This document discusses how new technology and social media impact romantic relationships. It provides statistics from a survey that show both positive and negative effects. While technology can enhance communication between partners, it can also reduce quality time together and cause jealousy over time spent online. The document explores theories for why the internet is so compelling, such as anonymity and an altered sense of reality, and discusses challenges it can introduce to relationships like misunderstandings, distraction, and opportunities for cybersex and infidelity.
The lifespan of a Super Bowl ad keeps growing as Americans will be searching, sharing and rewatching ads this year more than ever before, our 4th annual Super Bowl Survey uncovered. A third of Americans report they will seek out ads before kick-off this year and after the game ends, exactly half of Americans will rewatch their favorite ads. Results saw these numbers rise particularly among millennials and those who report they’ll be hungover on Super Bowl Monday. Check out our findings here.
InfluenceMe: A 360 Perspective on Romanian Influencers (infographic)Bogdan Epure
În România, 75% dintre internauţi admit că urmăresc cel puţin un influenţator online. Facebook şi YouTube sunt cele mai accesate platforme zilnic, cu cea mai mare medie de timp petrecută pe sesiune. În extrema opusă stau Google+, Pinterest, Tumblr, Snapchat şi LinkedIn, platforme unde influenţatorii sunt cel mai puţin urmăriţi.
Studiul împarte influenţatorii din online în 3 categorii: Profesioniştii - persoanele cu expertiză într-un anumit domeniu, Oamenii ca noi - influenţatorii care şi-au câştigat audienţa în online prin furnizarea constantă a unor informaţii relevante pentru un anumit segment, Celebrităţile – persoane cu background în showbiz (actori, cântăreţi, prezentatori TV).
Cele mai potrivite platforme de social media în campaniile cu influenţatori. Platformele-gigant, precum Facebook şi YouTube, sunt cele mai potrivite în targetarea indiferent de vârstă. Instagram este util în atingerea tinerilor între 18 şi 24 de ani. Twitter este optim în targetarea segmentului de vârstă 30-39 de ani. În funcţie de conţinut, campaniile de marketing cu influenţatori îşi pot atinge obiectivele şi pe bloguri, unde media audienţei este 25-39 de ani sau 45-49 de ani.
Online Crisis Management + Case Studies - Elkottab WorkshopAhmed Maher
Online Crisis Management + Case Studies - Elkottab Workshopز
Please note that this presentation was designed to fit into a workshop, so not everything written in the slides, just headlines & less descriptions.
If you wish to have more explanations please don't hesitate to contact me as shown on my profile here.
In September 2009, the International Economic Development Council (IEDC) and Development Counsellors International partnered to survey how social media is being used in economic development. This presentation shows our findings.
The lifespan of a Super Bowl ad keeps growing as Americans will be searching, sharing and rewatching ads this year more than ever before, our 4th annual Super Bowl Survey uncovered. A third of Americans report they will seek out ads before kick-off this year and after the game ends, exactly half of Americans will rewatch their favorite ads. Results saw these numbers rise particularly among millennials and those who report they’ll be hungover on Super Bowl Monday. Check out our findings here.
InfluenceMe: A 360 Perspective on Romanian Influencers (infographic)Bogdan Epure
În România, 75% dintre internauţi admit că urmăresc cel puţin un influenţator online. Facebook şi YouTube sunt cele mai accesate platforme zilnic, cu cea mai mare medie de timp petrecută pe sesiune. În extrema opusă stau Google+, Pinterest, Tumblr, Snapchat şi LinkedIn, platforme unde influenţatorii sunt cel mai puţin urmăriţi.
Studiul împarte influenţatorii din online în 3 categorii: Profesioniştii - persoanele cu expertiză într-un anumit domeniu, Oamenii ca noi - influenţatorii care şi-au câştigat audienţa în online prin furnizarea constantă a unor informaţii relevante pentru un anumit segment, Celebrităţile – persoane cu background în showbiz (actori, cântăreţi, prezentatori TV).
Cele mai potrivite platforme de social media în campaniile cu influenţatori. Platformele-gigant, precum Facebook şi YouTube, sunt cele mai potrivite în targetarea indiferent de vârstă. Instagram este util în atingerea tinerilor între 18 şi 24 de ani. Twitter este optim în targetarea segmentului de vârstă 30-39 de ani. În funcţie de conţinut, campaniile de marketing cu influenţatori îşi pot atinge obiectivele şi pe bloguri, unde media audienţei este 25-39 de ani sau 45-49 de ani.
