Extant research suggests communication styles (CS) such as constructive communication (CC) to be associated positively with relationship satisfaction (RS) and negatively with mental health (MH) whereas self-demand / partner withdraw (SD/PW) communication is associated negatively with RS and positively with MH. Research also suggests child abuse (CA) to be associated with poorer CS, lower RS, and poorer MH. Further, RS has been differentially associated with MH and CS in adult intimate relationships. However, no study has examined these associations simultaneously. The current study aimed to (1) assess these associations in IPV-exposed women and (2) assess differences between those with and without a history of CA. Data (n = 412; Mage = 36.77, SD = 12.54) come from a larger data collection project (N = 676). I hypothesized that: (1) higher CC and RS would be associated with lower severity of MH symptoms; (2) higher SD/PW and lower RS would be associated with higher severity of MH symptoms; (3) women with a history of CA will report less CC, lower RS, and higher severity of MH symptoms; and (4) women with a history of CA will report more SD/PW, lower RS, and higher severity of MH symptoms. Results did not support hypotheses. Results suggest that CS and RS do not together predict MH in this population and do not differ for those with or without a history of CA. Future research should quantitatively and qualitatively investigate these associations in dyads in order to thoroughly assess the everyday nature of the relationship.

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BACKGROUND:No surveys of stress ulcer prophylaxis prescribing in the USA havebeen conducted since 1995. Since that time, the most comprehensive meta-analysisand largest randomized study to date concerning stress ulcer prophylaxis havebeen published.RESULTS:Three hundred sixty-eight surveys were sent to all members of theSection of Pharmacy and Pharmacology of the Society of Critical Care Medicine.One hundred fifty-three (42%) surveys were returned. Representatives from 86%of institutions stated that medications for stress ulcer prophylaxis are usedin a majority (>90%) of patients admitted to the intensive care unit (ICU).Twenty-two per cent of institutions have recommendations for both ICU andnon-ICU settings. Fifty-eight per cent of institutions stated that there wasone preferred medication for stress ulcer prophylaxis, and in 77% of thesehistamine-2-antagonists were the most popular.CONCLUSIONS:There are wide variations in prescribing practices for stressulcer prophylaxis. Institutions should consult published literature and usepre-existing guidelines as templates for developing their own guidelines.

This action research based thesis focuses on work-related psychological trauma and its management, within the context of the British police service. A case study on one force facilitates detailed exploration of ways in which police occupational culture may impede the provision and acceptance of trauma management schemes. A national questionnaire-based survey of United Kingdom police forces establishes the scope and nature of their trauma management provisions and identifies strengths and weaknesses. Few trauma research studies have concentrated upon the affective domain of the British police service and there is limited understanding of how personal emotions are managed in the police organisation, or how its culture can affect the individual's experience of work-related trauma in an unhelpful way. The study aims to increase knowledge and understanding in this area and to assist British police forces in their attempts to reduce police sickness absences and ill health retirements, which may result from exposure to workrelated trauma. Two main study concerns are addressed by different means. The thesis is arranged as an introduction that includes discussion of the methodological approach adopted, seven chapters, conclusions and recommendations. Chapter one sets the scene by scrutinising the police service as a modern work organisation. Having clarified the basic principles of British policing, it outlines how the service has developed, exploring the difficulties and tensions police officers at all levels experience in trying to fulfil their current roles and responsibilities. Chapter two looks at the nature and potential effects of 'critical' incidents and traces the history of trauma recognition and critical incident debriefing, discussing the current debate on the efficacy of the latter and its value for police personnel. Chapter three examines current national and local police trauma management provisions and chapter four focuses on the identification and management of key risks posed to the police organisation, arising from work-related trauma. Chapter five explores police officers' experiences of trauma through descriptions of three 'service' roles and critical incident scenarios and by focusing on how certain aspects of police culture may intensify and prolong their initial distress. Chapter six shows the ways in which the police organisation seeks to manage its members' emotions through its selection, training and socialisation processes and how its success in doing so can impede the delivery and takeup of trauma management services. Chapter seven then outlines the main theoretical concepts underpinning the thesis, explaining why the police organisation requires officers to manage their emotions in particular ways and outlining mechanisms it has adopted as corporate defences against anxiety. A summary of conclusions follows and the thesis ends with recommendations to effect improvements to the quality and consistency of services being offered.

Sammanfattning Denna studie handlar om psykoterapi med patienter som upplevt relationella trauman i sitt vuxna liv eller som barn. Syftet med studien har varit att belysa hur erfarna psykodynamiska psykoterapeuter upplever arbetet med traumatiserade patienter samt hur terapeuterna tar hand om sig själva. Studien genomfördes med intervjuer. Frågeställningarna var; Hur upplever terapeuterna relationen mellan terapeut och patient? Hur upplever terapeuterna terapiprocessen? Hur uppfattar terapeuterna traumapatienten i förhållande till andra patienter? Hur upplever terapeuterna att de tar hand om sig, på arbetet och privat? Tre psykoterapeuter intervjuades som hade erfarenhet av att arbeta med traumatiserade patienter. Intervjuerna analyserades med fenomenologisk analys. Resultatet tyder på att relationen mellan terapeut och patient är det viktigaste för att uppnå resultat i traumaterapi. Att terapiprocessen bör vara fasinriktad och att det finns skillnader i arbetet med traumapatienter i jämförelse med andra. Resultatet visar också att terapeuternas sätt att ta hand om sig, självomhändertagandet, samt stödet från kollegor och ledning är avgörande för att orka med detta arbete.

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