Relational ecologies of psychotherapy: The influence of administrative attachment on therapeutic alliance

There is now vast and multi-faceted empirical literature on the impact of relational dynamics in psychotherapy, and relationality is a central theme within contemporary psychoanalytic theories. Yet, there is virtually no literature addressing the relational dynamics around outpatient psychotherapy that influence the wider therapeutic alliance, that is the relational dynamics that unfold between clients and administrative office staff in making initial contacts and appointments, completing paperwork, negotiating payment, discussing insurance coverage, working through crisis calls, and the myriad of other forms of interaction which serve to form the relational ecology of psychotherapy. Milieu therapy or the use of supportive and structured therapeutic environments has been given significant attention in inpatient settings; however, administrative relational factors or administrative staff characteristics have seemingly been ignored in outpatient psychotherapy and psychoanalysis literatures. Many outpatient clinical practice settings involve multiple levels and dimensions of relationality between clients, administrative personnel, and therapists which shape the potential for secure continuous containment and various forms of attachment to psychotherapeutic space. In this paper, we describe several clinical illustrations of relational dynamics between clients and office staff which influence therapeutic alliance and outline the contours of our emerging idea of administrative hospitality based on relational psychoanalysis, attachment theory, symbolic anthropology, and stigma research. In doing so, we draw on our collective experience working in several outpatient clinics and insights from our current context in an urban outpatient training clinic which emphasises psychodynamic practice. Our goal is not a comprehensive analysis of the relational ecology of psychotherapy but to offer an initial exploratory account of some of the administrative relational dynamics in and around outpatient psychotherapy which go beyond the therapist-client dyad. The anthropological concept of liminality is connected to relational psychoanalytic theories to describe the important dynamics of transitional space in an overall process of relational transformation.     

Concurrent nonindependent fixed‐ratio schedules of alcohol self‐administration: Effects of schedule size on choice

Choice behavior was studied under concurrent nonindependent fixed‐ratio fixed‐ratio (nFR) schedules of reinforcement, as these schedules result in frequent changeover responses. With these schedules, responses on either operandum count toward the completion of the ratio requirements of both schedules. Five monkeys were subjects, and two pairs of liquid reinforcers were concurrently available: 16% (w/v) and 0% ethanol or 16% and 8% ethanol. For each pair of reinforcers, the nFR sizes were systematically altered across sessions while keeping the schedule size equal for both liquids. Responding varied as a function of reinforcer pair and nFR size. With the 16% and 0% pair, higher response rates were maintained by 16% and were an inverted U‐shape function of nFR size. With 16% and 8%, a greater number of responses initially occurred on the schedule that delivered 8% ethanol. However, as nFR size increased, preference reversed such that responses that delivered 16% ethanol were greater. When the nFR size was subsequently decreased, preference reverted back to 8%. Number of responses emitted per delivery was a dependent variable and, in behavioral economic terms, was the price paid for each liquid delivery. With 16% and 0%, changeover responses initially increased and then decreased as schedule size became larger. In contrast, with the 16% and 8% pair, changeover responses increased directly with schedule size. Responding under nFR schedules is sensitive to differences in reinforcer magnitude and demonstrates that relative reinforcing effects can change as a function of schedule size.     

老年人行结肠镜检查相关问题探讨

结肠镜检查是一项广泛用于临床的直观有效的诊断结肠疾病的方法。对于整体机能减退的老年人来说,我们可从结肠镜前准备工作中的三个方面:肠道准备用药的比较选择、基础合并症的处理以及医患交流和心理护理提高老年患者对结肠镜的耐受性。     

The tune in-and-out model: A random walk and its application to a presidential election survey

