Objective: The study compared how specific affect focuses in early stages of treatment predict outcome (SCL-90) for specific cluster C personality disorders. Method: The sample consisted of patients with cluster C personality disorders from a randomized controlled trial comparing 40-sessions of short-term dynamic psychotherapy and cognitive psychotherapy. Thirty-one patients had an avoidant personality disorder (AVPD), 17 patients had an obsessive compulsive personality disorder (OCPD) and 10 had a dependent personality disorder (DPD). The Global Severity Index (GSI) of the SCL-90 was used as the outcome measure and the Achievement of Therapeutic Objective Scale (ATOS) was used as a process measure to rate patients affects in an early session (session 1 and 6). Results: The results indicated that focus on closeness and anger predicted outcome for AVPD, focus on positive feelings for self predicted outcome for OCPD and focus on grief predicted outcome for DPD. Conclusion: Specific affect focuses in early stages of treatment is significant for various cluster C personality disorders to predict outcome.

När det gäller vuxna patienter, visar studier att Davanloos Intensiv dynamisk korttidsterapi (ISTDP) är evidensbaserad och effektiv vid flera sjukdomstillstånd. Medan det finns få bevis varken för eller emot tillämpningen av ISTDP på barn och ungdomar, har en artikel skriven av Linda Gilbert (2004) fått författaren till föreliggande litteraturstudie att tro att det inte finns ett bättre val än att börja forska om tillämpningen av ISTDP tekniker på barn och ungdomar och för att visa hur dessa tekniker skiljer sig från dem som används med vuxna. Denna litteraturstudie är ett teoretiskt förslag för att använda ISTDP med fokus på mentaliseringsteorin inom ramen för BUP. När det gäller KBT leder internationella forskningsresultat till nödvändigheten att fästa blicken på andra evidensbaserade metoder också när det gäller behandlingar för barn och ungdomar med psykiska och psykosociala problem. Davanloos ISTDP är en sådan evidensbaserad metod. Medvetenhet om mentaliseringsteorins kunskapsbas gör det möjligt för ISTDP terapeuten att ägna särskild uppmärksamhet åt specifika händelser i sociala relationer som aktiverar otrygghet och bidrar till förlust av mentalisering hos ungdomspatienten. Affekter hos ungdomspatienten regleras genom att de tas emot, känns och förstås av ISTDP terapeuten. Så småningom kan patienten börja internalisera terapeutens affektreglering. Psykiska skador repareras genom att terapeuten erbjuder sig som ett gott anknytningsobjekt med hög mentaliseringsförmåga. Destruktiva försvar aktiveras inte och genuina affekter blockeras inte längre av patienten. På neurobiologisk nivå sker då en strukturell utvidgning i den orbitofrontala barken och dess synaptiska förbindelser med hjärnans känsloregioner. Därför måste ISTDP terapeuten vara mycket intuitiv med hög mentaliseringsförmåga och måste snabbt känna när ungdomen blockerar och använder försvar mot genuina känslor. En etiskt försvarbar slutsats vad gäller forskning kring tillämpning av Davanloos ISTDP på barn och ungdomar är att om ett problem kan lösas snabbt med en viss metod som gör att problemet kostar både patienten och samhället mindre pengar ska den metoden utforskas för implementering inom barn och ungdomspsykiatrin.

No description available.

