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1.
Psych J ; 10(6): 868-877, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34636166

RESUMO

Previous studies have found that "general catharsis", such as hitting sandbags, does not reduce but increases an individual's anger feeling and aggressive behavior. Although the "goal catharsis" that is directed at attacking targets can temporarily relieve anger, there is a risk of increasing the tendency of aggressive personality if it is used for a long time. These findings raise serious doubts and challenges to the traditional view that "anger must be released" held by the classic catharsis theory that many people still trust. The present study compared the effects of "general catharsis" and "goal catharsis" on anger-related responses among Chinese people, and the Chinese written form of catharsis was used in this study. The results showed that after participants were provoked, the aggressive behavior of participants who wrote down their dissatisfaction (general catharsis condition) was significantly higher than that of participants who wrote to attack someone who irritated them (goal catharsis condition) as well as that of participants who completed a simple recall task (control condition), and there was no significant difference in the aggressive behavior level between the latter two cases. These results suggest that the catharsis effect is no better than a simple recall task similar to attention distraction, that is, aggressive catharsis is not an effective way for anger relief.


Assuntos
Ira , Catarse , Agressão , Atenção , Emoções , Humanos
2.
Artigo em Inglês | MEDLINE | ID: mdl-34444012

RESUMO

OBJECTIVE: This study intended to construct a scale measuring the catharsis effect on medical professionals or students through illness narratives (ECS-IN). METHODS: After a systematic literature review and panel discussion, the researchers conducted a pilot study with a sample of seven hundred and eighty-two randomly selected healthcare students and providers in Taiwan to examine psychometric properties using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) for item derivation and factor extraction. The researchers also tested the validities and reliabilities of the ECS-IN scale to confirm its feasibility. RESULTS: the EFA yielded 29 items and three factors: "emotional identification as self-healing" (12 items; 55.500% of variance explained), "emotional release for compensation" (10 items; 7.465% of variance explained), and "emotional adjustment for intellectual growth" (7 items; 4.839% of variance explained). The CFA yielded an 18-item, three-factor model with satisfactory fit to the data, where the χ2/df ratio = 1.090, Tucker-Lewis index (TLI) = 0.996, comparative fit index (CFI) = 0.997, and root mean square of approximation (RMSEA) = 0.020. The convergent validity and discriminant validities also demonstrated the feasibility of the ECS-IN scale. For the first version of the ECS-IN scale (29 items), the Cronbach's alphas for the three factors and the overall scale were in the range between 0.912 and 0.971; for the reduced version of the scale (18 items), the Cronbach's alphas and composite reliabilities were in the range of 0.888-0.946 and 0.890-0.968. CONCLUSION: The findings proved that the ECS-IN could be a reliable and valid instrument to assess participants' emotional catharsis through illness narratives.


Assuntos
Catarse , Análise Fatorial , Humanos , Projetos Piloto , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários , Revisões Sistemáticas como Assunto
3.
Med Health Care Philos ; 24(4): 517-527, 2021 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-34081239

RESUMO

The Stoics considered that in order to die well, one must previously have lived (well) and not merely existed, an assertion which will not be contested in this paper. The question raised here is whether an individual whose life expectancy is jeopardized by serious illness or whose life has not been lived to the 'full' for whatever reason should have to abandon all hope or, alternately, whether that life could still somehow be saved (in an ethical sense). One clear obstacle to achieving this stems from (bad) moral character, given that moral character is an element which conditions an individual's moral behaviour, as pointed out by Beauchamp and Childress and particularly Pellegrino and Thomasma. The transformation of moral character requires time and effort but the testimonies of patients who have given their lives a radical new direction upon being diagnosed with a serious illness seem to show the existence of a peculiar phenomenon of moral catharsis. In this paper we attempt to illustrate that this alleged phenomenon is not the result of a kind of cataleptic impression but rather the result of a dialectic and narrative process, during which a first hope of healing is dashed, unveiling a new sense in the illness. Its fulfillment provides the patient with a final hope.