The stochastic model for the evolution of preferences proposed by Falmagne, Regenwetter, and Grofman [1997. Journal of Mathematical Psychology, 41, 129-143] and tested by Regenwetter, Falmagne, and Grofman [1999. Psychological Review, 106, 362-384], as well as the alternative Thurstonian model of Böckenholt [Falmagne, J.-C., Regenwetter, M., & Grofman, B. (1997). A stochastic model for the evolution of preferences. In A. A. J. Marley (Ed.), Choice, decision and measurement: Essays in honor of R. Duncan Luce (pp. 113-131). Mahwah, NJ: Lawrence Erlbaum.], gave a good statistical account of attitudinal panel data from the 1992 US presidential election. We show, however, that both models have the defect of underestimating the number of respondents who did not change their order of preference for the candidates across different polls. We present a generalization of Falmagne et al.'s model based on the idea that some individuals may become momentarily impervious to all matters related to the campaign and ‘tune out.’ This behavior could be triggered by some personal reason or by some external event related to the campaign. Like the original model, the resulting model is a random walk, but on an augmented set of states. A respondent in a ‘live’ state behaves as in the previous model, except when receiving a ‘tune-out’ token, which effectively freezes the respondent's preference state until it is reversed by a ‘tune-in’ token. We describe and successfully test the new model on the same 1992 National Election Study panel data as those used by Böckenholt (2002) and Regenwetter et al. (1999).     

ALTRUISM AND THE ADMINISTRATION OF THE UNIVERSE: KIRTLEY FLETCHER MATHER ON SCIENCE AND VALUES

Abstract. Few American scientists have devoted as much attention to religion and science as Harvard geologist Kirtley Fletcher Mather (1888–1978). Responding to antievolutionism during the 1920s, he taught Sunday School classes, assisted in defending John Scopes, and wrote Science in Search of God (1928). Over the next 40 years, Mather explored the place of humanity in the universe and the presence of values in light of what he often called “the administration of the universe,” a term and concept he borrowed from his former teacher, geologist Thomas Chrowder Chamberlin. Human values, including cooperation and altruism, had emerged in such a context: “the administrative directive toward orderly organization of increasingly complex systems transcends the urge for survival.” He was also active in the early years of the Institute on Religion in an Age of Science, an organization created by his good friends Ralph Wendell Burhoe and Harlow Shapley.     

晚期癌症患者静脉管理的重要性

恶性肿瘤作为我国的常见病、多发病,其死亡率高居首位。手术、化疗和放疗成为现代医疗对于癌症的常见治疗手段。中晚期癌症患者作为癌症临床诊疗对象的主体,常伴有各种慢性疾病或营养不良。从而,化疗、中药辅助巩固治疗及营养支持治疗成为中晚期癌症患者临床治疗过程中的主体。治疗方法决定给药途径,静脉输液成为了中晚期癌症患者治疗肿瘤的主...     

从政策管理到依法管理的历史性转变——《宗教事务条例》及相关法律法规

以《宗教事务条例》颁布实施为标志,我国初步构建了以宪法为核心,包括基本法律、行政法规、部门规章、地方性法规和政府规章等为主要形式的宗教法律基本框架,为2010年中国特色社会主义法律体系的形成做出了重要贡献,宗教工作实现了从政策管理到依法管理的历史性转变。作为我国第一部宗教事务方面的综合性行政法规,将党的政策主张法律化,将国家的宪法原则具体化,《宗教事务条例》确立了我国宗教事务管理九个方面的基本制度。     

The Person and work of Christ in the theology of Heinrich Bullinger

In christology, as elsewhere, Bullinger's approach is both biblical and patristic. Although the starting point is biblical, the emphasis is often patristic, especially when he is engaged in controversy. He begins with the Person of Christ — stressing the divinity. This is the basis for what he says on the work of Christ, not least as mediator. This determined his use of traditional language (one Person, two natures), but the emphasis, especially in debates on the Eucharist, is on the distinction of the two natures. The fundamental importance of christology is evident in the way his 1534 work on the two natures of Christ, described as an orthodox and Catholic confession refuting various heresies, prefaces the collected edition of his commentaries on the epistles. It is shown how Bullinger defends the use of non-biblical terms in the classic definition as consonant with Scripture and necessary because of the cunning of heretics. In his biblical approach he uses first testimony, and then argument.