Contratransferência e aliança terapêutica no início da psicoterapia psicodinâmica de adultos

Objectives: The primary objective of this study was to assess the relationship between countertransference (CT) and therapeutic alliance (TA) during the early stages of psychodynamic psychotherapy. A secondary objective is to assess associations between CT and variables related to therapist and patient and between CT and other patient variables investigated, which were defense mechanisms, symptomology and functionality. Methodology: This was a cross-sectional study that enrolled 30 patients treated by 17 different therapists at the psychotherapy clinics of two psychiatry centers. Assessments of each patient-therapist pair were conducted between their fourth and 10th sessions. Results: The CT distance domain exhibited a moderate negative correlation with TA, particularly its sub-dimension representing the patient’s capacity for work in therapy. Moderate positive correlations were observed between CT distance and the splitting defense mechanism and between CT closeness and suppression defenses, in addition to moderate negative correlation between CT indifference and the fantasy defense mechanism. Another finding was higher scores for CT indifference in association with socioeconomic classes D and E. Conclusions: The quality of CT may provide a source of information about TA. A high degree of CT distance represents a low level of TA, particularly with relation to the patient’s working capacity, although presence of the splitting defense mechanism can affect CT, to the extent that it constitutes a confounding variable. The concept of CT is useful to psychotherapists, providing a source of information about the patient’s internal world and about certain elements of therapy, such as the quality of TA, which is important for good treatment results.Objetivos: O objetivo principal desta pesquisa foi avaliar a relação entre a contratransferência (CT) e a aliança terapêutica (AT) no início da psicoterapia psicodinâmica. O objetivo secundário é avaliar a associação da CT com as variáveis da dupla e da CT com as demais variáveis do paciente avaliadas, que foram os mecanismos de defesa, sintomatologia e funcionalidade. Metodologia: Trata-se de um estudo transversal com 30 pacientes do ambulatório de psicoterapia de dois serviços de psiquiatria, atendidos por 17 terapeutas. As avaliações ocorreram entre quarto e décimo encontros da dupla. Resultados: A dimensão da CT distância apresentou correlação negativa moderada com a AT, especialmente sua dimensão que representa a capacidade de trabalho em terapia do paciente. Foram verificadas correlações moderadas positivas entre CT distância e cisão e entre CT proximidade e supressão, além da correlação moderada negativa da CT indiferença com fantasia. Outro dado encontrado foi a presença de maiores níveis da CT indiferença diante de pacientes da classe socioeconômica D e E. Conclusões: A qualidade da CT pode servir de fonte de informações sobre a AT. A presença de alta CT que indica distância está relacionada a baixa AT, sobretudo em relação a capacidade de trabalho do paciente, ainda que a presença de cisão pode influenciar a CT, de forma que representa uma variável de confusão. A CT é um conceito útil ao psicoterapeuta, servindo como fonte de informações sobre o mundo interno do paciente e sobre elementos da psicoterapia, como a qualidade da AT, importante para os bons resultados dos tratamentos

Internal mammary artery dilatation in a patient with aortic coarctation, aortic stenosis, and coronary disease. Case report

The ideal surgical approach is unclear in adult patients with coarctation of the aorta that is associated with other cardiovascular pathologies that require intervention. Standard median sternotomy allows simultaneous, coronary revascularization surgery, valve replacement and repair of aortic coarctation. However the collateral circulation and the anatomy of the mammary arteries must be determined, to avoid possible complications. We report a case of a 69 year-old man with aortic coarctation, aortic stenosis, coronary artery disease and internal mammary artery dilatation who underwent concomitant surgical procedures through a median sternotomy

Comparison of effectiveness of wood decay fungi maintained by annual subculture on agar and stored in sterile water for 18 years