Assuntos
Catarse , Princípios Morais , Caráter , Humanos , Prognóstico
4.
Artigo em Inglês | MEDLINE | ID: mdl-33924358

RESUMO

In modern society, catharsis is often understood as the relieving of stress, and the psychological and medical effects of catharsis are well known even to ordinary people. There are many studies showing that physical activity is a good tool for managing and promoting mental health. However, there are not many studies on Taekwondo training and catharsis. Therefore, we conducted a study explaining catharsis as mental health promotion in Taekwondo training. This study explores mental health enhancement of Taekwondo training by using a phenomenological methodology. Phenomenology is a theory that seeks to understand an individual's recognition of their own subjectivity rather than explaining objective factors about an individual. We collected data from interviews with 12 students who had been members of a university Taekwondo demonstration team. The phenomenological results were expressed as six themes: (1) vicarious purgation of repressed emotions, (2) emotional catharsis through pity and fear, (3) catharsis from ethics, (4) catharsis through mimesis, (5) catharsis from vicarious satisfaction through teammates, (6) catharsis from being the object of envy. Taekwondo, a traditional Korean martial art, is a physical activity that allows people to experience catharsis, which is a mental health effect of sports.


Assuntos
Catarse , Artes Marciais , Emoções , Humanos , Saúde Mental
5.
Eur J Health Econ ; 22(4): 499-504, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32388683

Assuntos
Catarse , Emoções , Humanos
6.
Cyberpsychol Behav Soc Netw ; 24(1): 41-47, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33325791

RESUMO

Effects of violent video games on aggression remain contentious despite decades of empirical investigations. Using eight-wave panel data collected from 662 South Korean adolescents (grades 4, 7, and 10) for a 4-year period (number of observations = 5,296), the current research critically tested competing hypotheses concerning the relations between violent video games and aggression. In so doing, we directly compared the results from dynamic fixed-effects (FE) regression with those from conventional contemporaneous FE regression to observe if different statistical models yield different outcomes. Consistent with the catharsis hypothesis, the dynamic FE model showed that violent (vs. nonviolent) game playing significantly lowered both verbal and physical aggression among heavy players, with no corresponding effect of the game type for light players. By contrast, results from the contemporaneous FE model lent support to the stimulation hypothesis, with violent game playing leading to increased physical aggression as well as verbal aggression among heavy players. Violent game playing did not significantly affect anger and hostility, but overall game time did, although in opposite directions depending on the statistical model. Specifically, the dynamic FE model indicated a significant reduction of the negative emotions as a result of increased game playing, whereas the contemporaneous FE model showed a significant increase in both emotions. Methodological implications and directions for future research are discussed.


Assuntos
Comportamento do Adolescente/psicologia , Agressão/psicologia , Catarse , Modelos Psicológicos , Jogos de Vídeo/psicologia , Violência/psicologia , Adolescente , Criança , Emoções , Feminino , Humanos , Estudos Longitudinais , Masculino , Análise de Regressão , República da Coreia
7.
Clin Dermatol ; 38(5): 516-519, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33280795

RESUMO

Much can be read on migration of health workers, on the impact of immigrations on the receiving countries, and on professional insertion in new labor markets. The terms to search are many: "reinsertion," "professionalism," "migration flow," "readjustment," and "immigrant qualified professionals." When asked to narrow it down to personal experience, one needs to reduce many of this complex and faceless processes to a more intimate view. Other terms come into mind: "self-esteem," "resilience," "nostalgia," "renaissance," "mimesis," and "catharsis." A special focus is placed on the Venezuelan diaspora, as a recent global migration group who has left the country, leaving behind a scarce 60% task force of formally trained physicians, a trend that continues today.


Assuntos
Dermatologistas/psicologia , Emigração e Imigração/tendências , Profissionalismo , Catarse , Feminino , Humanos , Masculino , Resiliência Psicológica , Autoimagem , Venezuela
8.
Science ; 370(6520): 1033, 2020 11 27.
Artigo em Inglês | MEDLINE | ID: mdl-33243874
9.
Arch. prev. riesgos labor. (Ed. impr.) ; 23(1): 52-67, ene.-mar. 2020. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-192642

