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Medium 9781855756403

CHAPTER SEVEN: “First you were an eyebrow” and “How do I know that my thoughts are my thoughts?”

Karnac Books ePub

“First you were an eyebrow”
and “How do I know that
my thoughts are my thoughts?”

Bent Rosenbaum

This presentation will focus on some phenomenological and psychodynamic characteristics of psychotherapy with human beings who for shorter or longer periods of their life find themselves trapped or imprisoned in schizophrenic modes of existence. It is my claim that difficulties in symbolisation play a major role in the understanding of what is going on: in the mind of the person, in the mind of the therapist, and in the clinical researcher. Furthermore, from a developmental perspective entering the mode of “we-ness” and acquiring a “group mind” is difficult for the person with a mind in the schizophrenic mode marked by autism. The developmental perspective is coherent with the emphasis on difficulties in symbolization, and outlines for a relevant therapeutical approach in the state of psychosis will be presented.

As a young resident I took my first job in the largest Danish State Hospital, which at that time had two thousand beds and was divided in two sections for respectively men and women, except for the two units in which Maxwell Jones’ ideas of “therapeutic society” was tried out. Through my previous interest in semiotics I had been studying thinking and thought forms, especially in the thought disorders of the psychotic states of mind. Every week I spend two or three evenings sitting together with the patients listening to their life stories, their thoughts and fantasies. I heard the most incredible and fascinating things and learned how the mind in a psychotic state viewed the world–not the least the relation between self, body and others. One evening I sat next to a woman, age 55, who had spent 35 years in the Hospital. She was sitting on her hands and I asked her for the reason for this behaviour. She said that she had to protect herself against the evil spirits that came from the depth of the earth trying to penetrate her anus. After a while I asked her whether I, too, had to protect myself in a similar way against the evil spirits. “Oh no”, she said, “If you did like me you would be mad”. After a pause I said that she must be special since the evil spirits had picked her as a victim and not me. She said that it all started with the war (2nd world war), and then she would not say more. I was left with a lot of tentative ideas connected to her behaviour, but without any confirmation on any of these ideas.

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Medium 9781601322425

On the Expressiveness of Monadic Higher Order Safe Ambient Calculus

Hamid R. Arabnia; George A. Gravvanis; George Jandieri; Ashu M. G. Solo; and Fernando G. Tinetti (Editors) Mercury Learning and Information PDF

Int'l Conf. Foundations of Computer Science | FCS'13 |

81

On the Expressiveness of Monadic Higher Order Safe Ambient

Calculus

Zining Cao1,2

1 State Key Laboratory for Civil Aircraft Flight Simulation

Shanghai Aircraft Design and Research Institute

Shanghai 201210, China

2 Department of Computer Science and Technology

Nanjing University of Aeronautics & Astronautics

Nanjing 210016, China

Email: caozn@nuaa.edu.cn

Abstract— In this paper, we propose a monadic higher order safe ambient calculus. The expressiveness of this calculus is studied. We showed that polyadic higher order safe ambient calculus, first order safe ambient calculus with capability-passing, first order safe ambient calculus with name-passing, and polyadic π-calculus can all be encoded in monadic higher order ambient calculus. At last, we show that synchronous monadic higher order ambient calculus can be encoded in asynchronous monadic higher order ambient calculus.

Keywords: Process Calculus; Higher Order Safe Ambient Calculus; Expressiveness.

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Medium 9781936111107

Anyone Can Have a Great Career

Stephen R. Covey and Jennifer Colosimo with Breck England FranklinCovey RosettaBooks, LLC ePub

Here are the secrets to getting and keeping the job you want. In one economic earthquake after another, it's hard to keep your footing. Still, there's a positive side to these risky times. You can secure a great future for yourself if you welcome this wild, demanding new world with passion for the opportunities it presents.

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Medium 9781937554996

7 Self-Care and Self-Healing Practices

Lucia Thornton Sigma Theta Tau International ePub

“Every man is the builder of a temple called his body.”