ISTDP (Intensive Short-Term Dynamic Psychotherapy) är en psykodynamisk behandling som intervenerar på ångest och försvar. Metoden innebär aktivering av starka känslomässiga processer hos patienten varför det är relevant att undersöka om detta kan uppnås i terapier som sker på distans - en särskilt relevant fråga i samband med covid-19-pandemin. Frågeställningarna undersökte hur ISTDP-terapeuter upplever terapi via digitala mötestjänster samt upplevda skillnader av distansterapi med sköra respektive motståndskraftiga patienter. Studien hade en concurrent, embedded mixad-metoddesign. Kvantitativa data med bekvämlighetsurval samlades från svenska, CORE-utbildade ISTDP-terapeuter [n=38] genom en webbaserad enkät. Inbjudan skedde via facebookgrupp. Frågorna eftersökte deskriptiv information såväl som upplevelser av digital ISTDP och besvarades på en likertskala 1-7. Kvalitativa data med bekvämlighetsurval samlades genom separata, semi-strukturerade intervjuer med fyra [n=4] terapeuter från samma målgrupp och bearbetades med tematisk analys. Inbjudan skedde via mejlkontakt. Korrelationsanalyser av kvantitativa data visade på ett samband mellan lägre upplevd digital kompetens och sämre upplevd funktionalitet av digital ISTDP. Upplevda svårigheter med digital ISTDP-terapi korrelerade med svårigheter i arbetet med både sköra och motståndskraftiga patienter. I den kvalitativa undersökningen framkom två huvudteman: möjligheter och begränsningar med digital ISTDP. Huvudtemat möjligheter innefattade undertemana: ett portabelt terapirum, terapeutens egenpåverkan samt patientens strukturerande jag. Huvudtemat begränsningar innefattade undertemana: ett sårbart terapirum, patientens konflikt mot plattformen och skärmen - en begränsning bland flera. Sammanfattningsvis tyder resultaten på att ISTDP-terapeuter upplever såväl fördelar som nackdelar med digital terapi. Upplevelser av det digitala formatets funktion hade också ett samband med upplevelser av arbetet med digital ISTDP. / ISTDP (Intensive Short-Term Dynamic Psychotherapy) is a psychodynamic treatment that addresses anxiety and defenses. The method’s reliance on in-session emotional processing raises the question whether this can be achieved remotely - especially in connection to the covid-19-pandemic. Research questions explored how ISTDP-therapists experience therapeutic work through video conferencing as well as their perceived differences of remote therapy between fragile and resistant patients. The study used a concurrent, embedded, mixed- methods design. Quantitative data, using convenience sampling, was collected from Swedish core-trained ISTDP-therapists [n = 38] through a web-based questionnaire. Invitations were made through a facebook group. Items explored descriptive information, experiences of digital ISTDP and could be answered on a likert scale between 1-7. Qualitative data, using convenience sampling, was collected separately through semi-structured interviews with four [n = 4] participants from the same target group and processed using thematic analysis. Invitations were made via e-mail. Correlation analysis of the quantitative data showed a relationship between low digital self-efficacy and experienced difficulty performing digital ISTDP. Difficulties with digital ISTDP therapy had same-size correlations with both fragile and resistant patient difficulty. In the qualitative study, two main themes were found: possibilities and limitations with digital ISTDP. The main theme possibilities included the underthemes: a portable therapy room, and effects on the individual therapist and the patient’s structured self. The main theme limitations included: a vulnerable therapy room, the patient’s conflict against the platform and the screen – a limitation among others. In conclusion, ISTDP-1therapists experience advantages as well as disadvantages with digital therapy. Experiences of the digital format function also had a relationship with the digital ISTDP working experience.

