967 research outputs found
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From psychotherapist to supervisor
This study is a part of an ongoing research project examining group supervision in psychotherapy. The study was performed in a postgraduate training program for prospective supervisors. The two-year supervisor training program included theory seminars as well as group supervision of the prospective supervisor’s supervision of a trainee who had a patient in psychotherapy. The training program was based on psychoanalytic theory and the psychotherapy conducted was psychoanalytically oriented. Supervisees´ and supervisors´ experiences of the learning process, supervision format in group and supervisor styles were explored in semi-structured interviews. Both supervisees and supervisors emphasized the importance of a specific training program for psychotherapists who intend to work as supervisors. The didactic aspects of supervision were pointed out. The group format was experienced as particularly suitable for this training level. The “super-supervisor’s” style was important as a role model for the supervisors in training
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Group supervision from a small group perspective
The main objective of this study was to examine a set of independent group variables (group size, gender composition, and supervisory style) in group supervision, and their interrelation with supervisees’ and supervisors’ view on group interactions, group climate, and attained skill. The study also examined changes over time in supervisees’ and supervisors’ ratings of group interactions, group climate, and attained skill. Participants were 105 supervisees and 20 supervisors, who worked in 23 supervision groups on basic and advanced training level. Supervisees’ and supervisors’ experience of group interactions, climate, supervisory style, and attainment of knowledge and skills in the supervision was measured with self-rating scales. Results from hierarchical regression analysis indicate that the group variables measured in this study are interrelated to perceived psychotherapeutic knowledge and skills attainment, group interaction, and group climate. Repeated measures Anova suggested that participants in this study experienced a positive change over time with regard to attainment of knowledge and skills, group interaction, and group climate. Supervisors were more likely to experience a positive change whereas supervisees, and especially supervisees on the basic level, tended to present more stable ratings over time. These data underline the utility and importance of studying group supervision in psychotherapy from a small group perspective
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Grupphandledning I psykoterapi inom ramen för utbildningar
The focus of this paper is group supervision in psychotherapy training. Results emanating from studies performed in collaboration between a number of Swedish universities and university affiliated training units are summarized. The findings are drawn from studies where data is collected from supervisors and supervisees at several different measurement points, levels of training, and psychotherapeutic orientations. The studies presented here examine and highlight different aspects of group supervision, e.g., the experience of supervision on various training levels and psychotherapeutic orientations with regard to the impact of the group format. Moreover, experiences of supervisor style and group climate are examined. A major finding is that both supervisors and supervisees emphasize the need of giving more attention to group processes and phenomena in group supervision
Addressing decision making for remanufacturing operations and design-for-remanufacture
Remanufacturing is a process of returning a used product to at least original equipment manufacturer original performance specification from the customers' perspective and giving the resultant product a warranty that is at least equal to that of a newly manufactured equivalent. This paper explains the need to combine ecological concerns and economic growth and the significance of remanufacturing in this. Using the experience of an international aero-engine manufacturer it discusses the impact of the need for sustainable manufacturing on organisational business models. It explains some key decision-making issues that hinder remanufacturing and suggests effective solutions. It presents a peer-validated, high-level design guideline to assist decision-making in design in order to support remanufacturing. The design guide was developed in the UK through the analysis of selections of products during case studies and workshops involving remanufacturing and conventional manufacturing practitioners as well as academics. It is one of the initial stages in the development of a robust design for remanufacture guideline
Depression, anxiety, and psychological distress among caregivers of young children in rural Lesotho: Associations with food insecurity, household death and parenting stress
Good mental health is a critical resource for mothers and caregivers of young children, given the central role of mental health in enabling responsive caregiving. However, fulfilling caregiving responsibilities under challenging circumstances such as extreme poverty, food insecurity, and gender inequality intensifies vulnerability to poor mental health. Previous research focuses on mental health of mothers, while in many LMICs children are cared for by other caregivers, such as grandparents. We examined the prevalence of mental health problems among primary caregivers of young children in rural Lesotho, and investigated factors associated with these mental health problems. We analysed baseline data from a cluster randomised controlled trial, where all caregivers with children between 1 and 5 years old across 34 villages were invited to participate. The analysis included mental health data from 781 caregivers of 998 children. We assessed caregiver mental health using three self-report screening instruments. Univariate and multivariate regression modelling tested associations between caregiver, child