–Henry David Thoreau

Chapter 1, “Shifting Toward a Paradigm of Healing and Wellness,” mentioned how a large percentage of chronic disease and illness can be prevented by lifestyle changes. Eating a balanced diet consisting of whole foods, exercising regularly, and not smoking are lifestyle changes that, if implemented, could reduce the incidence of chronic disease dramatically. The World Health Organization (2005) has estimated that if the major risk factors for chronic disease were eliminated, at least 80% of all heart disease, stroke, and type 2 diabetes would be prevented, as would more than 40% of cancer cases.

Norm Shealy, MD, one of the founders of the American Holistic Medical Association, has been an advocate for a healthy lifestyle his entire career. Dr. Shealy, a neurosurgeon, developed the transcutaneous electrical nerve stimulation (TENS) unit, which has been widely used for the past several decades in physical therapy and rehabilitation clinics for nerve-related pain conditions. He quit the practice of conventional medicine and established clinics for pain and depression using primarily natural supplements, TENS units, acupuncture, and body-mind-spirit interventions. During the course of his practice, Dr. Shealy has cared for more than 35,000 clients and achieved an 85% success rate in treating patients with depression and pain, largely without the use of antidepressants or analgesics. Dr. Shealy has spent a lifetime researching technology, natural supplements, mind-body-spirit interventions, and developing programs and schools that foster wellness and heal the whole person. As outlined in the upcoming sidebar, his suggestions for creating wellness in our lives involve a healthy lifestyle, a positive attitude, and the use of natural supplements.

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Medium 9781475833201

938 Teacher Leadership and High-Stakes Teacher Evaluation: Complementary or Conflicting Approaches to Improvement?

Rowman & Littlefield Publishers ePub

Melinda M. Mangin

Teacher Leadership and High-Stakes Teacher Evaluation

Complementary or Conflicting Approaches to Improvement?

Abstract: Teacher leadership is frequently implemented alongside top-down mandates as a way to provide both pressure and support for change. At the same time, the convergence of policy tools with fundamentally different theories of change can complicate and hinder improvement efforts. The purpose of this qualitative case study is to examine one instance where policy tools with divergent theoretical assumptions converge: the use of teacher leadership as a capacity-building tool and high-stakes teacher evaluation, an authority tool with sanctions for poor performance. As such, this study investigates the extent to which these two approaches complement one another to facilitate improvement or whether they conflict in ways that are counter-productive. To understand the interplay of high-stakes teacher evaluation and teacher leadership, I conducted an in-depth case study in one high school. Findings from the study indicate that the school and district supported the teacher leader in building teachers’ capacity through high-quality learning experiences. However, the teacher leader’s efforts were hindered by the high-stakes teacher evaluation context, which created a risk-averse learning environment and impeded teachers’ engagement in the kind of learning needed to change instructional practice. Instead of interpreting the high-stakes evaluation as an impetus to embrace available learning opportunities, teachers focused on complying with top-down policy mandates at the expense of learning.

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Medium 9780253355089

7. Body Mass Estimation, Thermoregulation, and Cardiovascular Physiology of Large Sauropods

Nicole Klein Indiana University Press ePub

BERGITA GANSE, ALEXANDER STAHN, STEFAN STOINSKI, TIM SUTHAU, AND HANNS-CHRISTIAN GUNGA

This chapter provides an overview on thermoregulation and the cardiovascular physiology of sauropods on the basis of data obtained by laser scanning and surface modeling of the basal sauropodomorph Plateosaurus engelhardti and the basal macronarian sauropod Brachiosaurus brancai. Nonuniform rational B splines (NURBS) were used to obtain volume estimates of the thoracic cavity, and these estimates correspond well with vital organ masses as determined by allometric modeling. To reach body masses of about 50 metric tons, large sauropods might have had, at least partly during their life span, a high resting metabolic rate, and they might have been endothermic homeotherms to maintain thermoregulative control. Assuming a lack of sweat glands in sauropods, heat balance was likely to be regulated by processes of radiation, convection, and conduction. Heat transfer from the body surface via convection, especially during exercise (hyperthermia), was probably limited, and large bird-like air sacs as part of the lung structures might have served as ‘‘thermal windows’’ to help regulate the temperature. A four-chambered heart would have generated lower pressures in the pulmonary circulation and higher pressures in the systematic regulation. Additional physiological mechanisms such as high oxygen transport capacity, muscular venous pumps, tight skin layers, thick vessel walls, strong connective tissue, precapillary vasoconstriction, low permeability of capillaries to plasma proteins, and digital cushions in the feet were necessary to meet cardiovascular requirements by supporting fluid volume regulation and preventing edema in large sauropods. Thus, in regard to cardiovascular and thermoregulative control, sauropods were highly specialized animals.

