Examination of changes in psychodynamic art psychotherapy process of patients with borderline personality disorder

Objective: The aim of this study was to examine of changes in the individual psychodynamic art therapy process of patients with borderline personality disorder. Method: The study was designed in the longitudinal survey model. In this study, the changes in psychodynamic psychotherapy process of 11 patients with BPD were examined. Patients who participated in psychotherapy for at least 4 years were included in the study. The psychotherapy process based on object relations model which is conducted with individual art psychotherapy approach was used by a psychotherapist experienced in psychodynamic art psychotherapy. The frequency of psychotherapy interviews with patients changed between 1 and 3 times a week, and a psychiatrist periodically examined the patient. Supervision was provided during the psychotherapy process. In the psychotherapy process, the behaviors of the patients, the issues they raised, the feelings they experienced and shared during the session, and the attitude of the psychotherapist were recorded through the Psychotherapy Process Observation List. SPSS 22.0 package program is used for data analysis. Results: In this study, it was observed that patients continued their psychotherapy for 6-8 years, and it is seen that there is a change in the aggressive and maladaptive behaviors of the patients, the emotions, the subjects, the patients and the therapist's attitudes during the psychotherapy process. At the beginning of psychotherapy, aggressive, self-mutilative and disrupting behaviors were observed. Despite the decrease in aggression and fighting behavior in the third year, there was an increase in behaviors that disrupt the therapy limits and forced the therapy. The therapist was also worried about desperation and losing control. On the other hand, it is observed statistically that the patients continue to have psychotherapy and the symptoms have decreased significantly in the end of the period. Discussion: The most important result emphasized by this study is that the psychotherapy of BPs is not silent and calm, intense emotional fluctuations can center the therapist and the patient, and that both the patient and the therapist's behavior change together in the long term psychotherapy process and it is important to focus on the therapy relationship in terms of both sides

The Management of Invasive Fungal Infections: What to Consider in Empirical Treatment?

WOS: 000325121600001Invasive fungal infections (IFI) are a major cause of morbidity and mortality in immunocompromised patients. Candida and Aspergillus are the most common fungi that lead to IFI. While invasive Candida infections are most commonly seen in patients in intensive care units (ICUs) and very low birth weight infants, aspergillosis is most frequent in immunocompromised patients, especially in patients with hematological malignancies and in those undergoing hematopoietic stem cell transplantation (HSCT). Empirical treatment should be considered in all high-risk patients with hematological malignancies suspected of having IFIs

The MMPI profile traits of borderline personality disorder

Objectives: Distinctive, effective and systematic psychological test methods to be used to di-agnose, treat and research borderline personality disorder (BPD) need to be developed and adminis-tered. This study investigates the MMPI profile characteristics of BPD to determine the original pro-file of BPD

Scientific research results of istanbul Faculty of Medicine in 31 years

The aim of this study was to present the 31 year scientific research of Istanbul Faculty of Medicine (IFM) and to evaluate its national and international scientific contribution. The IFM addressed original research articles published in the 31-year period (January 1980-December 2010) were determined by using search engines PubMed, ISI Web of Sciences and Google Scholar were evaluated. A total of 4,728 IFM addressed original articles were identified [yearly mean: 151.5 +/- 145.9 (range:14-479)]. The IFM articles were 3.5% of all medical articles originated from Turkey between 1981 and 2007. One hundred and fourteen IFM articles published between 2005 and 2009 were originated from thesis (6.3% of total IFM articles between the same periods). The number of original IFM articles in 1980 was 23 and increased to 443 in 2010. The highest numbers of articles were published in the field of Internal Medicine, followed by Surgery and Basic Sciences during the 31 year period. In the last 12 years, the highest number of articles per faculty was found in the Department of Medical Genetics (2.6/faculty/year) in the field of Internal Medicine, Department of Heart and Vascular Surgery (1.87/faculty/year) in the field of Surgery and Department of Medical Biology (1.05/faculty/year) in the field of Basic Science. The number of articles increased from 0.2 to 1 per faculty between the same periods. Until the end of 2011 the total citations were 28,750, with an impact of 6.08.The number of articles with higher than 50 citations were 412. Istanbul Faculty of Medicine with its 4,728 original articles between 1980 and 2010 contributed crucially to scientific reproduction of our country. With a scientific acceleration in the last decade, Istanbul Faculty of Medicine contributed notably for Istanbul University to become the 383rd in general and 156th in the field of medicine among the leading universities of the world