Online Crisis Management + Case Studies - Elkottab WorkshopAhmed Maher
Online Crisis Management + Case Studies - Elkottab Workshopز
Please note that this presentation was designed to fit into a workshop, so not everything written in the slides, just headlines & less descriptions.
If you wish to have more explanations please don't hesitate to contact me as shown on my profile here.
In September 2009, the International Economic Development Council (IEDC) and Development Counsellors International partnered to survey how social media is being used in economic development. This presentation shows our findings.
Research Skills Pocket Lecture - How to write a research proposalVanissa Wanick
Adapted slides given in the Research Skills Lecture for the MA Design Management at Winchester School of Art, December 2016. Feedback from this lecture was quite good, so I've decided to share with you.
Copyright: Wanick, V. 2016
Nanotechnology is the engineering of functional systems at the molecular scale.
The technology of creating machines or robots at or close to the microscopic scale of a nanometer (10−9 meters).
Wearable Technology Futures 2020: A New Path for Public Health?Ogilvy Health
This report, Wearable Technology Futures 2020: A New Path for Public Health?, lends insight into some difficult but important questions currently challenging the health technology industry. For example, how can wearable technology better appeal to those who could most benefit from it—like the inactive or those fighting obesity—in addition to the health enthusiasts and technophiles currently embracing these wearable gadgets? Ogilvy health specialists brought their knowledge and expertise to bear on this question, as well as many others whose answers could help shape the future development of the technology.
Wearable Technology Futures 2020: A New Path for Public Health? is a three-part report: Part 1 analyses the approach developers are currently using and how this aligns with published thinking and evidence on behavior change techniques; Part 2 fuels the debate by suggesting, through six different scenarios, that the true potential of wearable technology can only be realized when we approach its application beyond the device and truly align around public health directives; and Part 3 takes an in-depth look at four popular devices and their associated apps as experienced by Ogilvy’s own user panel, clocking up a total of 23,040 hours.
Authors: David Davenport-Firth, Lexi Fletcher, Matt Balogh, Ritesh Patel, Simon Stebbing
The Future Of Work & The Work Of The FutureArturo Pelayo
What Happens When Robots And Machines Learn On Their Own?
This slide deck is an introduction to exponential technologies for an audience of designers and developers of workforce training materials.
The Blended Learning And Technologies Forum (BLAT Forum) is a quarterly event in Auckland, New Zealand that welcomes practitioners, designers and developers of blended learning instructional deliverables across different industries of the New Zealand economy.
We Are Social's comprehensive new Digital in 2016 report presents internet, social media, and mobile usage statistics and trends from all over the world. It contains more than 500 infographics, including global data snapshots, regional overviews, and in-depth profiles of the digital landscapes in 30 of the world's key economies. For a more insightful analysis of the numbers contained in this report, please visit http://bit.ly/DSM2016ES.
Social Media Week London Event 2012
http://socialmediaweek.org/event/?event_id=2318
For full information about the talk including links to stats, livestream/YouTube and Storify - please visit http://trust2point0.posterous.com/love-sex-social-media
Technisource Women in IT Careers Survey - Monster.comMonster
Despite years of criticism on the subject, there are still large disparities in the way men and women view employment within the technology field, according to the 2010 Technisource Women in Information Technology Report (conducted by Monster.com®). Most notably, differences in viewpoints were concentrated in compensation, mentors and role models, and challenges faced.
The new study demonstrates that while some lagging societal issues remain unchanged across the board, such as equal compensation, some perceived differences may be the result of specific choices and priorities between genders.
Among the key findings:
Career Satisfaction
Seventy-eight percent of women do not believe that compensation is equal between men and women – nearly half of the male respondents do perceive equality.
When asked about most important factors to men and women for career satisfaction, the greatest differences were men chose compensation and women chose being challenged and flexibility.
Career Progression
Fifty-two percent of women working in IT believe there is a "glass ceiling" that restricts their employment growth (28% of women are neutral).
When asked what the most important factors for career success were over the next five years, both men and women responded with technology experience and skills.
Mentorship/Role Models
When asked if respondents have had or do have a mentor, women responded the highest with 33 percent to 28 percent of men.
Seventy-three percent of women do not believe there are enough role models for women (versus 52 percent of men).
Future of Women in IT
Both men (56 percent) and women (70 percent) believe that greater promotion of IT as a career choice for women is the top encouraging factor for young women to enter the field.
Twenty-seven percent of men believe that women have an advantage over men working in the IT field.
