Object relations theory focuses on how early life relationships shape one's perceptions and inner representations of self and others. These internalized relationships, or "objects," are stored unconsciously and influence transference in current relationships, including in counseling. Countertransference also occurs as counselors draw on their own unconscious internalized relationships. Being aware of transference and countertransference is important for counselors so it does not interfere with the client's process, and can provide insight into clients' current and past relationships. Examples can be seen in biblical stories like King Saul, Jonah, and Judas Iscariot.
MENTAL HEALTH MUST BE BROADLY DEFINED IN TERMS THAT ARE CULTURALLY SENSITIVE AND INCLUSIVE.
THE CRITERIA FOR MENTAL HEALTH MUST BE EMPIRICALLY AND LONGITUDINALLY VALIDATED.
VALIDATION MEANS PAYING SPECIAL ATTENTION TO CROSS-CULTURAL STUDIES.
The Psychodynamic Model - An Introduction to FreudnoiseTM
Sigmund Freud was the first to see mental illness in purely psychological terms (rather than physical or spiritual causes). From unconscious drives, "ego defences" and child development to the idea of the "talking cure" - the origins of modern psychotherapy and counselling.
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people's difficulties, and so change the way they feel.
Brief therapy, sometimes also referred to as short term therapy (usually 10 to 20 sessions) , is a generic label for any form of therapy in which time is an explicit element in treatment planning.
The diagnostic assessment and treatment and treatment planning in psychiatry is a dynamic process that integrates the biological, psychological, social, and behavioral paradigms to develop a plan of action that provides a rational for the types of interventions employed to sustain the therapeutic alliance and relieve suffering.
MENTAL HEALTH MUST BE BROADLY DEFINED IN TERMS THAT ARE CULTURALLY SENSITIVE AND INCLUSIVE.
THE CRITERIA FOR MENTAL HEALTH MUST BE EMPIRICALLY AND LONGITUDINALLY VALIDATED.
VALIDATION MEANS PAYING SPECIAL ATTENTION TO CROSS-CULTURAL STUDIES.
The Psychodynamic Model - An Introduction to FreudnoiseTM
Sigmund Freud was the first to see mental illness in purely psychological terms (rather than physical or spiritual causes). From unconscious drives, "ego defences" and child development to the idea of the "talking cure" - the origins of modern psychotherapy and counselling.
Cognitive behavioral therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving. Its goal is to change patterns of thinking or behavior that are behind people's difficulties, and so change the way they feel.
Brief therapy, sometimes also referred to as short term therapy (usually 10 to 20 sessions) , is a generic label for any form of therapy in which time is an explicit element in treatment planning.
The diagnostic assessment and treatment and treatment planning in psychiatry is a dynamic process that integrates the biological, psychological, social, and behavioral paradigms to develop a plan of action that provides a rational for the types of interventions employed to sustain the therapeutic alliance and relieve suffering.
Transference is often manifested as an erotic attraction towards a therapist, but can be seen in many other forms such as rage, hatred, mistrust, parentification, extreme dependence, or even placing the therapist in a god-like or guru status.
Clinical Psychology Case Formulation and Treatment Planning: A PrimerJames Tobin, Ph.D.
The aim of this primer is to support the learning of clinical case conceptualization and treatment planning for graduate students in clinical psychology, other trainees in the mental health professions, and early-career psychologists and mental health workers.
The Seven Eyed Model of Supervision, first created by Professor Peter Hawkins in the 1980’s, is now the most used supervision model in the world and has been translated in over ten languages.
This webinar explores new developments in using the model in both supervision of individual coaching, team coaching and organisational consultancy.
The webinar was hosted by Nick Smith and presented by Professor Peter Hawkins both authors of Coaching, Mentoring and Organizational Consultancy: Supervision, Skills and Development and founders of the EMCC accredited Coaching Supervision Certificate Programme.
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.
