Effects of the Copy-Cover-Compare Strategy on Acquisition,Maintenance, and Generalization of Spelling Sight Words for Elementary Students With Attention Deficit/Hyperactivity Disorder

Students with attention deficit/hyperactivity disorder (ADHD) often struggle with spelling. Research shows this population benefits from self-management interventions, structured practice opportunities, and immediate feedback—all components of the copy-cover-compare strategy. This empirical investigation used a multiple-baseline experimental design to determine the effects of the copy-cover-compare strategy on acquisition, generalization, and maintenance of spelling words for four students with ADHD in Grades 1 through 3. Results showed a functional relation between copy-cover-compare and mastery, maintenance, and generalization of three sets of spelling words for each student. Limitations, implications for practice, and suggestions for future research are discussed.     

At the verge of unthinkable anxiety: On the relevance of a neurophysiologically informed relational perspective on meaning-making in psychosis

Abstract

This article examines the relevance of relationally oriented psychoanalytic phenomenology as a frame of reference for understanding psychotic states in schizophrenia. The etiology and structural characteristics of such states are examined from both a neurophysiological, and a relational and interpersonal point of view. Many findings indicate organic abnormalities in schizophrenia, acquired through an exposure to physical risk factors and genetic predisposition, but relational traumas also seem to have an impact on the form and content of psychotic states. This may happen through interruptions in the “use-dependent” maturation of the brain in a relational milieu. In addition, at the level of meaning-making, we find that the emotional and relational contexts—both past and present—give the substance or “raw material” for hallucinations and delusions. In a psychotic state, the person also tries to handle basic affects and relational needs, and to make meaning in states of overwhelming chaos and anxiety. Donald W. Winnicott's theory of “a holding environment”, Stephen Mitchell's theory of the relational matrix, and Stolorow, Atwood, and Orange's concepts of a “shattered world” and annihilation anxiety are used as a framework in the analysis of the phenomenology of psychosis. Two case illustrations, one from child psychotherapy and one from therapy with an adult patient, are used to illuminate the theoretical points of view.     

Discussion of “Nuturance and self-sabotage: Psychoanalytic perspectives on women's fear of success” by Ellen G. Ruderman

Abstract

Ruderman discusses the challenge that contemporary professional women still face in a sexist society and from their own inner critic. She shows how a relational approach to the treatment of women can empower women to overcome both external and internalized sexism. It is suggested that as patriarchy has been challenged, there has been a backlash against feminism. Urban professional men rebel against feminism by aspiring to become playboys who will never stop “playing the field.” The playboy mentality creates a challenge for contemporary professional women who may not wish their boyfriends or husbands to be spending so much time seeking sexual gratification through Internet pornography, lap dances at strip clubs, massages with happy endings, or clandestine affairs.

Lawrence Josephs. Diskussion von: ….

Rudermann diskutiert die Herausforderungen, denen heutige Frauen im Berufsleben begegnen. Einerseits haben sie in einer sexistischen Gesellschaft und andererseits gegenüber ihrer innerpsychischen Selbstkritik zu bestehen. Sie zeigt, wie eine psychotherapeutische Behandlung mit einem relationalen Ansatz, der externe und internalisierte Sexismus überwunden werden kann. Der Gedanke wird angeregt, inwiefern die Infragestellung der patriarchalen Gesellschaft eine Gegenbewegung auslöst, die auf den Feminismus zurückschlägt. Die berufstätigen Männer rebellieren gegen den Feminismus und haben den Ehrgeiz Playboys zu sein, die nicht aufhören können, das Feld zu beackern. Diese Playboy Mentalität ist eine Herausforderung für die heutigen berufstätigen Frauen. Sie sind nicht gewillt zuzulassen, dass ihr Freund oder Ehemann sich sexuelle Gratifikationen durch Internet-Pornographie, Nachtclubbesuche, Massagen und heimliche Affären beschafft.

Lawrence Josephs. Discusión de: Crianza y autosabotage: Perspectivas psicoanalíticas sobre el miedo al éxito en mujeres por

Ruderman discute el reto que las mujeres profesionales contemporáneas todavía enfrentan en una sociedad sexista y desde su propia crítica interna. Ella muestra como una aproximación relacional de tratamiento para mujeres puede fortalecer a la mujer para vencer el sexismo tanto externo como interiorizado. Se sugiere que así como el patriarcado ha sido cuestionado, existe un retroceso contra el feminismo. Hombres urbanos profesionistas se rebelan contra el feminismo aspirando a convertirse en playboys que nunca dejaran de jugar en ese campo. La mentalidad playboy representa un reto para las mujeres profesionistas contemporáneas quienes pueden no desear que sus novios o maridos, Dediquen tanto tiempo buscando gratificación sexual a través de la pornografía en internet, bailes en clubs de striptease, masajes con final feliz, o asuntos clandestinos.     