Fourteen isolates of basidiomycete decay fungi (12 species) were maintained for 18 years on agar slants transferred annually and alsostored as mycelium-agar cores under cold sterile water without subculture. Isolates stored by each method were evaluated for decay effectiveness using a standard laboratory accelerated soil-block decay test. Effectiveness was measured by mean percent mass loss of wood blocks. There was no significant difference (p ≤ 0.05) in decay effectiveness between storage methods for 12 of the fungus isolates tested. For the 2 fungi that showed a significant difference in the amount of decay with respect to storage method, 1 fungus (Fomitopsis lilacinogilva) produced more decay by the strain maintained as an agar slant, while the other fungus (Trametes versicolor) produced more decay by the strain stored in sterile water. Results suggested that storage under sterile water is an easy and effective method to store isolates of decay fungi for long periods, but as with any microbial storage method, careful monitoring of isolates upon revival is necessary

COVID-19 targets human adrenal glands

Diabetes is one of the most important comorbidities linked to the severity of all three known human pathogenic coronavirus infections, including severe acute respiratory syndrome coronavirus 2. Patients with diabetes have an increased risk of severe complications including Adult Respiratory Distress Syndrome and multi-organ failure. Depending on the global region, 20–50% of patients in the coronavirus disease 2019 (COVID-19) pandemic had diabetes. Given the importance of the link between COVID-19 and diabetes, we have formed an international panel of experts in the field of diabetes and endocrinology to provide some guidance and practical recommendations for the management of diabetes during the pandemic. We aim to briefly provide insight into potential mechanistic links between the novel coronavirus infection and diabetes, present practical management recommendations, and elaborate on the differential needs of several patient groups

Regulated interleukin-10 expression prevents chronic rejection of transplanted hearts

AbstractObjectiveInterleukin-10 is a pleiotrophic cytokine with variable effects on the alloimmune response, depending on the experimental model system. The purpose of this study was to determine the role of regulated interleukin-10 expression on the development of chronic rejection in heart transplantation, or cardiac allograft vasculopathy.MethodsDonor hearts from B6.C-H2bm12 mice were transplanted into wild-type and interleukin-10 transgenic recipients. In interleukin-10 transgenic recipients, murine interleukin-10 cytokine is produced under the control of human interleukin-2 promoter. Donor hearts were sacrificed at days 7 and 24. No immunosuppression was used. Intimal proliferation was measured morphometrically. Intragraft cellular infiltrate was defined by both immunohistochemistry and flow cytometry. Intracellular cytokine staining assay was performed to determine both the type and source of intragraft cytokines.ResultsHearts transplanted into wild-type recipients developed severe cardiac allograft vasculopathy by 24 days. Intimal lesions were absent in the donor hearts transplanted into interleukin-10 transgenic recipients. The number of graft-infiltrating T lymphocytes and the percentage of interleukin-2/interferon-γ producing T lymphocytes were markedly reduced in interleukin-10 transgenic recipients. Finally, the overexpression of interleukin-10 resulted in the decline of graft-infiltrating macrophages at all time points.ConclusionsRegulated expression of interleukin-10 inhibits cardiac allograft vasculopathy development via reduction of mononuclear cell recruitment and alteration of their cytokine profile. This strategy may prove beneficial in controlling the alloimmune response in solid organ transplants.3

Executive functions profile in extreme eating/weight conditions: from anorexia nervosa to obesity

Extreme weight conditions (EWC) groups along a continuum may share some biological risk factors and intermediate neurocognitive phenotypes. A core cognitive trait in EWC appears to be executive dysfunction, with a focus on decision making, response inhibition and cognitive flexibility. Differences between individuals in these areas are likely to contribute to the differences in vulnerability to EWC. The aim of the study was to investigate whether there is a common pattern of executive dysfunction in EWC while comparing anorexia nervosa patients (AN), obese subjects (OB) and healthy eating/weight controls (HC)

