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Primary Intervention (primary + intervention)
Selected AbstractsTermination as a therapeutic intervention when treating children who have experienced multiple lossesINFANT MENTAL HEALTH JOURNAL, Issue 1 2009Michele M. Many Children who have endured traumatizing events often have a history of prior disruptions and losses which also have been experienced as traumatic. Termination of therapy with these children, therefore, provides a unique opportunity for the clinician to provide the traumatized child and his or her caregiver with a new experience of loss; one that is controlled, predictable, and paced. Through this experience, the child and caregiver can develop a new model for loss, one that permits for losses that are a natural part of healthy growth and change. This article outlines one approach to utilizing termination as an integral component of the therapeutic process with infants, toddlers, and preschoolers and their caregivers. Using a psychodynamic model and working dyadically with the child and the caregiver, termination is approached as a primary intervention, pivotal to the successful treatment of this vulnerable population. [source] The dialogical self in psychotherapy for persons with schizophrenia: A case studyJOURNAL OF CLINICAL PSYCHOLOGY, Issue 2 2007Paul H. Lysaker Schizophrenia often involves a profound experience of one's identity as diminished, which complicates adaptation to the demands of daily life. Within a backdrop of dialogical self-theory, we provide a report of an individual psychotherapy over the course of 4 years that assisted a patient suffering from schizophrenia to move from a state in which few aspects of self were available for internal or external conversation to one in which there was greater accessibility of multiple aspects of self, leading to richer dialogues, improved function, and a better quality of life. It is suggested a primary intervention of the therapist was continuously to offer the client a view of himself that invited him to experience himself in a plausible manner shared with and listened to by another. © 2007 Wiley Periodicals, Inc. J Clin Psychol: In Session 63: 129,139, 2007. [source] Postoperative complications after extracapsular dissection of benign parotid lesions with particular reference to facial nerve functionTHE LARYNGOSCOPE, Issue 3 2010Nils Klintworth MD Abstract Objectives/Hypothesis: The desirable extent of surgical intervention for benign parotid tumors remains a matter of controversy. Superficial or total parotidectomy as a standard procedure is often said to be the gold standard; however, with it the risk of intraoperative damage to the facial nerve cannot be ignored. For some time now, extracapsular dissection without exposure of the main trunk of the facial nerve has been favored as an alternative for the treatment of discrete parotid tumors. Data on the incidence of facial nerve lesions and other acute postoperative complications of extracapsular dissection have been lacking until now. Study Design: Retrospective analysis. Methods: We performed a retrospective analysis of the data from patients in whom extracapsular dissection of a benign parotid tumor had been performed under facial nerve monitoring and as a primary intervention in our department between 2000 and 2008. Results: A total of 934 patients were operated on for a newly diagnosed benign tumor of the parotid gland. Three hundred seventy-seven patients (40%) underwent extracapsular dissection as a primary intervention. The most common postoperative complication was hypoesthesia of the cheek or the earlobe, as reported by 38 patients (10%). Eighteen patients (5%) developed a seroma and 13 patients (3%) a hematoma. A salivary fistula formed in eight patients (2%). Secondary bleeding occurred in three patients (0.8%). In 346 patients (92%) facial nerve function was normal (House-Brackmann grade I) in the immediate postoperative period, whereas 23 patients (6%) showed temporary facial nerve paresis (House-Brackmann grade II or III) and eight patients (2%) developed permanent facial nerve paresis (seven patients House-Brackmann grade II, one patient House-Brackmann grade III). Conclusions: Extracapsular dissection of benign parotid tumors is associated with a low rate of postoperative complications, a fact that is confirmed by the available literature. We therefore recommend that use of this technique always be considered as a means of treating benign parotid tumors as conservatively, that is, as uninvasively, as possible. Laryngoscope, 2010 [source] Conflict Frequency and Relationship Quality Across the Transition to ParenthoodJOURNAL OF MARRIAGE AND FAMILY, Issue 5 2007Esther S. Kluwer Longitudinal data from 293 Dutch couples were used to examine the association between conflict frequency and relationship quality across the transition to parenthood, which is known as one of the most challenging events in the early stages of marriage. More frequent conflict during pregnancy was related to lower levels of relationship quality across the transition to parenthood, and lower levels of relationship quality during pregnancy were associated with more frequent conflict across the transition to parenthood. A comparison of two models showed that frequent conflict is more likely to be a determinant than a consequence of lower relationship quality. The results suggest a complicated but identifiable association between conflict frequency and relationship quality that may inform the development and modification of primary interventions targeting new parents. [source] | ||||||||||