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Medium 9781574411461

CHAPTER ONE 1830–1840 Changing Times

Elizabeth Wittenmyer Lewis University of North Texas Press PDF

Changing Times the ranks to become a major. He saw action with General Harry Lee’s

Light Horse Brigade and served as aide-de-camp to the Marquis de

Lafayette at the siege of Yorktown.3 The Major’s wartime tales of surviving on parched corn and sweet potatoes amused his grandchildren. Lucy, however, was more impressed by his marriage in 1781 to

Lucy Maria Anderson, a blood relation of the French Queen, Marie

Antionette.4

After the wars, Major Holcombe and Lucy Maria settled in Amelia

County, Virginia, on his father’s 800-acre plantation, The Oaks, near

Seven Pines. Here they raised a large family of ten children, the last of whom, born in 1806, was Beverly Lafayette, the father of Lucy

Holcombe Pickens. Years later, Lucy’s older sister, Anna Eliza, was to say of their grandmother, “She petted especially her little namesake, my sister, Lucy, saying, ‘There never was a sweeter child.’”5

The Holcombe plantation thrived until successive years of crop failure resulted in Major Philemon Holcombe’s ruin as a farmer. In an effort to rebuild their fortune, Major Holcombe and Lucy Maria, now in their sixties, resolved to move to the “Congressional Reservation” of Western Tennessee. Here the soil was said to be rich and ideal for raising cotton.6

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Medium 9780253329561

Chapter Fourteen

Scott Russell Sanders Indiana University Press ePub

Terra’s occasional rampages put the newscasters in a quandary. Reports of earthquakes and volcanoes and pestilence in the wilds made life within the Enclosure seem all the more desirable. But if the wilds actually broke through the skin of the human system? And if Terra, on one of these violent sprees, actually killed a few people, swallowed an Arctic research team down a sudden throat of ice, or drowned a repair crew in the ocean outside Oregon City? That sort of news would be disquieting. The trick was to remind people of Terra’s brutality without making them brood too much about the Enclosure’s fragility.

So the first half meter of newsfax unscrolling on Zuni’s desk brought her word of the typhoon, without mentioning damage or casualties, FREAK STORM LASHES OREGON CITY, the headline proclaimed, DOME UNHARMED. At least my architecture is sound, she reflected wryly. How had the travel-tubes fared? No mention of that in the lead story. Curious, she skimmed over the week’s fashion news, skimmed rhetoric tournament results and summaries of World Council debates, skimmed the daily geometries and mating announcements, until she found, eight meters from the beginning of the scroll, a brief notice of damage to the Oregon-Alaska seatube. Typhoon generates high waves, the article stated. Seatube cracks—vacuum partially destroyed—commuter traffic disrupted—protective systems activated—wildergoers quickly repair damage.

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Medium 9780253356833

10. The Republican Convention

David M. Jordan Indiana University Press ePub

As the delegates rose for breakfast on Monday morning the 26th of June, before their trek to Chicago Stadium, they were greeted with an editorial in the Chicago Tribune calling upon them to remember “how they were tricked and humiliated in 1940,” in what the editorial called “the Crime of Philadelphia.” “This convention must be sternly American,” it thundered. “If we have a fourth term, it will be the fault of this convention, and the Republic will fall.” With this ominous load imposed upon it, the convention gathered.1

Chairman Harrison Spangler called the first session to order at 11:16 A.M., although half the spectators' seats were empty. After a singing of the national anthem and an opening prayer, Spangler introduced Governor Dwight Green of Illinois for a speech of welcome. Green started with a standard denunciation of “the fascist minded federal bureaucracy” and called for a Republican victory in November that “will strike dread into the hearts of the enemy.”