Transmission and Gender. Women Artists as Teachers in the XXth Century

International audienceWährend der Anteil an Frauen im Bereich des Kunstunterrichts langsam, aber sicher wächst, stehen die spezifische Besonderheit der Werdegänge von Frauen sowie ihre Auswirkungen auf die Vermittlung und das künstlerische Schaffen an der Schnittstelle mehrerer Felder und werfen eine Vielzahl von Fragen auf. Wie sieht die Karriere einer Frau aus, und wie werden die Institutionen durch die Arbeit von Frauen verändert? Wie werden die Hierarchien neu gestaltet, wie wandelt sich das Bezugsfeld der Studierenden, was ermöglichen die neu entwickelten Methoden? Die in dieser Publikation versammelten Aufsätze beleuchten individuelle Werdegänge und zeichnen die Debatten nach, die an den Kunsthochschulen stattfinden, sowie die Entwicklungen, die der Unterricht von Künstlerinnen aufdeckt, vorbereitet oder im Bereich zeitgenössischen künstlerischen Schaffens vollbringt.Tandis que le champ de l’enseignement de l’art se féminise, lentement mais sûrement, la spécificité des trajectoires féminines et de leurs effets sur la transmission et la création se trouvent au carrefour de plusieurs champs et ouvrent une pluralité de questionnements. A quoi ressemble une carrière féminine, de quelle manière les institutions sont-elles modifiées par l’arrivée des femmes ? Comment les hiérarchies sont-elles repensées, le champ référentiel des élèves évolue-t-il, que permettent les nouvelles méthodes développées ? Les articles réunis mettent en lumière des trajectoires individuelles tout en retraçant plus largement les luttes dont les écoles sont le théâtre et les évolutions que l’enseignement par des artistes femmes révèle, prépare ou accomplit dans le champ de la création contemporaine

Contratransferência e aliança terapêutica no início da psicoterapia psicodinâmica de adultos

Objectives: The primary objective of this study was to assess the relationship between countertransference (CT) and therapeutic alliance (TA) during the early stages of psychodynamic psychotherapy. A secondary objective is to assess associations between CT and variables related to therapist and patient and between CT and other patient variables investigated, which were defense mechanisms, symptomology and functionality. Methodology: This was a cross-sectional study that enrolled 30 patients treated by 17 different therapists at the psychotherapy clinics of two psychiatry centers. Assessments of each patient-therapist pair were conducted between their fourth and 10th sessions. Results: The CT distance domain exhibited a moderate negative correlation with TA, particularly its sub-dimension representing the patient’s capacity for work in therapy. Moderate positive correlations were observed between CT distance and the splitting defense mechanism and between CT closeness and suppression defenses, in addition to moderate negative correlation between CT indifference and the fantasy defense mechanism. Another finding was higher scores for CT indifference in association with socioeconomic classes D and E. Conclusions: The quality of CT may provide a source of information about TA. A high degree of CT distance represents a low level of TA, particularly with relation to the patient’s working capacity, although presence of the splitting defense mechanism can affect CT, to the extent that it constitutes a confounding variable. The concept of CT is useful to psychotherapists, providing a source of information about the patient’s internal world and about certain elements of therapy, such as the quality of TA, which is important for good treatment results.Objetivos: O objetivo principal desta pesquisa foi avaliar a relação entre a contratransferência (CT) e a aliança terapêutica (AT) no início da psicoterapia psicodinâmica. O objetivo secundário é avaliar a associação da CT com as variáveis da dupla e da CT com as demais variáveis do paciente avaliadas, que foram os mecanismos de defesa, sintomatologia e funcionalidade. Metodologia: Trata-se de um estudo transversal com 30 pacientes do ambulatório de psicoterapia de dois serviços de psiquiatria, atendidos por 17 terapeutas. As avaliações ocorreram entre quarto e décimo encontros da dupla. Resultados: A dimensão da CT distância apresentou correlação negativa moderada com a AT, especialmente sua dimensão que representa a capacidade de trabalho em terapia do paciente. Foram verificadas correlações moderadas positivas entre CT distância e cisão e entre CT proximidade e supressão, além da correlação moderada negativa da CT indiferença com fantasia. Outro dado encontrado foi a presença de maiores níveis da CT indiferença diante de pacientes da classe socioeconômica D e E. Conclusões: A qualidade da CT pode servir de fonte de informações sobre a AT. A presença de alta CT que indica distância está relacionada a baixa AT, sobretudo em relação a capacidade de trabalho do paciente, ainda que a presença de cisão pode influenciar a CT, de forma que representa uma variável de confusão. A CT é um conceito útil ao psicoterapeuta, servindo como fonte de informações sobre o mundo interno do paciente e sobre elementos da psicoterapia, como a qualidade da AT, importante para os bons resultados dos tratamentos