A Therapy Hour: Revisiting Winnicott's Notion of "Object Usage" James Tobin
In this presentation, James Tobin, Ph.D. argues that the psychotherapist must be able to accept and tolerate the patient's acting on the therapist vs. the the therapist acting on the patient. Using Winnicott's notions of object usage and object relatedness, Dr. Tobin highlights the ubiquitous nature of the patient's resistance to advanced forms of intersubjectivity and the narcissistic ambitions of the therapist.
The counselling process; Stages of the counselling processSunil Krishnan
The counselling process:
Stages of the counselling process
Stage 1: Initial Disclosure
Stage 2: In-depth Exploration
Stage 3: Commitment to action
Three stages of Counselling in Perspective
Counselling …………………………………………………………………
Counselling and Psychotherapy………………………………………
The Role of the Counsellor……………………………………………
Counselling Skills ……………………………………………………
Stages of the counselling process: …………………………………………
Some Misconceptions About Counselling ……………………………
The Counselling Process ………………………………………………
Stage 1: Relationship Building - Initial Disclosure ………………………
Stage 2: In-Depth Exploration - Problem Assessment ………………….
Stage 3: Goal Setting - Commitment to Action ………………………….…
Guidelines for Selecting and Defining Goals ………………………..
Summary ………………………………………………………………
Three stages of Counselling in Perspective …………………………………
Psychoanalytic theory ……………………………………………..…
Benefits and limitations of Psychoanalytic theory ……………
Psychodynamic Approach to Counselling …………………………
Id, Ego and Superego …………………………………………
Humanistic Theory …………………………………………………
Client Centred/Non Directive Counselling……………………
Benefits and limitations in relation …………………………
Humanistic Approach to Counselling …………………………………
Behaviour Theory …………………………………………………
Behavioural Approach to Counselling …………………………
Cognitive Theory …………………………………………………
Dr. Murray Bowen, a pioneer in the field of marriage and family therapy, offered 8 interlocking concepts as a way to think about relationship functioning, especially in one's extended family, nuclear family, and couples' relationships. This is a model that assumes that problems can come from too much togetherness. It assumes that if one feels secure in one's ability to remain separate, one can go the distance in one's effort to remain connected to important people in one's life.
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Maori wisdom -- Self-care and the Whare Tapa Wha modelAlan MacKenzie
Dr. Mason Durie (1997) proposed ancient Maori wisdom that still holds much relevance in today's busy world. His insights are most useful when it comes to explaining "holistic" health -- and in keeping with a healthy approach to life.
What are the necessary steps to self-care in the social service industry? How do we see this process? Is there ancient wisdom around our theories? This presentation investigates the topic of self-care from a mystical stance and uses the metaphor of a "tree" to expose the truths around the model.
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
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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.
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
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.
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
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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ORT & Counselling
1. RELATIONS IN COUNSELLING
OUTLINE
– Object Relations Theory
Explained
(in under 5 mins)
– ‘Inner’ Representations
(objects)
– Transference explained
– Counte-rtransference
explained
– EXAMPLES
2. ORT in under 5 mins
• Object relations theory – a divergence from
Freudian psychotherapeutic understandings
• primary focus -- relationships of early life that leave
lasting impressions; similar to a residue or remnant
within the psyche
3. ORT in under 5 mins
• These residues of past relationships (inner object
relations) serve to shape perceptions of both
individuals and relationships.
4. ORT in under 5 mins
Fairbairnian quote of Ego structure: “The structure is
seen as one consisting of a system of conscience and
unconscious object relationships that crystallise out of
the infants experience of real relationships.
“Ego structure is the trace of a relationship.”
5. INTERNALIZING
Article by Scharff and Scharff (1992, p.100)
“…relationships become central to psychological life,
and anxiety is thought to play a significant role in
relationships by warning of impending (threatened)
loss of the self in relation to the object. Avoiding
damage to the Self and protection from narcissistic
injury of the Ego drives a complex personality
structural organizational process…”
6. INTERNALIZING and INNER RELATIONSHIPS
Scharff and Scharff (1992, p.101)
“The conscious parts remain in an open system, flexible
and changeable, and able to interact freely with others.
