11 research outputs found

    Training the Person of the Therapist in an Academic Setting The Person-of-the-Therapist Training Model Theoretical Framework

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    The POTT model calls for mastery of self to meet the personal challenges clients present to us in both the technical venue and the therapeutic relationship. The model proffers three basic goals of the training. First, in order to be able to achieve this personal mastery in the professional context of therapy, therapists must know themselves, particularly the dominant personal challengespsychological, cultural, and spiritual-that mark their lives, along with the history and current status of their struggle with these life themes. Models for the use of self normally focus almost exclusively on the emotional aspects of therapists' lives. The POTT model also lends weight to therapists' culture, values, and spirituality, which are as vital as their psychology in forming their outlooks toward life and its challenges. Second, clinicians must have the ability to observe, have access to, and exercise judgment about the emotions, memories, and behaviors that spring from their own personal themes while in the actual drama of the therapeutic process. Third, they must be able to manage their own person, with all the emotional, cultural, and spiritual forces operating in them, actively and purposely in line with their therapeutic goals. This last implies the ability of therapists to utilize their personal life history and inner emotional experiences to both identify with and differentiate themselves from their clients. Therapists must be able to recognize the common elements of the human experience in their clients' life-struggles to the point of being able to track clients' personal journeys through a conscious connection with their own personal journeys. Therapists must also be so grounded in their own life's pilgrimage that they do not so embroil themselves in their clients' affective churnings that they lose the emotional distance necessary to see, and consequently challenge their clients in their reality. The predecessors of the POTT model focused primarily on self-improvement. Satir spoke of Freud's requirement of a didactic analysis for trainees as a way of preventing therapists from harming patients. Her goal was "the positive use of self [in order to] be of positive value in treatment" (Satir, 2000, p. 26). For her, this meant "becoming a more integrated self" in order to be "able to make greater contact with the other person [the client]" (p. 24). In contrast, POTT lends greater emphasis to training on how to use the self in the clinical context, than on how therapists achieve a certain level of personal growth and resolution as a precondition to an effective use of self

    Traumatische arterio-venöse Fistel der grossen Halsgefässe bei einem Pferd

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    An arteriovenous fistula is an abnormal connection or passageway between an artery and a vein. It may be congenital or acquired due to pathologic process, such as trauma or erosion of an arterial aneurysm. In the following case report the diagnosis and the angio-surgical therapy of an traumatically caused arterio-venous shunt is described. A 13 years old Arabian-Trakehner gelding developed a whizzing swelling of hand’s size at the left neck after a trauma. Doppler sonography revealed an arterio-venous fistula with a shunt between the Arteria carotis communis and the Vena jugularis externa. The shunt related turbulencies of the arterial and venous blood circulation were investigated intraoperatively by angiography and blood-gas analysis. The arterio-venous fistula was separated and the blood vessels were reconstructed during an unilateral interruption of the blood stream to the brain for 30 minutes. In addition, a biopsy of the shunt area was taken. Sonographic follow-up examinations were carried out over a period of 4 months. The surgical wound healed without complications. Phenprocoumon (Marcumar®, Roche, Grenzach-Wyhlen) was administered as anticoagulant treatment for 3 months during regular check of the coagulant status. The final sonographic examination confirmed a non-interfered arterio-veneous haemodynamic. The biopsy of the shunt area was histologically characterized by collagen and fibroblast rich, poorly vascularized connective tissue. Additionally, a lympho-plasmacellular infiltration and single neutrophilic infiltrates were seen. The horse achieved its original performance level 4 months after surgery. The Doppler sonography is a suitable technique for detecting an arterio-venous fistula between the Arteria carotis communis and the Vena jugularis externa in horses. This so far firstly reported type of shunt should be considered in the differential diagnosis of traumatically caused diseases of the large vessels in the jugular furrow of horses. The risky surgical repair of the affected vessels in close neighbourhood of the vagus nerve can be successfully managed in an interdisciplinary approac
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