Countertransference and therapeutic alliance in the early stage of adult psychodynamic psychotherapy

Objectives:The primary objective of this study was to assess the relationship between countertransference (CT) and therapeutic alliance (TA) during the early stages of psychodynamic psychotherapy. A secondary objective is to assess associations between CT and variables related to therapist and patient and between CT and other patient variables investigated, which were defense mechanisms, symptomology and functionality.Methodology: This was a cross-sectional study that enrolled 30 patients treated by 17 different therapists at the psychotherapy clinics of two psychiatry centers. Assessments of each patient-therapist pair were conducted between their fourth and 10th sessions.Results: The CT distance domain exhibited a moderate negative correlation with TA, particularly its sub-dimension representing the patient's capacity for work in therapy. Moderate positive correlations were observed between CT distance and the splitting defense mechanism and between CT closeness and suppression defenses, in addition to moderate negative correlation between CT indifference and the fantasy defense mechanism. Another finding was higher scores for CT indifference in association with socioeconomic classes D and E.Conclusions: The quality of CT may provide a source of information about TA. A high degree of CT distance represents a low level of TA, particularly with relation to the patient's working capacity, although presence of the splitting defense mechanism can affect CT, to the extent that it constitutes a confounding variable. The concept of CT is useful to psychotherapists, providing a source of information about the patient's internal world and about certain elements of therapy, such as the quality of TA, which is important for good treatment results

L’art en France à la croisée des cultures

International audienceDieses Buch versammelt die am DFK Paris im Rahmen des Jahresthemas 2016/17 – Die Kunst in Frankreich im transkulturellen Kontext - entstandenen Überlegungen und Diskussionen. Der intensive Austausch der Forscherinnen und Forscher über ihre jeweiligen Projekte hinaus beförderte die Befragung des Eurozentrismus, analysierte spezifische Ausformungen von Hegemonie und zeigte die Konsequenzen der Kolonialgeschichte auf. Wie das künstlerisch-intellektuelle Schaffen und das Engagement der Künstler sich in die Mobilitäten der Globalisierung einschreiben, arbeiten die Fallstudien zu afrikanischen, amerikanischen, asiatischen, europäischen und ozeanischen Kontexten heraus. Mit der Reflexion auf die Interdependenzen zwischen den beschriebenen Neupositionierungen und der Kunstgeschichte wird die Notwendigkeit deutlich, in der kunsthistorischen Analyse die Querpfade, Desorientierungen, das Fragmentarische und die Entwurzelungen anzuerkennen – hier und jetzt, hier und anderswo.Cet ouvrage rassemble la somme des réflexions et discussions menée au DFK Paris dans le cadre du sujet annuel de 2016/17 « Les arts en France à la croisée des cultures ». Avec leur échange intensif, les chercheurs ont pu renforcer le questionnement de l’eurocentrisme ainsi que démontrer et analyser les différentes formes de l’hégémonie et les conséquences des histoires coloniales. En examinant des différentes études de cas dans les contextes africains, américains, asiatiques, européens et océaniens, il devient évident que la création et l’engagement artistiques et intellectuels appartiennent aux mobilités de la mondialité. Mettant en avant les interdépendances entre les repositionnements décrits et l'histoire de l'art, on comprend la nécessité de reconnaître dans l'analyse en histoire de l'art les chemins de traverse, les désorientations, le fragmentaire et les déracinements - ici et maintenant, ici et ailleurs