Tese(doutorado) - Universidade Federal do Rio Grande, Programa de Pós–Graduação em Oceanografia Biológica, Instituto de Oceanografia, 2005. / Submitted by Cristiane Gomides (cristiane_gomides@hotmail.com) on 2013-10-11T14:35:10Z No. of bitstreams: 1 Luciana.pdf: 2390598 bytes, checksum: de111a9f52b7b4847e9447d50f43891d (MD5) / Approved for entry into archive by Sabrina Andrade (sabrinabeatriz@ibest.com.br) on 2013-10-17T17:43:17Z (GMT) No. of bitstreams: 1 Luciana.pdf: 2390598 bytes, checksum: de111a9f52b7b4847e9447d50f43891d (MD5) / Made available in DSpace on 2013-10-17T17:43:17Z (GMT). No. of bitstreams: 1 Luciana.pdf: 2390598 bytes, checksum: de111a9f52b7b4847e9447d50f43891d (MD5) Previous issue date: 2005 / O presente trabalho objetivou avaliar a estrutura e dinâmica de curto prazo da associação de macroinvertebrados bentônicos estuarinos da Lagoa dos Patos frente a perturbações antrópicas e naturais, bem como avaliar os mecanismos de persistência e resiliência da população de algumas espécies estuarinas. No capítulo I, através de um experimento de campo, foi avaliado o efeito de duas redes de arrasto de pesca artesanal de camarão (Rede de Coca e Rede de Berimbau) sobre a associação de macroinvertebrados bentônicos de fundos moles. O experimento, realizado com dois tratamentos (arrastos com Rede de Coca e Berimbau) e um Controle, onde não foram efetuados arrastos, foi desenvolvido em 7 etapas, nas quais amostras da macrofauna bentônica (seis réplicas por tratamento), foram tomadas em diferentes intervalos de tempo após os arrastos com as redes (cinco arrastos em cada etapa). Os resultados das diferentes análises estatísticas empregadas não foram conclusivos devido à dificuldade em se identificar efeitos diretos das redes sobre a macrofauna. Durante o período de estudo, aproximadamente 3 meses, foi possível a identificação de mudanças temporais na estrutura das associações bentônicas, as quais foram melhor analisadas no Capítulo 2. Este capítulo objetivou acompanhar a dinâmica de curto-prazo das associações de invertebrados bentônicos durante o período de verão-outono (quando ocorrem os principais processos de recrutamento da macrofauna bentônica na região), relacionando-os às variações de curto prazo da salinidade, precipitação pluviométrica, profundidade da coluna d’água, intensidade e direção do vento e variações na granulometria e matéria orgânica do sedimento. A variabilidade temporal de curto prazo da macrofauna bentônica foi acompanhada: 1) durante um período no verão de 2002; 2) durante dois períodos entre o verão e início do outono de 2004; e 3) entre estes três períodos realizados em anos distintos (período amostral de 2002 e os dois períodos amostrais de 2004). O acompanhamento temporal de curto prazo, em cada um dos períodos, foi realizado em 7 etapas, através de amostragens em intervalos de 1, 2, 4, 8, 16 e 32 dias após a amostragem inicial (dia 0 = Etapa 1). Seis amostras da macrofauna bentônica foram tomadas em cada uma das etapas nos três períodos de amostragem Os resultados mostraram diferenças significativas na estrutura dessas associações a partir de um período de 15 dias e que as variáveis ambientais medidas, reflexo de fatores meteorológicos, são de grande importância na determinação das variações temporais das associações. No Capítulo 3, objetivou-se reunir as informações publicadas e inéditas sobre as estratégias de adaptação de algumas espécies de macroinvertebrados bentônicos residentes na região estuarina da Lagoa dos Patos, relacionando-as aos seus mecanismos de persistência e resiliência frente a perturbações naturais e antrópicas. Informações sobre as estratégias de adaptação de Erodona mactroides (molusco bivalvo), Heleobia australis (molusco gastrópode), Laeonereis acuta (poliqueta), Kalliapseudes schubartii (crustáceo tanaidáceo) e Melita mangrovi (crustáceo anfípode) indicaram evidentes mecanismos de persistência e resiliência destes organismos, tais como proteção à desova, recrutamentos massivos, várias coortes ao ano, ocupação e assentamento em uma diversidade de hábitats que ofereçam alimento e abrigo contra a ação de predadores e mecanismos de escape frente à situações desfavoráveis. / The present study aims to analyze the short-term dynamics of the Patos Lagoon estuarine soft-bottom macrobenthic community subjected to natural and anthropogenic disturbances, as well as to assess the mechanisms of persistence and resilience of some estuarine species. Chapter 1 aims at evaluating the effects of two different shrimp artisanal trawling nets (Coca and Berimbau