Discussion of Estelle Shane's “Girls,their fathers,and their mothers: Patterned links to ambition and prohibition in women”

Abstract

This discussion focuses on two potential dangers in our reaction to the problems associated with years of prejudice and constriction in female gender roles, holding women back from exploring and reaching their personal and career goals. One potential danger is that of creating an equally rigid, unitary system of gender roles that leaves equally little flexibility in women's choices by imitating traditional male gender roles. The other potential danger is that of attributing the main cause of psychological problems to social role constriction when greater pathology is at work.

Susan Klebanoff. Diskussion von Estelle Shanes “Mädchen, ihre Väter und Mütter: Verbindende Muster zu Erfolgsstreben und Verboten im Leben von frauen”.

Die Diskussion konzentriert sich auf zwei mögliche Gefahren in der Reaktion auf Probleme in den ersten Jahren der Entwicklung des weiblichen Geschlechtsverständnisses, die von Vorurteilen und Einschränkungen geprägt sind. Frauen werden in ihrem Erproben und Erreichen von persönlichen Karrierezielen zurückgehalten. Die eine Gefahr besteht darin, dass Frauen durch Imitation der männlichen Geschlechterrollen in ein ähnlich rigides Selbstverständnis wie diese geraten. Die andere Gefahr besteht darin, bei psychischen Problemen als Grund lediglich die Einschränkungen in den sozialen Rollen zu sehen und dabei eine schwerwiegendere psychische Pathologie zu übersehen.

Susan Klebanoff. Discusión de: “Las niñas, sus padres, y sus madres: Modelos de vinculos hacia la ambición y la prohibición en mujeres” de Estelle Shane.

La presente discusión se enfoca en los dos peligros potenciales de nuestra reacción a los problemas asociados a los años de prejuicio y constricción en los roles de género femeninos, impidiendo a las mujeres explorar y alcanzar su metas personales y profesionales. Uno de los peligros potenciales es crear un sistema unitario igualmente rígido, sobre roles de género, que deje igualmente poca flexibilidad en las opciones de las mujeres al tener que imitar los roles tradicionales masculinos. El otro peligro es atribuir la causa principal de los problemas psicológicos a la constricción del rol social cuando se pudiera tratarse de una mayor patología en funcionamiento.     

Cardiovascular medicine at face value: a qualitative pilot study on clinical axiology

Introduction

Cardiology is characterized by its state-of-the-art biomedical technology and the predominance of Evidence-Based Medicine. This predominance makes it difficult for healthcare professionals to deal with the ethical dilemmas that emerge in this subspecialty. This paper is a first endeavor to empirically investigate the axiological foundations of the healthcare professionals in a cardiology hospital. Our pilot study selected, as the target population, cardiology personnel not only because of their difficult ethical deliberations but also because of the stringent conditions in which they have to make them. Therefore, there is an urgent need to reconsider clinical ethics and Value-Based Medicine. This study proposes a qualitative analysis of the values and the virtues of healthcare professionals in a cardiology hospital in order to establish how the former impact upon the medical and ethical decisions made by the latter.

Results

We point out the need for strengthening the roles of healthcare personnel as educators and guidance counselors in order to meet the ends of medicine, as well as the need for an ethical discernment that is compatible with our results, namely, that the ethical values developed by healthcare professionals stem from their life history as well as their professional education.

Conclusion

We establish the kind of actions, communication skills and empathy that are required to build a stronger patient-healthcare professional relationship, which at the same time improves prognosis, treatment efficiency and therapeutic adhesion.

     

Student Healthcare Clinicians' Illness Narratives: Professional Identity Development and Relational Practice

ABSTRACT

In this qualitative, grounded theory study we examine how the intersection of self-reflection, illness narratives and perceived messages of professional identity inform care provided by medical, nursing, and medical family therapy students to patients and families. We discovered four common challenges students faced navigating personal experiences of illness and connecting to patients: 1) discrepancies between ideal and lived experiences, 2) challenges of healthcare work and culture, 3) navigating power and hierarchy, and 4) developing a shell of privacy. Discussion and implications include interdisciplinary training and collaboration and the unique role of medical family therapists in healthcare.