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  • Aafjes-van Doorn, Katie, et al. (författare)
  • Patients’ Affective Processes Within Initial Experiential Dynamic Therapy Sessions
  • 2017
  • Ingår i: Psychotherapy. - 0033-3204. ; 54:2, s. 175-183
  • Tidskriftsartikel (refereegranskat)abstract
    • Research has indicated that patients’ in-session experience of previously avoided affects may be important for effective psychotherapy. The aim of this study was to investigate patients’ in-session levels of affect experiencing in relation to their corresponding levels of insight, motivation, and inhibitory affects in initial Experiential Dynamic Therapy (EDT) sessions. Four hundred sixty-six 10-min video segments from 31 initial sessions were rated using the Achievement of Therapeutic Objectives Scale. A series of multilevel growth models, controlling for between-therapist variability, were estimated to predict patients’ adaptive affect experiencing (Activating Affects) across session segments. In line with our expectations, higher within-person levels of Insight and Motivation related to higher levels of Activating Affects per segment. Contrary to expectations, however, lower levels of Inhibition were not associated with higher levels of Activating Affects. Further, using a time-lagged model, we did not find that the levels of Insight, Motivation, or Inhibition during one session segment predicted Activating Affects in the next, possibly indicating that 10-min segments may be suboptimal for testing temporal relationships in affective processes. Our results suggest that, to intensify patients’ immediate affect experiencing in initial EDT sessions, therapists should focus on increasing insight into defensive patterns and, in particular, motivation to give them up. Future research should examine the impact of specific inhibitory affects more closely, as well as between-therapist variability in patients’ in-session adaptive affect experiencing.
  • Ancillotti, Mirko, 1981-, et al. (författare)
  • Public awareness and individual responsibility needed for judicious use of antibiotics a qualitative study of public beliefs and perceptions
  • 2018
  • Ingår i: BMC Public Health. - BioMed Central. - 1471-2458 .- 1471-2458. ; 18:1
  • Tidskriftsartikel (refereegranskat)abstract
    • BackgroundHigh consumption of antibiotics has been identified as an important driver for the increasing antibiotic resistance, considered to be one of the greatest threats to public health globally. Simply informing the public about this consequence is insufficient to induce behavioral change. This study explored beliefs and perceptions among Swedes, with the aim of identifying factors promoting and hindering a judicious approach to antibiotics use. The study focused primarily on the medical use of antibiotics, also considering other aspects connected with antibiotic resistance, such as travelling and food consumption.MethodsData were collected through focus group discussions at the end of 2016. Twenty-three Swedes were recruited using an area-based approach and purposive sampling, aiming for as heterogeneous groups as possible regarding gender (13 women, 10 men), age (range 20–81, mean 38), and education level. Interview transcripts were analyzed using qualitative content analysis. The Health Belief Model was used as a theoretical framework.ResultsAntibiotic resistance was identified by participants as a health threat with the potential for terrible consequences. The severity of the problem was perceived more strongly than the actual likelihood of being affected by it. Metaphors such as climate change were abundantly employed to describe antibiotic resistance as a slowly emerging problem. There was a tension between individual (egoistic) and collective (altruistic) reasons for engaging in judicious behavior. The individual effort needed and antibiotics overprescribing were considered major barriers to such behavior. In their discussions, participants stressed the need for empowerment, achieved through good health communication from authorities and family physicians.ConclusionsKnowledge about antibiotic consumption and resistance, as well as values such as altruism and trust in the health care system, has significant influence on both perceptions of individual responsibility and on behavior. This suggests that these factors should be emphasized in health education and health promotion. To instead frame antibiotic resistance as a slowly emerging disaster, risks diminish the public perception of being susceptible to it.
  • Ander, Malin, et al. (författare)
  • Development of health-related quality of life and symptoms of anxiety and depression among persons diagnosed with cancer during adolescence a 10-year follow-up study
  • 2016
  • Ingår i: Psycho-Oncology. - 1057-9249 .- 1099-1611. ; 25:5, s. 582-589
  • Tidskriftsartikel (refereegranskat)abstract
    • Objective: The main aim was to investigate the development of health-related quality of life (HRQOL) and symptoms of anxiety and depression in a cohort diagnosed with cancer during adolescence from shortly after up to 10 years after diagnosis.Methods: Participants (n = 61) completed the SF-36 and the HADS shortly; six, 12, and 18 months; and two, three, four, and 10 years (n = 28) after diagnosis. Polynomial change trajectories were used to model development.Results: Polynomial change trajectories showed an initial increase which abated over time into a decrease which abated over time for the SF-36 subscales Mental Health and Vitality; an initial decline which abated over time into an increase for HADS anxiety; and an initial decline which abated over time into an increase which abated over time for HADS depression. The SF-36 mental component summary showed no change from two to 10 years after diagnosis whereas the SF-36 physical component summary showed an increase from two years after diagnosis which declined over time. Ten years after diagnosis 29% reported possible anxiety.Conclusions: Development of HRQOL and symptoms of anxiety and depression appears to be nonlinear among persons diagnosed with cancer during adolescence. Well into permanent survivorship an increase in symptoms of anxiety is shown and approximately a third of the participants report possible anxiety. The findings indicate the need for: studies designed to pinpoint the times of highest psychological risk, clinical follow-up focusing on psychological problems, and development of effective psychological interventions for survivors of adolescent cancer
  • Andershed, Birgitta, et al. (författare)
  • Involvement of relatives in the care of the dying in different care cultures : involvement in the dark or in the light?
