Eternal Connection: An Exploratory Study of the Effects of Learning About Near-Death Experiences on Adult Grief

We examined the effectiveness of a near-death experience (NDE) psychoeducational group bereavement intervention in reducing distressing aspects and enhancing a growth aspect of grief among bereaved adults. Participants were 22 females and 2 males (2 African American, 3 Asian, 2 Latina/o, and 17 White non-Latina/o) ranging in age from 20 to 71, with a mean age of 35.3 years. In this experimental design, we randomly assigned 12 participants to the experimental group and 12 participants to the waitlist control group. Effect size findings based on Hogan Grief Reaction Checklist scores indicated modest to substantial benefits of the NDE learning module intervention for bereaved adults in the form of decreased panic behavior, blame and anger, and detachment and increased personal growth. Conclusions include that further research into the effectiveness of NDE-related psychoeducational programs with bereaved individuals is warranted.     

Different Kinds of Near-Death Experience: A Report on a Survey of Near-Death Experiences in Germany

This article provides a short summary of a representative survey on near-death experiences (NDEs) in Germany, which is the first of its kind in Europe. We tested several assumptions derived from previous research on NDEs, including the assumptions of a unified pattern of experience, the universality of the pattern, and the necessary link between NDEs and clinical death. We received replies from more than 2,000 persons, 4 percent of whom reported NDEs. The patterns of the NDEs did not seem to correspond to earlier findings: aside from being much more diverse, they also differed with respect to cultural variables, particularly the difference between religious interpretations and the differences between post-socialist East Germany and West Germany.     

Near-Death Experience,Consciousness, and the Brain: A New Concept about the Continuity of Our Consciousness Based on Recent Scientific Research on Near-Death Experience in Survivors of Cardiac Arrest

In this article first some general aspects of near-death experience will be discussed, followed by questions about consciousness and its relation to brain function. Details will be described from our prospective study on near-death experience in survivors of cardiac arrest in the Netherlands, which was published in the Lancet in 2001. In this study it could not be shown that physiological, psychological, or pharmacological factors caused these experiences after cardiac arrest. Neurophysiology in cardiac arrest and in a normal functioning brain will be explained. Finally, implications for consciousness studies will be discussed, and how it could be possible to explain the continuity of our consciousness. Scientific study of NDE pushes us to the limits of our medical and neurophysiologic ideas about the range of human consciousness and mind–brain relation.     

The Evidential Value of Near-Death Experiences for Belief in Life After Death

In this paper, I explore the issue of what evidential value near-death experiences (NDEs) offer for belief in life after death. I survey the major positions on this issue, ranging from writers who believe that NDEs already offer convincing evidence for life after death, to physicalists who believe that they offer, at best, a very weak case. I argue that the present NDE evidence does suggest the possibility of life after death; however, such evidence is not yet overpowering or convincing. However, I go on to argue that NDEs do offer persuasive evidence for life after death for the individual who has the NDE. I end by suggesting that further research should be done on the most impressive type of NDE evidence for life after death, veridical perceptions during an NDE.     

Traumatic stress and psychological adjustment in treatment-seeking women sexually abused in childhood: A follow-up

The objective of this study was to assess post-traumatic stress disorder (PTSD), psychological distress, and risk factors among women sexually abused in childhood (CSA) after six months in therapy. Thirty in-treatment CSA survivors reported their abuse history and filled out several questionnaires. Comparisons were made to a non-CSA in-treatment sample. Although, 50% of the CSA women still had PTSD, there was a remarkable decrease in PTSD symptoms (Cohen's d = 1.06). A considerable change in self-worth and in attachment styles was found. It was concluded that CSA survivors benefit much from 6 months of weekly treatment. However, it is recommended that treatment should continue for a still longer period.     

高龄患者心脏手术围术期处理要点

随着高龄心脏病患者日益增多,不断总结高龄患者心脏手术围术期处理经验,是我国心脏外科的一个重要课题。虽然,高龄患者心脏手术非致命性并发症发生率、住院时间长、手术死亡率高,但手术后将近2／3的患者生存超过5个年头,完全摆脱了心脏疾病的症状,没有了心脏疾患的束缚和限制,享受着手术后的独立的舒适生活。高龄患者进行心脏手术是可行...     

