Active Interventions in Clinical Practice: Contributions of Gestalt Therapy.

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Lammert, Marilyn; Dolan, Mary M.

1983-01-01

Describes two dimensions of Gestalt therapy that can enhance clinical practice--orientation to the present and active-experimental style--and examines them in relation to some traditional principles of practice. Gestalt theory offers a method of discovery that is a combination of phenomenology and behaviorism. (JAC)

[A meta-analysis of the effectiveness of gestalt therapy].

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Bretz, H J; Heekerens, H P; Schmitz, B

1994-01-01

This metaanalytical assessment of evaluation research in the field of Gestalt therapy has been conducted on the basis of 38 studies which took place between 1970 and 1986. Its scope is substantially broader than the metaanalysis of Smith, Glass and Miller (1980) or the secondary analysis of Grawe's Berner Workgroup documented in Forschungsgutachten zu Fragen eines Psychotherapeutengesetzes (1991). The results indicate Gestalt therapy to be an effective psychotherapeutic treatment which is not inferior to other comparable methods of treatment. No definitive statement can be made concerning differential indication, individual therapy setting or long-term measures.

[Transference and countertransference in Gestalt therapy].

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Schnake Silva, A

1981-01-01

The aim is to demonstrate the presence of transference within Gestalt Psychotherapy, opinion not shared by many gestaltists. For this purpose she includes Freud's findings and comments on transference. She also takes into consideration Jung's and Melanie Klein's concepts on transference. The author concludes that transference is in Psychoanalysis a decisive concept in diagnosing and defining a prognosis. She refers to the fact that in Gestalt Psychotherapy the patient projects on the therapist disturbed aspects of his personallity as well as healthy ones, which determines the characteristics of the relationship. In Gestalt Therapy transference is made easy by the self-responsibility the patient has to assume in the process. Within this frame-work some of the techniques which facilitate the use of transference are mentioned: gestual observation, conscience awareness, an alliance with the healthful aspects of the patient, work in the "here-and-now", clarifying projections, switch from environmental support to inner support.

Effectiveness of hypnosis therapy and Gestalt therapy as depression treatments

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Elizabeth González-Ramírez

2017-03-01

Full Text Available We analyzed the effectiveness of two psychological therapies to treat depression in the Culiacan population, Mexico. According to criteria of MINI (international Neuropsychiatric interview, 30 individuals from a total of 300 were selected and diagnosed with some kind of depression. Patients were divided in three groups: 1 treatment with hypnosis therapy, 2 treatment with Gestalt-hypnosis therapy, and 3 control group. Before and after the treatments the Beck Anxiety Inventory (BAI was applied to know the depression level of the analyzed groups. The results show that the three groups were presenting a moderated level of depression. The groups under hypnosis therapy and Gestalt-hypnosis therapy show statistical differences between pre-test and post-test. The hypnosis therapy shows significant statistic differences to treat depression with respect to the other two groups. In conclusion, the therapeutic hypnosis is an effective treatment and has relevance to treat depression, while other therapeutic treatments tend to be slow and with minor result. This study is the first of this kind carried out in Culiacan in Sinaloa, Mexico.

Studies with lucid dreaming as add-on therapy to Gestalt therapy.

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Holzinger, B; Klösch, G; Saletu, B

2015-06-01

The aim of the present exploratory clinical study was to evaluate LD as an add-on therapy for treating nightmares. Thirty-two subjects having nightmares (ICD-10: F51.5) at least twice a week participated. Subjects were randomly assigned to group: A) Gestalt therapy group (= GTG), or B) Gestalt and lucid dreaming group therapy (= LDG). Each group lasted ten weeks. Participants kept a sleep/dream diary over the treatment. Examinations with respect to nightmare frequency and sleep quality (Pittsburgh Sleep Quality Index) were carried out at the beginning, after five and ten weeks and at a follow-up three months later. Concerning nightmare frequency, a significant reduction was found in both groups after the ten-week-study and at the follow-up (Wilcoxon test: P ≤ 0.05). Significant reduction in dream recall frequency could only be observed in the GTG (Wilcoxon test: P ≤ 0.05). For subjects having succeeded in learning lucid dreaming, reduction was sooner and higher. Sleep quality improved for both groups at the follow-up (P ≤ 0.05, Wilcoxon test). Only the LDG showed significant improvement at the end of therapy (P ≤ 0.05). Lucid dreaming, in combination with Gestalt therapy, is a potent technique to reduce nightmare frequency and improve the subjective quality of sleep. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Gestalt Therapy with Females Involved in Intimate Violence.

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Little, Linda F.

This paper notes recent evidence suggesting that couples characterized by violent interactions respond best to therapy when seen first in individual therapy sessions. Clinicians are then presented with a Gestalt therapy approach to intervening in cases of intimate violence that goes beyond crisis intervention. The focus is on the female's roles in…

Gestalt therapy approaches with aggressive children in a day care setting

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Maxey, Win

1987-01-01

This research study was designed to evaluate whether or not Gestalt therapy approaches could be used effectively when intervening with aggressive acts in a day care setting. Five focus children were observed at timed intervals as to whether or not they were aggressive, how the caretaker intervened, and how the children responded to the caretaker intervention. After a baseline of aggressive acts was established, caretakers were trained to use Gestalt therapy interventio...

Intrapersonal and Interpersonal Models: Blending Gestalt and Family Therapies

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Hatcher, Chris

1978-01-01

Family therapy is primarily focused upon interpersonal or transactional issues. Gestalt therapy is particularly well suited for short term work on intrapersonal and boundary issues. This paper shows how the selective integration of the two approaches provides a significant, new dimension in the development of family therapy. (Author)

Gestalt Therapy and General System Theory.

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Whitner, Phillip A.

While General Systems Theory (GST) concepts appear to be applicable in explaining some of the phenomena that occur in a Gestalt Therapy group, research is needed to support this assumption. General Systems Theory may not be a group theory per se. Instead, GST may be a theory about groups. A meta-theory exists where its value and usefulness is…

[Gestalt therapy, extension of psychoanalysis (author's transl)].

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Moreau, A

1980-01-01

Gestalt therapy extends considerably psychoanalysis. 1. Transfer in psychoanalysis allows to work on the disturbed relations which the patient transfers onto his analyst, relations created by the parents and repeated now. The extended transfer in a therapeutic group of life allows to work on the fact that the patient recreates here and now the difficulties he encounters in life. 2. The game of the analyst and the encounter show that beyond transfer and projection, a real encounter may take place, a precious means to create life here and now. 3. The difference between individual therapy and group-therapy is about this: the former is centered on illness, the latter on life; the former helps to understand, the latter to live; the individual talks about facts from the past and from elsewhere and the group lives "here and now", which allows to test feelings, a powerful source of life. 4. A session of group-therapy, as developed here, allows to see how one can find a response to a need or avoid to find a response to it. 5. A comparison-table between psycho-analysis and gestalt shows the difference of method, diagnosis, therapeutic process, therapeutist's attitude and of the position of the patient. 6. Psycho-analysis is perhaps a relay after religion? Several elements make us believe this: tension in contacts, ritual, authority, protection, neutrality, guilty making. 7. To contest or contest one-self has helped me to compare the contester with the psycho-analyst: both contest society, but they don't change their behavior. The gestalt-therapeutist is in a way like a hippie: though contesting society, he brings a change to his way of life, while being closer to life.

Breaking Ground: A Study of Gestalt Therapy Theory and Holland's Theory of Vocational Choice.

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Hartung, Paul J.

In both Gestalt therapy and Holland's theory of vocational choice, person-environment interaction receives considerable emphasis. Gestalt therapy theory suggests that people make contact (that is, meet needs) through a characteristic style of interacting with the environment. Holland identifies six personality types in his theory and asserts that…

Good Moments in Gestalt Therapy: A Descriptive Analysis of Two Perls Sessions.

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Boulet, Donald; And Others

1993-01-01

Analyzed two Gestalt therapy sessions conducted by Fritz Perls using category system for identifying in-session client behaviors valued by Gestalt therapists. Four judges independently rated 210 client statements. Found common pattern of therapeutic movement: initial phase dominated by building block good moments and second phase characterized by…

The Influence of Integrative Gestalt Therapy on Acquisition of Daily Life Skills and Habits.

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Zic, Anamarija; And Others

This study evaluated the effects of Integrative Gestalt Therapy on the intellectual aspects of social competence in 13 children, ages 7 to 11, living in Zagreb, Croatia. These children had intellectual disabilities (IQ 54 to 84) as well as psychological and/or behavior problems. Integrative Gestalt Therapy emphasizes the wholeness of a person's…

The Importance of Group Process in Gestalt Therapy.

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Korb, Margaret Patton; Themis, Sharon

1980-01-01

Discusses the Gestalt therapy group process and its roots in theory and therapeutic orientation. Indicates that the process itself, particularly the role of the therapist, is a key factor in the intensity and power of the group experience for the participants. (Author)

Reviewing the Past in the Here and Now: Using Gestalt Therapy Techniques with Life Review.

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Crose, Royda

1990-01-01

Discusses a Gestalt therapy perspective on the life review process and the use of Gestalt therapy techniques in helping the older client achieve resolution of past conflicts. Notes that, with such resolution, the developmental task of ego integration in the final years of life may be realized. (Author/NB)

Predicting Benefit from a Gestalt Therapy Marathon Workshop.

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Healy, James; Dowd, E. Thomas

1981-01-01

Tested the utility of the Personal Orientation Inventory (POI), the Myers-Briggs Type Indicator, and the Girona Affect Scale in predicting the outcomes of a marathon Gestalt therapy workshop. Signigicant predictive equations were generated that use the POI to predict gains on the Girona Affect Scale. (Author/RC)

Exploring the influence of gestalt therapy training on psychiatric nursing practice: stories from the field.

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Kelly, Teresa; Howie, Linsey

2011-08-01

Psychiatric nurses interested in extending their interpersonal and psychotherapeutic skills sometimes undertake postgraduate training in gestalt therapy. Little is known about how this new knowledge and psychotherapeutic skill base informs their practice. This paper presents the findings of a qualitative study that aimed to explore the influence of gestalt therapy training on psychiatric nursing practice. Within a framework of narrative inquiry, four psychiatric nurses trained in gestalt therapy were invited to tell their stories of training in a gestalt approach to therapy, and recount their experiences of how it influenced their practice. In keeping with narrative analysis methods, the research findings were presented as a collection of four stories. Eight themes were derived from a thematic analysis conducted within and across the four stories. The discussion of the themes encapsulates the similarities and differences across the storied collection, providing a community and cultural context for understanding the individual stories. © 2011 The Authors. International Journal of Mental Health Nursing © 2011 Australian College of Mental Health Nurses Inc.

Gestalt Interactional Groups

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Harman, Robert L.; Franklin, Richard W.

1975-01-01

Gestalt therapy in groups is not limited to individual work in the presence of an audience. Describes several ways to involve gestalt groups interactionally. Interactions described focus on learning by doing and discovering, and are noninterpretive. (Author/EJT)

Gestalt Approach to Family Therapy.

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Bauer, Rudolph

1979-01-01

Gestalt psychotherapy is presented as a synthesis of a number of psychological traditions. Two particular techniques are described in detail: the empty chair technique which is a strategy that focuses on the parents' internalized object relations which are played out between themselves and with their children and the Gestalt experiment. (Author)

The Effectiveness of Gestalt Therapy and Cognitive Therapy on Improvement of Life Quality of War Veterans

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S Sadeghi

2012-02-01

Full Text Available Background & Aim: The imposed war burdened a lot of problems on the society of Iran during the past few years. In this course, veterans didn’t immune from its harmful effects. The aim of the present study was to determine the effectiveness of integrated group gestalt therapy and cognitive therapy on improvement of quality of life of veterans of city of Jahrom, Iran. Methods: The present clinical trial study was conducted on thirty veterans of Jahrom in 2010. The subjects included all the war veterans of Jahrom, 820 with 25-69 percent physical damage. Random sampling was executed and the world Health Organization life quality questionnaire (WHOQOL-BREF was given to 150 of them. Fifteen people in each group were replaced by another fifteen people. The test group received eight sessions of group consultation in Gestalt therapy and cognition therapy ways, but the control group received no therapy. The gathered data was analyzed using ANOVA test. Results: The result of this study showed that-there is a significant difference between the life quality dimensions (physical health, mental health, life environment and social relations between the test and control group (p=0.001. Conclusion: The results of this study showed that the integrated of group counseling by gestalt therapy and cognitive therapy had an influence on increasing the veteran’s life qualifications in aspects of physical health, mental health, life environment and social relations.

Gestalt Therapy: Student Perceptions of Fritz Perls in "Three Approaches to Psychotherapy"

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Reilly, Joe; Jacobus, Veronica

2009-01-01

The "Three Approaches to Psychotherapy" ("TAP") videotape series introduces students to three major schools of psychotherapy: client-centered therapy, Gestalt therapy, and rational-emotive therapy. A sample of undergraduate students viewed the "TAP" series. The students were surveyed about their observations of…

Gestalt Therapy with the Dying Patient: Integrative Work Using Clay, Poetry Therapy, and Creative Media.

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Petzold, Hilarion G.

1982-01-01

Reports the use of death therapy with a cancer patient. Gestalt therapy and creative media were used to facilitate an integration of life and a sense of balance with life. Suggests that counseling the dying means walking along a stretch of the path together. (Author)

Speech-rhythm characteristics of client-centered, Gestalt, and rational-emotive therapy interviews.

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Chen, C L

1981-07-01

The aim of this study was to discover whether client-centered, Gestalt, and rational-emotive psychotherapy interviews could be described and differentiated on the basis of quantitative measurement of their speech rhythms. These measures were taken from the sound portion of a film showing interviews by Carl Rogers, Frederick Perls, and Albert Ellis. The variables used were total session and percentage of speaking times, speaking turns, vocalizations, interruptions, inside and switching pauses, and speaking rates. The three types of interview had very distinctive patterns of speech-rhythm variables. These patterns suggested that Rogers's Client-centered therapy interview was patient dominated, that Ellis's rational-emotive therapy interview was therapist dominated, and that Perls's Gestalt therapy interview was neither therapist nor patient dominated.

Gestalt Therapy and Feminist Therapy: A Proposed Integration.

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Enns, Carolyn Zerbe

1987-01-01

Offers a proposal for integrating the Gestalt goals of self-responsibility with a feminist perspective that places value on the web of relationships in women's lives and focuses attention on the environmental constraints and socialization that affect women's choices. Discusses Gestalt techniques for enhancing women's growth and examines…

Aesthetic Diagnosis in Gestalt Therapy.

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Roubal, Jan; Francesetti, Gianni; Gecele, Michela

2017-10-17

The diagnostic process in psychotherapy using the aesthetic evaluation is described in this article. Unlike the classical diagnostic process, which presents a result of comparing clinicians´ observations with a diagnostic system (DSM, ICD, etc.), the aesthetic evaluation is a pre-reflexive, embodied, and preverbal process. A Gestalt Therapy theoretical frame is used to introduce a concept of the aesthetic diagnostic process. During this process, the clinicians use their own here-and-now presence, which takes part in the co-creation of the shared relational field during the therapeutic session. A specific procedure of the aesthetic evaluation is introduced. The clinical work with depressed clients is presented to illustrate this perspective.

Dynamics of psychological crisis experience with psychological consulting by gestalt therapy methods.