RESUMO

OBJETIVO: Analizar las técnicas de catarsis empleadas en los trabajadores que atienden situaciones de emergencias y catástrofes. MÉTODOS: Revisión sistemática realizada en 7 bases de datos bibliográficas Medline-Pubmed, Web of Science, Cochrane Library, CINAHL, Scopus, PsycINFO y otras fuentes secundarias, para artículos publicados entre 2008 y 2017, con los términos «catarsis», «emergencias», «debriefing» y «estrés post-traumático». RESULTADOS: Los criterios de inclusión fueron cumplidos por 5 artículos. Los estudios muestran que es común entre el personal sanitario la exposición al sufrimiento y a las experiencias traumáticas, suponiendo repercusiones negativas manifestadas a nivel físico, psicológico y cognitivo tras situaciones de emergencias y catástrofes. Para algunos autores, el debriefing ofrece un lugar para descargar las emociones y reducir el impacto del estrés en la vida de los trabajadores de emergencia actuando como una red de apoyo para que dichos trabajadores puedan reconstruir sus experiencias y verbalizar sus pensamientos y sentimientos, así como reducir el impacto en sus vidas. Para otros en cambio, esta técnica no es eficaz para todos los profesionales y su uso puede conllevar consecuencias negativas. CONCLUSIONES: El debriefing es una intervención breve que promueve la catarsis. Sin embargo, existe una gran controversia sobre su eficacia y la manera de aplicar esta intervención. Este estudio pone de manifiesto la heterogeneidad existente en la aplicación de técnicas de catarsis en los trabajadores que atienden situaciones de emergencia y catástrofes


AIM: To analyze catharsis techniques used with professionals assisting victims of emergencies and disasters. METHODS: Systematic review carried out in seven bibliographic databases: MEDLINE-Pubmed, Web of Science, Cochrane Library, CINAHL, Scopus, PsycINFO, and other secondary sources, for articles published between 2008 and 2017, with the terms "catarsis", "emergencies", "debriefing" y "post-traumatic stress". Publication and selection biases were taken into account. RESULTS: Five reviews met the study inclusion criteria. Distress and traumatic experiences following an emergency or disaster are very common among health professionals, with adverse repercussions at the physical, psychological and cognitive levels. Some authors find that debriefing offers an opportunity for emotional release and toreduce the impact of stress on the lives of emergency responders, acting as a support network where they can reconstruct their experiences, express their thoughts and feelings, and reduce the impact on their lives. For other authors, however, this technique is not always effective for all professionals and may lead to negative consequences. CONCLUSIONS: Debriefing is a common intervention that promotes catharsis. However, there is considerable controversy over its implementation and effectiveness. This study identified a diversity of catharsis techniques applied to staff responding to emergencies and disasters


Assuntos
Humanos , Catarse , Desastres , Transtornos de Estresse Pós-Traumáticos/psicologia , Socorristas/psicologia , Emergências , Emoções
10.
Arch Prev Riesgos Labor ; 23(1): 52-67, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-31991077

RESUMO

AIM: To analyze catharsis techniques used with professionals assisting victims of emergencies and disasters. METHODS: Systematic review carried out in seven bibliographic databases: MEDLINE-Pubmed, Web of Science, Cochrane Library, CINAHL, Scopus, PsycINFO, and other secondary sources, for articles published between 2008 and 2017, with the terms "catharsis", "emergencies", "debriefing" y "post-traumatic stress". Publication and selection biases were taken into account. RESULTS: Five reviews met the study inclusion criteria. Distress and traumatic experiences following an emergency or disaster are very common among health professionals, with adverse repercussions at the physical, psychological and cognitive levels. Some authors find that debriefing offers an opportunity for emotional release and toreduce the impact of stress on the lives of emergency responders, acting as a support network where they can reconstruct their experiences, express their thoughts and feelings, and reduce the impact on their lives. For other authors, however, this technique is not always effective for all professionals and may lead to negative consequences. CONCLUSIONS: Debriefing is a common intervention that promotes catharsis. However, there is considerable controversy over its implementation and effectiveness. This study identified a diversity of catharsis techniques applied to staff responding to emergencies and disasters.


OBJETIVO: Analizar las técnicas de catarsis empleadas en los trabajadores que atienden situaciones de emergencias y catástrofes. MÉTODOS: Revisión sistemática realizada en 7 bases de datos bibliográficas Medline-Pubmed, Web of Science, Cochrane Library, CINAHL, Scopus, PsycINFO y otras fuentes secundarias, para artículos publicados entre 2008 y 2017, con los términos «catarsis¼, «emergencias¼, «debriefing¼ y «estrés post-traumático¼. RESULTADOS: Los criterios de inclusión fueron cumplidos por 5 artículos. Los estudios muestran que es común entre el personal sanitario la exposición al sufrimiento y a las experiencias traumáticas, suponiendo repercusiones negativas manifestadas a nivel físico, psicológico y cognitivo tras situaciones de emergencias y catástrofes. Para algunos autores, el debriefing ofrece un lugar para descargar las emociones y reducir el impacto del estrés en la vida de los trabajadores de emergencia actuando como una red de apoyo para que dichos trabajadores puedan reconstruir sus experiencias y verbalizar sus pensamientos y sentimientos, así como reducir el impacto en sus vidas. Para otros en cambio, esta técnica no es eficaz para todos los profesionales y su uso puede conllevar consecuencias negativas. CONCLUSIONES: El debriefing es una intervención breve que promueve la catarsis. Sin embargo, existe una gran controversia sobre su eficacia y la manera de aplicar esta intervención. Este estudio pone de manifiesto la heterogeneidad existente en la aplicación de técnicas de catarsis en los trabajadores que atienden situaciones de emergencia y catástrofes.


