Staying Together: The Journey of Healing after Infidelity

Relationships are an important aspect of a fulfilling life. They can bring joy and pleasure or pain and devastation. One of the most detrimental issues within the context of committed relationships is infidelity, and subsequently it is one of the most prevalent issues seen in therapy. Although it is a common presenting problem in couples therapy, research on the treatment and healing of infidelity is limited. A majority of the literature is focused on the clinician’s point of view rather than the couples’ perspective. The purpose of this study is to present the results of a qualitative study of eight public weblogs in which individuals and couples described their experience with healing from infidelity. Utilizing grounded theory procedures, the researchers are seeking to identify factors outlined by the bloggers that contributed to their healing experienc

Development of a Closed-Loop Strap Down Attitude System for an Ultrahigh Altitude Flight Experiment

A low-cost attitude system has been developed for an ultrahigh altitude flight experiment. The experiment uses a remotely piloted sailplane, with the wings modified for flight at altitudes greater than 100,000 ft. Mission requirements deem it necessary to measure the aircraft pitch and bank angles with accuracy better than 1.0 deg and heading with accuracy better than 5.0 deg. Vehicle cost restrictions and gross weight limits make installing a commercial inertial navigation system unfeasible. Instead, a low-cost attitude system was developed using strap down components. Monte Carlo analyses verified that two vector measurements, magnetic field and velocity, are required to completely stabilize the error equations. In the estimating algorithm, body-axis observations of the airspeed vector and the magnetic field are compared against the inertial velocity vector and a magnetic-field reference model. Residuals are fed back to stabilize integration of rate gyros. The effectiveness of the estimating algorithm was demonstrated using data from the NASA Dryden Flight Research Center Systems Research Aircraft (SRA) flight tests. The algorithm was applied with good results to a maximum 10' pitch and bank angles. Effects of wind shears were evaluated and, for most cases, can be safely ignored

Therapeutic alliance and client satisfaction from the client’s perspective

This was the second phase of a two phase mixed methodology study. Presented is the qualitative portion consisting of semi-structured phone interviews conducted with past clients in order to examine the relationship of the therapeutic alliance and client satisfaction with client retention and termination status.Findings were classified into three main categories: therapist characteristics, treatment structural characteristics and process characteristics

Survivors of Childhood Sexual Abuse:What Heals and What Hurts in a Couple Relationship

Childhood sexual abuse (CSA) is a significant trauma that affects a person’s self-concept and ability to form healthy intimate relationships later in adulthood. Approximately 20% of adults who experienced childhood sexual abuse go on to evidence serious psychopathology in adulthood (Harway & Faulk, 2005). Knowledge of how relationship partners affect the healing of the survivor may be very beneficial to couples’ therapists, to survivors themselves, and to their intimate partners. The purpose of this qualitative study is to increase understanding of the survivor’s experience of what is helpful and what is counterproductive in their healing process within the construct of their couple relationship. The results of this study may provide useful information for CSA survivors, their partners, and mental health professionals in their work with individuals and couples who have experienced CSA

In-flight demonstration of a Real-Time Flush Airdata Sensing (RT-FADS) system

A prototype real-time flush airdata sensing (RT-FADS) system has been developed and flight tested at the NASA Dryden Flight Research Center. This system uses a matrix of pressure orifices on the vehicle nose to estimate airdata parameters in real time using nonlinear regression. The algorithm is robust to sensor failures and noise in the measured pressures. The RT-FADS system has been calibrated using inertial trajectory measurements that were bootstrapped for atmospheric conditions using meteorological data. Mach numbers as high as 1.6 and angles of attack greater than 45 deg have been tested. The system performance has been evaluated by comparing the RT-FADS to the ship system airdata computer measurements to give a quantitative evaluation relative to an accepted measurement standard. Nominal agreements of approximately 0.003 in Mach number and 0.20 deg in angle of attack and angle of sideslip have been achieved

Bilateral Vestibular Hypofunction in Neurosarcoidosis: A Case Report

We describe the case of a 59-year-old woman who presented with progressive bilateral vestibular hypofunction and who was found to have bilateral granulomatous mass lesions of the mesial temporal lobe. Initially, her condition stabilized neurologically with corticosteroids, but a diagnosis of neurosarcoidosis was delayed because of the unusual presentation and persistently normal chest imaging results and serum angiotensin-converting enzyme (ACE) levels. Approximately 1 year after her initial presentation, the patient died of complications of a myocardial infarction and pulmonary embolism. Sarcoidosis should be considered in the differential diagnosis of idiopathic bilateral vestibular hypofunction even if the chest imaging and serum ACE levels are normal, particularly when there is evidence of a multisystem process