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Fahrutdinova, Liliya Raifovna; Nugmanova, Dzhamilia Renatovna

2015-01-01

Dynamics of experience as such and its corporeal, emotional and cognitive elements in the situation of psychological consulting provisioning is covered. The aim of research was to study psychological crisis experience dynamics in the situation when psychological consulting by gestalt therapy methods is provided. Theoretical analysis of the problem of crisis situations, phenomenon and structural, and dynamic organization of experience of the subject of consulting have been carried out. To fulfill research project test subjects experience crisis situation have been selected, studied in the situation when they provided psychological consulting by methods of gestalt therapy, and methodology of study of crisis situations experience has been prepared. Specifics of psychological crisis experience have been revealed and its elements in different stages of psychological consulting by gestalt therapy methods. Dynamics of experience of psychological crisis and its structural elements have been revealed and reliable changes in it have been revealed. Dynamics of psychological crisis experience and its structural elements have been revealed and reliable changes in it have been revealed. "Desiccation" of experience is being observed, releasing its substantiality of negative impression to the end of consulting and development of the new experience of control over crisis situation. Interrelations of structural elements of experience in the process of psychological consulting have been shown. Effecting one structure causes reliable changes in all others structural elements of experience. Giving actual psychological help to clients in crisis situation by methods of gestalt therapy is possible as it was shown in psychological consulting sessions. Structure of client's request has been revealed - problems of personal sense are fixed as the most frequent cause of clients' applications, as well as absence of choices, obtrusiveness of negative thoughts, tend to getting stuck on events

Aesthetic Diagnosis in Gestalt Therapy

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Jan Roubal

2017-10-01

Full Text Available The diagnostic process in psychotherapy using the aesthetic evaluation is described in this article. Unlike the classical diagnostic process, which presents a result of comparing clinicians´ observations with a diagnostic system (DSM, ICD, etc., the aesthetic evaluation is a pre-reflexive, embodied, and preverbal process. A Gestalt Therapy theoretical frame is used to introduce a concept of the aesthetic diagnostic process. During this process, the clinicians use their own here-and-now presence, which takes part in the co-creation of the shared relational field during the therapeutic session. A specific procedure of the aesthetic evaluation is introduced. The clinical work with depressed clients is presented to illustrate this perspective.

Gestalt Therapy with Parents When a Child is Presented as the Problem.

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Little, Linda F.

1986-01-01

Findings suggest that parents (N=23) who sought therapy because of "problematic" children differed in valuing style (e.g., rejection, extrinsic valuing, overprotection) from two samples of parents from normal populations. Parents who participated in Gestalt therapy groups made significant changes in their reported parenting styles. (Author/ABB)

Effectiveness of Gestalt Group Therapy on Loneliness of Women Caregivers of Alzheimer Patients at Home

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Hemn Saadati

2014-12-01

Full Text Available Objectives: Loneliness is a common experience of people, regardless of gender, age, socio economic and cultural experience in the course of its life. The aim of this study was to examine the effectiveness of Gestalt group therapy on the loneliness of Alzheimer’s caregivers. Methods: In an experimental study with a pre-post test design and control group, women participants were selected from Alzheimer Association of Iran. Total number of 50 women members was evaluated according to inclusion/ exclusion criteria. 28 participants selected and were divided into two equal groups randomly. Loneliness Scale was administered to both groups at the beginning. Gestalt therapy sessions were applied to the intervention group, each session 90 minutes weekly and continued for 12 successive weeks. The post-test data collected after the last session by administering Loneliness Scale. Data was analyzed by using t-test for independent group. Results: The results showed that the mean differences between the two groups were significant and gestalt therapy decreased the loneliness of member of intervention group significantly. Loneliness scores of intervention group in two sub-scales were also significantly lower in post-test compared to control group. Discussion: Gestalt therapy can be helpful in enhancing positive emotions and decreasing loneliness in Alzheimer caregivers which is one of the hardest emotions that these women threatens reduced and the introduction of enhanced quality of life of the caregivers and hence increase the quality of care for patients increased.

An Annotated Bibliography of the Gestalt Methods, Techniques, and Therapy

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Prewitt-Diaz, Joseph O.

The purpose of this annotated bibliography is to provide the reader with a guide to relevant research in the area of Gestalt therapy, techniques, and methods. The majority of the references are journal articles written within the last 5 years or documents easily obtained through interlibrary loans from local libraries. These references were…

Analysis of transference in Gestalt group psychotherapy.

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Frew, J E

1990-04-01

In Gestalt therapy, transference is viewed as a contact boundary disturbance which impairs the patient's ability to accurately perceive the present therapy situation. The boundary disturbances in Gestalt therapy most closely related to the analytic notion of transference are projection, introjection, and confluence. In Gestalt group psychotherapy, group members interfere with the process of need identification and satisfaction by distorting their contact with each other through projecting, introjecting, and being confluent. The Gestalt group therapist uses interventions directed to individuals and to the group to increase participants' awareness of these boundary disturbances and of the present contact opportunities available to them when these disturbances are resolved. In formulating interventions, the leader is mindful of the function of boundary disturbances to the group-as-a-whole as well as to individuals.

Group Counseling Using the Gestalt Approach.

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Schneibel, Dan

The phenomenological-existential therapy known as gestalt therapy sees awareness as its major goal. Clients are helped to become aware of what they are doing, how they are doing it, and how they can change themselves while, at the same time, learning to accept and value themselves. An important topic in the gestalt group process is the key…

Aesthetic Diagnosis in Gestalt Therapy †

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Roubal, Jan; Francesetti, Gianni; Gecele, Michela

2017-01-01

The diagnostic process in psychotherapy using the aesthetic evaluation is described in this article. Unlike the classical diagnostic process, which presents a result of comparing clinicians´ observations with a diagnostic system (DSM, ICD, etc.), the aesthetic evaluation is a pre-reflexive, embodied, and preverbal process. A Gestalt Therapy theoretical frame is used to introduce a concept of the aesthetic diagnostic process. During this process, the clinicians use their own here-and-now presence, which takes part in the co-creation of the shared relational field during the therapeutic session. A specific procedure of the aesthetic evaluation is introduced. The clinical work with depressed clients is presented to illustrate this perspective. PMID:29039752

Práce se sny v Gestalt terapii

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Tláskalová, Pavlína

2009-01-01

There are presented Gestalt dreamwork methods in this thesis. It describes Gestalt theoretical concepts relevant in work with dreams. Possible therapist's attitudes related to dreamwork are introduced. Qualitative research which maps practical application of dreamwork in Gestalt therapy practice has been carried out.

Gestalt Therapy in a Social Psychiatric Setting: The 'Oil & Water' Solution.

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Neill, R. B.

1979-01-01

In this case study of a residential treatment center for emotionally disturbed adolescents, evaluative data demonstrated that Gestalt Therapy was neither designed nor intended for use in an institutional setting with severely disturbed young adolescents, with people of lower socioeconomic status or of low verbal skill and intelligence. (Author/SJL)

Gestalt Psychology and Bilingual Education.

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Blomstedt, Bob; And Others

Several concepts detailed in Gestalt psychology/therapy appear to have a close relationship with many concepts being applied in bilingual education. The primary contribution of Gestalt psychology to learning theory in the U.S. is an emphasis on perception and reintegration of relationships within an organized whole. To the teacher this means that…

Is Gestalt Therapy a Humanistic Form of Psychotherapy?

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Bergantino, Len

1977-01-01

Believes the therapeutic situation that offers the greatest awareness with the least amount of dehumanization is a synthesis of the gestalt and the existential humanistic (EH) orientations. Considers the relationship and possible synthesis of the existential and gestalt positions. (Author/RK)

Undrestanding of the 'self' in Gestalt therapy

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Rudi Kotnik

2001-09-01

Full Text Available In Gestalt therapy theory there is an emphasis on understanding of the 'self' as a process (as opposed to structure. The paper examines the relationship between process and structure in understanding of the 'self'. For this purpose a brief review of other theoretical approaches is presented in the introduction, while the main discussion is followed by illustrations and implications for clinical practice. The result of focusing on process as here and now, rather than on content, is awareness of the processes in the therapeutic relationship. And a change in a therapeutic relationship brings up a possibilities for changes in a real-life situations.

Preferences for behavioural, analytic and gestalt psychotherapy.

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Sobel, H J

1979-09-01

This study investigated preferences for behavioural, analytic and gestalt psychotherapy among a sample of 40 SES class III and IV adult females and 67 college freshmen who had never been actual therapy patients. A scaled survey assessed general preference, preference given an imagined long-standing depressive disorder, preference given an imagined specific phobia, and preference for the therapist-patient relationship. Three audio tapes were designed, each describing one of the modalities. High inter-rater reliability and agreement were determined by three independent judges. Results showed that young females had a general preference for gestalt therapy. Young and old females, but not young males, significantly preferred behavioural therapy for a specific phobia. Under forced-choice conditions the group as a whole significantly preferred gestalt therapy. No differences were found for the relationship or preference given a depressive disorder. Preference was hypothesized as a cognitive structure with potential use in therapist-client matching.

Using Gestalt Psychodrama Experiments in Rehabilitation Counseling

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Coven, A. B.

1977-01-01

Gestalt therapy is an existential helping approach that assumes human beings have the potential to choose their behavior and thus define their own meaning in life. Applying Gestalt theory, disabled persons can define the meaning of the disability to their total person. (Author)

A Gestalt perspective on working with people with HIV disease.

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Sabar, S

1997-03-01

Four aspects of Gestalt practice that are particularly relevant to HIV-related therapy are explored: the client-therapist relationship, the phenomenonological method, awareness as the goal of therapy, and experiments and role playing. Applying the Gestalt ideals of self-regulation, wholeness, and growth to a person with HIV is vital to counteract the patient's loss of immune function. The Gestalt experience cycle, defined as a model of how people identify their needs and then set out to meet those needs, is a useful paradigm in HIV-related therapy.

Ein Integraler Gestalt-Ansatz fuer Therapie und Beratung

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Martina Gremmler-Fuhr

2005-06-01

Full Text Available Zusammenfassung: In diesem Text stellen wir unseren Ansatz für Psychotherapie und Beratung auf dem Hintergrund des integralen Paradigmas dar. Wir erläutern zunächst kurz vier Anforderungen an ein integrales Konzept in diesem professionellen Bereich: Umgang mit Komplexität und Vielperspektivität, Berücksichtigung gerichteter, vieldimensionaler Entwicklung, Orientierungs- und Sinngebungsfunktion, Realisierung relationaler Qualitäten in der Arbeit. Nach einer Begriffsbestimmung von „Therapie“, „Beratung“ und „Bildung“ charakterisieren wir das seit vielen Jahren von uns entwickelte Konzept für den Integralen Gestalt-Ansatz unter den Fragen nach (1 den Intentionen und Aufgaben von Therapie und Beratung, (2 der Gestaltung der Kommunikation und Beziehung, (3 der Art der Problemdefinition und dem Umgang mit Diagnostik sowie (4 den Strategien und Methoden – alle unter Rückkopplung an die zuvor erläuterten Anforderungen an ein integrales Konzept. Abstract: In this text we present our approach to psychotherapy and counseling on the background of the integral paradigm. We shortly explain four major requirements for such an integral concept: handling complexity and multi-perspectivity, considering directed and multi-dimensional development, offering orientation and meaning, relational qualities. After defining the terms „psychotherapy“, „counselling“, and „education“ we present our concept for the Integral Gestalt Approach which we have developed and evaluated for many years by dealing with four questions: (1 the intentions and tasks of therapy and counselling, (2 the formation of communication and relationship, (3 the specific way of defining problems and using diagnostics, and (4 the strategies and methods – all related back to the major requirements of an integral concept.

Alcoholism and Self-Responsibility: The Gestalt Approach.

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Graceffo, Samuel A.

1979-01-01

The Gestalt concept of self-responsibility is the acknowledgement by the individual that he/she is the author of all behavior. The behavior of the alcoholic is contrasted with the self-responsible individual. Clinical application of Gestalt therapy techniques to alcoholism is demonstrated and discussed with case illustrations. (Author)

Gestalt Approaches to Conjoint Therapy

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Kelly, Brian J.; Gill, John D.

1978-01-01

An alternative to individual counseling is marriage and family counseling. It is the preferred mode of treatment for all but the social isolate. The specific methods by which persons avoid healthy contacts are discussed, as are counseling methodologies which are based on Gestalt and family systems theory. (Author)

Looking at Gestalt Group Impact: An Experiment.

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Serok, Shraga; Bar, Ruth

1984-01-01

Tested the impact of gestalt group therapy on aspects of self-concept in graduate students (N=33). Results showed a significant rise in decisiveness, general adaptation and self-criticism in the gestalt group as compared to the control groups and showed no significant changes in the self-identification and self-acceptance parameters. (LLL)

Transactional Analysis and Gestalt Therapy Used in Conjunction with Group Counseling for Married Couples

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Sisson, P. Joe; And Others

1977-01-01

This study investigated the effects of combining Transactional Analysis and Gestalt therapy with group counseling for married couples. Six treatment couples and 12 control group members were pre/post administered the Tennessee Self-Concept Scale to assess changes in the level of their self-esteem. There were some significant results. (Author/JEL)

Gestalt Therapy Applied: A Case Study with an Inpatient Diagnosed with Substance Use and Bipolar Disorders.

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Aiach Dominitz, Valerie

2017-01-01

The aim of the present paper is to open the discourse regarding the unmet needs of specific patients, especially those with substance use disorder and/or personality disorder where 'multimorbidities', and/or 'overdiagnosis' and/or 'diagnosis overlap' are frequent. An additional aim is to review the main therapeutic purpose and concepts of Gestalt therapy which might be appropriate in the treatment of these patients often characterized by their difficulties in being aware and in contact in the 'here and now'. I first start with an overview of Gestalt therapy concepts. Then, I illustrate Gestalt's 'here and now' and awareness concepts applied during 18 sessions with an inpatient diagnosed with substance use and bipolar disorders. In addition, the patient had to face an open criminal charge, was regarded as having an antisocial personality disorder and argued suffering from post-traumatic stress disorder. After this two-month therapy period, the patient entered for the first time a daily rehabilitation program in the community, where he was doing well (this after a few prior hospitalizations). The awareness development in the 'here and now' through which different contact styles and cycles of experiences are experienced is a process that allowed the patient to start experiencing contact with himself, his true needs and his environment. This contributed to his well-being improvement, led and supported his rehabilitation and reinsertion within the society and decrease his relapses, either with drugs or criminal activities. Copyright © 2016 John Wiley & Sons, Ltd. People with substance use disorder (where 'multimorbidities', 'overdiagnosis' or 'diagnosis overlap' are frequent), people with personality disorder(s) or people who have difficulties in defining what really disturbs them are the same people who could benefit of GT encouraging awareness and contact development in the 'here and now'. Gestalt therapy should not be regarded as a practitioner's toolbox but as a

Gestalt přístup a jeho využití ve školství

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Vobořilová, Marcela

2009-01-01

The main goal of this work is to provide information for readers (mainly from "teachers field") about possibility of using Gestalt therapy in education and to inspire reader to use the Gestalt approach mainly to improve relationship in classrooms as well as for using this approach for growth of their own personality. First chapter is focused on theoretical basics of Gestalt therapy, on its history and background and on Gestalt cycle. This part is strictly theoretic, but necessary for understa...

Perls with Gloria Re-reviewed: Gestalt Techniques and Perls's Practices.

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Dolliver, Robert H.

1991-01-01

Reviews the filmed interview with Gloria by Perls (1965) which demonstrated some standard Gestalt therapy techniques and presents examples from film. Identifies discrepancies between Perls's description of Gestalt therapeutic processes and his interview behavior. Makes reflections on the inherent difficulties with the concept of the emerging…

Playing Games with Games People Play. Contributions of Gestalt Theory to Individual Counseling. Self-Discovery through Art: A Group Experience. A Review of Personal Research on Experimental-Gestalt Growth Groups. Gestalt Dreamwork as a Method for Self Discovery.

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Guinan, James F.; And Others

The existential Gestalt approach to facilitating the human growth process is discussed, from somewhat different vantage points, in these papers. Two seek to elaborate the basic principles and facilitating "techniques" of Gestalt therapy, while maintaining that one can truly understand only by experiencing. The use of Focus Groups, in which a focal…

The Gestalt approach to stuttering.

