Wellbeing Understanding in High Quality Healthcare Informatics and Telepractice.

The proper use of healthcare informatics technology and multidimensional conceptual clarity are fundamental to create and boost outstanding clinical and telepractice results. Avoiding even terminology ambiguities is mandatory for high quality of care service. For instance, well-being or wellbeing is a different way to write the same concept only, or there is a good deal of ambiguity around the meanings of these terms the way they are written. In personal health, healthcare and healthcare informatics, this kind of ambiguity and lack of conceptual clarity has been called out repeatedly over the past 50 years. It is time to get the right, terse scenario. We present a brief review to develop and achieve ultimate wellbeing understanding for practical high quality healthcare informatics and telepractice application. This article presents an innovative point of view on deeper wellbeing understanding towards its increased clinical effective application.

Resilient Systemics to Telehealth Support for Clinical Psychiatry and Psychology.

Reliably expanding our clinical practice and lowering our overhead with telepsychiatry, telepsychology, distance counseling and online therapy, requires resilient and antifragile system and tools. When utilized appropriately these technologies may provide greater access to needed services to include more reliable treatment, consultation, supervision, and training. The wise and proper use of technology is fundamental to create and boost outstanding social results. We present, as an example, the main steps to achieve application resilience and antifragility at system level, for diagnostic and therapeutic telepractice and telehealth support, devoted to psychiatry and psychology application. This article presents a number of innovations that can take psychotherapy treatment, supervision, training, and research forward, towards increased effectiveness application.

Towards Resilient Telehealth Support for Clinical Psychiatry and Psychology: A Strategic Review.

Human beings have increasingly shown a willingness to adopt Internet, mHealth and telehealth applications as a part of managing their health. Recent technological advances in the use of the Internet and video technologies has greatly impacted the provision of psychotherapy and other clinical services as well as how the training of psychotherapists may be conducted. When utilized appropriately these technologies may provide greater access to needed services to include treatment, consultation, supervision, and training. The major issue in such a development is whether online interventions will be structured or unstructured. The proper use of technology is fundamental to create and boost outstanding results. We present a strategic review and, as an example, the main steps to develop and achieve application resilience and antifragility at system level, for diagnostic and therapeutic telepractice and telehealth support. This article presents a number of innovations that can take psychotherapy treatment, supervision, training, and research forward, towards increased effectiveness application.

Quality of Care as an Emergent Phenomenon out of a Small-World Network of Relational Actors.

In Healthcare Decision Support System, the development and evaluation of effective "Quality of Care" (QOC) indicators, in simulation-based training, are key feature to develop resilient and antifragile organization scenarios. Is it possible to conceive of QOC not only as a result of a voluntary and rational decision, imposed or even not, but also as an overall system "emergent phenomenon" out of a small-world network of relational synthetic actors, endowed with their own personality profiles to simulate human behaviour (for short, called "subjects")? In order to answer this question and to observe the phenomena of real emergence we should use computational models of high complexity, with heavy computational load and extensive computational time. Nevertheless, De Giacomo's Elementary Pragmatic Model (EPM) intrinsic self-reflexive functional logical closure enables to run simulation examples to classify the outcomes grown out of a small-world network of relational subjects fast and effectively. Therefore, it is possible to take note and to learn of how much strategic systemic interventions can induce context conditions of QOC facilitation, which can improve the effectiveness of specific actions, which otherwise might be paradoxically counterproductive also. Early results are so encouraging to use EPM as basic block to start designing more powerful Evolutive Elementary Pragmatic Model (E2PM) for real emergence computational model, to cope with ontological uncertainty at system level.

[Diagnostic and therapeutic potential of the Elementary Pragmatic Model].

This article describes the major results obtained from studies with the Elementary Pragmatic Model (EPM) composed by 16 Functions (F). The model has undergone experimentation using the Synthesis and Scission Sentences procedure (SISCI test) described in this paper. In functioning individuals there is a prevailing tendency to "maintain their world" (F3) and to decrease the "empty mind" (F0) and "chaos or impossible to select" (F15). On the contrary, individuals with psychiatric disorders, compared with functioning show a decreased degree of "maintaining their world" (F3), a higher degree of "empty mind" (F0) and of "chaos or impossible to select" (F15). The results are useful for both development of creativity in problem solving in business and for improve treatments to psychiatric disorders.

