scholarly journals Sandplay Therapy Performed by Telepsychotherapy: Going Beyond the Limits of Face-to-Face Psychotherapy in the COVID-19 Pandemic

2021 ◽  
Vol 12 (1) ◽  
pp. 153-173
Author(s):  
Byungho Jung
Keyword(s):  
Psychological Symptoms ◽  
Psychological Treatment ◽  
Extended Period ◽  
Clinical Situation ◽  
Human Beings ◽  
Sandplay Therapy ◽  
Safe Alternative ◽  
Face To Face ◽  
New Perspective ◽  
Anxiety Depression

As COVID-19 spreads internationally for an extended period of time, millions of people around the world are suffering from psychological symptoms such as anxiety, depression, PTSD, and loss, and the role of psychotherapy is growing more than ever. However, in the current situation where anxiety about infection is widespread, the form of face-to-face psychotherapy has become another factor that induces infection anxiety. The limitation of this existing psychotherapy leads us to think of alternatives that can reflect the rapidly changing clinical situation in different ways during the ongoing coronavirus period. Telepsychotherapy is a form of psychotherapy that has been practiced for distant clients for a long time and can be a safe alternative psychotherapy method for both clients and analysts in the pandemic era. Although some analytic psychotherapists have negative views on telepsychotherapy, the change in the psychological treatment environment caused by COVID-19 leads to a new perspective on telepsychotherapy. The subjects of anxiety, depression, and death that people are experiencing because of the coronavirus pandemic come to us as archetypal shadow. The symbols unfolded in sandplay therapy direct our gaze to the inner world of human beings during this pandemic period and make us look at the unintegrated archetypal figure in the deep conscious. This paper aims to examine the therapeutic meaning and value of sandplay therapy that is performed according to the method of telepsychotherapy by analyzing the case of changed clinical situation due to the pandemic.

scholarly journals PARE0007 PATIENT AND PUBLIC INVOLVEMENT IN CLINICAL TRIAL DESIGN

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1289.1-1290
Author(s):  
S. De Souza ◽  
R. Williams ◽  
E. Johansson ◽  
C. Zabalan ◽  
T. Esterine ◽  
...  
Keyword(s):  
At Risk ◽  
Lived Experience ◽  
Public Involvement ◽  
Clinical Trial Design ◽  
Patient And Public Involvement ◽  
Face To Face ◽  
Before And After ◽  
Extensive Consultation ◽  
New Perspective ◽  
The Eu