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Kaplan, N R; Kaplan, M L

1978-02-01

This article describes the application of Gestalt therapy concepts to the treatment of stuttering. Within this framework stuttering is seen as an organized self-system rather than a symptom. This self-system is maintained and reinforced by the stutter's experience of this physical self, self-expectancies, self-messages, projections on others, and total viewing of self as a limited and inadequate person. The individual enmeshes himself or herself into this system and restricts himself to familiar behaviors, in this case stuttering, because he has no framework for other ways of functioning. The Gestalt therapeutic framework as a basis of unlocking the individual's limited style of functioning is explored.

The Impact of Gestalt Group Psychotherapy on Parents' Perceptions of Children Identified as Problematic.

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Little, Linda F.

Gestalt therapy respects parents' perceptions of their children and does not attempt to train parents to become therapists for their children. To examine the impact of Gestalt group psychotherapy on parents' perceptions of children identified as problematic, an experimental group of 10 parents participated in 10 2-hour Gestalt sessions. A group of…

Gestalt Therapy and the Therapeutic Presence of Fritz Perls: An Interview with Claudio Naranjo

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Iván Ramírez Calderón

2011-01-01

Full Text Available As exceptional witness and participant in the origin and development of the Gestalt therapy, Claudio Naranjo considers in this interview the cha- racteristics of this form of therapy, doing so from his work and his personal encounter with the man and the therapeutic figure of Fritz Perls. In the interview the experiential base and the therapeutic change elements are established, along with the therapeutic attitude, and the holistic conception of the person; also, the contrasts among academic psychology, the spiritual dimension of human beings, and the therapist’s intuition in the help rela- tionship are highlighted.

Gestalt y aprendizaje / Gestalt and learning

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Fallas Vargas, Fabrizio

2008-04-01

Full Text Available Resumen: El presente trabajo explora las principales implicaciones de la teoría Gestalt en tanto que modelo de aprendizaje. Para ello desarrolla las categorías de análisis fundamental producidas por sus exponentes fundadores, Wertheimer, Koffka, y Köhler, el concepto de pensamiento productivo, así como las reglas perceptuales derivadas de sus investigaciones empíricas. Asimismo se exploran aplicaciones pedagógicas y psicopedagógicas de la teoría, en articulación con el concepto axial de la Gestalt en términos de aprendizaje: die Einsicht, el cual es elaborado en forma crítica.Abstract: This paper explores the main implications of Gestalt theory as a model of learning. To achieve that purpose, it develops the categories of fundamental analysis conceived by it´s founders: Wertheimer, Koffka, and Köhler. It also develops the concept of productive thinking, as well as the rules of perception derived from their empirical investigations. Likewise, it explores pedagogical and psychopedagogical applications of the theory, articulated with the axial concept of Gestalt theory, in terms of learning: die Einsicht, which is elaborated in a critical approach.

An outcome study of gestalt-oriented growth workshops.

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Leung, Grace Suk Man; Leung, Timothy Yuk Ki; Ng, Monica Lai Tuen

2013-01-01

Compared to other intervention modalities, there are relatively few outcome studies of gestalt therapy. This study aimed to address this gap by evaluating the therapeutic effects of four gestalt-oriented group workshops designed to enhance well-being in professionals trained as social workers, counselors, and psychologists. The results of this preliminary, uncontrolled study indicated that the 55 participants had better emotional well-being and experienced a heightened sense of hope following the workshops. The factors leading to these positive outcomes are discussed.

Guidelines for Training in Advanced Gestalt Therapy Skills.

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Holiman, Marjorie; Engle, David

1989-01-01

Describes guidelines for gestalt training emphasizing observation of novice and expert therapists, opportunities to practice skills, and procedures to provide trainees with immediate feedback. Claims three methods of evaluation are useful to trainees: publicly monitoring progress; increasing specificity of feedback; and helping trainees to…

Use of Gestalt Therapy Within a Drug Treatment Program.

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Sideroff, Stephen I.

1979-01-01

Presents a Gestalt therapeutic approach that has shown promise within a drug treatment program. The major issues discussed include the acquisition of self-support, taking responsibility, dealing with anxiety, contact, and the expression of pent-up feelings. (Author)

[A scientific-cultural approach to the Gestalt concept].

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Huneeus, F

1976-06-01

In the descriptions of the gestalt process formulated by F. S. Perls (Gestalt Therapy Verbatim, Real People Press, Lafayette, 1969) and other gestalt psychologists, it appears as if the gestalt formation was a general and universal tendency of living and non living matter as well. Broadly speaking, they state that a gestalt is something that in itself wants to be formed and completed, something which emerges as a distinct entity (figure) from a undifferentiated environment (background). From experience we know that perceptions of any kind, have this as a prerequisite: the perceived object or process has to out of equilibrium with the environment, otherwise it remains undetectable. On the other hand, the second law of thermodynamics prescribes that the tendency for spontaneous isolated processes is exactly the opposite. With time, processes tend towards equilibrium, things tend to equalize, heterogeneity tends to become homogeneity, order into disorder. Thus these two very important "rules of the game" for natural processes are seemingly contradictory. While one states that matter tends to differentiate into figure and ground, the other states that exactly the opposite is what will occur - with time, all distinction and differentiation will disappear. Of the many problems posed by biological entities to the physical sciences, their obvious differentiation within the growth span of the organism, is a flagrant violation of the second law and hence they, as a whole, escape the realm of thermodynamics. Only living organisms can go against the second law. Living organisms tend to form gestalts and they perceive the world through the formation of gestalt pairs. However, the first man-made creature that knowingly could obviate the results prescribed by the second law, was Maxwell's Demon. He can produce heterogeneity from homogeneity since he can handle information. In Maxwell's hypothetical experiment, his Demon can pick out fast molecules from slow molecules taking a

Do clinicians decide relying primarily on Bayesians principles or on Gestalt perception? Some pearls and pitfalls of Gestalt perception in medicine.

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Cervellin, Gianfranco; Borghi, Loris; Lippi, Giuseppe

2014-08-01

Clinical judgment is a foundation of medical practice and lies at the heart of a physician's knowledge, expertise and skill. Although clinical judgment is an active part of all medical fields, thus including diagnosis and therapy, communication and decision making, it is still poorly defined. It can be considered a synthesis of intuition (mainly based on Gestalt principles) and an analytical approach. Gestalt perception finds its rationale in the evidence that perception of any given object or experience exhibits intrinsic qualities that cannot be completely reduced to visual, auditory, tactile, olfactory, or gustatory components. Thus, perceptions are not constructed in a "bottom-up" fashion from such elements, but are instead globally perceived, in a more "top-down" fashion. Gestalt perception, if cautiously and carefully combined with structured (techno)logical tools, would permit one to defoliate the often too-many-branches built diagnostic trees, and help physicians to better develop their competency. On the other hand, the practice of evidence-based medicine lies in the integration of individual clinical expertise and judgment with the best available external clinical evidence from systematic research. This article is aimed at providing some general concepts about Gestalt perception, and to discuss some aspects of clinical practice potentially influenced by this approach.

The Application of Gestalt Principles in Classroom Teaching

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Phillips, Mark

1976-01-01

Discusses the application of principles and techniques derived from Gestalt therapy to education. Initial investigations of the results of these applications have noted significant benefits to both teachers and students, including personal control, self-knowledge and self-esteem. For journal availability, see SO 504 730. (Author/DB)

Computational gestalts and perception thresholds.

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Desolneux, Agnès; Moisan, Lionel; Morel, Jean-Michel

2003-01-01

In 1923, Max Wertheimer proposed a research programme and method in visual perception. He conjectured the existence of a small set of geometric grouping laws governing the perceptual synthesis of phenomenal objects, or "gestalt" from the atomic retina input. In this paper, we review this set of geometric grouping laws, using the works of Metzger, Kanizsa and their schools. In continuation, we explain why the Gestalt theory research programme can be translated into a Computer Vision programme. This translation is not straightforward, since Gestalt theory never addressed two fundamental matters: image sampling and image information measurements. Using these advances, we shall show that gestalt grouping laws can be translated into quantitative laws allowing the automatic computation of gestalts in digital images. From the psychophysical viewpoint, a main issue is raised: the computer vision gestalt detection methods deliver predictable perception thresholds. Thus, we are set in a position where we can build artificial images and check whether some kind of agreement can be found between the computationally predicted thresholds and the psychophysical ones. We describe and discuss two preliminary sets of experiments, where we compared the gestalt detection performance of several subjects with the predictable detection curve. In our opinion, the results of this experimental comparison support the idea of a much more systematic interaction between computational predictions in Computer Vision and psychophysical experiments.

Gestalt Theory Rearranged: Back to Wertheimer

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Shelia Guberman

2017-10-01

Full Text Available Wertheimer's seminal paper of 1923 was of gerat influence in psychology and other sciences. Wertheimer also emphasized the weaknesses of the newborn Gestalt theory: too many basic laws, and the ambiguity of definitions. At the same time, the paper contained potential solutions to these problems, in the form of a number of very important ideas, some of which were presented implicitly: perception through imitation, communicative nature of linear drawings and writings, transfer from the visual domain to motor domain, linguistic interpretation of the Gestalt. In this paper it will be shown that based on these ideas the Gestalt theory can be rearranged so that the main notions can be well defined, and the general principle of Gestalt perception, which overarches all known laws and unifies different Gestalt phenomena (the imitation principle can be introduced. The presented model of Gestalt perception is supported by fundamental neurophysiological data—the mirror neurons phenomenon and simulation theory.

Gestalt Theory Rearranged: Back to Wertheimer.

Science.gov (United States)

Guberman, Shelia

2017-01-01

Wertheimer's seminal paper of 1923 was of gerat influence in psychology and other sciences. Wertheimer also emphasized the weaknesses of the newborn Gestalt theory: too many basic laws, and the ambiguity of definitions. At the same time, the paper contained potential solutions to these problems, in the form of a number of very important ideas, some of which were presented implicitly: perception through imitation, communicative nature of linear drawings and writings, transfer from the visual domain to motor domain, linguistic interpretation of the Gestalt. In this paper it will be shown that based on these ideas the Gestalt theory can be rearranged so that the main notions can be well defined, and the general principle of Gestalt perception, which overarches all known laws and unifies different Gestalt phenomena (the imitation principle) can be introduced. The presented model of Gestalt perception is supported by fundamental neurophysiological data-the mirror neurons phenomenon and simulation theory.

Multiple Fingers - One Gestalt.

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Lezkan, Alexandra; Manuel, Steven G; Colgate, J Edward; Klatzky, Roberta L; Peshkin, Michael A; Drewing, Knut

2016-01-01

The Gestalt theory of perception offered principles by which distributed visual sensations are combined into a structured experience ("Gestalt"). We demonstrate conditions whereby haptic sensations at two fingertips are integrated in the perception of a single object. When virtual bumps were presented simultaneously to the right hand's thumb and index finger during lateral arm movements, participants reported perceiving a single bump. A discrimination task measured the bump's perceived location and perceptual reliability (assessed by differential thresholds) for four finger configurations, which varied in their adherence to the Gestalt principles of proximity (small versus large finger separation) and synchrony (virtual spring to link movements of the two fingers versus no spring). According to models of integration, reliability should increase with the degree to which multi-finger cues integrate into a unified percept. Differential thresholds were smaller in the virtual-spring condition (synchrony) than when fingers were unlinked. Additionally, in the condition with reduced synchrony, greater proximity led to lower differential thresholds. Thus, with greater adherence to Gestalt principles, thresholds approached values predicted for optimal integration. We conclude that the Gestalt principles of synchrony and proximity apply to haptic perception of surface properties and that these principles can interact to promote multi-finger integration.

Die Narratiewe terapie en die Gestalt terapie: ‘n Vergelyking tussen ‘n fenomenologiese eksistensiële benadering en ‘n sosiaal konstruksionistiese beskouing tot terapie

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Hein Delport

2011-11-01

Full Text Available The Narrative therapy and the Gestalt therapy: A comparison between a phemenological existensial approach and a social construction approach to therapy In this article the author takes a bird’s-eye view of the background and fundamentals of the narrative therapy as well as the Gestalt therapy to show similarities between these approaches in an attempt to establish a combined or complimentary approach to therapy.

Gestalt Theory and Instructional Design.

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Moore, Patrick; Fitz, Chad

1993-01-01

Offers a brief overview of Gestalt theory. Shows how six Gestalt principles (proximity, closure, symmetry, figure-ground segregation, good continuation, and similarity) can be applied to improve a reader's comprehension of a badly designed instruction module that uses several graphics. (SR)

An overview of quantitative approaches in Gestalt perception.

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Jäkel, Frank; Singh, Manish; Wichmann, Felix A; Herzog, Michael H

2016-09-01

Gestalt psychology is often criticized as lacking quantitative measurements and precise mathematical models. While this is true of the early Gestalt school, today there are many quantitative approaches in Gestalt perception and the special issue of Vision Research "Quantitative Approaches in Gestalt Perception" showcases the current state-of-the-art. In this article we give an overview of these current approaches. For example, ideal observer models are one of the standard quantitative tools in vision research and there is a clear trend to try and apply this tool to Gestalt perception and thereby integrate Gestalt perception into mainstream vision research. More generally, Bayesian models, long popular in other areas of vision research, are increasingly being employed to model perceptual grouping as well. Thus, although experimental and theoretical approaches to Gestalt perception remain quite diverse, we are hopeful that these quantitative trends will pave the way for a unified theory. Copyright © 2016 Elsevier Ltd. All rights reserved.

Gestalt Algebra—A Proposal for the Formalization of Gestalt Perception and Rendering

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Eckart Michaelsen

2014-07-01

Full Text Available Gestalt Algebra gives a formal structure suitable for describing complex patterns in the image plain. This can be useful for recognizing hidden structure in images. The work at hand refers to the laws of perceptual psychology. A manifold called the Gestalt Domain is defined. Next to the position in 2D it also contains an orientation and a scale component. Algebraic operations on it are given for mirror symmetry as well as organization into rows. Additionally the Gestalt Domain contains an assessment component, and all the meaning of the operations implementing the Gestalt-laws is realized in the functions giving this component. The operation for mirror symmetry is binary, combining two parts into one aggregate as usual in standard algebra. The operation for organization into rows, however, combines n parts into an aggregate, where n may well be more than two. This is algebra in its more general sense. For recognition, primitives are extracted from digital raster images by Lowe’s Scale Invariant Feature Transform (SIFT. Lowe’s key-point descriptors can also be utilized. Experiments are reported with a set of images put forth for the Computer Vision and Pattern Recognition Workshops (CVPR 2013 symmetry contest.

A Gestalt Point of View on Facilitating Growth in Counseling

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Harman, Robert L.

1975-01-01

If counselors are to be facilitators of client growth, it would seem essentail that they become familiar with the concept of growth and ways to facilitate it. The author defines growth from a gestalt therapy point of view and provides techniques and examples of ways to facilitate client growth. (Author)

Values in Fritz Perls's Gestalt Therapy: On the Dangers of Half-Truths.

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Cadwallader, Eva H.

1984-01-01

Examines some of the values in Perls's theory of psychotherapy, which his Gestalt Prayer epitomizes. Argues that at least five of the major value claims presupposed by his psychotherapeutic theory and practice are in fact dangerous half-truths. (JAC)

Clinical gestalt and the prediction of massive transfusion after trauma.