The Elementary Pragmatic Model: a new perspective in psychotherapy.

This article describes the Elementary Pragmatic Model (EPM), that focuses on the interactions and changes that can occur between two parties. The model has undergone experimentation using the "Synthesis and Scission Sentences" procedure (SISCI Sentences) described in this work. To develop a new psychotherapy method firstly it was assessed whether the SISCI Sentences revealed differences between normal and disturbed subjects, and then whether some sentences derived from the SISCI procedure - using a specific automated program - really do have an impact even on non clinical subjects. Finally, we report some examples of clinical use of the sentences obtained with the described procedure.

Amplifications and applications of Pennebaker's analogic to digital model in health promotion, prevention, and psychotherapy.

This article expands on James Pennebaker's original model in expressive writing, going from an Analogically unclear and unspecified experiential mass (A) to a Digital specification in words (D). Amplifications of this model are found in philosophy, psychodynamic theory and in Salience learning theory. Applications of this model involve expressive writing, going from ambiguous experiences (A) to using the Dictionary (D), and responding to Sentences with strong psychological impact (S). The undefined and ill-defined analogical mass is constituted by traumas in Pennebaker's work and hurt feelings in L'Abate's and Vangelisti's works. Implications of these approaches for the practice of health promotion, prevention and psychotherapy are discussed.

In search of a relational theory.

The author searched for empirically based theories and models with an interpersonal and relational focus. This search was conducted in spite of academic and professional psychology's general avoidance of theory building coupled with an exaggerated reliance on empirical evidence, producing a chaotic proliferation of models unrelated to each other. Requirements for any theory are verifiability, applicability, redundancy, and fruitfulness. Many two-factor relational theories and models derive from the two assumptions of space and time. From these models and theories two stand out: attachment theory and relational competence theory (RCT). Both theories attempt to link heretofore separate fields: research and practice. The major asset of attachment theory has been a multitude of studies in the English-speaking world. The major shortcoming of RCT is that research to support the validity of its models has been conducted only in Italy. However, many test instruments, enrichment programs, and interactive practice exercises for some models of RCT are available in English. (PsycINFO Database Record (c) 2009 APA, all rights reserved).

Imitation and communication skills development in children with pervasive developmental disorders.

This study evaluates the correlation between failure to develop spontaneous imitation and language skills in pervasive developmental disorders. Sixty-four children between the age of 3 and 8 years were assessed using the Autism Diagnostic Interview-Revised (ADI-R), the Childhood Autism Rating Scale (CARS), and the Autism Diagnostic Observation Schedule (ADOS), as well as direct observation of imitation. The sample was subdivided into a verbal and a nonverbal group. Analysis of mean scores on the CARS "imitation" items and of ADI-R "spontaneous imitation" and "pointing to express interest" revealed a statistically significant difference between verbal and nonverbal groups, with more severe impairment/higher scores in the nonverbal than the verbal group. These results suggest that nonverbal children have specifically impaired imitation and pointing skills.

An overview of paradoxical counseling and its congruence with biblical writings.

Paradoxical counseling (PC) became popular in the second part of last century with the advent of systemic and multi-relational therapies. Since then, it has changed into a variety of behavioral techniques still in use today. How consistent or inconsistent is PC will depend a great deal upon each counselor's beliefs, including those who consider themselves pastoral counselors or Christian counselors. The authors suggest, however, that using workbooks written in both linear-straight-forward or circular-paradoxical ways as homework assignments may enlarge the expertise of a variety of counselors in ways perhaps heretofore unfamiliar to them.

Sentimentos de injuria e socializacao da personalidade na familia

O objetivo desse artigo e apresentar, resumidamente, uma teoria desenvolvimentista e relacional da socializacao da personalidade na familia e em outros contextos. Esta teoria consiste de dois pressupostos sobre espaco e tempo, dos quais sao derivados dois processos respectivos sobre as habilidades de amar e negociar. Os conteudos da teoria consistem de tres modalidades: Ser, Fazer e Ter. A partir desses processos e conteudos, sao desenvolvidos outros modelos sobre o continuum de similaridade, tendencias de personalidade e temor de ser injuriado, prioridades e intimidade. Esta teoria pode ser avaliada em laboratorio, atraves de testes de auto-relato e de lapis e papel, e em contextos aplicado ou clinico, atraves de programas de enriquecimento, livros e tarefas terapeuticas.