Only 26 percent of men and 24 percent of women believe that society encourages young women to study math and science.
According to respondents, 74 percent of women believe female workers face a different set of career challenges than their male counterparts (compared to 48 percent of men).
"Our Women in Information Technology Report shows that there appear to be differences beyond how both women and men view their compensation and career progression within the IT field," said Alisia Genzler, vice president of the Northeast Region of Technisource. "Employers should take heed of these differing mindsets to better understand the unique priorities and challenges each of these groups face. Failing to do so will affect employee satisfaction, work performance, and in turn create a workforce that will jump at the opportunity to work for an employer that recognizes and acknowledges what really matters to them."
Research Skills Pocket Lecture - How to write a research proposalVanissa Wanick
Adapted slides given in the Research Skills Lecture for the MA Design Management at Winchester School of Art, December 2016. Feedback from this lecture was quite good, so I've decided to share with you.
Copyright: Wanick, V. 2016
Nanotechnology is the engineering of functional systems at the molecular scale.
The technology of creating machines or robots at or close to the microscopic scale of a nanometer (10−9 meters).
Wearable Technology Futures 2020: A New Path for Public Health?Ogilvy Health
This report, Wearable Technology Futures 2020: A New Path for Public Health?, lends insight into some difficult but important questions currently challenging the health technology industry. For example, how can wearable technology better appeal to those who could most benefit from it—like the inactive or those fighting obesity—in addition to the health enthusiasts and technophiles currently embracing these wearable gadgets? Ogilvy health specialists brought their knowledge and expertise to bear on this question, as well as many others whose answers could help shape the future development of the technology.
Wearable Technology Futures 2020: A New Path for Public Health? is a three-part report: Part 1 analyses the approach developers are currently using and how this aligns with published thinking and evidence on behavior change techniques; Part 2 fuels the debate by suggesting, through six different scenarios, that the true potential of wearable technology can only be realized when we approach its application beyond the device and truly align around public health directives; and Part 3 takes an in-depth look at four popular devices and their associated apps as experienced by Ogilvy’s own user panel, clocking up a total of 23,040 hours.
Authors: David Davenport-Firth, Lexi Fletcher, Matt Balogh, Ritesh Patel, Simon Stebbing
The Future Of Work & The Work Of The FutureArturo Pelayo
What Happens When Robots And Machines Learn On Their Own?
This slide deck is an introduction to exponential technologies for an audience of designers and developers of workforce training materials.
The Blended Learning And Technologies Forum (BLAT Forum) is a quarterly event in Auckland, New Zealand that welcomes practitioners, designers and developers of blended learning instructional deliverables across different industries of the New Zealand economy.
We Are Social's comprehensive new Digital in 2016 report presents internet, social media, and mobile usage statistics and trends from all over the world. It contains more than 500 infographics, including global data snapshots, regional overviews, and in-depth profiles of the digital landscapes in 30 of the world's key economies. For a more insightful analysis of the numbers contained in this report, please visit http://bit.ly/DSM2016ES.
Social Media Week London Event 2012
http://socialmediaweek.org/event/?event_id=2318
For full information about the talk including links to stats, livestream/YouTube and Storify - please visit http://trust2point0.posterous.com/love-sex-social-media
Technisource Women in IT Careers Survey - Monster.comMonster
Despite years of criticism on the subject, there are still large disparities in the way men and women view employment within the technology field, according to the 2010 Technisource Women in Information Technology Report (conducted by Monster.com®). Most notably, differences in viewpoints were concentrated in compensation, mentors and role models, and challenges faced.
The new study demonstrates that while some lagging societal issues remain unchanged across the board, such as equal compensation, some perceived differences may be the result of specific choices and priorities between genders.
Among the key findings:
Career Satisfaction
Seventy-eight percent of women do not believe that compensation is equal between men and women – nearly half of the male respondents do perceive equality.
When asked about most important factors to men and women for career satisfaction, the greatest differences were men chose compensation and women chose being challenged and flexibility.
Career Progression
Fifty-two percent of women working in IT believe there is a "glass ceiling" that restricts their employment growth (28% of women are neutral).
When asked what the most important factors for career success were over the next five years, both men and women responded with technology experience and skills.
Mentorship/Role Models
When asked if respondents have had or do have a mentor, women responded the highest with 33 percent to 28 percent of men.
Seventy-three percent of women do not believe there are enough role models for women (versus 52 percent of men).
Future of Women in IT
Both men (56 percent) and women (70 percent) believe that greater promotion of IT as a career choice for women is the top encouraging factor for young women to enter the field.