预期式时距估计年龄差异的初步研究

以5s、13s和26s为目标时距,采用产生法和复制法,探讨了预期式条件下时距估计的年龄差异。结果表明在单任务作业中。年老被试和年轻被试两个年龄组之间估计时距的平均值没有显著差异,但年老被试比年轻被试的估计时距具有更大的变异性。单一的内部时钟频率变化的假设并不能对单任务条件下时距估计的年龄差异做出合理的解释。时距估计的年龄差异可能是内部时钟频率变化和认知过程变化交互作用的结果。     

Academic Dishonesty,Self-Control,and General Criminality: A Prospective and Retrospective Study of Academic Dishonesty in a New Zealand University

Academic dishonesty is an insidious problem that besets most tertiary institutions, where considerable resources are expended to prevent and manage students' dishonest actions within academia. Using a mixed retrospective and prospective design this research investigated Gottfredson and Hirschi's self-control theory as a possible explanation for academic dishonesty in 264 university students. The relationship between academic dishonesty and general criminality was also examined. A significant but small to moderate relationship between academic dishonesty and general criminality was present, including correlations with general dishonesty, violent crime and drug offending subcategories. These findings suggested that a general criminological theory may be of use in explaining academic dishonesty, but the overall ability of self-control variables to explain academic dishonesty was not strong. Controlled logistic regressions indicated that a significant positive association with academic dishonesty was only present for one of 6 self-control subscales (self-centeredness), and even this association was only present in the prospective study component. A strong relationship between past and future academic dishonesty was present. Implications of the study for institutions are discussed.     

A Prospective Comparison Study of Different Methods of Gathering Self-Reported Family History Information for Breast Cancer Risk Assessment

Currently there is much debate regarding the ability of mathematical models incorporating epidemiological information or mutation-based risk algorithms to accurately predict a woman's risk of developing breast cancer. Without access to accurate family history information these models have limited use. This study compares different methods of gathering family history information and the impact on subsequent risk assessment. These methods were compared to the gold standard interview with a trained genetics' professional. The amount and accuracy of information provided by primary care doctors' letters was found to be poor and better information was obtained by sending a postal questionnaire directly to the patient. Because of the high number of low-risk women referred to clinic a questionnaire (the FCAT) was designed to provide reassurance and piloted as part of this study. This paper highlights the importance of using appropriate methods to gather the family history information. It presents evidence for the importance of a skilled assessor and the need to allow time for women to discuss the importance of this information with their family.     

12-20岁个体前瞻记忆的发展与影响因素的研究

以334名12～20岁个体为被试,采用两因素混合设计,探讨这一年龄阶段个体前瞻记忆的发展及影响因素。结果发现,被试前瞻记忆水平随年龄增长而提高,且在14～16岁发展最快;提高基于时间的前瞻记忆负载,会使前瞻记忆成绩降低;前瞻记忆与当前任务的完成呈负相关。表明前瞻记忆是一种策略加工过程。     

A ten-year prospective study of aggression in a special secure unit for dangerous patients

In a 10-year prospective study inpatient aggression was investigated in a Norwegian special secure unit covering a well-defined catchment area with a population of 240,000. The seven bed special secure unit receives dangerous, psychotic patients for long-term treatment. Only 19 patients were treated during the ten-year study lasting from 1 April 1987 to 1 April 1997. Incidents of aggressive behavior were recorded on the Report Form for Aggressive Episodes by the nursing staff. The study aimed to identify, classify and measure the occurrence of aggressive behavior, as well as the relative frequency of events preceding such behavior. A total of 2021 incidents of aggressive behavior were recorded. Seventy-five per cent of the aggressive acts were verbal or physical threats, while the remaining 25% were physical assaults directed at other persons. Four patients accounted for about 80% of the aggressive encounters. Nursing staff were victims in about 90% of the incidents. Serious physical injury was extremely rare. Situations pertaining to limit-setting and problems of communication accounted for approximately 90% of the precipitants of aggressive behavior. There were no sex differences regarding the occurrence of aggressive behavior.     

