COVID-19 Related Traumatic Distress in Psychotherapy Patients during the Pandemic: The Role of Attachment, Working Alliance, and Therapeutic Agency

The early months of the COVID-19 pandemic have been a challenging time for many psychotherapy patients. To understand why certain patients were more resilient, we examined the role of patients’ attachment anxiety and attachment avoidance, as well as collaborative therapy experiences (perceived working alliance and therapeutic agency) in their online sessions on their COVID-related traumatic distress over a three-month period. A total of 466 patients in online psychotherapy completed a survey during the first weeks of the pandemic, and 121 of those completed a follow-up survey three months later. Lower distress at follow-up was predicted by patients’ lower attachment anxiety and higher therapeutic agency in their online sessions after controlling for baseline distress and time of survey completion. Higher working alliance predicted less distress at follow-up only for patients with high attachment anxiety. For patients with low attachment avoidance (i.e., more securely attached), higher therapeutic agency predicted less distress. These findings suggest that patients’ attachment anxiety and therapeutic agency may play significant roles also in online therapy during COVID-19 in patient’s experienced traumatic distress, and that working alliance and therapeutic agency may be differentially important for patients with different levels of attachment anxiety and avoidance.

Interprofessional Education and Practice: Perspectives from Students in Speech-Language Pathology and Recreational Therapy

Interprofessional education and practice (IPE/IPP) are important components for undergraduate and graduate students to experience during their programs of study in speech-language pathology and related health professions. The American Speech-Language Hearing Association (ASHA) is a member organization of the Interprofessional Education Collaborative (IPEC) which promotes four core competencies required for effective practice: values/ethics, roles/responsibilities, interprofessional communication, and teams and teamwork. The purpose of this study was to gather the lived experiences from eight pre-professional students, four from speech-language pathology (SLP) and four from recreational therapy(RT), during focus groups and discussion forums conducted before, during, and after a 14-week IPE/IPP clinical experience. Students shared perspectives about providing collaborative therapy services as part of a team supporting adults with stroke or other acquired neurological conditions. Thematic analysis conducted from pre and post focus group transcripts revealed six primary themes: roles and responsibilities; interprofessional communication; collaborative teamwork; values and mutual respect; challenges to IPE/IPP; and benefits & impact of IPE/IPP. Students shared their clinical experiences engaging with students from SLP and RT, but also working with students from physical and occupational therapy. The qualitative data from this study provides important information to assist future students, educators, and clinical supervisors how to effectively access and engage in IPE/IPP learning experiences with a specific focus in the areas of teamwork, leadership, and conflict resolution.

Scintillating Nanoplatform with Upconversion Function for Synergy of Radiation and Photodynamic Therapies of Deep Tumor

Collaborative therapy is regarded as an effective approach in lifting the therapeutic efficacy of cancer. In this work we have proposed and validated the concept of upconversion lumienscence image guided...

Preparation of responsive “dual-lock” nanoparticles and their application in collaborative therapy based on CuS coordination

Application of “dual-lock” drug loaded nanoparticles in tumor targeting, responsive drug release and photothermal chemical synergistic therapy.

Recent research progress in the construction of active free radical nanoreactors and their applications in photodynamic therapy

Applications of nanomaterials in photodynamic therapy and collaborative therapy based on PDT.

Diagnosis, Treatment, Multidisciplinary Collaborative Therapy and Prevention of Diabetic Foot

Diabetic foot (DF) is one of the most common complications of diabetes. Diabetic foot is one of the main causes of disability and death of diabetic patients, and it is also a major public health problem that causes a heavy burden on society. Diabetic foot involves a variety of factors including peripheral nerve tissue lesions, ischemic lesions, and reduced body immunity. With the development of medical standards, clinical knowledge and treatment of diabetic foot are constantly improving. Early diagnosis and intervention is the key to reducing the incidence of diabetic foot and improving the cure rate. This chapter will briefly introduce the diagnosis, the treatment, the multidisciplinary collaborative therapy and prevention of diabetic foot.

Participação humana: “ser” humano é o primeiro passo para “tornar-se” humano

Nas palavras de seu autor, Tom Andersen, “ver, escutar, cheirar, saborear, sentir o toque na pele ou o impacto no corpo – enfim, o que sentimos em nossos corpos” – é o embasamento deste texto, inicialmente publicado como capítulo do livro Collaborative Therapy: Relationships and Conversations that make a Difference. Essas expressões são parte de vínculos de que participamos desde o momento do nascimento; expressões são manifestadas, recebidas, e afetam o receptor que retribui este afeto – o círculo da vida. O texto amplia a compreensão de linguagem para outros tipos de expressão e analisa a conversação como uma troca de múltiplas expressões em que quando um fala, o ouvinte não apenas ouve cada palavra, mas também vê como o falante recebe suas próprias palavras e o surgimento de novos significados. Uma mudança ou expansão das expressões motoras pode trazer um novo entendimento de uma situação difícil, ou uma nova ideia de como dar o próximo passo desse momento difícil. O texto é um convite para que terapeutas foquem a parte visível da realidade (expressões), e ofereçam as hipóteses sobre os sentimentos (invisíveis e móveis) como metáforas.