Anaclitic and Introjective Personality Distinctions among Psychotherapy Outpatients: Examining Clinical Change across Baseline and Therapy Phases

S. J. Blatt and colleagues (e.g., Blatt, 1995; Blatt & Blass, 1996; Blatt & Shichman, 1983) have theorized that individuals develop and function along two basic lines— that of interpersonal relatedness and that of self-definition. These two modes, while moderately-oscillatory across the lifespan, suggest two respective, relatively-fixed, personality configurations—the anaclitic and the introjective. It is suggested that psychopathology arises when investment in the themes of one’s preferred personality configuration become enduringly over-emphasized. Individuals with anaclitic psychopathologies tend to be plagued by feelings of helplessness and weakness, and they tend to have fears of being abandoned; they generally have a depleted sense of self. Individuals with introjective psychopathologies tend to be plagued by feelings of guilt, self-criticism, and inadequacy; they generally have a distorted sense of self. Some individuals struggle with both types of feelings and problems. Previous research, conducted mostly among seriously disturbed inpatients in long-term therapy, with only a few measurements over time, suggests differential responses to treatment as a function of these anaclitic—introjective distinctions. Uniquely, the present study employs a form of hierarchical modeling, using continuously collected outcome measurements, to examine therapeutic course and outcome in relatively short-term psychotherapy among outpatients. More specifically, it tests a number of hypotheses examining the role of personality configuration in clinical change during baseline as well as therapy phases. Results indicate that duration-of therapy, and therapeutic alliance levels did not differ significantly as a function of personality configuration; pre-treatment level of symptomotology did not differ between anaclitic and mixed-type patients, and was lower among introjective patients—who as a group reported a symptomotology-level that was subclinical. In the sample as a whole, significant symptom improvement occurred during baseline-phase—most of which was driven by clear improvement in the anaclitic and mixed-type groups, while attenuated some by the lack of improvement in the introjective group. During therapy-phase, patients as a whole, and by group, did not report any meaningful change in symptomotology. Several possible explanations for this no-therapy-effect phenomenon, as well as study-limitations, are discussed

Unit organization of the topic "The early day of Concord"

Thesis (M.A.)--Boston University, 1949. This item was digitized by the Internet Archive

Demands and Rewards of Working Within Multidisciplinary Teams in Pediatric Oncology: The Experiences of Canadian Health Care Providers

Pediatric oncology care in Canada is delivered by multidisciplinary teams consisting of healthcare providers with different areas of expertise. Limited information is available on how the multidisciplinary team influences jobrelated rewards, demands, and stress in pediatric oncology. A qualitative approach was adopted to learn about healthcare providers’ experiences of working within a multidisciplinary team in pediatric oncology. Qualitative interviews were conducted with 33 healthcare providers (13 oncologists, 9 nurses, 5 social workers, and 6 child-life specialists) from four pediatric oncology centres. Topics explored included: demands and rewards associated with how the multidisciplinary team worked; description of one’s area of expertise; and healthcare provider’s responsibilities. Thematic analysis was used to identify sources of demands and rewards of working in a multidisciplinary team. Healthcare providers described rewards of working within a multidisciplinary team in three areas: sharing expertise and collaboration; giving and receiving social and emotional support; and being valued by and valuing team members. Healthcare providers discussed demands of working within a multidisciplinary team in four areas: interpersonal and communication tensions; conflicting views about providing care; role confusion, overlap and being undervalued; and hospital environment. These findings may inform interventions that alleviate healthcare provider stress and promote strategies that lead to greater job satisfaction

The effect of RO3201195 and a pyrazolyl ketone P38 MAPK inhibitor library on the proliferation of Werner syndrome cells

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Profiling Chemicals Based on Chronic Toxicity Results from the U.S. EPA ToxRef Database

Attribute filters allow enhancement and extraction of features without distorting their borders, and never introduce new image features. These are highly desirable properties in biomedical imaging, where accurate shape analysis is paramount. However, setting the attribute-threshold parameters has to date only been done manually. This paper explores simple, fast and automated methods of computing attribute threshold parameters based on image segmentation, thresholding and data clustering techniques. Though several techniques perform well on blood-vessel filtering, the choice of technique appears to depend on the imaging mode.

Multiple strain-induced phase transitions in LaNiO3 thin films

Weber, M.C. et al.Strain effects on epitaxial thin films of LaNiO3 grown on different single crystalline substrates are studied by Raman scattering and first-principles simulation. New Raman modes, not present in bulk or fully-relaxed films, appear under both compressive and tensile strains, indicating symmetry reductions. Interestingly, the Raman spectra and the underlying crystal symmetry for tensile and compressively strained films are different. Extensive mapping of LaNiO3 phase stability is addressed by simulations, showing that a variety of crystalline phases are indeed stabilized under strain which may impact the electronic orbital hierarchy. The calculated Raman frequencies reproduce the principal features of the experimental spectra, supporting the validity of the multiple strain-driven structural transitions predicted by the simulations.J.K., M.W., M.G., and J.I. acknowledge support from the National Research Fund, Luxembourg through a Pearl grant (Grant No. FNR/P12/4853155). ICMAB-CSIC authors acknowledge financial support from the Spanish Ministry of Economy and Competitiveness, through the “Severo Ochoa” Programme for Centres of Excellence in R&D (SEV-2015- 0496) and the MAT2014-56063-C2-1-R and MAT2013- 40581-P projects, and from Generalitat de Catalunya (2014 SGR 734). UB authors acknowledge financial support from the Spanish Ministry of Economy and Competitiveness, project MAT2013-41506-P and from Generalitat de Catalunya (2014 SGR 672).Peer reviewe