Assuntos
Catarse , Desastres , Socorristas , Transtornos de Estresse Pós-Traumáticos , Emergências , Socorristas/psicologia , Emoções , Humanos , Transtornos de Estresse Pós-Traumáticos/psicologia
11.
Arq. bras. psicol. (Rio J. 2003) ; 71(3): 152-165, set. -dez. 2019.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1094923

RESUMO

Este artigo, de cunho teórico, pretende refletir sobre a concepção de arte apresentada pelo psicólogo russo Lev Semionovich Vigotski na obra Psicologia da Arte. O estudo destaca a importância da arte como mediação para a expressão e reelaboração emocional humana, por meio da reação estética expressa pela catarse na apreciação artística. A partir das contribuições de Vigotski, enfatiza-se o potencial criativo e transformador do homem sobre a obra de arte, propiciando a ressignificação humana em seu contexto cultural e histórico. Nesse sentido, ressalta-se o papel da arte e da vivência artística enquanto instrumentos essenciais à sociedade moderna para a reconexão com os aspectos sensíveis e subjetivos que integram a psique humana


This theoretical article intends to reflect on the conception of art presented by the Russian psychologist Lev Semionovich Vigotski in the work Psychology of Art. The study highlights the importance of art as mediation for human emotional expression and reprocessing, through the aesthetic reaction expressed by catharsis in artistic appreciation. From the contributions of Vygotsky, the creative and transformative potential of man on the work of art is emphasized, favoring human resignification in its cultural and historical context. In this sense, the role of art and artistic experience as essential instruments to modern society is emphasized for the reconnection with the sensitive and subjective aspects that integrate the human psyche


Este artículo, de cuño teórico, pretende reflexionar sobre la concepción de arte presentada por el psicólogo ruso Lev Semionovich Vigotski en la obra Psicología del Arte. El estudio destaca la importancia del arte como mediación para la expresión y reelaboración emocional humana, por medio de la reacción estética expresada por la catarsis en la apreciación artística. A partir de las contribuciones de Vigotski, se enfatiza el potencial creativo y transformador del hombre sobre la obra de arte, propiciando la resignificación humana en su contexto cultural e histórico. En ese sentido, se resalta el papel del arte y de la vivencia artística como instrumentos esenciales a la sociedad moderna para la reconexión con los aspectos sensibles y subjetivos que integran la psique humana


Assuntos
Arte , Psicologia , Catarse
12.
Med Educ ; 52(5): 526-535, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29430729

RESUMO

CONTEXT: As health care organisations seek to cultivate patient and family-centred care, patient storytelling has emerged as a valued educational resource. However, repeatedly harnessing patient perspectives to educate health care professionals may have consequences. We need robust insight into what it means to be a patient storyteller in order to ensure ethical and appropriate engagement with patients as an educational resource. METHODS: Constructivist grounded theory was used to explore the experience of patients involved in a storytelling curriculum as part of hospital staff continuing education. All 33 storytellers were invited by e-mail to participate in the study. Twenty-six storytellers responded to the invitation, and 25 could be scheduled to participate. Using theoretical sampling, semi-structured interviews were conducted and analysed in a process that was inductive, iterative and comparative. RESULTS: Participants described the central role of emotions in their storytelling experience, which varied from 1 to 25 tellings over a period of 1 month to 2 years. These emotions were shaped by the passage of time, repetition of storytelling and audience acknowledgement. However, emotion remained unpredictable and had lingering implications for storytellers' vulnerability. CONCLUSION: The multiple storytelling experiences of our participants and ongoing educational nature of their role provides unique insight into how emotions ebb and flow across tellings, how emotions can be both a surprise and a rhetorical strategy, and how emotions are influenced by audience acknowledgement. These findings contribute to an emerging conversation regarding the power and politics of selecting and using storytellers for organisational purpose. Implications include how we support patient storytellers in educational roles and how we can sustainably integrate patient storytelling into health professional education.