Twenty-seven percent of men believe that women have an advantage over men working in the IT field.
Only 26 percent of men and 24 percent of women believe that society encourages young women to study math and science.
According to respondents, 74 percent of women believe female workers face a different set of career challenges than their male counterparts (compared to 48 percent of men).
"Our Women in Information Technology Report shows that there appear to be differences beyond how both women and men view their compensation and career progression within the IT field," said Alisia Genzler, vice president of the Northeast Region of Technisource. "Employers should take heed of these differing mindsets to better understand the unique priorities and challenges each of these groups face. Failing to do so will affect employee satisfaction, work performance, and in turn create a workforce that will jump at the opportunity to work for an employer that recognizes and acknowledges what really matters to them."
Social media becomes the information hub for Vietnamese and they spend hours on Facebook, Zalo and the other services daily.
This survey was made to understand the latest trend and usage of social media service in Vietnam.
The survey was made in Sept 2018, to 620 people in HCM and Hanoi.
Highlights from Elephant in the Valley research on gender discrimination in Silicon Valley was presented at the Anita Borg Institute's partner conference
This Webinar was presented as the first in a series exploring issues important to youth mentoring programs on August 17, 2010. Social media and networking offer numerous ways to professionally engage with youth, serving both program needs and youth adaptability. However, technology can also bring up questions about safety, boundaries, and appropriateness. Social Media and Mentoring: Policies, Gaps, and Boundaries explores social media and networking options and provides space for dialogue to explore safety and ethical considerations.
This report presents the findings from Digital Schoolhouse & Ukie's research carried out in 2018. It analyses the results from 2304 responses from students aged 8 - 18 about their perceptions of online safety education at school and at home.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
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.
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.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Couples and the New Technology
1. Couples and the New Technology!
Laurel Fay, M.S., LCMFT
Pro Bono Counseling Project – 20th Year
15th Annual Mary Douglas Wells Speakers Forum
April 8, 2011
2. What is the New Technology?!
http://www.flickr.com/photos/exalthim/3999403503/
3. Many Paths to Connection!
AIM digg Facebook Flickr Google Linkedin
MySpace Twitter YouTube Y! Messenger Wordpress Yahoo!
Skype Blogger Delicious Windows Live hi5 lastfm
10. Why do we need to talk about this?!
http://www.flickr.com/photos/exalthim/3999403503/
11. Couples therapists report:
§ An increase in the number of cases with an
Internet component (Cooper & Griffin-Shelley, 2002)
§ They struggle with appropriate treatment
strategies in these cases (Nelson, 2005)
§ One study found that a majority (73%) are
not trained in their programs to deal with
this problem in treatment
(Goldberg, Peterson, Rosen and Sara, 2008)
17. Interactive
Intoxicating Inexpensive
Cyberhex
Model
of the
Isolating Internet Integral
Imposing
Carnes et al (2001)
18. Online Disinhibition Effect
Suler, 2004
§ You don’t know me (anonymity)
§ You can’t see me (anonymity)
§ See you later (ability to get out easily)
§ It’s all in my head (line between fantasy
and reality is blurred)
§ It’s just a game (there are no
consequences to my online actions)
§ We are all equals (everyone is a peer)
24. Please rate to what extent social technologies
POSITIVELY affect your relationship
with your partner.!
COUNT PERCENTAGE
MALE 13 37%
FEMALE 45 38%
58 38%
25. Please rate to what extent social technologies
POSITIVELY affect your relationship
with your partner.!
COUNT PERCENTAGE
20-29 11 (OF 25) 44%
30-39 31 (OF 75) 41%
40-49 12 (OF 29) 41%
50-59 4 (OF 16) 25%
60-65 0 (OF 4) 0%
65+ 0 (OF 4) 0%
26. Please rate to what extent social technologies
NEGATIVELY affect your relationship
with your partner.!
COUNT PERCENTAGE
MALE 7 20%
FEMALE 24 20%
31 20%
27. Please rate to what extent social technologies
NEGATIVELY affect your relationship
with your partner.!
COUNT PERCENTAGE
20-29 5 (OF 25) 20%
30-39 15 (OF 75) 20%
40-49 9 (OF 29) 31%
50-59 1 (OF 16) 6%
60-65 1 (OF 4) 25%
65+ 0 (OF 4) 0%
28. How often do YOU use social media (e.g.,
Facebook, MySpace, Twitter)?