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Pommerening, Matthew J; Goodman, Michael D; Holcomb, John B; Wade, Charles E; Fox, Erin E; Del Junco, Deborah J; Brasel, Karen J; Bulger, Eileen M; Cohen, Mitch J; Alarcon, Louis H; Schreiber, Martin A; Myers, John G; Phelan, Herb A; Muskat, Peter; Rahbar, Mohammad; Cotton, Bryan A

2015-05-01

Early recognition and treatment of trauma patients requiring massive transfusion (MT) has been shown to reduce mortality. While many risk factors predicting MT have been demonstrated, there is no universally accepted method or algorithm to identify these patients. We hypothesised that even among experienced trauma surgeons, the clinical gestalt of identifying patients who will require MT is unreliable. Transfusion and mortality outcomes after trauma were observed at 10 U.S. Level-1 trauma centres in patients who survived ≥ 30 min after admission and received ≥ 1 unit of RBC within 6h of arrival. Subjects who received ≥ 10 units within 24h of admission were classified as MT patients. Trauma surgeons were asked the clinical gestalt question "Is the patient likely to be massively transfused?" 10 min after the patients arrival. The performance of clinical gestalt to predict MT was assessed using chi-square tests and ROC analysis to compare gestalt to previously described scoring systems. Of the 1245 patients enrolled, 966 met inclusion criteria and 221 (23%) patients received MT. 415 (43%) were predicted to have a MT and 551(57%) were predicted to not have MT. Patients predicted to have MT were younger, more often sustained penetrating trauma, had higher ISS scores, higher heart rates, and lower systolic blood pressures (all pGestalt sensitivity was 65.6% and specificity was 63.8%. PPV and NPV were 34.9% and 86.2% respectively. Data from this large multicenter trial demonstrates that predicting the need for MT continues to be a challenge. Because of the increased mortality associated with delayed therapy, a more reliable algorithm is needed to identify and treat these severely injured patients earlier. Copyright © 2015 Elsevier Ltd. All rights reserved.

Ethical Use of Gestalt Techniques.

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Given, Jane A.

The purpose of this paper is to engender a healthy respect for Gestalt theory and techniques and the use of the techniques in the client's best interest and in the interest of positive professional and self-development in the practitioner. An overview of Gestalt techniques is provided, concentrating on the two category divisions of experiments and…

Intermediate grouping on remotely sensed data using Gestalt algebra

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Michaelsen, Eckart

2014-10-01

Human observers often achieve striking recognition performance on remotely sensed data unmatched by machine vision algorithms. This holds even for thermal images (IR) or synthetic aperture radar (SAR). Psychologists refer to these capabilities as Gestalt perceptive skills. Gestalt Algebra is a mathematical structure recently proposed for such laws of perceptual grouping. It gives operations for mirror symmetry, continuation in rows and rotational symmetric patterns. Each of these operations forms an aggregate-Gestalt of a tuple of part-Gestalten. Each Gestalt is attributed with a position, an orientation, a rotational frequency, a scale, and an assessment respectively. Any Gestalt can be combined with any other Gestalt using any of the three operations. Most often the assessment of the new aggregate-Gestalt will be close to zero. Only if the part-Gestalten perfectly fit into the desired pattern the new aggregate-Gestalt will be assessed with value one. The algebra is suitable in both directions: It may render an organized symmetric mandala using random numbers. Or it may recognize deep hidden visual relationships between meaningful parts of a picture. For the latter primitives must be obtained from the image by some key-point detector and a threshold. Intelligent search strategies are required for this search in the combinatorial space of possible Gestalt Algebra terms. Exemplarily, maximal assessed Gestalten found in selected aerial images as well as in IR and SAR images are presented.

Sens et temps de la Gestalt (Gestalt theory: critical overview and contemporary relevance)

OpenAIRE

Rosenthal, Victor; Visetti, Yves-Marie

1999-01-01

Rather than mere psychological doctrine, Gestalt theory was conceived of as a general theory of form and organization deemed to lay a unified groundwork for several domains of scientific endeavor. Our aim in this article is to assess the legacy of this framework, and examine its relevance for present-day research in cognitive science. We thus survey the intellectual contexts within which Gestalt theory originated and evolved, and review some of its central features: a phenomenological approac...

Gestalt theory: implications for radiology education.

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Koontz, Nicholas A; Gunderman, Richard B

2008-05-01

The Gestalt theory of modern psychology is grounded in the ideas that holistic rather than atomistic approaches are necessary to understand the mind, and that the mental whole is greater than the sum of its component parts. Although the Gestalt school fell out of favor due to its descriptive rather than explanatory nature, it permanently changed our understanding of perception. For the radiologist, such fundamental Gestalt concepts as figure-ground relationships and a variety of "grouping principles" (the laws of closure, proximity, similarity, common region, continuity, and symmetry) are ubiquitous in daily work, not to mention in art and personal life. By considering the applications of these principles and the stereotypical ways in which humans perceive visual stimuli, a radiology learner may incur fewer errors of diagnosis. This article serves to introduce several important principles of Gestalt theory, identify examples of these principles in widely recognizable fine art, and highlight their implications for radiology education.

Moc jako aspekt terapeutického vztahu v rámci gestalt přístupu

OpenAIRE

Krčmářová, Barbora

2013-01-01

The diploma thesis is focused on a phenomenon of power in therapy relationship in way of Gestalt approach. It's based on a relationship concept between psychotherapist and client which is a fundamental factor in psychoteraphy change. The power is perceived in accordance with Michela Foucalt's theory as a natural and necessary relational phenomenon. In Gestalt approach intentions we pursue ways, in which the psychoterapist is aware his power, how he gets in touch and how he deals with it. Dipl...

Gestalt psychology: the forgotten paradigm in abnormal psychology.

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Silverstein, Steven M; Uhlhaas, Peter J

2004-01-01

Gestalt views of psychopathology are almost completely ignored in mainstream psychology and psychiatry. However, a review of available evidence indicates a remarkable consistency between these views and current data from experimental psychopathology and cognitive neuroscience. This consistency is especially pronounced in the area of schizophrenia. In addition, there is a convergence of cognitive and neurobiological evidence regarding the validity of early Gestalt views of both normal brain-behavior relationships and disordered ones, as in schizophrenia. This article reviews some contributions of Gestalt psychology regarding schizophrenia and examines these views in light of more recent findings from cognitive psychology, cognitive neuroscience, and experimental psychopathology. We conclude that Gestalt theory is a viable theoretical framework from which to understand schizophrenia. Specifically, it appears that a breakdown of Gestalt organizational processes may characterize both the cognitive and the brain processes in schizophrenia.

Mind's response to the body's betrayal: Gestalt/Existential therapy for clients with chronic or life-threatening illnesses.

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Imes, Suzanne A; Clance, Pauline Rose; Gailis, Andra T; Atkeson, Ellen

2002-11-01

In the literature on chronic or life-threatening illness, there is an overriding emphasis on clients' psychological coping styles and how they relate to psychological functioning. By contrast, in our approach, we look at the subjective mind/body experiences that clients have of their illness and how their lives are impacted by their illness. As psychotherapists, we address their existential distress, pain, body experience, thoughts, and feelings, as well as their efforts to cope or find meaning in their illness. We summarize Gestalt/Existential therapy for chronic illness, illustrate the approach with three case-vignettes, and stress the importance of attending to each client's unique responses to illness. Copyright 2002 Wiley Periodicals, Inc.

Gestalt and Totality. The Case of Merleau-Ponty and Gestalt Psychology

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Nilsen, Håvard

2008-12-01

Full Text Available Connected via Merleau-Ponty’s pupil Claude Lefort, Castoriadis followed many of Merleau-Ponty’s main theoretical themes, phenomenology and psychology. In this paper, a little acknowledged aspect of Merleau-Ponty’s philosophy is presented, specifically how he used Gestalt psychology as a crucial part of his theoretical project. Today, Gestalt psychology is usually only mentioned in introductory courses in psychology, in the chapters on perception. At the beginning of the 20th century, however, they were widely debated as an attempt at transforming positivism and scientific epistemology. The aim of this paper is to show a largely forgotten, but significant source of influence in intellectual history and 20th century philosophy.

APLIKASI PRINSIP GESTALT PADA MEDIA DESAIN KOMUNIKASI VISUAL

OpenAIRE

Bing Bedjo Tanudjaja

2005-01-01

The Gestalt principle introduced around 1920 by Max Wertheimer is a general description for a concept which unifies different possibilities in design. Knowledge of Gestalt principle and visual perception helps as vital visual method in the development of visual strategy in graphic design and visual communication design today. Abstract in Bahasa Indonesia : Prinsip Gestalt yang diperkenalkan pada sekitar tahun 1920 oleh Max Wertheimer merupakan deskripsi secara umum untuk konsep yang membuat k...

Perceptual Grouping via Untangling Gestalt Principles

DEFF Research Database (Denmark)

Qi, Yonggang; Guo, Jun; Li, Yi

2013-01-01

the importance of Gestalt rules by solving a learning to rank problem, and formulate a multi-label graph-cuts algo- rithm to group image primitives while taking into account the learned Gestalt confliction. Our experiment results confirm the existence of Gestalt confliction in perceptual grouping and demonstrate...... confliction, i.e., the relative importance of each rule compared with another, remains unsolved. In this paper, we investigate the problem of perceptual grouping by quantifying the confliction among three commonly used rules: similarity, continuity and proximity. More specifically, we propose to quantify...... an improved performance when such a conflic- tion is accounted for via the proposed grouping algorithm. Finally, a novel cross domain image classification method is proposed by exploiting perceptual grouping as representation....

The Compatibility of Feminist Theology and Gestalt Therapy: A Study of "Practical-Values."

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Hinksman, Barrie

2001-01-01

An on-going theoretical issue for pastoral counseling concerns the integration of psychological and theological concepts. The possibility of exploring the compatibility of Gestalt psychotherapy and feminist theology is considered with reference to the 'practical-values' of each, and it is proposed that there is significant common ground between…

Pastoral Group Counselling at a High Security Prison in Israel: Integrating Pierre Janet's Psychological Analysis with Fritz Perls' Gestalt Therapy.

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Brown, Paul; Brown, Marta

2015-03-01

This is a report of a short-term, pastoral counselling group conducted with Jewish internees in a high security prison in Israel. It was held as an adjunct to daily secular individual and group counselling and rehabilitation run by the Department of Social Work. Pastoral counselling employed spiritual and psychosocial methodologies to reduce anger, improve prisoner frustration tolerance, and develop a sense of self-efficacy and communal identity. It combined semi-didactic scriptural input with Pierre Janet's personality model, Fritz Perls' gestalt therapy, and analysis of the group process. © The Author(s) 2015 Reprints and permissions:sagepub.co.uk/journalsPermissions.nav.

An examination of Gestalt contact styles, anger and anxiety levels of headache and non headache groups (Turkish

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Çiğdem Kudiaki

2018-03-01

Full Text Available Object: In migraine and tension type headaches, which constitute the largest part of primary headache disorders, the importance of psychological factors and psychotherapy applications are reported consistently. In the gestalt therapy approach, studies on physical disorders and body have a special precaution and it is assumed that the physical disorders that are highly related to psychological factors such as headache may be related to Gestalt contact patterns. This study was conducted to investigate Gestalt contact patterns, anger and anxiety levels, and to identify variables that predict contact patterns in the groups with and without headache. Methods: In the first group, migrain and tension type headache, there were 161 (141 female/20 male participants and in the group without headache there were 126 participants (94 female/32 male. There were 287 participants in total. Data was collected through Personal Information Form, Gestalt Contact Styles Scale – Revised Form, Multidimensional Anger Scale and Beck Anxiety Inventory. Results: The comparisons of groups in terms contact styles, anger and anxiety yields that the individuals in headache group engage in retroflection, deflection and desensitization contact styles more than individuals who do not have headaches and they have higher anger and anxiety levels. Similarly, the results of the regression analysis show that the negative attitudes towards oneself, others and the world are an important predictor of retroflection and deflection contacts styles. Also, the attitude of desensitization seems to play a role in decreasing anxious reactions and decreasing quiet responses. Discussion: The results indicate that unhealthy contact styles, anger and anxiety experiences have negative effects on headache. Thus, Gestalt therapy based psychotherapy techniques can me recommended to be an important foundation for treatment of headaches.

[Ludwik Fleck and the Gestalt psychology of his time].

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Zittel, Claus

2014-01-01

The notion of 'Gestalt' plays a prominent role in Ludwik Fleck's theory of thought styles. This paper scrutinizes how Fleck adopted the concepts and even methods of Gestalt psychology that he sometimes vaguely refers to. Systematically comparing the argumentation and theoretical outlines of Fleck's social theory of perception and the principles of some Gestalt theories, this article will show and discuss their similarities and fundamental differences. According to Fleck, both science and individual perception rest on social actions and cultural traditions. In particular, Fleck emphasized the relevance of the common language and collective meanings for the shaping of objects according to the thought style of a scientific collective. In contrast to the principles of Gestalt theories, in Fleck's view not only the perception, but also the constitution of scientific objects and even the'laws' of perception depend on social and cultural constructions of reality. That leads him to a particular theory of Gestalt perception

Music, thinking, perceived motion: the emergence of Gestalt theory.

Science.gov (United States)

Wertheimer, Michael

2014-05-01

Histories of psychology typically assert that Gestalt theory began with the publication of Max Wertheimer's 1912b paper on the phi phenomenon, the compelling visual apparent motion of actually stationary stimuli. The current author discusses the origin of Gestalt theory, as told by the historical record starting with M. Wertheimer's upbringing and ending with his most recent Gestalt theories. PsycINFO Database Record (c) 2014 APA, all rights reserved.

[Significance of the gestalt, primary, and family therapy for psychoanalysis].

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Sperling, E

1978-01-01

The technical therapeutic premises and the application of gestalt-, primal- and familytherapy are investigated. It is concluded, that these premises and application attempt to do justice to the change of the patients and to the widely varied offer of serious syndromes rather than to psychoanalytic routine by "Uberinvestierung" in the patient. Not only the insistence on ego-psychology but also the emphasis on transference as the only therapeutic medium are viewed critically. The confrontation is in competition with the interpretion; The acting out can help to intensify experience. As the most important result for psychoanalytic work appears the conclusion "ex omissione".

Grouping and Emergent Features in Vision: Toward a Theory of Basic Gestalts

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Pomerantz, James R.; Portillo, Mary C.

2011-01-01

Gestalt phenomena are often so powerful that mere demonstrations can confirm their existence, but Gestalts have proven hard to define and measure. Here we outline a theory of basic Gestalts (TBG) that defines Gestalts as emergent features (EFs). The logic relies on discovering wholes that are more discriminable than are the parts from which they…

Organization of Experience among Family Members in the Immediate Present: A Gestalt/Systems Integration.

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Kaplan, Marvin L.; Kaplan, Netta R.

1982-01-01

Outlines two formulations that generate conceptual perspectives of immediate phenomena: (1) the family system has a time-enduring stability; (2) the family system has an immediate and temporary organization. Integrates systems thinking and Gestalt Therapy while recognizing individual experience as embedded in a self-maintaining system of the…

Gestalt y aprendizaje / Gestalt and learning

OpenAIRE

Fallas Vargas, Fabrizio

2008-01-01

Resumen: El presente trabajo explora las principales implicaciones de la teoría Gestalt en tanto que modelo de aprendizaje. Para ello desarrolla las categorías de análisis fundamental producidas por sus exponentes fundadores, Wertheimer, Koffka, y Köhler, el concepto de pensamiento productivo, así como las reglas perceptuales derivadas de sus investigaciones empíricas. Asimismo se exploran aplicaciones pedagógicas y psicopedagógicas de la teoría, en articulación con el concepto axial de la Ge...

A GENTLER GESTALT THERAPY: ON REDUCING STIMULATION IN ADULT SURVIVORS OF ABUSE

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Andrew Lapides

2012-04-01

Full Text Available Adult survivors of abuse require a slower progression in treatment. Profoundly abused patients suffering from pre-oedipal conditions may become overstimulated using gestalt methods. This paper will focus on reducing stimulation in the patient using methods borrowed from modern psychoanalysis, which was developed by Hyman Spotnitz. The author argues for a combined approach that emphasizes support rather then frustration in the development of the treatment process.

A gestalt approach to the science fiction novels of William Gibson

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McFarlane, Anna M.