Background:Patient and public involvement (PPI) is gaining increasing recognition as important in ensuring research is relevant and acceptable to participants. Rheuma Tolerance for Cure (RTCure) is a 5 year international collaboration between academia and industry; focusing on earlier detection and prevention of rheumatoid arthritis (RA) through the use of immune-tolerising treatments.Objectives:To bring lived experience and insight into scientific discussions; and to evolve collaboration between lay representatives and academia/industry.Methods:9 Patient Research Partners (PRPs) from 5 European countries were recruited via the EULAR PARE Network and institutions within the RTCure Consortium (8 PRPs with RA and 1 ‘at risk’). They were asked to enter into a legal agreement with the Consortium. PRPs participated in teleconferences (TCs) and were invited to attend face-to-face (F2F) meetings at least annually. Requests for input/feedback were sent from researchers to PRPs via the project’s Patient Engagement Expert [SK].Results:PRP involvement has given researchers and industry partners a new perspective on patient priorities, and focused thought on the ethics of recruitment for and participation in clinical trials of people ‘at risk’ of developing RA. PRPs have helped define the target populations, given their thoughts on what types of treatments are acceptable to people ‘at risk’ and have aided the development of a survey (sent to EULAR PARE members) regarding the use of animal models in biomedical research. Positive informal feedback has been received from researchers and industry regarding the contribution of PRPs to the ongoing project (formal evaluation of PPI in RTCure will be carried out in 2020 and at the project end in 2022).Challenges:Legal agreements- Many PRPs refused to sign the Consortium’s complex PRP Agreement; feeling it unnecessary, incomprehensible and inequitable. After extensive consultation with various parties (including EULAR and the Innovative Medicines Initiative) no similar contract was found. Views for its requirement even varied between legal experts. After 2 years of intense discussion, a simple non-disclosure agreement was agreed upon. Ideally any contract, if required, should be approved prior to project onset.Meeting logistics- Other improvements identified were to locate the meeting venue and accommodation on the same site to minimise travel, and to make it easier for PRPs to take breaks when required. This also facilitates informal discussions and patient inclusivity. We now have agreed a policy to fund PRPs extra nights before and after meetings, and to bring a carer if needed.Enabling understanding– Future annual meetings will start with a F2F meeting between PRPs and Work Package Leads. Researchers will be encouraged to start presentations with a summary slide in lay language. Additionally, an RTCure Glossary is in development.Enabling participation– SK will provide monthly project updates and PRP TCs will be held in the evening (as some PRPs remain employed). PRPs will be invited to all project TCs and F2F meetings. Recruitment is underway to increase the number of ‘at risk’ PRPs as their viewpoint is vital to this study.Conclusion:Currently PPI in RTCure is an ongoing mutual learning process. Universal guidance regarding what types of contracts are needed for PPI would be useful. Communication, trust and fruitful discussions have evolved through F2F meetings (both formal and informal) between PRPs, academia and industry. It is important that all parties can be open with each other in order to make PPI more meaningful.Acknowledgments:This work has received support from the EU/EFPIA Innovative Medicines Initiative 2 Joint Undertaking RTCure grant number 777357.Disclosure of Interests:Savia de Souza: None declared, Ruth Williams: None declared, Eva Johansson: None declared, Codruta Zabalan: None declared, Tom Esterine: None declared, Margôt Bakkers: None declared, Wolfgang Roth: None declared, Neil Mc Carthy: None declared, Meryll Blake: None declared, Susanne Karlfeldt: None declared, Martina Johannesson: None declared, Karim Raza Grant/research support from: KR has received research funding from AbbVie and Pfizer, Consultant of: KR has received honoraria and/or consultancy fees from AbbVie, Sanofi, Lilly, Bristol-Myers Squibb, UCB, Pfizer, Janssen and Roche Chugai, Speakers bureau: KR has received honoraria and/or consultancy fees from AbbVie, Sanofi, Lilly, Bristol-Myers Squibb, UCB, Pfizer, Janssen and Roche Chugai

Evaluating the alliance in videolink teletherapy

1997 ◽  
Vol 3 (1_suppl) ◽  
pp. 33-35 ◽  
Author(s):  
G J Ghosh ◽  
P M Mclaren ◽  
J P Watson
Keyword(s):  
Working Alliance ◽  
Psychological Treatment ◽  
Single Case ◽  
Personality Factors ◽  
Control Group ◽  
Face To Face ◽  
Working Alliance Inventory ◽  
The Face

The use of videoconferencing in psychotherapy remains largely unexplored. Videoconferencing compromises the range and quality of interactional information and thus might be expected to affect the working alliance (WA) between client and therapist, and consequently the process and outcome of therapy. A single case study exploring the effect of videoconferencing on the development of the WA in the psychological treatment of a female–male transsexual is described. The self-rated Working Alliance Inventory (WAI) was used to measure client and therapist perceptions of the WA after each session over 10 sessions of eclectic therapy conducted over a videolink. The serial WAI measurements charting the development of the WA in 4 cases of 10-session, face-to-face therapy by Horvath and Marx1 were used as a quasi-control. Therapist and client impressions of teletherapy are described. WAI scores were essentially similar to the face-to-face control group except for lower client-rated bond subscale scores. It is suggested that client personality factors accounted for this difference and that videoconferencing did not impair the development of an adequate working alliance or successful therapeutic outcome.