  • 1998
  • Ingår i: Cancer Nursing. - 0162-220X. ; 21:2, s. 106-111
  • Tidskriftsartikel (refereegranskat)abstract
    • The aim of this prospective study was to increase existing knowledge about the involvement of relatives in care of the dying and to shed light on the relatives' sense of coherence. Six relatives were followed via qualitative interviews during the patients' final period of life and after their deaths. The patients died in different forms of care: surgical department, nursing home, inpatient hospice ward, and at home. What the relatives had in common was that they had, in different ways, followed the patient from the first symptoms, through different forms of care, up until death. Some participated very actively in the care. Relatives' involvement in care can be described as involvement in the light or involvement in the dark. Involvement in the light is based on a trusting relationship between the family and the staff. Involvement in the dark is based on insufficient interplay and collaboration, in which the relatives are not seen or acknowledged by the staff, but instead must grope around in the dark when they try to support the patient. Rapid course of illness can be a risk factor for involvement in the dark. It seems that the relatives' sense of coherence was an important factor enabling them to be involved in the light. Humanistic care can constitute a buffer, thereby increasing the possibilities for relatives to be involved in the light.
  • Andreae, Christina, et al. (författare)
  • Patients' Participation as It Appears in the Nursing Documentation, When Care Is Ruled by Standardized Care Plans
  • 2011
  • Ingår i: ISRN Nursing. - 2090-5483. ; 2011:Article ID 707601, s. 1-7
  • Tidskriftsartikel (refereegranskat)abstract
    • This study aimed to describe inpatients with myocardial infarction and their participation in care as documented in the nursing records when standardized care plans are used in care. The use of standardized care plans not only has increased the quality of medical treatment but has also overlooked patients’ opportunities to participate in their own care. There is a lack of knowledge about how standardized care plans influence patients’ participation in nursing care. Data were collected from thirteen patients’ records with diagnoses of myocardial infarction. Participation in the decision-making process and participation associated with “sharing with others” were searched for in the analysis. The analytical process was guided by content analysis. The findings were grouped into two categories: patients’ intermediary participation and patients’ active participation. The main results indicated that patients’ intermediary participation depended on healthcare professionals’ power to rule the nursing care situation.
  • Berglund, Anna-Karin, et al. (författare)
  • Civilsamhällets lokala genuskontrakt
  • 2005
  • Ingår i: Med periferien i sentrum : en studie av lokal velferd, arbeidsmarked og kjönnsrelasjoner i den nordiske periferien. - Norut NIBR Finnmark. - 82-7571-147-9 ; s. 235-255
  • Bokkapitel (övrigt vetenskapligt)
  • Bergman, Ann-Sofie, 1963-, et al. (författare)
  • Supported Visitation in Cases of Violence : Political Intentions and Local Practice in Sweden
  • 2018
  • Ingår i: International Journal of Law, Policy and the Family. - Oxford University Press. - 1360-9939. ; 32:3, s. 374-393
  • Tidskriftsartikel (refereegranskat)abstract
    • In Sweden, supervised visitation has been replaced with a new measure called supported visitation. In the reform process, it was emphasized that if face to face visitation cannot be organized without risk for the child, indirect visitation or no visitation are to be considered better options. The aim of this article is to explore social work practice regarding supported visitation in cases involving violence. It draws on a study of a local visitation centre and the data consists of case files from the social services regarding 37 children where a court ordered visitation support, interviews with seven members of staff, ten parents and three children, and local documents and guidelines. For 18 of the 37 children, case files contained credible information about a history of violence. The study shows that district courts sometimes order visitation support in cases where there is a risk for the child and where in the near future normalization of visitation is unlikely. Thus, the measure of visitation support is sometimes used in a way that was not intended. Regarding social work practice, the analysis indicates that, although the guidelines developed at the local support centre under study adhere to the national policy intentions, both professionals’ validation and invalidation of violence can be seen. For service users previously subjected to violence, the documented court and social services’ practices may actively contribute to children’s and residential parents’ continued vulnerability.
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