2015-01-01

Gestalt psychologists Kurt Koffka and Wolfgang Köhler argue that human perception relies on a form, or gestalt, into which perceptions are assimilated. Gestalt theory has been applied to the visual arts by Rudolf Arnheim and to literature by Wolfgang Iser. My original contribution to knowledge is to use gestalt theory to perform literary criticism, an approach that highlights the importance of perception in William Gibson’s novels and the impact of this emphasis on posthumanism and science fi...

Gestalt perceptual organization of visual stimuli captures attention automatically: Electrophysiological evidence

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Francesco Marini

2016-08-01

Full Text Available The visual system leverages organizational regularities of perceptual elements to create meaningful representations of the world. One clear example of such function, which has been formalized in the Gestalt psychology principles, is the perceptual grouping of simple visual elements (e.g., lines and arcs into unitary objects (e.g., forms and shapes. The present study sought to characterize automatic attentional capture and related cognitive processing of Gestalt-like visual stimuli at the psychophysiological level by using event-related potentials (ERPs. We measured ERPs during a simple visual reaction time task with bilateral presentations of physically matched elements with or without a Gestalt organization. Results showed that Gestalt (vs. non-Gestalt stimuli are characterized by a larger N2pc together with enhanced ERP amplitudes of non-lateralized components (N1, N2, P3 starting around 150ms post-stimulus onset. Thus, we conclude that Gestalt stimuli capture attention automatically and entail characteristic psychophysiological signatures at both early and late processing stages.

APLIKASI GESTALT PADA DESAIN LABEL KEMASAN PRODUK AQUA

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Nova Kristiana

2018-02-01

Full Text Available Abstrak Dalam suatu produk, elemen Positioning, Differensiasi dan Brand merupakan tiga hal pokok yang harus dipertimbangkan dalam sebuah kemasan. Desain kemasan yang menarik mampu membuka ruang tersendiri di benak konsumen melalui komunikasi visual. Danone Perusahaan asal Perancis mengeluarkan desain kemasan yang khusus. Desain kemasan produk air mineral Aqua pada botol minuman ukuran 600ml, bertema ‘Temukan Indonesiamu”  dengan mengangkat tema budaya lokal Indonesia , terdiri dari 5 judul yaitu Berbagi, Santun, Ramah, Kekeluargaan, dan Gotong Royong. Dari kelima seri tersebut ada dua judul yaitu Santun dan Gotong-Royong yang dalam memvisualkannya menggunakan teori Gestalt. Penelitian ini menggunakan metode Deskriptif kualitatif dimana teori Gestalt, selanjutnya dideskripsikan dan dianalisis secara kualitatif. Hasil dari penelitian ini yaitu adanya pesan yang mendalam dari kedua desain kemasan tersebut. Kata Kunci : Desain Kemasan, Gestalt, Aqua,. Abstract In a product, Positioning, Differentiation and Brand elements are the three key points to be considered in a package. An attractive packaging design is able to open its own space in the minds of consumers through visual communication. Danone Company from France issued a special packaging design. The design of Aqua mineral water product packaging at 600ml bottle beverage, themed 'Discover Indonesiamu' with the theme of Indonesian local culture, consists of 5 titles: Sharing, Politeness, Friendly, Kinship, and Cooperation. Of the five series there are two titles namely Politeness and Cooperation which in visualizing using the theory of Gestalt. This research uses qualitative descriptive method in which Gestalt theory, hereinafter described and analyzed qualitatively. The result of this research is the deep message of both packaging design. Keywords: Packaging Design, Gestalt, Aqua.

Gestalt isomorphism and the primacy of subjective conscious experience: a Gestalt Bubble model.

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Lehar, Steven

2003-08-01

A serious crisis is identified in theories of neurocomputation, marked by a persistent disparity between the phenomenological or experiential account of visual perception and the neurophysiological level of description of the visual system. In particular, conventional concepts of neural processing offer no explanation for the holistic global aspects of perception identified by Gestalt theory. The problem is paradigmatic and can be traced to contemporary concepts of the functional role of the neural cell, known as the Neuron Doctrine. In the absence of an alternative neurophysiologically plausible model, I propose a perceptual modeling approach, to model the percept as experienced subjectively, rather than modeling the objective neurophysiological state of the visual system that supposedly subserves that experience. A Gestalt Bubble model is presented to demonstrate how the elusive Gestalt principles of emergence, reification, and invariance can be expressed in a quantitative model of the subjective experience of visual consciousness. That model in turn reveals a unique computational strategy underlying visual processing, which is unlike any algorithm devised by man, and certainly unlike the atomistic feed-forward model of neurocomputation offered by the Neuron Doctrine paradigm. The perceptual modeling approach reveals the primary function of perception as that of generating a fully spatial virtual-reality replica of the external world in an internal representation. The common objections to this "picture-in-the-head" concept of perceptual representation are shown to be ill founded.

A Intervenção Psicopedagógica pelo viés da Gestalt-Terapia

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Lucineide Fernandes Moraes

2016-01-01

Full Text Available O presente artigo propõe questionamentos e reflexões acerca do atendimento psicopedagógico sob a perspectiva da Gestalt-Terapia. Nosso objetivo é mostrar que o processo de crescimento do ser humano pode ser pautado numa relação integradora com seu ambiente, na medida em que este não lhe for apresentado de maneira hostil e amedrontadora. A prática da psicopedagogia se aplica à aprendizagem, seja ela de caráter individual, grupal ou institucional.  Lembramos que a aprendizagem se inicia desde o primeiro contato do sujeito com o mundo externo e se perpetua por toda a vida, portanto é imprescindível levar em conta os acontecimentos desde a infância à vida adulta, o que nos faz considerar a aprendizagem “ad eterno”. A Gestalt-Terapia muito contribui para esta reflexão, na medida em que traz como pressuposto a concepção de que o homem é um ser-em-relação com o mundo, repleto de potencialidades e capaz de dar sentido à sua existência, a partir de suas percepções e experiências no contato com o mundo. Cabe, portanto, a nós – educadores, pais, adultos e profissionais da saúde – proporcionarmos meios favoráveis a uma interação humana mais produtiva, inclusive no que toca à aprendizagem. The pedagogical intervention the bias of therapy gestaltABSTRACT: This article proposes questions and reflections about the educational psychology service from the perspective of Gestalt Therapy. Our goal is to show that the human growth process can be guided in an inclusive relationship with their environment, to the extent that this is not presented him hostile and frightening way. The practice of educational psychology applies to learning, be it individual, group or institutional character. We remember that learning begins from the first contact of the subject with the outside world and lasts for a lifetime, so it is essential to take account of events from childhood to adulthood, which makes us consider learning "eternal ad

Teori Belajar Menurut Aliran Psikologi Gestalt Serta Implikasinya Dalam Proses Pembelajaran

OpenAIRE

Novalita, Rahmi

2015-01-01

Psikologi Gestalt merupakan salah satu aliran psikologi yang mempelajari suatu gejala sebagai suatu keseluruhan atau totalitas, data-data dalam psikologi Gestalt disebut sebagai Fenomena (gejala). Prinsip Dasar Gestalt yaitu;a) Interaksi antara individu dan lingkungan disebut sebagai perceptual field. Setiap perceptual field memiliki organisasi, yang cenderung dipersepsikan oleh manusia sebagai figure and ground. Oleh karena itu kemampuan persepsi ini merupakan fungsi bawaan manusia, bukan sk...

Qi Gong exercises and Feldenkrais method from the perspective of Gestalt concept and humanistic psychology.

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Posadzki, Paul; Stöckl, Andrea; Mucha, Dariusz

2010-07-01

This study describes two similar approaches to human movement: Qi Gong exercises and the Feldenkrais method. These systems are investigated in terms of Gestalt concepts and humanistic psychology. Moshe Feldenkrais created the concept known as Awareness Through Movement. This concept assumes that by becoming more aware of one's movements, one functions at a higher level. In similar ways to those using the Feldenkrais method, individuals may become more aware of their own movements by performing Qi Gong exercises: A therapeutic modality that facilitates mind-body integration. Qi Gong exercises commonly lead to increased personal awareness accompained by enhanced quality, fluency and smoothness of movement. These two methods of movement therapies are explored in terms of their relations with Gestalt concept and humanistic psychology. (c) 2008. Published by Elsevier Ltd. All rights reserved.

Applying Gestalt therapy principles in counseling a female orienteer Využití principů Gestalt terapie v poradenství pro orientační běžkyni

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Dana Bednářová

2009-03-01

Full Text Available The article aims to suggest how a Gestalt therapy (GT framework can be applied in sport psychology consultations and research. An explanation of GT's theoretical basis (Perls, Heff erline, & Gododman, 2004 and its three pillars (the field theory, phenomenology and the existential dialogue is followed by a concrete example of its application in a particular performance analysis of a selected youthful orienteer. It is expected that this runner can get a restructured view of her strengths and weaknesses by acknowledging and becoming aware of her actions in successful as well as in failed performances. Since the research topic is relevant and significant only for athletes with the specified experience, a focussed sample has been drawn (Giorgi, 2005; Stake, 2005. In this article, the selected participant is an elite level 16 year old female orienteer who has reached medal positions in national and international competitions. Following GT principles (the field theory, phenomenology, a horizontal level of work in existential dialogue, a phenomenological interview (Pollio, Henley, & Thompson, 1997 was conducted. This case study shows that GT techniques assist the orienteer in benefitting from experience she gained through both successful as well as failed performances. The runner spotted discrepancies between them and figured out that "a step by step" navigation (secure attack points would support her performance. Importantly, it was the runner who became aware of how she influences her performance in a positive as well as in a negative way, regardless of the fact that she used to be taught such a strategy before. Instead of getting advice from coaches, the runner formulated it herself. The crucial contribution of Gestalt therapy principles application to sports consists of encouraging athletes to take their own initiative, acknowledge and fully realize the relationship between actions and performance outcome, thereby getting the chance to participate

Bilateral theta-burst TMS to influence global gestalt perception.

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Bernd Ritzinger

Full Text Available While early and higher visual areas along the ventral visual pathway in the inferotemporal cortex are critical for the recognition of individual objects, the neural representation of human perception of complex global visual scenes remains under debate. Stroke patients with a selective deficit in the perception of a complex global Gestalt with intact recognition of individual objects - a deficit termed simultanagnosia - greatly helped to study this question. Interestingly, simultanagnosia typically results from bilateral lesions of the temporo-parietal junction (TPJ. The present study aimed to verify the relevance of this area for human global Gestalt perception. We applied continuous theta-burst TMS either unilaterally (left or right or bilateral simultaneously over TPJ. Healthy subjects were presented with hierarchically organized visual stimuli that allowed parametrical degrading of the object at the global level. Identification of the global Gestalt was significantly modulated only for the bilateral TPJ stimulation condition. Our results strengthen the view that global Gestalt perception in the human brain involves TPJ and is co-dependent on both hemispheres.

Gestalt Theory in Visual Screen Design — A New Look at an old subject

OpenAIRE

Chang, D.; Dooley, L.; Tuovinen, J. E

2002-01-01

Although often presented as a single basis for educational visual screen design, Gestalt theory is not a single small set of visual principles uniformly applied by all designers. In fact, it appears that instructional visual design literature often deals with only a small set of Gestalt laws. In this project Gestalt literature was consulted to distil the most relevant Gestalt laws for educational visual screen design. Eleven laws were identified. They deal with balance/symmetry, continuation,...

Image processing analysis of traditional Gestalt vision experiments

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McCann, John J.

2002-06-01

In the late 19th century, the Gestalt Psychology rebelled against the popular new science of Psychophysics. The Gestalt revolution used many fascinating visual examples to illustrate that the whole is greater than the sum of all the parts. Color constancy was an important example. The physical interpretation of sensations and their quantification by JNDs and Weber fractions were met with innumerable examples in which two 'identical' physical stimuli did not look the same. The fact that large changes in the color of the illumination failed to change color appearance in real scenes demanded something more than quantifying the psychophysical response of a single pixel. The debates continues today with proponents of both physical, pixel-based colorimetry and perceptual, image- based cognitive interpretations. Modern instrumentation has made colorimetric pixel measurement universal. As well, new examples of unconscious inference continue to be reported in the literature. Image processing provides a new way of analyzing familiar Gestalt displays. Since the pioneering experiments by Fergus Campbell and Land, we know that human vision has independent spatial channels and independent color channels. Color matching data from color constancy experiments agrees with spatial comparison analysis. In this analysis, simple spatial processes can explain the different appearances of 'identical' stimuli by analyzing the multiresolution spatial properties of their surrounds. Benary's Cross, White's Effect, the Checkerboard Illusion and the Dungeon Illusion can all be understood by the analysis of their low-spatial-frequency components. Just as with color constancy, these Gestalt images are most simply described by the analysis of spatial components. Simple spatial mechanisms account for the appearance of 'identical' stimuli in complex scenes. It does not require complex, cognitive processes to calculate appearances in familiar Gestalt experiments.

With Doug: an Eastern Orthodox--Gestalt framework for pastoral psychotherapy in the armed forces.

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Alexander, David

2013-01-01

In military behavioral healthcare, a short-term, solutions-focused system often privileges cognitive techniques over existential, affective, or psychodynamic approaches to care. Pastoral psychotherapy, which often privileges existential and person-centered care, has the potential to prove a pivotal complement in treating the whole person. This article offers an existential approach to pastoral psychotherapy in the military using integrated concepts and applications from Gestalt Therapy and Eastern Orthodox pastoral care.

Gestalt Principles for Attention and Segmentation in Natural and Artificial Vision Systems

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Kootstra, Gert; Bergström, Niklas; Kragic, Danica

2011-01-01

Gestalt psychology studies how the human visual system organizes the complex visual input into unitary elements. In this paper we show how the Gestalt principles for perceptual grouping and for figure-ground segregation can be used in computer vision. A number of studies will be shown that demonstrate the applicability of Gestalt principles for the prediction of human visual attention and for the automatic detection and segmentation of unknown objects by a robotic system. QC 20111115 E...

Local and Global Gestalt Laws: A Neurally Based Spectral Approach.

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Favali, Marta; Citti, Giovanna; Sarti, Alessandro

2017-02-01

This letter presents a mathematical model of figure-ground articulation that takes into account both local and global gestalt laws and is compatible with the functional architecture of the primary visual cortex (V1). The local gestalt law of good continuation is described by means of suitable connectivity kernels that are derived from Lie group theory and quantitatively compared with long-range connectivity in V1. Global gestalt constraints are then introduced in terms of spectral analysis of a connectivity matrix derived from these kernels. This analysis performs grouping of local features and individuates perceptual units with the highest salience. Numerical simulations are performed, and results are obtained by applying the technique to a number of stimuli.

Implications of a Gestalt Approach to Research in Visual Communications.

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Becker, Ann

Gestalt theory deals with the act of thinking and the construction of concepts in a situated manner, and, therefore, could be used to study how meaning is extracted from a visual display. Using the Gestalt framework of form cues and their usage patterns in the perception of, and learning from, visual media, researchers could study frame, line…

Wittgenstein on Köhler and Gestalt psychology: a critique.

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Pastore, N

1991-10-01

Wittgenstein's objections to Köhler and gestalt psychology are critically examined. Principal features of Köhler's Gestalt Psychology are discussed that are relevant to Wittgenstein's views. They include Köhler's concepts of "subjective" and "objective" experiences, "sensory organization," and "empiristic theory." Wittgenstein's objections, which focus on the concept of sensory organization, are examined. Wittgenstein employs the term "aspect," which is derived from the findings of gestalt psychology, as a replacement for Köhler's term "sensory organization." After tracing his uses of aspect, it is shown that aspect is a superordinate entity distinct from 'sensory content' (colors and shapes). This dualism of aspect and sensory content is of the same kind that prevailed in the empiristic theory of visual perception. Wittgenstein's adherence to the empiristic theory is discussed. Finally, the difference between Wittgenstein's aspect and Köhler's sensory organization is examined.