A new perspective on hanzi: Based upon 
the multi-dialectical analysis of the Four 
Ways of Writing

2021 ◽  
Vol 5 (1) ◽  
pp. 15-30
Author(s):  
Guk-jo Jeon
Keyword(s):  
Analytical Framework ◽  
Full Scale ◽  
Scale Analysis ◽  
Human Beings ◽  
Academic Identities ◽  
Dialectical Relationship ◽  
New Perspective ◽  
Dialectical Analysis

This work is, most of all, designed to wrestle with taken-for-granted explanations as to how hanzi is composed and in what ways the composition the Four Ways of Writing (四書) can be analysed. Beginning with posing a self-reflective question on the academic identities of us, the hanzi civilisation researchers, and looking for a possible answer to it within the context of an Eagletonian conceptualisation of human animality or creatureliness, the work then methodologises the multi-dialectical analysis by virtue of méta-linguistique, transduction, and abstraction concreté. The full-scale analysis of the Four Ways of Writing comes next, taking four steps: first, synthesising the existing definitions, explanations and interpretations of them; second, abstracting the synthesis up to the multi-dialectical analysis; third, introducing a topology of the Four Ways of Writing; and fourth, analysing characters related to and expanding from two radical characters of 門 and 刀 with the aid of a dynamics of trialectics between the form, sound and meaning. Resting upon all the analyses performed, the work suggests the following conclusion. Amongst hanzi’s main characteristics is morphographicality (表形性), still the most distinctive within the analytical framework of the Four Ways of Writing. It is the very form of hanzi, as a matter of fact, that also turns out to be multi-dialectical: first, that which constitutes writing as the character trialectically related with both the sound and meaning; second, that which characterises writing as écriture of the dialectical relationship between human beings and nature; and last, that which dialectically elucidates who we are and what we are capable of.

Anxiety, Depression, Psychological Symptoms, Negative Effects, and Other Symptoms of Nicotine Withdrawal

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Ifdil Ifdil ◽  
Rima Pratiwi Fadli ◽  
Itsar Bolo Rangka ◽  
Kadek Suranata ◽  
Dominikus David Biondi Situmorang
Keyword(s):  
Psychological Symptoms ◽  
Nicotine Withdrawal ◽  
Negative Effects ◽  
Anxiety Depression

The use of telehealth in psychological treatment of patients with rheumatic diseases and diabetes: An explorative study inspired by participatory design (Preprint)

2021 ◽  
Author(s):  
Mette Juel Rothmann ◽  
Julie Drotner Mouritsen ◽  
Nanna Skov Ladefoged ◽  
Marie Nedergaard Jespersen ◽  
Anna Sofie Lillevang ◽  
...  
Keyword(s):  
Rheumatic Diseases ◽  
Participatory Design ◽  
Psychological Treatment ◽  
User Involvement ◽  
Physical Distance ◽  
Face To Face ◽  
Individual Interviews ◽  
Healthcare Settings ◽  
Video Consultation ◽  
Good Relation

BACKGROUND Video consultation is increasingly used in different healthcare settings in order to reach patients. However, little is known about telehealth in psychological treatment for patients with somatic and chronic conditions such as rheumatoid arthritis and diabetes. OBJECTIVE This study aims to provide new insight into the development of an app to support the psychological treatment and video based intervention. METHODS This study was inspired by participatory design and a qualitative approach. The content of the intervention was developed through user involvement and evaluated by individual interviews with patients and psychologists as well as questionnaires. RESULTS We co-created an app that targeted patients with rheumatic diseases and diabetes in relation to the psychological challenges of living with chronic diseases. Video based interventions was described under the four themes “The good relation despite physical distance”, “The comfort of being at home”, “The pros of saving time on transport and energy” and “A therapeutic alliance at a distance”. CONCLUSIONS Psychological treatment in relation to somatic care can be provided by video and supported by tailored information and tools delivered in an app without losing quality of care. To ensure a good alliance between the patient and the psychologist, a first face-to-face meeting is important. Being in their own home provided the patients with a safe environment, increased accessibility, and reduced travel time to the hospital.