and household variables and (1) depression symptoms (PHQ-9), (2) anxiety symptoms (GAD-7), (3) psychological distress (SRQ-20), (4) suicidal ideation and (5) help-seeking for mental health. This study reported a high prevalence of symptoms of psychological distress (46.2%), depression (25.7%), anxiety (17.1%) and suicidal ideation (27.5%) among caregivers. Greater prevalence was associated with food insecurity, parenting stress or recent death in the family/household. Older caregivers reported higher rates of psychological distress and depression, while younger caregivers reported higher rates of anxiety. Suicidal ideation was associated with greater food insecurity and parenting stress, and lower caregiver education. Our findings support the need to address intersecting public health issues to improve conditions for caregivers in these settings. Targeting modifiable risk factors such as food insecurity among individuals within a society who carry disproportionate burdens of caregiving should be prioritised, especially in contexts of scarcity, where mental health is not prioritised
Use of an integrated clinical trial database to evaluate the effect of timing of drotrecogin alfa (activated) treatment in severe sepsis
INTRODUCTION: Several studies have indicated that early identification and treatment of patients with severe sepsis using standard supportive care improves outcomes. Earlier treatment with drotrecogin alfa (activated) (DrotAA) may also improve outcomes in severe sepsis. Using a recently constructed integrated severe sepsis database, our objectives in this study were to describe the influence of baseline clinical characteristics on timing of DrotAA treatment in patients with severe sepsis, to evaluate the efficacy of DrotAA with respect to timing of administration, and to examine the association between early intervention with DrotAA and patient outcomes, using adjustments for imbalances. METHODS: The database comprises data from 4,459 patients with severe sepsis (DrotAA, n = 3,228; placebo, n = 1,231) included in five clinical trials conducted in tertiary care institutions in 28 countries. Placebo data came only from randomized trials, whereas data for the DrotAA group came from randomized (PROWESS) and open-label/observational (ENHANCE) trials. RESULTS: Increased time-to-treatment with DrotAA was significantly associated with more organ dysfunction, greater need of mechanical ventilation, vasopressor use, or recent surgery. Earlier treatment was associated with higher baseline Acute Physiology and Chronic Health Evaluation (APACHE II) scores. Adjusted and unadjusted survival analyses suggested that compared with placebo, DrotAA treatment provided a potential survival benefit, regardless of time to treatment. Survival curves of DrotAA patients treated early compared with those treated late began to separate at 14 days. By 28 days, patients treated earlier had higher survival than those treated later (76.4% versus 73.5%, p = 0.03). Sepsis-induced multiorgan dysfunction was the most common cause of death followed by refractory shock and respiratory failure. Modeling of the treatment effect, as a function of time to treatment, suggested increased benefit with earlier treatment. CONCLUSION: Using an integrated database of five severe sepsis trials and appropriate statistical adjustments to reduce sources of potential bias, earlier treatment with DrotAA seemed to be associated with a lower risk-adjusted mortality than later treatment. These data suggest that earlier treatment with DrotAA may provide most benefit for appropriate patients
Excited State Dynamics of Bistridentate and Trisbidentate RuII Complexes of Quinoline-Pyrazole Ligands
Three homoleptic ruthenium(II) complexes, [Ru(Q3PzH)3]2+, [Ru(Q1Pz)3]2+, and [Ru(DQPz)2]2+, based on the quinoline-pyrazole ligands, Q3PzH (8-(3-pyrazole)-quinoline), Q1Pz (8-(1-pyrazole)-quinoline), and DQPz (bis(quinolinyl)-1,3-pyrazole), have been spectroscopically and theoretically investigated. Spectral component analysis, transient absorption spectroscopy, density functional theory calculations, and ligand exchange reactions with different chlorination agents reveal that the excited state dynamics for Ru(II) complexes with these biheteroaromatic ligands differ significantly from that of traditional polypyridyl complexes. Despite the high energy and low reorganization energy of the excited state, nonradiative decay dominates even at liquid nitrogen temperatures, where triplet metal-to-ligand-charge-transfer emission quantum yields range from 0.7 to 3.8%, and microsecond excited state lifetimes are observed. In contrast to traditional polypyridyl complexes where ligand exchange is facilitated by expansion of the metal-ligand bonds to stabilize a metal-centered state, photoinduced ligand exchange occurs in the bidentate complexes despite no substantial MC state population, while the tridentate complex is extremely photostable despite an activated decay route, highlighting the versatile photochemistry of nonpolypyridine ligands.\ua0\ua9 2019 American Chemical Society
Finite-gap equations for strings on AdS_3 x S^3 x T^4 with mixed 3-form flux
We study superstrings on AdS_3 x S^3 x T^4 supported by a combination of
Ramond-Ramond and Neveu-Schwarz-Neveu-Schwarz three form fluxes, and construct
a set of finite-gap equations that describe the classical string spectrum.
Using the recently proposed all-loop S-matrix we write down the all-loop Bethe
ansatz equations for the massive sector. In the thermodynamic limit the Bethe
ansatz reproduces the finite-gap equations. As part of this derivation we
propose expressions for the leading order dressing phases. These phases differ
from the well-known Arutyunov-Frolov-Staudacher phase that appears in the pure
Ramond-Ramond case. We also consider the one-loop quantization of the algebraic
curve and determine the one-loop corrections to the dressing phases. Finally we
consider some classical string solutions including finite size giant magnons
and circular strings.Comment: 44 pages, 3 figures. v2: references and a discussion about
perturbative results adde
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