Gestalt theory reconfigured: Max Wertheimer's anticipation of recent developments in visual neuroscience.

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Westheimer, G

1999-01-01

In the 1920s Max Wertheimer enunciated a credo of Gestalt theory: the properties of any of the parts are governed by the structural laws of the whole. Intense efforts at the time to discover these laws had only very limited success. Psychology was in the grips of the Fechnerian tradition to seek exact relationships between the material and the mental and, because the Gestalt movement could not deliver these, it never attained a major standing among students of perception. However, as neurophysiological research into cortical processing of visual stimuli progresses the need for organizing principles is increasingly making itself felt. Concepts like contour salience and figure segregation, once the province of Gestalt psychology, are now taking on renewed significance as investigators combine neural modeling and psychophysical approaches with electrophysiological ones to characterize neural mechanisms of cognition. But it would be perilous not to take heed of some of the lessons that the history of the Gestalt movement teaches.

Gestalt Breastfeeding: Helping Mothers and Infants Optimize Positional Stability and Intraoral Breast Tissue Volume for Effective, Pain-Free Milk Transfer.

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Douglas, Pamela; Keogh, Renee

2017-08-01

In the past decade, biological nurturing and activation of maternal and infant instincts after birth have constituted a major advance in clinical breastfeeding support. Yet, physiologic breastfeeding initiation is not enough to ensure ongoing pain-free and effective breastfeeding for many pairs. Current interventions, including "hands-off" mammalian approaches, do not improve breastfeeding outcomes, including in randomized controlled trials. Back-arching, difficulty latching or staying on the breast, and fussing at the breast are common signs of infant positional instability during breastfeeding. These cues are, however, often misdiagnosed as signs of medical conditions or oral connective tissue abnormalities, and underlying positional instability is not addressed. New clinical approaches are urgently required. This article offers a clinical approach to fit and hold (or latch and positioning)- gestalt breastfeeding, which aims to optimize positional stability and intraoral breast tissue volumes for pain-free effective breastfeeding. The word gestalt (pronounced "ger-shtolt") means a whole that is more than the sum of its parts. Gestalt breastfeeding builds on the theoretical foundations of complexity science, physiologic breastfeeding initiation, and new understandings of the biomechanics of infant suck elucidated in ultrasound studies. It also integrates simple psychological strategies from applied functional contextualism, popularly known as Acceptance and Commitment Therapy, empowering women to attend mindfully to breast sensations and their infant's cues. Gestalt breastfeeding can be reproduced for research purposes, including in comparison studies with oral surgery, and has the potential to improve breastfeeding outcomes.

Gestalt Processing in Human-Robot Interaction: A Novel Account for Autism Research

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Maya Dimitrova

2015-12-01

Full Text Available The paper presents a novel analysis focused on showing that education is possible through robotic enhancement of the Gestalt processing in children with autism, which is not comparable to alternative educational methods such as demonstration and instruction provided solely by human tutors. The paper underlines the conceptualization of cognitive processing of holistic representations traditionally named in psychology as Gestalt structures, emerging in the process of human-robot interaction in educational settings. Two cognitive processes are proposed in the present study - bounding and unfolding - and their role in Gestalt emergence is outlined. The proposed theoretical approach explains novel findings of autistic perception and gives guidelines for design of robot-assistants to the rehabilitation process.

Gestalt Reasoning with Conjunctions and Disjunctions.

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Dumitru, Magda L; Joergensen, Gitte H

2016-01-01

Reasoning, solving mathematical equations, or planning written and spoken sentences all must factor in stimuli perceptual properties. Indeed, thinking processes are inspired by and subsequently fitted to concrete objects and situations. It is therefore reasonable to expect that the mental representations evoked when people solve these seemingly abstract tasks should interact with the properties of the manipulated stimuli. Here, we investigated the mental representations evoked by conjunction and disjunction expressions in language-picture matching tasks. We hypothesised that, if these representations have been derived using key Gestalt principles, reasoners should use perceptual compatibility to gauge the goodness of fit between conjunction/disjunction descriptions (e.g., the purple and/ or the green) and corresponding binary visual displays. Indeed, the results of three experimental studies demonstrate that reasoners associate conjunction descriptions with perceptually-dependent stimuli and disjunction descriptions with perceptually-independent stimuli, where visual dependency status follows the key Gestalt principles of common fate, proximity, and similarity.

A Century of Gestalt Psychology in Visual Perception: II. Conceptual and Theoretical Foundations

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Wagemans, Johan; Feldman, Jacob; Gepshtein, Sergei; Kimchi, Ruth; Pomerantz, James R.; van der Helm, Peter A.; van Leeuwen, Cees

2012-01-01

Our first review article (Wagemans et al., 2012) on the occasion of the centennial anniversary of Gestalt psychology focused on perceptual grouping and figure-ground organization. It concluded that further progress requires a reconsideration of the conceptual and theoretical foundations of the Gestalt approach, which is provided here. In…

A Century of Gestalt Psychology in Visual Perception I. Perceptual Grouping and Figure-Ground Organization

OpenAIRE

Wagemans, Johan; Elder, James H.; Kubovy, Michael; Palmer, Stephen E.; Peterson, Mary A.; Singh, Manish; von der Heydt, Rüdiger

2012-01-01

In 1912, Max Wertheimer published his paper on phi motion, widely recognized as the start of Gestalt psychology. Because of its continued relevance in modern psychology, this centennial anniversary is an excellent opportunity to take stock of what Gestalt psychology has offered and how it has changed since its inception. We first introduce the key findings and ideas in the Berlin school of Gestalt psychology, and then briefly sketch its development, rise, and fall. Next, we discuss its empiri...

Gestalt Practice and Arts-Based Training for Leadership, Innovation and Change Management Skills

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Liotas, Naoum

2014-01-01

Gestalt practice and arts-based training has been examined and evaluated using evidence from the literature and personal experience. Gestalt practice allows the training and learning process to take into account the intrapersonal as well as the interpersonal aspects of the group and the individuals involved: the resulting knowledge and…

Humanistic therapies versus other psychological therapies for depression

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Churchill, Rachel; Davies, Philippa; Caldwell, Deborah; Moore, Theresa HM; Jones, Hannah; Lewis, Glyn; Hunot, Vivien

2014-01-01

This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness and acceptability of all humanistic therapies compared with all other psychological therapy approaches for acute depression.To examine the effectiveness and acceptability of different humanistic therapy models (person-centred, gestalt, process-experiential, transactional analysis, existential and non-directive therapies) compared with all other psychological therapy approaches for acute depression.To examine the effectiveness and acceptability of all humanistic therapies compared with different psychological therapy approaches (psychodynamic, behavioural, humanistic, integrative, cognitive-behavioural) for acute depression. PMID:25278809

A Century of Gestalt Psychology in Visual Perception I. Perceptual Grouping and Figure-Ground Organization

Science.gov (United States)

Wagemans, Johan; Elder, James H.; Kubovy, Michael; Palmer, Stephen E.; Peterson, Mary A.; Singh, Manish; von der Heydt, Rüdiger

2012-01-01

In 1912, Max Wertheimer published his paper on phi motion, widely recognized as the start of Gestalt psychology. Because of its continued relevance in modern psychology, this centennial anniversary is an excellent opportunity to take stock of what Gestalt psychology has offered and how it has changed since its inception. We first introduce the key findings and ideas in the Berlin school of Gestalt psychology, and then briefly sketch its development, rise, and fall. Next, we discuss its empirical and conceptual problems, and indicate how they are addressed in contemporary research on perceptual grouping and figure-ground organization. In particular, we review the principles of grouping, both classical (e.g., proximity, similarity, common fate, good continuation, closure, symmetry, parallelism) and new (e.g., synchrony, common region, element and uniform connectedness), and their role in contour integration and completion. We then review classic and new image-based principles of figure-ground organization, how it is influenced by past experience and attention, and how it relates to shape and depth perception. After an integrated review of the neural mechanisms involved in contour grouping, border-ownership, and figure-ground perception, we conclude by evaluating what modern vision science has offered compared to traditional Gestalt psychology, whether we can speak of a Gestalt revival, and where the remaining limitations and challenges lie. A better integration of this research tradition with the rest of vision science requires further progress regarding the conceptual and theoretical foundations of the Gestalt approach, which will be the focus of a second review paper. PMID:22845751

A century of Gestalt psychology in visual perception: I. Perceptual grouping and figure-ground organization.

Science.gov (United States)

Wagemans, Johan; Elder, James H; Kubovy, Michael; Palmer, Stephen E; Peterson, Mary A; Singh, Manish; von der Heydt, Rüdiger

2012-11-01

In 1912, Max Wertheimer published his paper on phi motion, widely recognized as the start of Gestalt psychology. Because of its continued relevance in modern psychology, this centennial anniversary is an excellent opportunity to take stock of what Gestalt psychology has offered and how it has changed since its inception. We first introduce the key findings and ideas in the Berlin school of Gestalt psychology, and then briefly sketch its development, rise, and fall. Next, we discuss its empirical and conceptual problems, and indicate how they are addressed in contemporary research on perceptual grouping and figure-ground organization. In particular, we review the principles of grouping, both classical (e.g., proximity, similarity, common fate, good continuation, closure, symmetry, parallelism) and new (e.g., synchrony, common region, element and uniform connectedness), and their role in contour integration and completion. We then review classic and new image-based principles of figure-ground organization, how it is influenced by past experience and attention, and how it relates to shape and depth perception. After an integrated review of the neural mechanisms involved in contour grouping, border ownership, and figure-ground perception, we conclude by evaluating what modern vision science has offered compared to traditional Gestalt psychology, whether we can speak of a Gestalt revival, and where the remaining limitations and challenges lie. A better integration of this research tradition with the rest of vision science requires further progress regarding the conceptual and theoretical foundations of the Gestalt approach, which is the focus of a second review article.

Oscillatory Dynamics of Gestalt Perception in Schizophrenia Revisited

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Kevin M Spencer

2014-02-01

Full Text Available Background: Abnormalities in γ oscillations (30-100 Hz in the scalp-recorded electroencephalogram (EEG have been proposed to reflect neural circuitry abnormalities in schizophrenia. Oscillations in the γ band are thought to play an important role in visual perception, mediating the binding of visual features into coherent objects. However, there is relatively little evidence to date of deficits in γ-mediated processes associated with Gestalt perception in schizophrenia.Methods: Fourteen healthy control subjects (HC and 17 chronic schizophrenia patients (SZ discriminated between illusory Kanisza Squares and No-Square control stimuli, indicating their judgment with a manual button press. Time-frequency decomposition of the EEG was computed with the Morlet wavelet transform. Time-frequency maps of phase locking factor (PLF values were calculated for stimulus- and response-locked oscillations.Results: HC and SZ did not differ in reaction time, error rate, an early ERP effect associated with Gestalt processing, nor an early visual-evoked γ oscillation. Two response-locked high γ effects had greater PLF for Square than No-Square stimuli in HC, and the reverse pattern in SZ. One of these effects was correlated with thought disorder symptom ratings in SZ.Conclusions: SZ demonstrated abnormalities in γ oscillations associated with the perception of Gestalt objects, while their early visual-evoked γ activity was mostly normal, contrary to previous results. This study supports the hypothesis that high-frequency oscillations are sensitive to aspects of psychosis.

A Century of Gestalt Psychology in Visual Perception II. Conceptual and Theoretical Foundations

OpenAIRE

Wagemans, Johan; Feldman, Jacob; Gepshtein, Sergei; Kimchi, Ruth; Pomerantz, James R.; van der Helm, Peter A.; van Leeuwen, Cees

2012-01-01

Our first review paper on the occasion of the centennial anniversary of Gestalt psychology focused on perceptual grouping and figure-ground organization. It concluded that further progress requires a reconsideration of the conceptual and theoretical foundations of the Gestalt approach, which is provided here. In particular, we review contemporary formulations of holism within an information-processing framework, allowing for operational definitions (e.g., integral dimensions, emergent feature...

Scientific Letter: Gestalt psychotherapy in the outpatient treatment of ...

African Journals Online (AJOL)

Scientific Letter: Gestalt psychotherapy in the outpatient treatment of borderline personality disorder: a case report. ... African Journal of Psychiatry. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives.

A psicologia da gestalt e a ciência empírica contemporânea

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Engelmann Arno

2002-01-01

Full Text Available Wertheimer realizou um experimento que era explicado seguindo-se fatores holísticos gestálticos, e isto há mais de noventa anos. Apesar disso, estudos recentes demonstram a vivacidade desse tipo de explicação. Basicamente, ao se observar coisas do mundo, observa-se suas formas ou melhor suas Gestalten. A seguir, pode-se dividir essas Gestalten em partes. Porém cada parte será sempre parte daquela Gestalt que lhe deu inicio e não um elemento constituinte básico. A teoria da Gestalt não é exclusivamente psicológica, como o demonstraram principalmente Wertheimer, Köhler e Koffka. Iniciou-se com um experimento sobre a visão de movimentos correspondendo a estímulos estáticos, mas continuou propondo-se inclusive, de um lado, uma Gestalt física formada da corrente elétrica gestálticas dentro de um condutor ou, de outro, uma Gestalt sociológica formada de muitos seres humanos, como o dançar de pares ao som de um samba realizado por um grupo de músicos.

A psicologia da gestalt e a ciência empírica contemporânea

Directory of Open Access Journals (Sweden)

Arno Engelmann

Full Text Available Wertheimer realizou um experimento que era explicado seguindo-se fatores holísticos gestálticos, e isto há mais de noventa anos. Apesar disso, estudos recentes demonstram a vivacidade desse tipo de explicação. Basicamente, ao se observar coisas do mundo, observa-se suas formas ou melhor suas Gestalten. A seguir, pode-se dividir essas Gestalten em partes. Porém cada parte será sempre parte daquela Gestalt que lhe deu inicio e não um elemento constituinte básico. A teoria da Gestalt não é exclusivamente psicológica, como o demonstraram principalmente Wertheimer, Köhler e Koffka. Iniciou-se com um experimento sobre a visão de movimentos correspondendo a estímulos estáticos, mas continuou propondo-se inclusive, de um lado, uma Gestalt física formada da corrente elétrica gestálticas dentro de um condutor ou, de outro, uma Gestalt sociológica formada de muitos seres humanos, como o dançar de pares ao som de um samba realizado por um grupo de músicos.

A Century of Gestalt Psychology in Visual Perception: I. Perceptual Grouping and Figure-Ground Organization

Science.gov (United States)

Wagemans, Johan; Elder, James H.; Kubovy, Michael; Palmer, Stephen E.; Peterson, Mary A.; Singh, Manish; von der Heydt, Rudiger

2012-01-01

In 1912, Max Wertheimer published his paper on phi motion, widely recognized as the start of Gestalt psychology. Because of its continued relevance in modern psychology, this centennial anniversary is an excellent opportunity to take stock of what Gestalt psychology has offered and how it has changed since its inception. We first introduce the key…

Gestalt Imagery: A Critical Factor in Language Comprehension.

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Bell, Nanci

1991-01-01

Lack of gestalt imagery (the ability to create imaged wholes) can contribute to language comprehension disorder characterized by weak reading comprehension, weak oral language comprehension, weak oral language expression, weak written language expression, difficulty following directions, and a weak sense of humor. Sequential stimulation using an…

Pendidikan Islam Inklusif-Multikultural dalam Perspektif Teori Gestalt

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Mohamad Yasin Yusuf

2014-11-01

Full Text Available Islamic education is mostly dominated by the inherited construction of classical-scholastic epistemology where there is less appreciation of the dynamics and development of life which are increasingly complex and diverse. Many religious groups have the ideology leading to the truth which is excessive, unilateral, and exclusive. This is the reason why it is important to develop a paradigm of inclusive-multicultural education, the process of developing the full potential of human beings who appreciate plurality and heterogeneity as a consequence of the diversity of cultural, ethnic, tribal and flow (religion. At this point, Gestalt theory can be used as a surgical glasses in viewing the problem. According to Gestalt theory, diversity is a part / piece of totality that must be construed as a whole, not simply interpreted in bits and pieces. Overall, it would be more meaningful than just a piece or pieces that are not obscure. Therefore, understanding pluralistic inclusive life will give understanding of exclusion in Islamic education.