scholarly journals Neuropsychiatry of Parkinson's disease

2009 ◽  
Vol 67 (3b) ◽  
pp. 930-939 ◽  
Author(s):  
Arthur Kummer ◽  
Antonio Lucio Teixeira
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Impulse Control ◽  
Psychological Symptoms ◽  
Current Knowledge ◽  
Psychological Mechanisms ◽  
Anxiety Depression ◽  
Non Motor Symptoms ◽  
Behavioral And Psychological Symptoms ◽  
Significant Factors

Parkinson's disease (PD) is traditionally regarded as a movement disorder. In recent years, however, non-motor symptoms have been considered significant factors of disability at all stages of the illness. Behavioral and psychological symptoms or neuropsychiatric syndromes associated with PD are frequent and may represent a challenge in the management of these patients. They include anxiety, depression, psychosis, sleep, sexual and impulse control disorders, apathy and cognitive dysfunction. Their pathogenesis in PD is complex, involving neurodegenerative, drug-related and psychological mechanisms. We will review the current knowledge of this growing field, also focusing on the management of theses syndromes.

scholarly journals Palliative Care Gaps in Providing Psychological Treatment: A Review of the Current State of Research in Multidisciplinary Palliative Care

2017 ◽  
Vol 35 (3) ◽  
pp. 505-510 ◽  
Author(s):  
Elissa Kozlov ◽  
Bahar Niknejad ◽  
M. C. Reid
Keyword(s):  
Mental Health ◽  
Palliative Care ◽  
Intervention Studies ◽  
Psychological Symptoms ◽  
Psychological Intervention ◽  
Psychological Treatment ◽  
Future Research ◽  
Psychological Outcome ◽  
Current State ◽  
Care Intervention

Background: Patients with advanced illness often have high rates of psychological symptoms. Many multicomponent palliative care intervention studies have investigated the efficacy of overall symptom reduction; however, little research has focused explicitly on how interventions address psychological symptoms associated with serious illness. Methods: The current study reviewed 59 multicomponent palliative care intervention articles and analyzed the mental health components of palliative care interventions and their outcomes in order to better understand the current state of psychological care in palliative care. Results: The majority of articles (69.5%) did not provide any details regarding the psychological component delivered as part of the palliative care intervention. Most (54.2%) studies did not specify which provider on the team was responsible for providing the psychological intervention. Studies varied regarding the type of outcome measure utilized; multi-symptom assessment scales were used in 54.2% of studies, mental health scales were employed in 25.4%, quality of life and distress scales were used in 16.9%, and no psychological scales were reported in 28.8%. Fewer than half the studies (42.4%) documented a change in a psychological outcome. Discussion and Conclusion: The majority of analyzed studies failed to describe how psychological symptoms were identified and treated, which discipline on the team provided the treatment, and whether psychological symptoms improved as a result of the intervention. Future research evaluating the effects of palliative care interventions on psychological symptoms will benefit from using reliable and valid psychological outcome measures and providing specificity regarding the psychological components of the intervention and who provides it.

scholarly journals REVIEW OF THE BOOK “ELEMENTE DE COMUNICARE SIMBOLICĂ” [ELEMENTS OF SYMBOLIC COMMUNICATION], AUTHOR: ANDREEA RALUCA PURCARU, LUMEN PUBLISHING HOUSE, 2017

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Loredana TEREC-VLAD ◽  
Keyword(s):  
Publishing House ◽  
Human Beings ◽  
Important Place ◽  
Symbolic Communication ◽  
New Perspective

We are human beings, and what distinguishes us from other beings is the anguish of finitude, the reason, the articulate language, and so on. Associating and forming groups are the characteristics specific to the human beings, because since the antiquity as it has been said that we were social beings. Communication occupies an important place nowadays. Whether written, oral, internal or external, the communication is essential nowadays. In this context, Anca Raluca Purcaru brings to the fore a new perspective in terms of communication, through her work ”Elemente de comunicare simbolică” (“Elements of symbolic communication”), published by the Lumen Publishing House of Iasi.