Assuntos
Catarse , Comunicação , Emoções , Narração , Participação do Paciente/psicologia , Educação Médica , Teoria Fundamentada , Humanos , Entrevistas como Assunto , Pesquisa Qualitativa , Desenvolvimento de Pessoal/métodos
13.
Am J Psychoanal ; 77(3): 255-264, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28740195

RESUMO

This work intends to present aspects of clinical work in which the Ferenczian proposition of neo-catharsis, as re-emergence of repressed affective experience in the transference and countertransference presents itself as a challenge to the analyst, since a standard, classical technical approach results in repetition of past trauma with the analyst as perpetrator. A deviation from standard technique-free association, the principle of abstinence in transference, and interpretation-involving empathic listening, and affective sharing contains the patient's suffering. The re-emergence of suffering and terror, which represents the repressed affect associated with the traumatic past, but with a sympathetic and sensitive analyst, sharing their experience, is crucial in working through and healing.


Assuntos
Catarse , Contratransferência , Terapia Psicanalítica , Transferência Psicológica , Humanos
14.
Rev. psicoanál. (Madr.) ; (80): 251-278, 2017.
Artigo em Espanhol | IBECS | ID: ibc-167730

RESUMO

Cuando en 1934 el debate sobre la técnica terapéutica se convirtió en el eje de la investigación psicoanalítica, Hellmuth Kaiser publicó Problemas de técnica. Su propuesta técnica se basaba en el análisis sistemático de las resistencias, la técnica del «análisis del carácter», llevándolo mucho más lejos que su maestro Wilhelm Reich, hasta el extremo de prescindir de las interpretaciones de contenido y, a través de la recuperación del factor catártico, lograr que las interpretaciones fueran producidas por el analizando. El texto de Kaiser tuvo enorme impacto y recibió las críticas de algunos de los principales investigadores de la técnica psicoanalítica (Reich, Fenichel y Alexander). El rechazo a sus propuestas, unido a su interminable exilio y su prematura muerte, hicieron que su obra cayera en el olvido. Actualmente sus trabajos son reconocidos desde perspectivas psicoterapéuticas muy alejadas unas de otras: por un lado, se reivindica su papel de precursor de la técnica de la Psicología del Yo, y por otro algunos autores encuadrados en la Psicoterapia Gestalt le reconocen como uno de sus precursores. En este artículo presentamos por primera vez en español la traducción de Problemas de técnica (1934), contextualizado históricamente y acompañado de un breve esbozo biográfico del autor (AU)


Around 1934 the debate on therapeutic technique became the focus of psychoanalytic research. In this context Hellmuth Kaiser, a Wilhelm Reich's disciple, published Problems of technique. His technical proposal was based on the systematic analysis of resistance, the technique of "Character analysis", taking it much further than Reich, to the extent of ending up without content interpretation and, through the recovery of the cathartic factor, encouraged the analyzand to produce his own interpretation. The text of Kaiser had an enormous impact and received criticism from some of the leading researchers of psychoanalytic technique (Reich, Fenichel and Alexander). The rejection of his proposals, together with its interminable exile and his untimely death, made his work fell into almost total oblivion. Today his works are recognized from psychotherapeutic perspectives far removed from each other: on one hand, he claimed his role as precursor of the ego psychology's technique, and on the other hand, some framed authors in Gestalt Psychotherapy recognize him as one of their precursors. In this paper, we present for the first time in Spanish the translation of Problems of technique (1934 ), historically contextualized and accompanied by a brief biographical sketch of the autor (AU)


Assuntos
Humanos , História do Século XX , Psicanálise/história , Psicanálise/instrumentação , Teoria Psicanalítica , Psicologia do Self , Teoria Gestáltica/história , Terapia Gestalt/história , Terapia Gestalt/métodos , Narcisismo , Catarse
15.
Nurse Res ; 24(1): 20-5, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27641704