COUNT PERCENTAGE
MALE (A LOT) 29 83%
FEMALE (A 95 81%
LOT)
A LOT: answered few times/week or daily or all day or weekly
A LITTLE: answered monthly or rarely or never!
29. How often do YOU use social media (e.g.,
Facebook, MySpace, Twitter)?!
COUNT PERCENTAGE
20-29 (A LOT) 23 (OF 25) 92%
30-39 (A LOT) 65 (OF 75) 87%
40-49 (A LOT) 22 (OF 29) 76%
50-59 (A LOT) 12 (OF 16) 75%
60-65 (A LOT) 1 (OF 4) 25%
65+ (A LOT) 2 (OF 4) 50%
A LOT: answered few times/week or daily or all day or weekly
A LITTLE: answered monthly or rarely or never
30. How often does YOUR PARTNER use social
media (e.g., Facebook, MySpace, Twitter)?
COUNT PERCENTAGE
MALE (A LOT) 32 (OF 35) 91%
FEMALE (A 77 (OF 65%
LOT) 118)
A LOT: answered few times/week or daily or all day or weekly
A LITTLE: answered monthly or rarely or never!
31. How often do YOU use social media (e.g.,
Facebook, MySpace, Twitter)?
YOU YOUR PARTNER
SAYS
MALE (A LOT) 83% 65%
FEMALE (A 81% 91%
LOT)
A LOT: answered few times/week or daily or all day or weekly
A LITTLE: answered monthly or rarely or never!
32. In what ways you feel these pursuits have
impacted your primary relationship?
% MALES %
FEMALES
INCREASED OUR COMMUNICATION FOR THE 34% 25%
BETTER
DECREASED OUR QUALITY TIME TOGETHER 23% 30%
CAUSED ME TO DOUBT MY PARTNER’S FIDELITY 6% 3%
CAUSED ME TO BE JEALOUS OF THE TIME S/HE 26% 11%
SPENDS ON THE COMPUTER
33. In what ways you feel these pursuits have
impacted your primary relationship?
“I hate that she'll interact with all her
Facebook friends but me.”!
34. In what ways you feel these pursuits have
impacted your primary relationship?
“Fills my need for socializing without having
to either drag him with me to events or leave
him home with our daughter.”!
35. In what ways you feel these pursuits have
impacted your primary relationship?
“Because we both work using technology in
many ways it's made staying connected easier.
It becomes problematic when we choose to
communicate via technology vs. face to face.”!
36. In what ways you feel these pursuits have
impacted your primary relationship?
“There is not a jealousy but more a
resentment that the time and energy can be
placed in the games etc. but not to vulnerable
communication.”!
43. We want to be:
loved
known
important
special
CONNECTED
www.flickr.com/photos/robwallace/109741959/sizes/o/in/photostream/
44. Global positives
§ The new technology shrinks the
world. Geography is irrelevant
§ It creates new opportunities,
professionally and personally
§ It augments personal relationships
(Cooper, McLoughlin & Campbell, 2000)
§ It increases connection
45. Positives for Couples:
§ Online dating: 1 in 8 marriages started on a
dating site (Huffington Post, 2010)
§ Builds connections with partner (Cooper, McLoughlin &
Campbell, 2000)
§ Can assist with conflict resolution
§ People enjoy using technology to
communicate with partners or potential
partners (Henline & Harris, 2006)
§ Technology as a way to build transparency
and intimacy
46. Negatives for couples:
§ Problems with misunderstanding
§ Greater chance of “smothering”
§ Over-involvement may lead to neglect of
“real life” (Henline & Harris, 2006)
47. Global Negatives:
§ Issues related to cybersex and infidelity
§ Distraction
§ Paradox of Technology and Connection
48. Cybersex
§ Approximately 20% of all Internet users report in
engaging in some sexual activity online (Cooper, Scherer
and Mathy, 2001)
§ Cybersex has major negative impact on relationships
(Cooper, Delmonico, & Burg, 2000; Barak and Fisher, 2002)
§ Greater secrecy about internet use – 70% of those
who pursue sexual interests online keep secret how
much time they spend online (Cooper, Scherer, Boies & Gordon,
1999)
§ Boundary crossings more possible
§ Major factor for women in separation or divorce
(Schneider 2003)
§ Decrease in desire for relational sex
§ Comparing oneself negatively to online partner
§ Feelings of betrayal
50. Online Infidelity
§ What is it? Ambiguous nature, differing
opinions
§ Those in committed relationships saw
online sexual chat and emotional
involvement with an online contact as being
unfaithful to the primary relationship (Henline,
Lamke & Howard, 2007)
§ Online betrayal = offline betrayal (Whitty, 2005)
§ A symptom of underlying issues (Young et al, 2000)
53. “Distraction is to an intimate
conversation as water is to fire.
