Becoming a Psychotherapist: Learning Practices and Identity Construction Across Communities of Practice

Within a perspective that views groups as communities of practice and sites of construction of knowledge, learning, and identity, this article aims to explore the contribution that participation in different groups over the course of one’s life provides to the development of the professional practices of psychotherapist trainees enrolled in the C.O.I.R.A.G. school, an Italian graduate program in group psychotherapy. Through qualitative analyses of 10 semi-structured interviews, our study empirically shows that by participating in groups, the trainees not only learn the practices of that group but also develop a sort of meta-learning which takes place across groups. The results highlight that: (1) Transversality, duration, and informality are found to be the group properties with the highest formative value; and (2) Learning practices across different groups have common characteristics: are organized around complex topics of group life (e.g., how to manage conflicts, how to join and leave groups, etc.), began in early group experiences, are in continuous evolution, are associated with a critical event, and a negative affect. At the same time, it seems that these critical events are exactly what triggered and sustained the learning practices. Data from the interviews also showed how professional identities are constructed as the outcome of learning in different communities of practice. The study outlines how the experience made in different groups is elaborated in and through meaningful self-narratives, highlighting them as a fundamentally collective and culturally shaped sense-making process. Overall, these results contribute to a better understanding of learning processes as situated and jointly constructed through multiple group participations over time. Furthermore, they contribute to highlighting the role of self-narratives as a primary way through which trainees shape their identity as self-reflexive professionals who are competent in reading group dynamics. Directions for future research and suggestions for psychotherapist training paths are outlined in the conclusions.

Religions with or without Sense of Humor: A Psychological Perspective

The contrast between Homo Ridens and Homo Religiosus is launched and followed by the tug of war between the laugh of God and the sin of laughter. Funniness in jokes with religious content is explored through the incongruity-resolution model developed by Suls, a psychologist expert in artificial intelligence: among the faithful abound believers whom it deems inappropriate the hilarious endings invented, with ulterior motives, by humorists. The transgression model in graphic design, elaborated by Alvarez Junco, provides the frame of reference to discern the camouflage of four frescos and a sculpture by Michelangelo, who knew more than he appeared, and was a dissident, but not a heretic. Humor cannot be reduced to jokes, and the taxonomy created by Long and Grasser (cognitive and experimental psychologists) has been used to accentuate the nexus between witticism in daily life interactions with religious connotations: their eleven categories have been portrayed using literary narratives authored by well-known European and Asian writers. Efforts have been made to draft them with the sense of humor that corresponds to the heading. Psychologists pay attention mainly to individual or group experiences, that is, religiosity. Artists have relied on camouflage to ensure that inquisitive persons do not react by penalizing.

Facilitators and barriers to antiretroviral therapy adherence among HIV-positive adolescents living in Tanzania

Background Adolescents living with HIV face substandard outcomes along the continuum of care, including higher rates of poor adherence and virologic failure. Support groups have been identified as a method to improve adherence, but there is insufficient evidence regarding their effectiveness. This study seeks to examine the protective influences for and barriers to antiretroviral therapy (ART) adherence in HIV-positive adolescents living in Tanzania. Methods This is a qualitative study conducted in Tanzania from January to March 2018. The sample of adolescents aged 10-19 (n = 33) was purposefully selected based on age, gender, and support group attendance to capture a broad range of experiences. Participants completed an in-depth interview, covering topics such as retention in HIV services, support group experiences, and joys and challenges of adolescent life. Interviews were coded and themes related to ART adherence were identified and summarized. Results Support groups helped promote adherence by improving adolescents’ knowledge and confidence. Participants associated joining support groups with an improvement in health. Almost every participant described the significant positive influence a treatment supporter had on adherence. Adolescents’ daily schedules and emotional state served as a barrier to adherence. Furthermore, adherence was negatively impacted by participants’ fear of accidental disclosure. Conclusion Logistical and psychosocial factors can hinder adherence. Interventions that provide both education and psychosocial support, such as peer support groups, have the potential to improve health outcomes for this population, but may not address more persistent barriers to adherence rooted in lack of treatment support from family members or friends who have not been disclosed to, or lack of transportation funds/food security.