RESUMO

Background The collection of sensitive data can arouse emotional reactions and researchers may have difficulty distancing themselves from personal stories. Debriefing can address the emotional effect of an experience on researchers. Aim To explore the debrief responses of three research assistants who were involved in the review of retrospective charts and medical notes in a study that examined the risk factors for readmission in young people with anorexia nervosa. Discussion Based on a review of the responses, the principal research team reflected on the value and effectiveness of a debrief tool for research assistants entering sensitive quantitative data. The paper highlights these reflections. Conclusion The use of an electronic debrief tool, while not without its challenges, provides an opportunity for individual reflection and a platform for emotional release for researchers engaged in sustained and intensive collection of sensitive data. This type of tool may serve as a guide for research teams and assist them in monitoring the well-being of those collecting sensitive data. We also advocate that a debriefing tool may contribute to closure for research assistants who become emotionally invested and affected by meticulous quantitative data entry. Implications for practice This paper provides recommendations for future use of an electronic debrief tool for researchers collecting sensitive data.


Assuntos
Adaptação Psicológica , Catarse , Emoções , Papel do Profissional de Enfermagem/psicologia , Pesquisa em Enfermagem , Pesquisadores/psicologia , Relações Pesquisador-Sujeito/psicologia , Anorexia Nervosa/enfermagem , Anorexia Nervosa/psicologia , Coleta de Dados , Humanos , Apoio Social , Software , Inquéritos e Questionários
16.
Soc Sci Med ; 163: 1-9, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27376593

RESUMO

Verbal autopsy (VA) methods usually involve an interview with a recently bereaved individual to ascertain the most probable cause of death when a person dies outside of a hospital and/or did not receive a reliable death certificate. A number of concerns have arisen around the ethical and social implications of the use of these methods. In this paper we examine these concerns, looking specifically at the cultural factors surrounding death and mourning in Papua New Guinea, and the potential for VA interviews to cause emotional distress in both the bereaved respondent and the VA fieldworker. Thirty one semi-structured interviews with VA respondents, the VA team and community relations officers as well as observations in the field and team discussions were conducted between June 2013 and August 2014. While our findings reveal that VA participants were often moved to cry and feel sad, they also expressed a number of ways they benefited from the process, and indeed welcomed longer transactions with the VA interviewers. Significantly, this paper highlights the ways in which VA interviewers, who have hitherto been largely neglected in the literature, navigate transactions with the participants and make everyday decisions about their relationships with them in order to ensure that they and VA interviews are accepted by the community. The role of the VA fieldworker should be more carefully considered, as should the implications for training and institutional support that follow.


Assuntos
Autopsia/ética , Causas de Morte , Pessoal de Saúde/psicologia , Relações Interpessoais , Autopsia/métodos , Luto , Catarse , Família/psicologia , Humanos , Papua Nova Guiné , Pesquisa Qualitativa
17.
Med Humanit ; 42(3): 186-93, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-27466255

RESUMO

We report a survey of audience members' responses (147 questionnaires collected at seven performances) and 10 in-depth interviews (five former patients and two family members, three medical practitioners) to bloodlines, a medical performance exploring the experience of haematopoietic stem-cell transplant as treatment for acute leukaemia. Performances took place in 2014 and 2015. The article argues that performances that are created through interdisciplinary collaboration can convey otherwise 'inaccessible' illness experiences in ways that audience members with personal experience recognise as familiar, and find emotionally affecting. In particular such performances are adept at interweaving 'objectivist' (objective, medical) and 'subjectivist' (subjective, emotional) perspectives of the illness experience, and indeed, at challenging such distinctions. We suggest that reflecting familiar yet hard-to-articulate experiences may be beneficial for the ongoing emotional recovery of people who have survived serious disease, particularly in relation to the isolation that they experience during and as a consequence of their treatment.


Assuntos
Adaptação Psicológica , Catarse , Drama , Leucemia/terapia , Literatura Moderna , Medicina na Literatura , Transplante de Células-Tronco/psicologia , Emoções , Humanos , Leucemia/psicologia , Medicina
18.
Psychother Psychosom Med Psychol ; 66(5): 170-9, 2016 May.
Artigo em Alemão | MEDLINE | ID: mdl-27128826

RESUMO

While the efficacy of group therapy is sufficiently confirmed, there is a research gap concerning relevant therapeutic processes. Particularly, there is a dearth of integrative instruments that assess a broad spectrum of group therapeutic change factors. Hence, the aim of the current investigation was the validation of the newly developed "Scale for the assessment of therapeutic processes in group therapy (FEPiG)" based on Grawe's general psychotherapy and Yalom's conception of change factors in group therapy. 303 Patients (110 outpatients, 193 inpatients) participated in the study and completed the FEPiG as well as established measures concerning group processes. The outpatients additionally received established questionnaires concerning clinical symptomatology and filled out all instruments at the beginning and end of treatment. Factor analysis demonstrated an excellent factor structure of the FEPiG, which corresponded to the theoretically predicted subscales. Internal consistencies of the FEPiG were good to excellent and correlated with established process measures, which indicated convergent validity. While the FEPiG change factors subscales at the beginning of therapy were not correlated with outcome, associations between increases in change factors across the course of therapy and symptom reduction could be demonstrated.