To love, you must slow down; you
must attend to the other person.”
- Edward Hallowell, Married To Distraction, 2010
www.flickr.com/photos/limonada/167352047/sizes/o/in/photostream/
54. The Culture of Distraction in
The Age of Interruption
Hallowell, 2010
§ Attention = intimacy
§ Distraction interrupts the dance
§ We’re too busy to pay attention to loved
ones; difficult to get their full attention too
§ FAST FAST FAST = continuous partial
attention
§ The new pressure is to make time and pay
attention
56. “We look to the network to defend us
against loneliness even as we use it to
control the intensity of our connections.”
- Sherry Turkle, Alone Together, 2010
57. The Paradox of Technology and Connection
Turkle, 2010
§ We have many “friends”, but little connections
§ We want more connection, but also want easy
escape
§ Tech promises to free us up, but tethers us to it
§ Technology instead of community
§ Boundaries eroded between “real” life and
online life
§ “Crazy busy”
§ Relationships è mere connections è intimacy
§ “Cyberintimacies slide into cybersolitudes”
§ Off the grid, we feel adrift
58. How do we know when
technology is a
problem for our clients?
59. Need for Thorough Assessment
§ Only 20% of therapists ask their clients about
cybersex use (Goldberg et al., 2008)
§ Failure to ask can lead to significant omissions
in treatment planning and subsequent clinical
interventions (Goldberg et al., 2008)
§ There is a real need for simple tools to assess
the technology use of family members who are
coming for therapy treatment (Hertlein & Webster, 2008)
§ Proper assessment can break through “don’t
ask, don’t tell”
60. Assessment Tools
Facebook Compulsion Inventory
(Pile, 2009)
Internet Sex Screening Test/ISST
(Delmonico, 1999)
Use of Technology Questionnaire/UTQ
(Fay, 2011)
61. Boundaries and Expectations
§ Develop a mutually agreed-upon policy
§ Don’t say anything online you wouldn’t
say to your partner face to face
www.flickr.com/photos/stitch/272090142/sizes/o/in/photostream/
62. Questions for Couples to Consider when
Developing an Acceptable Use Plan (AUP)
1. How much time is acceptable to spend on social
networking sites? On technology in general?
2. Should we be friends on Facebook?
3. Do we link our profiles to show that we are
together?
4. Is it appropriate to share passwords?
5. Do we “friend” exes?
www.flickr.com/photos/46578758@N00/3301231105/sizes/l/in/photostream/
63. Sample Treatment Protocol for Internet Infidelity
• Assessment of what the infidelity was:
• intensity x frequency x duration
• Get the story from each point of view
• What need did it meet/what did it give
• What did it cost/steal/take
• Can they each see it from the other’s side?
• Mutually agreed-upon definition of infidelity
• Regret?
• Relationship history: how did we get here?
• Assessment of commitment to relationship and to
therapy
• Goals – what do we want our relationship to look
like?
64. Moving Forward
• With a clear picture of new relationship in mind
• Plan for new commitment to connection through
transparency
• Communication:
• Frequent
• Face-to-face
• As a top priority
• Technology-free times together
• Freedom to bring up fears, concerns – building
on therapy gains
65. Communication
• Levels of Intimacy handout
• Couples confidentiality handout
66. New Boundaries Around Relationship
• Discussion of “real life” boundaries
• Discussion of online boundaries
• Acceptable Use Plan for technology
• Mutually agreed-upon (no parent-child)
• Times used
• Password sharing
• Facebook boundaries (status, chat, wall,
privacy, friends)
• No secret computers
• Conceptualized as externalizing threats to
couple – more time in the “new” = more trust
67. Using Technology to
Build Up the Relationship
• Assess if this is too difficult, too charged
• Can we “untaint” it and take technology back?
• Secret email accounts to build sexual tension
• PAIRS app
• Intimate texts
• Facebook
• Online marriage support sites (Power of Two)
68. More
windows
equals more
opportunities
for our
clients to
see,
understand,
and love
each other
www.flickr.com/photos/captaintim/2511680887/sizes/l/in/photostream/
69. laurel@laurelfay.com
facebook.com/laurelfaytherapy
twitter.com/laurelfay
Slides: http://slideshare.net/laurelfay
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