nets) upon the soft-bottom macrobenthic associations, through a field experiment conducted in the estuarine region of Patos Lagoon. The experiment, performed with two treatments (Coca and Berimbau net trawling) and a control, where no trawling was performed, was conducted in seven stages, where benthic samples (six replicates in each treatment) were taken in different times after trawling. The results of the distinct statistical analysis used were not conclusive due the difficulty in showing clear effects on the soft bottom community. During the study period, about 3 months, were identified temporal changes on the structure of benthic associations, which were better analyzed in the Chapter 2. This chapter aimed to assess short-term macrobenthic dynamics during summer-fall period (when the main benthic recruitment processes occur), relating it to the short-term changes in: salinity, precipitation, water column depth, wind intensity, direction and changes in sediment granulometry and organic matter. The short-term benthic macrofauna variability was studied: 1) during summer of 2002; 2) during two periods between summer and beginning of fall of 2004; and 3) between these three periods carried out in different years. Short-term variability, in each period, was carried out in seven stages, through samples in different time scales (1, 2, 4, 8, 16 and 32 days) after the initial sampling (day 0 = stage 1). Six macrobenthic samples were taken in each stage and sampling periods. The results showed significant differences in the benthic macrofauna structure starting from 15 days, and the environmental variables measured, reflecting meteorological factors, are of great importance for determining temporal benthic fauna fluctuations. The Chapter 3 aimed at joining published and unpublished information about adaptation strategies of some macrobenthic estuarine resident species from Patos Lagoon, assessing the relationships between its persistence and resilience mechanisms and natural and anthropogenic disturbances. Data about Erodona mactroides (bivalvia), Heleobia australis (gastropoda), Laeonereis acuta (polychaeta), Kalliapseudes schubartii (tanaid) and Melita mangrovi (amphipod) adaptation strategies showed evident persistence and resilience mechanisms, such as spawn protection, massive recruitments, many cohorts a year, settlement in many habitats which offer food and shelter against predators, escape mechanisms in unfavorable situations, among others.

Im Projekt wurde das Ermüdungsverhalten eines hochgefüllten, extrudierten Holz- Polymer- Werkstoffes (Wood Polymer-Composite, kurz: WPC) und dessen technisches Halbzeug (WPC-Systemprofil) im Anwendungsfeld der Fördertechnik erforscht. Kernsegment im Projekt ist das hochgefüllte WPC-Extrusionsprofil als Trag- und Gleitelement im Hängefördersystem (HFS). Im ersten Schritt wurde das Kriechverhalten (langzeitstatisch) und Ermüdungsverhalten unter dynamisch-schwingender Belastung (langzeitdynamisch) am produktspezifischen WPC-Material und am WPC-Systembauteil untersucht. Das Prüfregime bezieht sich dabei auf das reale Belastungskollektiv in der Anwendung des Hängefördersystems, welches vorrangig einer Dreipunktbiegebelastung im WPC-Systemprofil und einer Zugbelastung in der Verbindungsstelle entspricht. Aufbauend auf die Material- und Bauteiluntersuchung wurde der Dauerlauftest am Funktionsprototyp (Hängefördersystem) durchgeführt. Dabei wurden die Kriechneigung des WPC-Systemprofils und der Vorspannkraftverlust in der Verbindungsstelle im praxisrelevanten Fall überwacht. / In the research project the fatigue behavior of a high filled extruded Wood Polymer Composite (WPC) and its technical product were investigated in the application of material handling technology. The main focus of the project is the high filled WPC extrusion profile, which is applied as a sliding rail for the use in an overhead material handling system. In the first step the creep behavior (long-term static load) and fatigue behavior under dynamic-oscillating loads were studied on the product-specific WPC material and on the WPC component. The testing procedure refers to the real stress collection in the application of the overhead material handling system, which corresponds to a three-point bending load in the profile and a tensile load in the connection point. Furthermore, an endurance test was carried out under practical conditions on the overhead matrial handling system to oversee the long-term mechanical properties of the WPC sliding rail and the loss of the preloaded force in the connection point.