Assuntos
Avaliação de Resultados em Cuidados de Saúde/estatística & dados numéricos , Psicometria/estatística & dados numéricos , Psicoterapia de Grupo , Inquéritos e Questionários , Adulto , Catarse , Emoções , Feminino , Processos Grupais , Estrutura de Grupo , Humanos , Masculino , Pessoa de Meia-Idade , Apego ao Objeto
20.
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue ; 27(4): 250-3, 2015 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-25891452

RESUMO

OBJECTIVE: To observe the therapeutic effects of gastric lavage with fuller earth combined with Qingyi II catharsis in treatment of oral paraquat poisoning in rabbits. METHODS: Thirty healthy adult Japanese white rabbits were randomly divided into five groups: namely control group, model group, gastric lavage group (lavage of 10% fuller earth suspension), catharsis group (Qingyi II catharsis), and combination group (10 minutes after gastric lavage of fuller earth suspension liquid, giving Qingyi II for catharsis), with 6 rabbits in each group. All groups were challenged with paraquat (100 mg/kg) diluted to 5 mL with normal saline by lavage to reproduce the model of acute poisoning, while the control group was given 5 mL of normal saline instead. Each treatment group was treated accordingly at 1 hour after gavages of paraquat, and treatment continued for 3 days. The animal survival rate was observed. Venous blood samples were collected from ear marginal vein to determine the plasma concentration of paraquat by ultraviolet spectrophotometer at 1, 2, 4, 8 and 24 hours after the poisoning. The animals were sacrificed by intravenous air injection on the 8th day after the poisoning, and the right lower lobe of lung was harvested to observe the lung tissue pathological changes with hematoxylin-eosin (HE) staining. RESULTS: (1) Survival rate: the surviving rate of the combination group (6 rabbits) was higher than that of gastric lavage group (5 rabbits), catharsis group (2 rabbits) and model group (0 rabbit) on the 2nd day with statistically significant difference (P < 0.001). The survival rate on the 7th day in combination group (5 rabbits) was higher than that of gastric lavage group (3 rabbits), and catharsis group (0 rabbit ) with statistically significant difference (P = 0.003). (2) Plasma concentrations of paraquat: plasma paraquat concentration in all groups peaked at 2 hours after intoxication, and its levels in the gastric lavage, catharsis and combination groups were significantly lower than that of the model group ( mg/L: 1.830 ± 0.068, 1.890 ± 0.048, 1.800 ± 0.052 vs. 1.960 ± 0.063, all P < 0.01). As the time prolonged, the plasma concentration of paraquat was lowest in combination group than that of gastric lavage group and catharsis group (all P < 0.01). Gastric lavage and catharsis had interaction at 4 hours in combination group [F = 5.194, P = 0.034; the concentrations of paraquat (mg/L) was 0.670 ± 0.057 vs. 1.010 ± 0.018, 1.210 ± 0.052]. (3) Lung histopathology: obvious expansion and hyperemia of the alveolar capillary, widened alveolar septum, a large number of inflammatory cell infiltrations were observed in model group and catharsis group. Lung histopathology was more improved in combination group and gastric lavage group, and it was improved more obviously in combination group than that in gastric lavage group. CONCLUSIONS: Early start of gastric lavage with fuller earth combined with Qingyi II catharsis, can reduce the animal plasma concentrations of paraquat in oral paraquat poisoning rabbits. At the same time, it can alleviate the degree of lung injury and significantly improve survival rates compared with the single gastric lavage or catharsis alone. Gastric lavage with fuller earth combined with Qingyi II catharsis can improve the prognosis of animal synergistically.


Assuntos
Lavagem Gástrica , Compostos de Alumínio , Animais , Catarse , Medicamentos de Ervas Chinesas , Pulmão , Lesão Pulmonar , Compostos de Magnésio , Paraquat , Coelhos , Silicatos
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