The unconscious parts are split off into a closed system,
rigid and unchanging under the force of repression, and
not available for interaction with others or for learning
and change at the conscious level.”
7. INTERNALIZING and INNER RELATIONSHIPS
Scharff and Scharff (1992, p.101)
“Conscious and unconscious parts are in constant
dynamic interaction with each other internally.
Needs, frustrations, longings, love, and hate are reexperienced inside the self. These… relationships that
were internalised continue to interact dynamically within
the overall personality. These inner relationships are
being actively repressed and are equally actively seeking
to return to consciousness.”
8. Relational Psychodynamics
– Two Triangle Theory by David Malan (1984) (cited by Holmes,
1994, 11)
Somewhat apparent
(conscious realm)
Below the water line of
‘awareness’ (unconscious?)
9. TRANSFERENCE
Transference (as defined by Jackson, 2009):
“Certain unconsciously redirected feelings, fears, or emotions
from a client towards the counsellor that actually stems from
past feelings and interactions with others and is transferred into
the current counselling relationship.”
“Fairbairn said that the most important factor in analytic
treatment is the relationship; because without that, nothing
else matters – but he did not imply that the thing to do was to
focus exclusively on it… I have likened the focus on transference
to the use of Global Positioning Systems. While the machinery
of the GPS is wonderful and certainly fascinating, focussing on
the GPS over an entire journey would avoid the prime purpose
of the trip.” (Hopper, 2001. p. 29)
10. COUNTER-TRANSFERENCE
Counter-Transference (Hahn, 2000):
• “Contemporary views define counter-transference as ‘a joint
creation, in which both the counsellor's past conflicts and
the client's projected aspects create specific patterns of
interaction within the therapeutic process’ (Gabbard, 1993,
p. 13).”
• “It is critical that the counsellor be aware of their own
countertransference propensity, so that it does not interfere
with the clients' ability to take ownership of the counselling
outcome.”
• “When counselling certain clients, it is important to be aware
of some of the dangers inherent in transference
/countertransference…” Some examples?
12. Examples from the Bible
King Saul and the javelin incident (1 Sam 15)
King David and Nathan
2 Samuel 12:5
David burned with anger against the man and said to Nathan, “As
surely as the LORD lives, the man who did this must die! 6 He must pay
for that lamb four times over, because he did such a thing and had no
pity.”
Jonah and the pomegranate plant
Jonah 4:9
But God said to Jonah, “Is it right for you to be angry about the
plant?”
The two on the road to Emmaus
Luke 24:32 They asked each other, “Were not our hearts burning
within us while he talked with us on the road and opened the
Scriptures to us?”
Judas Iscariot
13. FINAL COMMENTS…
• Transference & C-transference are naturally
occurring phenomena
• Being aware of both (but especially our Ctransferences) is important
• Each can tell us something about our/other
relationships with our client (in present & past)
• Too much importance cannot be placed T/C-t;
rather more should rest on the therapeutic alliance
14. REFERENCES
1.
Hahn, W.K. (2000). Shame: C-transference identification in individual
psychotherapy. Psychotherapy, 37(1): 10-21.
2.
Hopper, E. (2001). Lectures on the Concepts of Transference and
Countertransference. Lectures Series, Tavistock Centre for Couples
Relationships, Central London, p. 26.
3.
Wiener, J. (2009). The Therapeutic Relationship: Transference,
Countertransference, and the Making of Meaning. College Station,
Texas: Texas A&M Univ. Press, 150p.
4.
Jackson, K.C. (2009). Counselling Transference / Counter-transference
Issues. Retrieved from:
http://www.contactpoint.ca/index.php?option=com_content&view=article&id=369&catid=59&Itemid=37