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Medium 9781743607107

Madeira

Lonely Planet Lonely Planet ePub
Medium 9781855750753

CHAPTER EIGHT. Integration

Jackson, Murray; Williams, Paul Karnac Books ePub

Our aim in this book has been to demonstrate the value of a psychoanalytic perspective in the understanding and treatment of psychotic disorders, and of the importance of making emotional contact with afflicted individuals from the first opportunity. We have illustrated the significance of a psychodynamic evaluation when breakdown occurs or appears imminent. The greater the sensitivity of the assessor to the patient’s emotional reality and the better his understanding of psychodynamics, the more profound and accurate will be the evaluation. A treatment plan may then be formulated and implemented in accordance with the patient’s needs and capacities, which may vary at different times. Such a plan coordinates psychodynamic, psychosocial, neurobiological, and pharmacological methods so that each occupies its appropriate place within a comprehensive, fluid grasp of the patients problems. An attempt to reach a patient emotionally from the earliest moment involves: exercising empathy, discerning the non-psychotic part of his personality, attempting to understand his life (external and internal, present and past), searching out the meanings of his disturbance in relation to his history and prevailing phantasies, considering his experience of the interviewer and of providing him with the experience of being understood. Such a formidable list indicates a specialized activity in which competence can only come with training and experience. However, even in inexperienced but supervised hands, a basic knowledge of psychodynamic principles coupled with an attitude of respectful curiosity and a belief in the patients resources and reparative capacities can prove to be of great benefit. If this attitude is carried over into long-term individual psychotherapy with an experienced therapist, impressive results can follow (see Levander & Cullberg, 1993). By comprehending the psychotic person’s experiences in his terms, we discover an existential coherence and emotional logic to his communications. These may be confused or hard to follow, but they are his own ways of expressing his crisis. If we succeed enough in understanding him, we reach levels of meaning that offer significant explanations of the phenomena under observation. “Understanding” in the way we describe takes many forms, not least, for example, acceptance, tolerance, and the withstanding of the patient’s communications. It is shorthand for the practitioner’s progressive recognition of the patient’s experience, its relation to his life story, and the way he has needed to control his severe underlying anxieties. Control requires the use of unconscious mental defence mechanisms to deal with otherwise unmanageable feelings arising particularly when he tries to achieve emotional closeness to others. In severe psychotic conditions these mechanisms have been active since infancy and may have led to structural changes within the personality. These can appear obvious when the onset of psychosis is early, or they may be slow and insidious, or present as limitations of personality that may not be obvious. Any improved awareness of his life problems and the causes of his limitations will help the patient integrate the meaning of his psychosis. The search for meaning and understanding may be thought of as an attempt to help a sane and cooperative part of the patient’s mind to acquire an interest in how his mind works. We must try to find out why a part of his mind has become psychotic and why he maintains a preference for the psychotic world, with all its confusion and sometimes terror, to the pains of the world of dependent relationships. Important contact can sometimes be achieved at the first encounter, as we have demonstrated, depending upon the evolutionary stage of the psychosis. If a high degree of integration is subsequently acquired as the result of long-term individual psychotherapy or psychoanalysis, the quest for self-knowledge can become an enduring motive for the patient and an unswerving ally of sanity.

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Medium 9781442229112

COMMENTARY

Rowman & Littlefield Publishers ePub

Christopher Wells

The recent ecclesiological document from the Congregation for the Doctrine of the Faith (CDF), the principal teaching arm of the Roman Catholic “magisterium,” says nothing about the nature of the church and the churches, nor about the Catholic approach to ecumenism, that has not been said repeatedly before in various documents since the Second Vatican Council (1962–1965). In particular, this new text, descriptively if cumbersomely entitled Responses to Some Questions Regarding Certain Aspects of the Doctrine on the Church, essentially presents a simplified version, in question and answer format, of the CDF’s interesting and influential 1992 text, Some Aspects of the Church Understood as Communion.

That it is not especially new does not mean, however, that Catholics and others cannot learn from the document, which rewards study and may usefully be set alongside other interecclesial texts, particularly those that in recent years have focused on the nature of the church as “communion.”

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Medium 9781855750241

The Unmet Need: Can Severely Deprived Children Become Good Enough Parents?

