), but no operations were performed on the control group. Data gathering was carried out using a demographic questionnaire and ENRICH marital satisfaction scale. Frequency, percentage, mean and standard deviation indices were used to describe and Chi-square test was used to examine the homogeneity of the two groups in terms of study variables and multivariate analysis of covariance were performed in SPSS 24 software with a significancel level of 5%. Results: Descriptive findings showed that the mean (standard deviation) of the total score of the marital satisfaction variable in the pre-test and post-test stages was 131.60 (26.89) and 142.81 (25.24) in the experimental group and 132.66 (24.09) and 132.26 (21.92) in the control group, respectively. The inferential findings showed that Bowen's family therapy approach has a significant effect on some of the dimensions of marital satisfaction (religious orientation, equality of women and men, children and parenting, sexual relation, financial management, conflict resolution, and marital satisfaction) (p< 0.05). On the other hand, this approach was not practical in improving other aspects of marital satisfaction (relationship with family and friends, leisure time, marital relationship, personality issues, and contractual responses) (p> 0.05). Conclusion: The present study results showed an increase in marital satisfaction of married women using the Bowen family therapy approach. Therefore, it is recommended to use Bowen's family therapy approach to improve women's marital satisfaction with family problems.

Therapeutic Targets of KRAS in Colorectal Cancer

Patients with metastatic colorectal cancer have a 5-year overall survival of less than 10%. Approximately 45% of patients with metastatic colorectal cancer harbor KRAS mutations. These mutations not only carry a predictive role for the absence of response to anti-EGFR therapy, but also have a negative prognostic impact on the overall survival. There is a growing unmet need for a personalized therapy approach for patients with KRAS-mutant colorectal cancer. In this article, we focus on the therapeutic strategies targeting KRAS- mutant CRC, while reviewing and elaborating on the discovery and physiology of KRAS.

How was a family-whānau centred music therapy approach, demonstrated within a student music therapist’s clinical placement, at a rehabilitation clinic for adults with an acquired brain injury?

<p>Abstract This project explores how the family-whānau centred music therapy approach was demonstrated, by a student music therapist on clinical placement, within a rehabilitation centre for adults with traumatic brain injuries. Parallel links between the Samoan fale tele metaphor of health and family-whānau centred approaches within music therapy perspectives - were enabled in this mahi, due to the work of Carolyn Kenny. Having developed an INDIGENOUS theory in music therapy, Carolyn Kenny emphasises the role of connectedness of each aspect and idea of sacred “space” and “place” within the music therapy session, (Kenny, (1989, 2006), Music and Life - In The Field of Play). My own personal identity as a respectful PASIFIKA woman, and child migrant who learnt Te Reo Māori, history of Tāngata Whenua, Māoritanga, and kapa hāka on Whaiora Marāe, Otara South Auckland, 1970s - enabled the incorporation of the framework of the fale tele metaphor to represent the “personhood of the Client” and their relationships with aiga/family-whānau, medical teams/staff, community workers, as well as myself - in order to illustrate my findings. These showed that clients invariably somehow communicated and expressed a yearning for their home, had strong emotions of displacement away from home; seemed highly motivated to participate and “join in” musicking sessions due to the presence of their kin; or because they had a clear personal goal during sessions to reach a recovery stage that would facilitate their return as soon as possible to a spouse, parent, siblings, children, or to the space and place that represented “home.” Data was collected from clinical notes, assessment reviews, client reports, reflective journal. Deductive secondary analysis was used for coding from which five key themes emerged as being important in the FWCMT, and are further described in the music therapy methods, strategies and activities in a clinical vignette. Of the eight clients, the 167 music therapy sessions which I facilitated, only 43 sessions included the physical presence of family-whānau. Findings are listed as: (1) The spiritual, psychotherapeutic, physiological health and well-being of the client; (2) The internal space – of the participant; (3) Maintaining the dignity of all – participants, family-whānau; (4) Boundaries: The collaborative external space – visiting family-whānau, the interdisciplinary teams and staff carers who became the ‘institutional family-whānau,’ or extended whānau of the client; (5) The rhythmic foundation of the client – innate musical self, external structures, influences and rhythm found in whenua and cosmos which supports the rhythmical structures of the musical, cultural self.</p>