The document discusses a research study on the impact of working with adult female survivors of childhood sexual abuse on male therapists. Three main themes emerged from interviews with therapists: 1) The emotional impact and the value of training, supervision, and self-care to address vicarious trauma. 2) The significance of transference, particularly erotic transference, and the importance of awareness and supervision. 3) How the work provided professional learning and increased therapist confidence by confronting challenges. The implications are that training needs to better prepare therapists for impact and promote self-care, and more research is needed to inform practice.
The person-centred approach views the client as their own best authority on their own experience, and it views the client as being fully capable of fulfilling their own potential for growth.
!!! The contents of slides 4 and 5 are covered by the inserted pictures which can be viewed properly when viewed as Slide Show. !!!
Includes:
* Background about the proponent: Carl Rogers
* Viewpoint
* View of Human Nature
* Essential Beliefs
* Goals
* Role of Counselor
* Counselor Characteristics
* Techniques
This therapy is about how to give counselling to the clients. After attending this therapy session, you will be able to understand how to cope with your clients. It will also help you to understand what exactly a person-centered therapy is.
This power point presentation is on Carl Rogers theory of personality. This ppt would be helpful for both UG and PG students and is developed to fulfill the objective of curriculum.
NBCC, NAADAC, CAADAC, CBBS, Florida approved continuing education series in mental health, substance abuse and dual disorders counseling for nurses, counselors, therapists, social workers and addictions professionals.
The person-centred approach views the client as their own best authority on their own experience, and it views the client as being fully capable of fulfilling their own potential for growth.
!!! The contents of slides 4 and 5 are covered by the inserted pictures which can be viewed properly when viewed as Slide Show. !!!
Includes:
* Background about the proponent: Carl Rogers
* Viewpoint
* View of Human Nature
* Essential Beliefs
* Goals
* Role of Counselor
* Counselor Characteristics
* Techniques
This therapy is about how to give counselling to the clients. After attending this therapy session, you will be able to understand how to cope with your clients. It will also help you to understand what exactly a person-centered therapy is.
This power point presentation is on Carl Rogers theory of personality. This ppt would be helpful for both UG and PG students and is developed to fulfill the objective of curriculum.
NBCC, NAADAC, CAADAC, CBBS, Florida approved continuing education series in mental health, substance abuse and dual disorders counseling for nurses, counselors, therapists, social workers and addictions professionals.
Sex, Drugs & Scotland's Health- Working with front line staff in understandin...HIVScotland
Delivered at Sex, Drugs & Scotland's Health Virtual Conference, this presentation was delivered by Lesley Bon & Stephan Vargas.
More information about the virtual event is available here: http://ow.ly/YntW50GWhJ0
Similar to BACP Research Conference 2015 presentation (8)
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
1. The Impact On Male
Therapists Working With
Adult
Female Survivors
Of Childhood
Sexual Abuse
Mark A Stancombe: MSc Integrated Psychotherapy, MBACP (Accred)
mstancombe@move-forward.org
2. Agenda
• Why This Research
• Statistics (“lies, damn lies & statistics”)
• Approach
• Main Themes
• Implications For Our Profession
• Conclusions
3. Why This Research
• Personal Impact Working With Adult female Survivors
- Personal Belief in Developmentally Reparative Relationships
• Desire To Inform Our Profession
• Paucity Of Prior Focused Research
• More Focused Research
• Hope to Persuade Training Institutions To Address This In Training Curricula
• Increase awareness of Vicarious Traumatisation
4. Background Statistics
• NSPCC (Radford et al., 2011) estimate that almost a quarter of young adults (24.1%)
experienced sexual abuse by an adult or by a peer during childhood
• Almost one in ten children (9.4%) aged 11 to 17 years experienced sexual abuse in
the past year (2011)
• Highest reported instances being from girls aged 15 to 17 years
• CWASU Report (London Met. University) stated girls 3 times more likely to be victims
that males. 16% of girls aged 12 or under were sexually abused
• UK Office for National Statistics Census (2011) indicated a total population of the UK
at 63.2 million, 32.2 million of whom were women
• Statistically this would mean that 6.77 Million women in the UK have been or will be
victims of sexual abuse during their childhood. The female population is not shrinking
Remember: The numbers reflect only what was reported
5. Approach
• To understand the experience of male therapists & how this impacted them as both
men and as therapists
• Phenomenological / Qualitative most appropriate
Husserl (1859 – 1938) maintained that the pure phenomena of subjective
experience provide the only reliable data in the pursuit of knowledge
Describing participants’ experiences, identifying common themes as well as to
consciously avoid interpretation. seeking to describe and faithfully report the
participant’s subjective experience, rather than to in any way interpret this,
The phenomenological approach offers rich potential for gathering ‘deep’ insights
into the subject matter
• Data collection via in-depth semi-structured face to face recorded interviews
• Common themes identified & form the basis of findings obtained from this study
6. Main Themes
Three themes present in all interviews …
1.Theme 1 - Impact and the corresponding value of training,
supervision and self-care
2.Theme 2 - Transference; the particular significance of both
transference and counter-transference when working with
female survivors
3.Theme 3 - Professional learning and increased confidence
7. Theme -1 Impact
Impact and the corresponding value of training, supervision and self-care
• Impact: Pain
“… if the client’s in pain then I feel the pain.”