Gestalt Theory Rearranged: Back to Wertheimer

OpenAIRE

Guberman, Shelia

2017-01-01

Wertheimer's seminal paper of 1923 was of gerat influence in psychology and other sciences. Wertheimer also emphasized the weaknesses of the newborn Gestalt theory: too many basic laws, and the ambiguity of definitions. At the same time, the paper contained potential solutions to these problems, in the form of a number of very important ideas, some of which were presented implicitly: perception through imitation, communicative nature of linear drawings and writings, transfer from the visual d...

A combination of gestalt therapy, Rosen Body Work, and Cranio Sacral therapy did not help in chronic whiplash-associated disorders (WAD)--results of a randomized clinical trial.

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Ventegodt, Søren; Merrick, Joav; Andersen, Niels Jørgen; Bendix, Tom

2004-12-10

The chronic state of whiplash-associated disorder (WAD) might be understood as a somatization of existential pain. Intervention aimed to improve quality of life (QOL) seemed to be a solution for such situations. The basic idea behind the intervention was holistic, restoring quality of life and relationship with self, in order to diminish tension in the locomotion system, especially the neck. A psychosomatic theory for WAD is proposed. Our treatment was a short 2-day course with teachings in philosophy of life, followed by 6-10 individual sessions in gestalt psychotherapy and body therapy (Rosen therapy and Cranio Sacral therapy), followed by a 1-day course approximately 2 months later, closing the intervention. Two independent institutions did the intervention and the assessments. In a randomized, clinically controlled setting, 87 chronic WAD patients were included with a median duration of 37 months from their whiplash accidents. One patient never started. Forty-three had the above intervention (female/male = 36/7, ages 22-49, median 37 years) and another 43 were assigned to a nontreated control group (female/male = 35/8, ages 18-48, median 38). Six had disability pension and 27 had pending medicolegal issues in each group. Effect variables were pain in neck, arm, and/or head; measures of quality of life and daily activities; as well as general physical or mental health. Wilcoxon test for between-groups comparisons with intention-to-treat analyses was conducted; the square curve paradigm testing for immediate improvements of health and quality of life was also used. The groups were comparable at baseline. From the intervention group, 11 dropped out during the intervention (4 of those later joined the follow-up investigation), 22 of the remaining 32 graduated the course, and 35 of the 43 controls did as well. Approximately 3 months later, we found no clinically relevant or significant increase in any effect measure. The above version of a quality of life

A Combination of Gestalt Therapy, Rosen Body Work, and Cranio Sacral Therapy did not help in Chronic Whiplash-Associated Disorders (WAD - Results of a Randomized Clinical Trial

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Søren Ventegodt

2004-01-01

Full Text Available The chronic state of whiplash-associated disorder (WAD might be understood as a somatization of existential pain. Intervention aimed to improve quality of life (QOL seemed to be a solution for such situations. The basic idea behind the intervention was holistic, restoring quality of life and relationship with self, in order to diminish tension in the locomotion system, especially the neck. A psychosomatic theory for WAD is proposed. Our treatment was a short 2-day course with teachings in philosophy of life, followed by 6 to 10 individual sessions in gestalt psychotherapy and body therapy (Rosen therapy and Cranio Sacral therapy, followed by a 1-day course approximately 2 months later, closing the intervention. Two independent institutions did the intervention and the assessments. In a randomized, clinically controlled setting, 87 chronic WAD patients were included with a median duration of 37 months from their whiplash accidents. One patient never started. Forty-three had the above intervention (female/male = 36/7, ages 22–49, median 37 years and another 43 were assigned to a nontreated control group (female/male = 35/8, ages 1848, median 38. Six had disability pension and 27 had pending medicolegal issues in each group. Effect variables were pain in neck, arm, and/or head; measures of quality of life and daily activities; as well as general physical or mental health. Wilcoxon test for between-groups comparisons with intention-to-treat analyses was conducted; the square curve paradigm testing for immediate improvements of health and quality of life was also used. The groups were comparable at baseline. From the intervention group, 11 dropped out during the intervention (4 of those later joined the follow-up investigation, 22 of the remaining 32 graduated the course, and 35 of the 43 controls did as well. Approximately 3 months later, we found no clinically relevant or significant increase in any effect measure. The above version of a quality

Can two dots form a Gestalt? Measuring emergent features with the capacity coefficient.

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Hawkins, Robert X D; Houpt, Joseph W; Eidels, Ami; Townsend, James T

2016-09-01

While there is widespread agreement among vision researchers on the importance of some local aspects of visual stimuli, such as hue and intensity, there is no general consensus on a full set of basic sources of information used in perceptual tasks or how they are processed. Gestalt theories place particular value on emergent features, which are based on the higher-order relationships among elements of a stimulus rather than local properties. Thus, arbitrating between different accounts of features is an important step in arbitrating between local and Gestalt theories of perception in general. In this paper, we present the capacity coefficient from Systems Factorial Technology (SFT) as a quantitative approach for formalizing and rigorously testing predictions made by local and Gestalt theories of features. As a simple, easily controlled domain for testing this approach, we focus on the local feature of location and the emergent features of Orientation and Proximity in a pair of dots. We introduce a redundant-target change detection task to compare our capacity measure on (1) trials where the configuration of the dots changed along with their location against (2) trials where the amount of local location change was exactly the same, but there was no change in the configuration. Our results, in conjunction with our modeling tools, favor the Gestalt account of emergent features. We conclude by suggesting several candidate information-processing models that incorporate emergent features, which follow from our approach. Copyright © 2015 Elsevier Ltd. All rights reserved.

Gestalt-A Learning Theory for Graphic Design Education

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Jackson, Ian

2008-01-01

This article will begin by seeking to define the notion of learning "by, through" and "from" experience. A linkage will then be established between these notions of experiences and gestalt theory. This will be explored within a subject specific context of graphic design. Links will be highlighted between the inherent nature of graphic design and…

SOME ASPECTS OF THE PSYCHOLOGIST’S WORK-GESTALT THERAPIST IN THE DEVELOPMENTAL ADVISORY CENTER IN BITOLA

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Jove HADZIEVSKI

1998-04-01

Full Text Available In Bitola, in the frame of the Advisory center and vaccination, works a team of professional staff as a special segment so called “Developmental Advisory Center”. This team includes one pediatrician, nurse, defectologist somatopaed and two psychologists.The work in the Advisory center is primarily preventive, and a part of it, curative. The preventive work includes medical examinations of children from 3 to 5 years of age. The work is organized by the psychologist who invites all the children from that age, born in a determined month on a level of Bitola. Beside the pediatrician survey also an psychological one is made.Gestalt therapy gives solutions, i. e. finished answers for solving the problem. The solution of the problem is gained by the patient himself during the therapy process, i. e. he becomes aware how to solve it.

Colour in a larger perspective: the rebirth of Gestalt psychology.

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Spillmann, L

1997-01-01

This overview takes the reader from the classical contrast and assimilation studies of the past to today's colour research, in a broad sense, with its renewed emphasis on the phenomenological qualities of visual perception. It shows how the shift in paradigm from local to global effects in single-unit recordings prompted a reappraisal of appearance in visual experiments, not just in colour, but in the perception of motion, texture, and depth as well. Gestalt ideas placed in the context of modern concepts are shown to inspire psychophysicists, neurophysiologists, and computational vision scientists alike. Feedforward, horizontal interactions, and feedback are discussed as potential neuronal mechanisms to account for phenomena such as uniform surfaces, filling-in, and grouping arising from processes beyond the classical receptive field. A look forward towards future developments in the field of figure-ground segregation (Gestalt formation) concludes the article.

Diagnosis of OCD Patients Using Drawing Features of Bender Gestalt Shapes

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Boostani R.

2017-03-01

Full Text Available Background: Since psychological tests such as questionnaire or drawing tests are almost qualitative, their results carry a degree of uncertainty and sometimes subjectivity. The deficiency of all drawing tests is that the assessment is carried out after drawing the objects and lots of information such as pen angle, speed, curvature and pressure are missed through the test. In other words, the psychologists cannot assess their patients while running the tests. One of the famous drawing tests to measure the degree of Obsession Compulsion Disorder (OCD is the Bender Gestalt, though its reliability is not promising. Objective: The main objective of this study is to make the Bender Gestalt test quantitative; therefore, an optical pen along with a digital tablet is utilized to preserve the key drawing features of OCD patients during the test. Materials and Methods: Among a large population of patients who referred to a special clinic of OCD, 50 under therapy subjects voluntarily took part in this study. In contrast, 50 subjects with no sign of OCD performed the test as a control group. This test contains 9 shapes and the participants were not constraint to draw the shapes in a certain interval of time; consequently, to classify the stream of feature vectors (samples through drawing Hidden Markov Model (HMM is employed and its flexibility increased by incorporating the fuzzy technique into its learning scheme. Results: Applying fuzzy HMM classifier to the data stream of subjects could classify two groups up to 95.2% accuracy, whereas the results by applying the standard HMM resulted in 94.5%. In addition, multi-layer perceptron (MLP, as a strong static classifier, is applied to the features and resulted in 86.6% accuracy. Conclusion: Applying the pair of T-test to the results implies a significant supremacy of the fuzzy HMM to the standard HMM and MLP classifiers.

The Importance of Creativity in Family Therapy: A Preliminary Consideration.

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Carson, David K.

1999-01-01

Looks at the importance of creativity in the context of family therapy. Examines creative techniques such as family sculpturing, family art therapy, puppetry, family drawings, and psychodrama. Focuses on the concept of creativity in prominent theories of counseling (i.e., humanistic, Gestalt, cognitive psychology) and the relation of divergent…

Quality Evaluation Scores are no more Reliable than Gestalt in Evaluating the Quality of Emergency Medicine Blogs: A METRIQ Study.

Science.gov (United States)

Thoma, Brent; Sebok-Syer, Stefanie S; Colmers-Gray, Isabelle; Sherbino, Jonathan; Ankel, Felix; Trueger, N Seth; Grock, Andrew; Siemens, Marshall; Paddock, Michael; Purdy, Eve; Kenneth Milne, William; Chan, Teresa M

2018-01-30

Construct: We investigated the quality of emergency medicine (EM) blogs as educational resources. Online medical education resources such as blogs are increasingly used by EM trainees and clinicians. However, quality evaluations of these resources using gestalt are unreliable. We investigated the reliability of two previously derived quality evaluation instruments for blogs. Sixty English-language EM websites that published clinically oriented blog posts between January 1 and February 24, 2016, were identified. A random number generator selected 10 websites, and the 2 most recent clinically oriented blog posts from each site were evaluated using gestalt, the Academic Life in Emergency Medicine (ALiEM) Approved Instructional Resources (AIR) score, and the Medical Education Translational Resources: Impact and Quality (METRIQ-8) score, by a sample of medical students, EM residents, and EM attendings. Each rater evaluated all 20 blog posts with gestalt and 15 of the 20 blog posts with the ALiEM AIR and METRIQ-8 scores. Pearson's correlations were calculated between the average scores for each metric. Single-measure intraclass correlation coefficients (ICCs) evaluated the reliability of each instrument. Our study included 121 medical students, 88 EM residents, and 100 EM attendings who completed ratings. The average gestalt rating of each blog post correlated strongly with the average scores for ALiEM AIR (r = .94) and METRIQ-8 (r = .91). Single-measure ICCs were fair for gestalt (0.37, IQR 0.25-0.56), ALiEM AIR (0.41, IQR 0.29-0.60) and METRIQ-8 (0.40, IQR 0.28-0.59). The average scores of each blog post correlated strongly with gestalt ratings. However, neither ALiEM AIR nor METRIQ-8 showed higher reliability than gestalt. Improved reliability may be possible through rater training and instrument refinement.

A Comparison of Gestalt and Relationship Enhancement Treatments with Married Couples.

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Jessee, Randall E.; Guerney, Bernard G., Jr.

1981-01-01

Compared the effectiveness of Relationship Enhancement and Gestalt Relationship Facilitation. Results indicated couples (N=36) in both groups made significant gains, but Relationship Enhancement participants achieved greater gains in communication, relationship satisfaction, and ability to handle problems. (Author/JAC)

Can lessons designed with Gestalt laws of visual perception improve students' understanding of the phases of the moon?

Science.gov (United States)

Wistisen, Michele

There has been limited success teaching elementary students about the phases of the moon using diagrams, personal observations, and manipulatives. One possible reason for this is that instruction has failed to apply Gestalt principles of perceptual organization to the lesson materials. To see if fourth grade students' understanding could be improved, four lessons were designed and taught using the Gestalt laws of Figure-Ground, Symmetry, and Similarity. Students (n = 54) who were taught lessons applying the Gestalt principles scored 12% higher on an assessment than students (n = 51) who only were taught lessons using the traditional methods. Though scores showed significant improvement, it is recommended to follow the American Association for the Advancement of Science guidelines and wait until 9th grade to instruct students about the phases.

Preexposure effects in spatial learning: From gestaltic to associative and attentional cognitive maps

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Edward S. Redhead

2002-01-01

Full Text Available In this paper a series of studies and theoretical proposals about how preexposure to environmental cues affects subsequent spatial learning are reviewed. Traditionally, spatial learning had been thought to depend on gestaltic non-associative processes, and well established phenomena such as latent learning or instantaneous transfer have been taken to provide evidence for this sort of cognitive mapping. However, reviewing the literature examining these effects reveals that there is no need to advocate for gestaltic processes since standard associative learning theory provides an adequate framework for accounting for navigation skills. Recent studies reveal that attentional processes play a role in spatial learning. The need for an integrated attentional and associative approach to explain spatial learning is discussed.

Planes of phenomenological experience: The psychology of deafness as an early example of American Gestalt psychology, 1928-1940.

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Schmidt, Marion A

2017-11-01

When, in 1928, the Clarke School for the Deaf in Northampton, Massachusetts, opened a psychological research division, it was nothing unusual in a time fascinated with the sciences of education. Yet with its longstanding ties to Northampton's Smith College, the school was able to secure the collaboration of eminent Gestalt psychologist Kurt Koffka, who, in turn, engaged 2 more German-speaking emigrants, Margarete Eberhardt and social psychologist Fritz Heider, and Heider's American wife Grace Moore Heider. This collaboration has seen little attention from historians, who have treated Koffka's and Heider's time in Northampton as a transitory phase. I argue, however, that their research on deafness adds to the history of emigration and knowledge transfer between European and American Schools of psychology, and to historical understanding of the interrelation of Gestalt, child, and social psychology. Professionals in child studies and developmental psychology were keenly interested in the holistic and introspective approach Gestalt psychology offered. Deaf children were considered a particularly fascinating research population for exploring the relationship between thought and language, perception and development, Gestalt, and reality. At the Clarke School, Grace Moore Heider was among the first Americans to apply Gestalt principles to child psychology. In a time in which pejorative eugenic beliefs dominated professional perceptions of disability, the Heiders' groundbreaking work defined the deaf as a social and phenomenological minority. This was in opposition to dominant beliefs in deaf education, yet it points to early roots of a social model of deafness and disability, which historians usually locate in 1960s and '70s activism. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Diagnosis of the OCD Patients using Drawing Features of the Bender Gestalt Shapes.