Reflective Practices to Study Group Dynamics: Implement Empowerment and Understand the Functioning of Groups

Introduction: Individual and group reflection practices are qualitative methods useful in a group context to develop group skills and more awareness of the dynamics that take place within the group to which one belongs.Aim: The aim of this work is to highlight how individual reflective practices and group reflections contribute to the development of group skills. More specifically, the effectiveness of relevant group dynamics is investigated, with the aim of creating a space for reflection, and activation for individual and group empowerment.Participants: The participants were 130 university students (86% female), resided in northwestern Italy, and had a mean age of 27.5 years (SD = 7.52). They were randomly divided into 23 groups (ranged from four to nine members).Method: The participants engaged in several online training activities and at the end of every activity they completed individual reflection practice in which they presented both positive and negative aspects related to the group experiences. Then they participated in online group reflections that allowed them to reflect on the group dynamics, particular attention given to factors such as climate, participation and roles played by each participant in a variety of training activities. This study analyzes 130 individual reflective practices and 23 group reflections. The data collected through individual reflective practices and the transcripts of the group reflections were analyzed using grounded theory. Two independent judges analyzed and categorized the data and then identified the main common categories that emerged by the support of Nvivo software.Results: From the analysis of the content, it is determined that the participants, based on the construction of the individual and group reflections, paid greater attention to the dynamics that occurred within the group during the various activities in which they participated, thus allowing them to be more aware of the various factors that affected the importance attributed to the different roles, the climate, and their active participation.Conclusion: Combined, these factors allowed participants to strengthen their relationships with each other and enhance the cohesion of the group.

Improving Care in Neonatal Intensive Units During the COVID-19 Pandemic: A Survey on Electronic Health Communication

Background A novel virus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) started spreading through Italy and the world from February 2020, and the pandemic threatened the family-centred care (FCC) model used in the neonatal intensive care unit (NICU). Teleconferences and video calls were employed to keep parents in contact with their babies. This study aimed to evaluate satisfaction and stress levels between parents in the telematic family-centred care group (T-FCC) versus the FCC group and the no Family-Centred Care (N-FCC) group. Methods A prospective cohort pilot study was carried out from April to May 2020. A parental stressor scale and the NICU satisfaction questionnaire were administered to parents at the time of discharge of their newborns. Parents in T-FCC group could see their newborns via video calls, while those in the FCC and N-FCC groups were extracted from our previously published database. Results Parents in the T-FCC group were more satisfied and less stressed than those in the N-FCC group. Experiences of the mothers and fathers in the T-FCC group were similar. However, the FCC group showed the best results. Conclusion The T-FCC group showed satisfaction with the quality of information received about their babies and felt that their privacy was considered and respected by the medical staff. Parents were also less stressed because they could monitor what happens to the baby through a video, however, they could not intervene if there was a problem. Data support the use of video calls to improve insight into clinical conditions and communication between doctors, nurses, and parents during the pandemic.

An Initial Agent-Based Model for E-scooter Accommodation into Existing Urban Streetscapes

New forms of mobility reshape the transportation landscape, changing movement for both their users and others in the environment. The transition period during which novel forms of travel are being explored can be a challenging time while the use of spaces must be renegotiated. E-scooters, which have recently been more widely introduced to the UK, are experiencing such a moment as riders, planners, and other users of the streetscape are determining what role this technology will play in communities. The data gaps surrounding e-scooters can make this an especially difficult question for planners because of the cost of gathering relevant observational data, much of which is held under private company ownership. In light of this, this work presents an agent-based model developed to examine the integration of e-scooters into existing streetscapes. Agent-based models explore phenomena through focusing on individual behaviour and rules which in turn gives rise to emergent large scale patterns. These patterns can be dissected and interrogated with a variety of tools, allowing us to tease out individual as well as group experiences of different scenarios. An agent-based approach allows us to capture the individual behaviours of e-scooter users and those of cyclists, drivers of variously sized vehicles, pedestrians, and others present in the environment. By focusing on the interactions of these various street users, we can explore how different approaches to e-scooter integration may fare relative to varying street configurations. Their decision frameworks are informed by observational studies of e-scooter users in order to augment the available data. We discuss the current state of understanding e-scooter behaviour and the potential modelling applications, present an initial behavioural framework of e-scooter decision making and inter-modal interactions, and highlight some preliminary results examining the differences between e-scooters operating on roads versus shared segregated cycle lanes. The work concludes with a case study comparing two modelled scenarios, one including a segregated cycle lane and one without. Drawing upon metrics such as the route segmentation/ cut-off rate and average travel comfort, we can more precisely explore how new forms of mobility will influence different kinds of street users in order to better understand the trade-offs associated with different paths forward.