scholarly journals MEMBINCANG RELASI GENDER DALAM PERSPEKTIF KOMUNIKASI (Studi Kasus Terhadap Public Speaking Versus Private Speaking di Aceh Barat)

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Muzakkir Muzakkir
Keyword(s):  
Gender Differences ◽  
Public Speaking ◽  
Reciprocal Relationship ◽  
Human Values ◽  
Gender Inequalities ◽  
Human Beings ◽  
Women Studies ◽  
Men And Women ◽  
Face To Face ◽  
And Behavior

The study and analysis in this paper based on addressing gender differences is common as long as it does not result in gender inequalities. In general, the notion of gender is a visible difference between men and women when viewed from values and behavior. In the Women Studies Encyclopedia it is explained that Gender is a cultural concept, seeking to make a distinction in terms of the roles, behaviors, mentality, and emotional characteristics of the growing male and female in society. However, reality in society indicates that gender differences give rise to various forms of inequality and injustice. Islam is a religion that strongly emphasizes the importance of respect for human beings and it seems his teaching is very accommodating to human values. One form of elaboration of human values is a sincere recognition of human equality and unity. The women of Rasulullah SAW era are described as active, polite, well-preserved women. In fact, in the Qur'an, the ideal figure of a Muslim is symbolized as a person who has independence in politics, like the figure of Queen Balqis who leads the superpower kingdom (`arsyun` azhim). Communication is the exchange of ideas, information, feelings or thoughts between people (individuals) face to face (face to face), verbal and non verbal. While counseling is a reciprocal relationship between two individuals, where a counselor is trying to help the other (the client) to try to solve the problems he is facing.Relation of gender is a social relationship between men and women who are socially formed and culture in doing everything. Based on the findings, it turns out that the meeting in West Aceh district, who want to appear in politics and to become ruler is still zero percent. Keywords: Gender Relations, Communications, Public Speaking, Private Speaking

scholarly journals The Relationship between Sleep Hygiene, Mood, and Insomnia Symptoms in Men with Prostate Cancer

2021 ◽  
Author(s):  
Kathleen T. Galvin ◽  
Sheila N. Garland ◽  
Erik Wibowo
Keyword(s):  
Prostate Cancer ◽  
Depressive Symptoms ◽  
Daytime Sleepiness ◽  
Online Survey ◽  
Psychological Symptoms ◽  
Sleep Hygiene ◽  
Psychological Conditions ◽  
Mailing Lists ◽  
Anxiety Depression ◽  
Insomnia Symptoms

Abstract PurposeInsomnia symptoms are commonly experienced by men after prostate cancer (PCa) treatment. Here we explored how sleep hygiene behaviours and psychological symptoms are associated with insomnia symptoms in PCa patients.MethodsAn online survey was posted on social media and sent to mailing lists of PCa and general cancer organisations. The survey collected information on demographic, sleep hygiene and psychological symptoms using validated questionnaires. ResultsData from 142 participants were compared based on the absence (age = 68.3 ± 8.9 years) and presence (age = 66.6 ± 9.0 years) of insomnia symptoms. Participants with insomnia symptoms had significantly higher levels of anxiety, depression, fatigue, and daytime sleepiness as well as poorer sleep hygiene than those without insomnia symptoms. Control variables (age, comorbidities, ADT experience and BMI) accounted for 12.5% of the variance in insomnia symptoms. Adding sleepiness, fatigue, anxiety, depressive symptoms to the model explained an additional 45.1% of the variance in insomnia symptoms. Further, including the sleep hygiene item “I think, plan, or worry when I am in bed” and “I sleep in an uncomfortable bedroom” explained an additional 3.6% of the variance in insomnia symptoms. ConclusionsPoor sleep hygiene, fatigue, daytime sleepiness, anxiety, depressive symptoms were all associated with worse insomnia symptoms in PCa patients. Improving sleep hygiene and treating psychological conditions may potentially help prevent and/or alleviate insomnia symptoms in PCa patients.

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