John Fielding Karnac Books ePub

Anna Kerr

My talk today is about mothers and infants. In 400 BC Sophocles wrote in Phaedra, ‘Children are the anchors that hold a mother to life.’ I want to involve you in thinking what it is like to be both a mother and a child, both sides of the couple; to consider the ideas of Winnicott about what is required for the child to develop as a reasonably secure individual; and to discuss what can happen when things go wrong between mother and child. In my work, I have been mainly concerned with this misfortune, with trying to manage the consequences when people have insufficient emotional resources to become good enough parents to their children. Suffering in childhood is inescapable; its quality and quantity have become the concern of the modern state.

To set the scene, a passage from Winnicott in The Child, the Family & the Outside World. This collection of radio talks and lectures, for parents and child care workers, first published in 1957, contains some of Winnicott’s most confident and imaginative writing. This is from the first chapter, ‘A Man Looks at Motherhood.’

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Medium 9781782201861

Chapter Four: Family-Based Treatment

Greg Dring Karnac Books ePub

In their treatment manual, Lock et al (2001) and Lock and Le Grange (2013) adopt the same stance as Dare and Eisler (1997). They express the view that “parents don't cause anorexia”, and insist that families should be told this at an early stage. However, whereas Dare and Eisler present what can be seen as a systemic, neutral, reflective stance towards family relationships, this hardly appears in the manual. The manual gives more emphasis to interventions intended to modify guilt and blame. In addition, more prominence is given to the idea that the irrational aspects of anorexia are seen as held in place by the patient's self-starvation itself. Psycho-education about the effects of starvation is therefore seen as an important issue. The manual offers a normative approach, putting parents in charge of their daughters eating, but emphasises the need to hand control back to the patient at an early stage. It encourages the patient to make her own decisions in other areas of her life. This could be seen as the point at which the treatment manual comes closest to older family therapy approaches, since the intention is to support the adolescent's developing autonomy. The therapist influences the parents so that the parents will then be able to support the patient in achieving appropriate adolescent goals. Great emphasis is placed on the idea of separating the perception of the patient as a person, from the perception of her anorexia. Lock et al (2001) suggest that the anorexia can be thought of as a tumour, or as an alien presence, that has taken over the girl's mind. They advocate the use of the interviewing technique introduced by Serpell (1999, 2003), and used in adult services as part of motivational therapy approaches. In this the patient is encouraged to list the gains and losses arising from their eating disorder from their perspective. In addition, they advocate the use of a Venn diagram to illustrate the extent to which anorexia controls the patient's thoughts, as against the extent to which she can still be herself. This can be used to illustrate the declining power of the anorexia as therapeutic progress is made. All these techniques are used in order to help the patient to explain her state of mind to her parents. They argue that this in turn should help her parents not to be critical of her behaviour. Lock and Le Grange (2013) strongly emphasise the need for parents to be united in managing the patient's symptomatic behaviour. However, they eschew any direct reference to parental marital relationship difficulties that might stand in the way of success. The approach maintains a narrow focus on the management of symptoms until a very late stage in treatment. The last stage of the work, as in the Maudsley Model, is designed to help the families address adolescent issues, and any issues in the parent's marriage, in both instances in a normative way, rather than assuming that relationship difficulties exist. In the second edition of the manual Lock and Le Grange (2013) specifically de-emphasise these elements of treatment, arguing that this kind of attention to family relationships is unnecessary in many cases.

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Medium 9781782203063

Chapter Six: The Role of the Therapist

Aileen Webber Karnac Books ePub

Melissa's story

“I've been to see lots of therapists in the past and none of them have helped me.”

This was the opening statement of my client Melissa, a successful accountant in her late forties who came to see me one afternoon. We decided we would talk about her reasons for seeking therapy in a one-off assessment to see if we wished to work together any further.

“What is it that you need help with?” I asked her.

“I can't speak about it,” she said, “I've never told anyone before and it's just too terrible to speak about”.

“That must be very hard,” I said, “to be holding on to something that feels so dreadful you can't speak about it, but which bothers you so much that you must seek help. Perhaps something in this room could help you find a way to show me what it is you need to tell me without having to use words?”

“That feels a bit scary,” said Melissa, and she glanced nervously at the crowded shelves of my practice-room (see Figure 6.1).

Figure 6.1. Practice-room.

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