• Impact: Anger
“… I do park at least half a mile away and usually by the time I get to the car I’m okay.
Deliberately walk, I’ve learnt not to drive angry, so I make myself walk to the car.”
• Impact: Shame
“… I remember going through stages of hating men and thinking well I'm a man, I
thought how can men do these things, you know, it's just terrible…”
“… when a client talks about childhood sexual abuse, it serves as a reminder of the
responsibility that I have as a man but also the responsibility that I believe all men
have essentially, to work to change that culture.”
8. Theme -1 Value of training
Impact and the corresponding value of training, supervision and self-care
• Value of Training
“… I was well prepared on the theory side to be able to be with the client when
they tell me their horror stories. So I'm quite pleased I did that preparation.”
“… I think my training was very good. In some respects no issue in itself is
uncomfortable for me to work with, and that's been very valuable.”
“… the way I've been trained and I'm very grateful for it, is that we deal with the
client…my job is to listen to my client, not to make a judgement about how
serious or significant that abuse may be.”
9. Theme -1 Supervision
Impact and the corresponding value of training, supervision and self-care
• Supervision
“… I have learnt through supervision and with my lecturers to hold the feeling
(Paternalism) but to hold my presence… I’ve got a very, very good
supervisor. Through supervision it’s realising what it is and accepting it for
what it is.”
“… And I took that to supervision (Sexual Counter-Transference) and the only
way I approached it was we had a session where I opened-up about it and
was honest about it and it allowed us to talk about it.”
10. Theme -1 Self-care
Impact and the corresponding value of training, supervision and self-care
• Self-Care
“… you’ve got to be really careful about vicarious trauma, these are really
nightmare stories that you hear, so you’ve got to really look after yourself .”
“… but then I look after myself after therapy. Vicarious trauma is easy to get but
hard to recover from.”
“… looking after yourself, so, so important. I mean I practice Mindfulness and I
don’t think I'd be as effective in my therapy if I wasn't practising
Mindfulness.”
11. Theme -2
The particular significance of both transference and counter-
transference
• Gender Of Therapist
“… the vast majority of female survivors want a female therapist; vast majority.”
“… getting the clients to come and see me is very difficult. Again today I’ve had
a no-show. They don’t want to see a man.”
“… “There’s a lot said about this male female role, a lot of it is very valid, female
survivors don’t want male therapist and that is definitely the case. However,
it can be very therapeutic not only in other terms but also a lot of female
survivors were never believed by their mothers and the experience of not
being believed by their mothers there can be a lot of transference onto
female therapists. The fact that you're male, you don’t have to deal with that
transference. It can be very effective in that way as well.”
12. Theme -2 (Cont.)
The particular significance of both transference and counter-
transference
• Erotic Transference
Research into sexual attraction of male therapists to female clients (Pope, Keith-Spiegel
and Tabachnik, 1987) highlighted 95% of respondents admitting to having been
sexually attracted to a client on at least one occasion.
A third of cases of sexual transference in therapy are with clients who have a history of
sexual abuse or incest (Clark-Patterson, 2008).
“… I found myself fancying this lady that came to therapy, … It was important to be aware
that that can happen, for me feeling attracted to a client is wrong, it’s not having it in
your bloody awareness, not acting on it of course, which is really important.”
Every participant discussed the importance of avoiding collusion through awareness of
Erotic Transference and the critical importance of Supervision in maintaining
professional boundaries.
13. Theme -3
Professional learning and increased confidence
• Professional learning
“… hearing how the impact of every story (of sexual abuse) is particular to that client … it
very much has opened my eyes to the extent of it.”
“… you pick up a bit of insight not just into yourself but also into the culture of our own
society and the lines where they play out and you really inform your own
understanding of these things, not in any fixed or academic way but just from real
experience, which is so valuable.”
“… as a counsellor I’ve learnt so much for my practice as an effective counsellor through
my work with adult survivors.”
“… It's a very, very steep learning curve so I become far more effective for my clients, I
really do believe that, through my experience of working with survivors in many
different ways.”
14. Theme -3
Professional learning and increased confidence
• Increased Confidence
“… You get thrown in at the deep end and you learn quickly, and I would recommend it
for anyone who wants to be an effective therapist.”
“… if you're able to support therapeutically a woman who has been sexually abused as a
child, as a man with all those difficulties and things in play, then it really does boost
your confidence in your own skill as a counsellor; your confidence in client’s that it is
possible and your confidence in therapy itself that it can provide the means to do
that.”
“… Every time you work with clients and it benefits them then you gain a greater degree
of confidence in yourself and clients and in therapy.”
15. Implications
• Training
Newly qualified Counsellors are unprepared for the impact of working with adult
female survivors.
• Self-care
Training curricula need to include awareness training on the implications to self-care
when working with victims. In particular the potential for Vicarious Traumatisation.
• Need For More Research
Little research could be found directly focused on the impact on male therapists when
working with adult female survivors. Expansion of this research to a larger sample will
provide a wider evidence base and potential benefits to both therapists and clients.
16. Conclusions
“I'd like to think that maybe one day a female client
might come in and say 'I'd like to see a male
counsellor, because I've experienced sexual abuse
from a male and I've read about, or I have a sense
or I've seen something that has indicated that that
could be particularly helpful for me.”