Still In the Shadows: A Content Analysis of Sexual Addiction in Couple Therapy

There is no universally accepted definition of “sex addiction” in the literature, though it is generally understood as persistent patterns of sexual behaviors acted out despite negative consequences to self or others (Kafka, 2010; Levine, 2010). Though sexual addictions are often addressed individually, most take place within a social context that includes family members and/or intimate relationships. The purpose of this presentation is to present the results of a content analysis of M/CFT peer-reviewed journals and summarize the extent to which this literature addresses sexual addictions and couples therapy. The content analysis adds to the existing literature by examining the ways in which this topic is already addressed in M/CFT journals

“Counseling the Unemployed”: Reflections on a Pilot Clinical Program

•Unemployment and economic hardships are issues in the lives of clients serviced by marriage and family therapists (MFTs). • “Counseling the Unemployed” program was created within a university-based clinical setting to help meet such needs. •Student MFTs were educated on effects of unemployment, coping strategies, and then shared what was helpful in addressing such issues via an online qualitative survey. •Anxiety, depression, low self-esteem, and relational problems were reported to be common symptoms of clients who presented with unemployment issues. •A degree of hopelessness and helplessness in the clients when compared to clients who did not present with issues related to unemployment was noted. •Certain techniques were also found to be most helpful in working with clients who are unemployed

Treatment for Vestibular Disorders: How Does Your Physical Therapist Treat Dizziness Related to Vestibular Problems?

Dizziness is very common, but it is never normal. Dizziness can make performing daily activities, work, and walking difficult. Many people get dizzy when they turn their head, which can cause problems with walking and makes people more likely to fall. Most of the time dizziness is not from a life-threatening disease. Often dizziness is because of a disorder of the vestibular (or inner ear balance) system. People can get vestibular disorders from infections in the ear, problems with the immune system, medications that harm the inner ear, and rarely from diabetes or stroke because of a lack of blood flow to the inner ear. Stress, poor sleep, migraines, overdoing some activities, and feeling sad can increase symptoms. New guidelines for the treatment of vestibular disorders were published in the April 2016 issue of the Journal of Neurologic Physical Therapy. The guideline describes which exercises are best to treat the dizziness and balance problems commonly seen with an inner ear disorder

Effect of Pritelivir Compared With Valacyclovir on Genital HSV-2 Shedding in Patients With Frequent Recurrences A Randomized Clinical Trial

Importance Current therapy of herpes infections relies on nucleoside analogues. Pritelivir is a well-tolerated novel herpes simplex virus (HSV) helicase-primase inhibitor that reduced genital shedding and lesions. Objective To compare the efficacy of pritelivir with valacyclovir for suppression of genital HSV-2 infection. Design, Setting, and Participants A phase 2, randomized, double-blind, crossover clinical trial at clinical research centers in 4 US cities (October 2012-July 2013) compared daily oral doses of 100 mg of pritelivir with 500 mg of valacyclovir. The planned sample size was 98 adults, allowing for detection of a 50% reduction in viral shedding between the study treatments. Healthy adults with 4 to 9 annual genital HSV-2 recurrences were eligible. Ninety-one participants were randomized: 45 to receive pritelivir and 46 to receive valacyclovir first when the US Food and Drug Administration placed the trial on clinical hold based on findings in a concurrent nonclinical toxicity study, and the sponsor terminated the study. Interventions Participants took the first drug for 28 days followed by 28 days of washout before taking the second drug for 28 days. Throughout treatment, the participants collected genital swabs 4 times daily for testing by HSV polymerase chain reaction assays. Main Outcomes and Measures The primary end point was within-participant genital HSV shedding while receiving pritelivir compared with valacyclovir. Secondary end points included the quantity of HSV in positive swabs and the frequency of genital lesions and shedding episodes. Results Of the 91 randomized participants (median age, 48 years; 57 women [63%]), 56 had completed both treatment periods at the time of the study’s termination. In intent-to-treat analyses, HSV shedding was detected in 2.4% (173 of 7276 ) of swabs during pritelivir treatment compared with 5.3% (392 of 7453) during valacyclovir treatment (relative risk [RR], 0.42; 95% CI, 0.21 to 0.82; P = .01). In swabs with HSV, the mean quantity of HSV was 3.2 log10 copies/mL during pritelivir treatment vs 3.7 log10 copies/mL during valacyclovir treatment (difference, −0.1; 95% CI, −0.6 to 0.5; P = .83). Genital lesions were present on 1.9% of days in the pritelivir group vs 3.9% in the valacyclovir group (RR, 0.40; 95% CI, 0.17-0.96; P = .04). The frequency of shedding episodes did not differ by group, with 1.3 per person-month for pritelivir and 1.6 per person-month for valacyclovir (RR, 0.80; 95% CI, 0.52 to 1.22; P = .29). Treatment-emergent adverse events occurred in 62.3% of participants in the pritelivir group and 69.2% of participants in the valacyclovir group. Conclusions and Relevance Among adults with frequently recurring genital HSV-2, the use of pritelivir compared with valacyclovir resulted in a lower percentage of swabs with HSV detection over 28 days. Further research is needed to assess longer-term efficacy and safety