进行中任务变化对轻度认知功能障碍者基于事件前瞻记忆的影响

本实验采用2被试组别(MCI组、正常老年组) × 3进行中任务变化(无变化、顺序变化、随机变化)被试间设计探究进行中任务变化对轻度认知功能障碍者基于事件前瞻记忆的影响。结果表明：(1)轻度认知功能障碍者的前瞻记忆成绩显著低于正常老年人的前瞻记忆成绩; (2)进行中任务变化对两组被试前瞻记忆和进行中任务的反应时影响存在显著差异。进行中任务变化越大, 轻度认知功能障碍者完成前瞻记忆和进行中任务的反应速度越慢; 而正常老年被试则不受影响。研究支持前瞻记忆策略加工的理论观点, 认为执行功能损伤可能是导致轻度认知功能障碍者前瞻记忆失败的主要原因。     

Adverse Childhood Experiences: A 20-Year Content Analysis of American Counseling Association and American School Counselor Association Journals

The purpose of this content analysis was to illustrate trends related to the use of the term adverse childhood experiences (ACEs), or terms related to the 10 components of ACEs, within 140 peer-reviewed articles published in 22 journals affiliated with the American Counseling Association (ACA) and the American School Counselor Association (ASCA) between 1998 and 2018. Of the 9,120 articles published in the 22 ACA- and ASCA-affiliated journals in that time, only three articles (0.03%) explicitly mentioned the term adverse childhood experiences in the title, abstract, or keywords. Authors of 93 journal articles mentioned terms related to the original 10 categories of ACEs 104 times (1.0% of all published articles). The need for consistent language across research and practice is highlighted. Implications include ways that the counseling field may benefit from an increased clarity and focus around ACEs.     

Generalized Worry in Patients With Chronic Fatigue Syndrome Following Cognitive Behavioral Therapy: A Prospective Cohort Study in Secondary Care

Research has shown that generalized anxiety disorder is commonly associated with Chronic Fatigue Syndrome (CFS). This prospective cohort study aimed to investigate the prevalence of generalized worry in CFS patients and its relationship with fatigue, anxiety and social functioning, before and after Cognitive Behavioral Therapy (CBT). Our cohort consisted of 470 patients diagnosed with CFS who received CBT at a secondary care, specialist clinic. Patients completed self-report measures investigating levels of generalized worry, fatigue, work and social adjustment, anxiety and depression at baseline (pretreatment), discharge from treatment, 3-month and 6-month follow up (posttreatment). Analysis indicated a high prevalence of generalized worry (72.4%) at assessment. A significant reduction in worry following CBT (M = −3.42, p < .001, 95% CIs: 2.26, 4.57) was observed at discharge, which remained stable at follow-up. Severe baseline worriers had greater overall fatigue score (M = 3.74, p = .026, 95% CIs: .33, 7.15) and worse overall work and social adjustment than mild worriers across time-points (M = 5.42, p = .035 95% CIs: .27, 10.58). Avoidance behavior mediated the association between generalized worry and work and social adjustment (95% bootstrap CIs: 013, .080). The majority of patients with CFS had comorbid generalized worry and severe worriers reported greater fatigue, anxiety, and worse work and social adjustment. This suggests that CFS patients may benefit from targeting generalized worry during CBT.     

Therapist experiences of equine-assisted psychotherapy in South Africa: A qualitative study

This study examined therapists’ perceptions and experiences of equine-assisted psychotherapy (EAP). Participants were 14 practising EAP therapists (females = 86%; male = 14%; age range 20 to 69 years) from across South Africa. They were interviewed utilising electronic interview media. Thematic analysis revealed therapists perceived effectiveness of EAP in providing emotional and interpersonal growth for clients. They also identified training, safety and ethical concerns with this therapeutic modality. Therapists’ experiences with EAP were influenced by their prior interaction with horses as horse owners or horse riders.     

公共场所自动除颤仪配备义务的伦理剖析与法律规制

通过探究公共场所自动除颤仪（automated external defibrillator, AED）配备义务的伦理与法理困境,发现公共场所AED配置率低与公众健康素养低已成为院外心脏骤停救治率低的双重挑战。借鉴道义论与功利论,剖析公共场所AED配备的伦理价值,总结公共场所AED配备的相关政策法规,分析各地AED配置的政府责任履行和社会参与程度,并厘清责任主体,调和不同主体间义务履行的利益冲突。建议推动公共场所AED配备成为一项普遍义务,以弥合发达与欠发达地区公共场所AED配置“鸿沟”,促进公共卫生资源的公正分配与公众健康受益的平等性。