Construction of a Nano-Controlled Release Methotrexate Delivery System for the Treatment of Rheumatoid Arthritis by Local Percutaneous Administration

A drug delivery system was specifically designed for the treatment of rheumatoid arthritis (RA) by local percutaneous administration and the nano-controlled release of methotrexate (MTX). The release behavior of MTX from the synthesized MTX-mSiO2@PDA system was investigated in vitro and in vivo. The obtained results show that after 48 h, twice as much MTX (cumulative amount) is released at pH 5.5 than at pH 7.4. This suggests that the MTX-mSiO2@PDA system exhibits a good pH sensitivity. In vitro local percutaneous administration experiments revealed that the cumulative amount of MTX transferred from MTX-mSiO2@PDA to pH 5.0 receptor fluid through the whole skin was approximately three times greater than the amount transferred to pH 7.4 receptor fluid after 24 h. Moreover, in vivo experiments conducted on a complete induced arthritis (CIA) model in DBA/1 mice demonstrated that the thickness of a mouse’s toes decreases to nearly 65% of the initial level after 27 days of local percutaneous MTX-mSiO2@PDA administration. Compared to the mice directly injected with MTX, those administered with MTX-mSiO2@PDA by local percutaneous application exhibit much lower toe thickness deviation, which indicates that the latter group experiences a better cure stability. Overall, these results demonstrate that the local percutaneous administration of MTX delivery systems characterized by nano-controlled release may play an important role in RA therapy.

THE IMPACT OF COVID 19 IN THE DEVELOPMENT OF THE STUDENT BUSINESS GROUP OF THE ACCOUNTING STUDY PROGRAM AT THE AKADEMI AKUNTANSI PGRI JEMBER

This study aims to determine the impact of covid 19 in the development of the student businessgroup of the accounting study program at the Akademi Akuntansi PGRI Jember 2021. Themethod used in this research is direct observation in the field. From the results of research onseveral student businesses, various findings were obtained. This research is qualitative in naturewith samples taken from students who carry out business activities. The results of this studyindicate that the impact of covid 19 in the development of business groups of students in theaccounting study program at the Akademi Akuntansi PGRI Jember of Accounts has two impacts,namely positive and negative, that this student business group experiences problems withdecreasing product processing, promotion / advertising increases but decreases in sales, pricesand services. experienced an increase with a low profit level, the relationship between businessmembers was maintained well, while the customers continued to establish a morecommunicative relationship, there was an increase in high enthusiasm for striving earnestly andwilling to learnKeywords: Business, Students, Covid 19.

Intra- and Inter-Specific Variation in Edible Jellyfish Biomarkers and Implications for Origin Traceability and Authentication

With the continuous development of jellyfish fisheries and food products around the world, an effective traceability system has become increasingly prominent. This study provides insight into the origin traceability and authentication of two commercially important jellyfish species, flame jellyfish Rhopilema esculentum and Nomura’s jellyfish Nemopilema nomurai, while investigating the intra- and inter-specific variation in fatty acid (FA) profiles and carbon and nitrogen stable isotope ratios (δ13C and δ15N). Results showed significant differences in FA profiles and isotopic values in fresh bell tissues between wild and farmed R. esculentum and among geographic origins, possibly due to different food sources, nutritional status, and energy costs that each group experiences at a given location. The linear discriminant analysis indicated that δ13C, δ15N, C16:0, C17:0, C18:0, C16:1n7, and C20:5n3 were suitable discriminatory variables with a high rate of correct classification for distinguishing origins of R. esculentum. In addition, inter-specific FA profiles/biomarkers, combined with isotopic values, suggests the variety of dietary sources and trophic positions of sympatric similar-sized R. esculentum and N. nomurai and the potential use of biomarkers, especially stable isotope analysis, for distinguishing sympatric jellyfish species. These results highlighted the complementarity of FA and stable isotope analyses and provide an alternative approach for improving the origin traceability and authenticity evaluation of untreated edible jellyfish. Furthermore, this study adds new information regarding the biochemical compositions of jellyfish species.