     

老年膀胱癌患者术后生活质量及其影响因素的研究

调查老年膀胱癌患者术后生活质量现状及其影响因素,为护理干预和健康管理提供依据。选择我院2013年6月至2014年1月收治的老年膀胱癌患者142例作为研究对象,于患者术后3个月采用膀胱癌特异性量表（FACT-BL）,社会支持评定量表（SSRS）进行数据收集。结果老年膀胱癌患者术后FACT-BL平均得分为（94．33＆#177;8．31）分,SSRS平均得分为（33．70＆#177;4．42）分,不同手术方式躯体状况（PWB）,社会/家庭状况（FWB）,FACT-BL 得分差异具有统计学意义（P＜0．05）,老年膀胱癌患者术后生活质量与社会支持呈正相关关系（P＜0．05）。手术方式与老年膀胱癌患者术后生活质量密切相关,应结合患者的具体情况选择合适的手术方式,实时观察患者的社会支持水平。     

A Phenomenological Inquiry of Clients’ Meaningful Experiences in Counseling With Counselors‐in‐Training

This study is a follow‐up to Sackett, Lawson, and Burge's ( 2012 ) study that explored the meaningful experiences of clients and counselors‐in‐training (CITs). Using the previous study's themes of clients’ experiences in counseling with CITs as a launching pad, the authors examined in greater depth the meaningful experiences of clients who are in counseling with CITs through qualitative phenomenological interviews. Findings, as well as implications for counselor education, supervision, and counseling, are discussed.     

Relationships Between Social Support, Social Coping and Life Events in the Relapse of Schizophrenic Patients

The vulnerability-stress model for schizophrenia posits that relapses are at least partly determined by interacting triggering and protecting psychosocial factors. This study examined social support and general coping style in 42 consecutively admitted DSM:III schizophrenic patients, who were followed prospectively for up to four years. In a second part of the study, a subgroup of the patients were interviewed using the Life Event and Difficulty Schedule 9 months after discharge or at relapse. Patients contented with low social integration had a higher relapse rate over four years than patients lacking of social provisions, but wanting more. We found an excess of life events three weeks before relapse compared to events reported in the non-relapsing group. Suggesting a buffering effect of social factors, time between life event and relapse was significantly extended among patients with a high availability of attachment and a coping strategy characterised of active support seeking.     

Vaginal bleeding and spotting in transgender men after initiation of testosterone therapy: A prospective cohort study (ENIGI)

Abstract

Background: Previous studies have cross-sectionally described amenorrhea in cohorts of transgender men on intramuscular or subcutaneous testosterone injections. It remains uncertain which testosterone preparations most effectively suppress vaginal bleeding and when amenorrhea occurs after testosterone initiation.

Aim:To investigate the clinical effects of various testosterone preparations on vaginal bleeding and spotting in transgender men.

Methods: This prospective cohort study was part of the European Network for the Investigation of Gender Incongruence (ENIGI). Data on the persistence and intensity of vaginal bleeding and spotting, serum sex steroid levels and body composition were prospectively and cross-sectionally assessed in 267 transgender men during a three-year follow-up period, starting at the initiation of various testosterone preparations.

Results: After three months of testosterone, 17.9% of transgender men reported persistent vaginal bleeding and 26.8% reported spotting. The percentages reporting vaginal bleeding and spotting decreased over the first year of testosterone (bleeding 4.7% and spotting 6.9% at 12?months, respectively), with no participants reporting vaginal bleeding or spotting after 18?months of testosterone. Factors associated with vaginal bleeding or spotting included lower serum testosterone levels and being on testosterone gel as compared to injections (e.g., esters or undecanoate preparations). If vaginal bleeding persisted, starting progestogens at three months resulted in a decrease in the intensity of vaginal bleeding and spotting.

Discussion: Transgender men and hormone-prescribing providers can be reassured that vaginal bleeding and spotting usually stop within three months after testosterone initiation. If not, serum testosterone levels should be measured and testosterone dose adjusted to achieve serum testosterone levels in the physiologic male range. Adding a progestin can be considered after three to six months if bleeding persists. Providers should be aware that cessation of bleeding can be more difficult to achieve in transgender men with lower serum testosterone levels or those on testosterone gel.