Science.gov (United States)

Boostani, R; Asadi, F; Mohammadi, N

2017-03-01

Since psychological tests such as questionnaire or drawing tests are almost qualitative, their results carry a degree of uncertainty and sometimes subjectivity. The deficiency of all drawing tests is that the assessment is carried out after drawing the objects and lots of information such as pen angle, speed, curvature and pressure are missed through the test. In other words, the psychologists cannot assess their patients while running the tests. One of the famous drawing tests to measure the degree of Obsession Compulsion Disorder (OCD) is the Bender Gestalt, though its reliability is not promising. The main objective of this study is to make the Bender Gestalt test quantitative; therefore, an optical pen along with a digital tablet is utilized to preserve the key drawing features of OCD patients during the test. Among a large population of patients who referred to a special clinic of OCD, 50 under therapy subjects voluntarily took part in this study. In contrast, 50 subjects with no sign of OCD performed the test as a control group. This test contains 9 shapes and the participants were not constraint to draw the shapes in a certain interval of time; consequently, to classify the stream of feature vectors (samples through drawing) Hidden Markov Model (HMM) is employed and its flexibility increased by incorporating the fuzzy technique into its learning scheme. Applying fuzzy HMM classifier to the data stream of subjects could classify two groups up to 95.2% accuracy, whereas the results by applying the standard HMM resulted in 94.5%. In addition, multi-layer perceptron (MLP), as a strong static classifier, is applied to the features and resulted in 86.6% accuracy. Applying the pair of T-test to the results implies a significant supremacy of the fuzzy HMM to the standard HMM and MLP classifiers.

The temporo-parietal junction contributes to global gestalt perception—evidence from studies in chess experts

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Rennig, Johannes; Bilalić, Merim; Huberle, Elisabeth; Karnath, Hans-Otto; Himmelbach, Marc

2013-01-01

In a recent neuroimaging study the comparison of intact vs. disturbed perception of global gestalt indicated a significant role of the temporo-parietal junction (TPJ) in the intact perception of global gestalt (Huberle and Karnath, 2012). This location corresponded well with the areas known to be damaged or impaired in patients with simultanagnosia after stroke or due to neurodegenerative diseases. It was concluded that the TPJ plays an important role in the integration of individual items to a holistic percept. Thus, increased BOLD signals should be found in this region whenever a task calls for the integration of multiple visual items. Behavioral experiments in chess experts suggested that their superior skills in comparison to chess novices are partly based on fast holistic processing of chess positions with multiple pieces. We thus analyzed BOLD data from four fMRI studies that compared chess experts with chess novices during the presentation of complex chess-related visual stimuli (Bilalić et al., 2010, 2011a,b, 2012). Three regions of interests were defined by significant TPJ clusters in the abovementioned study of global gestalt perception (Huberle and Karnath, 2012) and BOLD signal amplitudes in these regions were compared between chess experts and novices. These cross-paradigm ROI analyses revealed higher signals at the TPJ in chess experts in comparison to novices during presentations of complex chess positions. This difference was consistent across the different tasks in five independent experiments. Our results confirm the assumption that the TPJ region identified in previous work on global gestalt perception plays an important role in the processing of complex visual stimulus configurations. PMID:24009574

The temporo-parietal junction contributes to global gestalt perception-evidence from studies in chess experts.

Science.gov (United States)

Rennig, Johannes; Bilalić, Merim; Huberle, Elisabeth; Karnath, Hans-Otto; Himmelbach, Marc

2013-01-01

In a recent neuroimaging study the comparison of intact vs. disturbed perception of global gestalt indicated a significant role of the temporo-parietal junction (TPJ) in the intact perception of global gestalt (Huberle and Karnath, 2012). This location corresponded well with the areas known to be damaged or impaired in patients with simultanagnosia after stroke or due to neurodegenerative diseases. It was concluded that the TPJ plays an important role in the integration of individual items to a holistic percept. Thus, increased BOLD signals should be found in this region whenever a task calls for the integration of multiple visual items. Behavioral experiments in chess experts suggested that their superior skills in comparison to chess novices are partly based on fast holistic processing of chess positions with multiple pieces. We thus analyzed BOLD data from four fMRI studies that compared chess experts with chess novices during the presentation of complex chess-related visual stimuli (Bilalić et al., 2010, 2011a,b, 2012). Three regions of interests were defined by significant TPJ clusters in the abovementioned study of global gestalt perception (Huberle and Karnath, 2012) and BOLD signal amplitudes in these regions were compared between chess experts and novices. These cross-paradigm ROI analyses revealed higher signals at the TPJ in chess experts in comparison to novices during presentations of complex chess positions. This difference was consistent across the different tasks in five independent experiments. Our results confirm the assumption that the TPJ region identified in previous work on global gestalt perception plays an important role in the processing of complex visual stimulus configurations.

Collaboration in experiential therapy.

Science.gov (United States)

Berdondini, Lucia; Elliott, Robert; Shearer, Joan

2012-02-01

We offer a view of the nature and role of client-therapist collaboration in experiential psychotherapy, focusing on Gestalt and emotion-focused therapy (EFT). We distinguish between the necessary condition of mutual trust (the emotional bond between client and therapist) and effective collaboration (regarding the goals and tasks of therapy). Using a case study of experiential therapy for social anxiety, we illustrate how the development of collaboration can be both complex and pivotal for therapeutic success, and how it can involve client and therapist encountering one another through taking risks by openly and nonjudgementally disclosing difficult experiences in order to enrich and advance the work. © 2012 Wiley Periodicals, Inc.

Dimentions of Counselee Responses over Several Therapy Sessions

Science.gov (United States)

Zimmer, Jules M.; And Others

1972-01-01

The results of the current study, as well as the Zimmer and Cowles (1972) study using quite different procedures, involved a comparison of client-centered, gestalt, and rational therapies and do not support the conclusion that therapeutic relationships tend to be characteristically the same. Theoretical orientation as operationalized by…

Blending of heritable recognition cues among ant nestmates creates distinct colony gestalt odours but prevents within-colony nepotism

DEFF Research Database (Denmark)

van Zweden, Jelle Stijn; Brask, Josefine B.; Christensen, Jan H.

2010-01-01

members to create a Gestalt odour. Although earlier studies have established that hydrocarbon profiles are influenced by heritable factors, transfer among nestmates and additional environmental factors, no studies have quantified these relative contributions for separate compounds. Here, we use the ant...... discrimination or as nestmate recognition cues. These results indicate that heritable compounds are suitable for establishing a genetic Gestalt for efficient nestmate recognition, but that recognition cues within colonies are insufficiently distinct to allow nepotistic kin discrimination....

The temporo-parietal junction contributes to global gestalt perception – evidence from studies in chess experts

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Johannes eRennig

2013-08-01

Full Text Available In a recent neuroimaging study the comparison of intact versus disturbed perception of global gestalt indicated a significant role of the temporo-parietal junction (TPJ in the intact perception of global gestalt (Huberle and Karnath, 2012. This location corresponded well with the areas known to be damaged or impaired in patients with simultanagnosia after stroke or due to neurodegenerative diseases. It was concluded that the TPJ plays an important role in the integration of individual items to a holistic percept. Thus, increased BOLD signals should be found in this region whenever a task calls for the integration of multiple visual items. Behavioral experiments in chess experts suggested that their superior skills in comparison to chess novices are partly based on fast holistic processing of chess positions with multiple pieces. We thus analyzed BOLD data from four fMRI studies that compared chess experts with chess novices during the presentation of complex chess-related visual stimuli (Bilalić et al., 2011a, 2010, 2011b, 2012. Three regions of interests were defined by significant TPJ clusters in the abovementioned study of global gestalt perception (Huberle and Karnath, 2012 and BOLD signal amplitudes in these regions were compared between chess experts and novices. These cross-paradigm ROI analyses revealed higher signals at the TPJ in chess experts in comparison to novices during presentations of complex chess positions. This difference was consistent across the different tasks in five independent experiments. Our results confirm the assumption that the TPJ region identified in previous work on global gestalt perception plays an important role in the processing of complex visual stimulus configurations.

The Unifying Strands: Formalism and Gestalt Theory in the Musical Philosophies of Aristoxenus, Descartes, and Meyer

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Amanda N. Staufer

2018-03-01

Full Text Available In every age, philosophers deal with inquiries concerning musical meaning and the effect of music on the listener. Instead of answering the formidable question of musical meaning, this essay demonstrates the parallel aspects of three musical theories from ancient, Enlightenment, and modern times. Using the two criteria of musical formalism and Gestalt Theory, this essay systematically connects the philosophies of Aristoxenus of Tarentum, René Descartes, and Leonard Meyer. Musical formalism holds that music’s nature is innate, self-evident, able to be systematically deduced, and rational. According to formalism, musical meaning is defined by things objectively ‘there’ in the music, musical experience relies on cognition, and music is less a matter of sense than of mind. Gestalt Theory asserts that music is a unified totality—the whole gives meaning to the parts. This project demonstrates that three seemingly dissimilar musical philosophies include and prefigure the same foundational principles, although the theories reach different conclusions about musical meaning. In the research process, this essay utilizes documentary evidence. This essay concludes that the philosophies of Aristoxenus, Descartes, and Meyer are united by tendencies toward musical formalism and strands of the Gestalt view of music.

Revisiting Wittgenstein on Köhler and Gestalt psychology.

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Benjafield, John G

2008-01-01

In an article in this journal, Nicholas Pastore rejected Ludwig Wittgenstein's critique of Wolfgang Köhler and Gestalt psychology. Pastore appears not to have appreciated Wittgenstein's argument that Köhler mistook conceptual questions for factual ones. A simi-lar confusion seems to underlie at least some aspects of contemporary neuroscience. Be that as it may, Wittgenstein has had minimal influence on the research practices of psychologists while Köhler remains influential. This outcome would not have surprised Wittgenstein, who predicted that scientists would not see his work as relevant to theirs.

Gestalt grouping and common onset masking.

Science.gov (United States)

Kahan, Todd A; Mathis, Katherine M

2002-11-01

A four-dot mask that surrounds and is presented simultaneously with a briefly presented target will reduce a person's ability to identity that target if the mask persists beyond target offset and attention is divided (Enns & Di Lollo, 1997, 2000). This masking effect, referred to as common onset masking, reflects reentrant processing in the visual system and can best be explained with a theory of object substitution (Di Lollo, Enns, & Rensink, 2000). In the present experiments, we investigated whether Gestalt grouping variables would influence the strength of common onset masking. The results indicated that (1) masking was impervious to grouping by form, similarity of color, position, luminance polarity, and common region and (2) masking increased with the number of elements in the masking display.

Minimal Sanatta Dan Flavin’i Gestalt Algı Kuramıyla Anlamlandırma

OpenAIRE

Yağmur, Önder

2015-01-01

1960’larda Amerika’da ortaya çıkmış olan sanat akımı Minimalizmin önde gelen sanatçılarından Dan Flavin’in minimal sanat anlayışı, bazı çalışmalarından örnekler verilerek Gestalt algı teorisi yaklaşımıyla sanatçının eserlerinin anlamlandırılması yapılmıştır. Özellikle Flavin ile bütünleşen floresan heykellerinin Gestalt algı teorisinin şekil-zemin ilişkisi, yakınlık, benzerlik, tamamlama, devamlılık ve basitlik ilkeleri doğrultusunda ele alınarak tekrar yorumlamaya gidilmiştir.Anahtar Kelimel...

Produção acadêmica em Gestalt-terapia no Brasil: análise de mestrados e doutorados

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Adriano Furtado Holanda

Full Text Available O objetivo deste trabalho é apresentar um panorama preliminar da produção acadêmica realizada sob a ótica da Gestalt-terapia e da abordagem gestáltica, no âmbito dos programas de pós-graduação (mestrado e doutorado, realizados em instituições de formação e pesquisa do Brasil. Trata-se de um projeto que visa a catalogar toda a produção referente à Gestalt-terapia e à abordagem gestáltica. Nesta primeira etapa, foram catalogadas e analisadas 35 dissertações de mestrado e teses de doutorado, defendidas no Brasil, entre 1982 e 2002. Foi realizada uma análise qualitativa dos resumos dessas produções, procurando-se observar os direcionamentos desses trabalhos com a abordagem de três “eixos temáticos”, definidos como “fundamentos”, “teoria” e “técnica”. Observou-se uma ênfase em trabalhos com temática epistemológica, principalmente em produções mais recentes, demonstrando uma preocupação dos profissionais com a fundamentação da Gestalt-terapia. Aliado a isso, observa-se, ainda, uma diversificação nas temáticas desenvolvidas, demonstrando uma ampliação dos eixos de ação da Gestalt-terapia para além do campo clínico.

Gestalt and Figure-Ground: Reframing Graduate Attribute Conversations between Educational Developers and Academics

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Knewstubb, Bernadette; Ruth, Alison

2015-01-01

Academics implementing graduate attributes, and the educational developers who support those academics, may experience graduate attributes and disciplinary knowledge and skills as unrelated dimensions of curriculum. Gestalt conceptions of curriculum, together with a figure-ground understanding of the relationship between disciplinary understanding…

Personality Theory and Psychotherapy

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Fagan, Joen; And Others

1974-01-01

This group of articles discusses various aspects of Gestalt Therapy including its major contributions, role in psychotherapy, and contributions of Gestalt psychology in general. There is some discussion of the philosophical background of Gestalt therapy along with Gestalt theory of emotion. A case study and an annotated bibliography are included…

La Definición del Concepto de Percepción en Psicología con Base en la Teoria Gestalt

OpenAIRE

Gilberto Leonardo Oviedo

2004-01-01

This article presents the contribution of the Gestalt theory (Theory of the form) in the definition of the perceptual concept. It begins with the philosophical analysis of the formulated by the asociacionist and then follow with the subsequently debate established between this philosophical view and the representatives of the Gestalt movement.The main laws of perception, with special emphasis in the principle of the good contours and the holism are particularly examinated. Finally, the conclu...

A century of Gestalt psychology in visual perception: II. Conceptual and theoretical foundations.

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Wagemans, Johan; Feldman, Jacob; Gepshtein, Sergei; Kimchi, Ruth; Pomerantz, James R; van der Helm, Peter A; van Leeuwen, Cees

2012-11-01

Our first review article (Wagemans et al., 2012) on the occasion of the centennial anniversary of Gestalt psychology focused on perceptual grouping and figure-ground organization. It concluded that further progress requires a reconsideration of the conceptual and theoretical foundations of the Gestalt approach, which is provided here. In particular, we review contemporary formulations of holism within an information-processing framework, allowing for operational definitions (e.g., integral dimensions, emergent features, configural superiority, global precedence, primacy of holistic/configural properties) and a refined understanding of its psychological implications (e.g., at the level of attention, perception, and decision). We also review 4 lines of theoretical progress regarding the law of Prägnanz-the brain's tendency of being attracted towards states corresponding to the simplest possible organization, given the available stimulation. The first considers the brain as a complex adaptive system and explains how self-organization solves the conundrum of trading between robustness and flexibility of perceptual states. The second specifies the economy principle in terms of optimization of neural resources, showing that elementary sensors working independently to minimize uncertainty can respond optimally at the system level. The third considers how Gestalt percepts (e.g., groups, objects) are optimal given the available stimulation, with optimality specified in Bayesian terms. Fourth, structural information theory explains how a Gestaltist visual system that focuses on internal coding efficiency yields external veridicality as a side effect. To answer the fundamental question of why things look as they do, a further synthesis of these complementary perspectives is required.

A Century of Gestalt Psychology in Visual Perception II. Conceptual and Theoretical Foundations

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Wagemans, Johan; Feldman, Jacob; Gepshtein, Sergei; Kimchi, Ruth; Pomerantz, James R.; van der Helm, Peter A.; van Leeuwen, Cees

2012-01-01

Our first review paper on the occasion of the centennial anniversary of Gestalt psychology focused on perceptual grouping and figure-ground organization. It concluded that further progress requires a reconsideration of the conceptual and theoretical foundations of the Gestalt approach, which is provided here. In particular, we review contemporary formulations of holism within an information-processing framework, allowing for operational definitions (e.g., integral dimensions, emergent features, configural superiority, global precedence, primacy of holistic/configural properties) and a refined understanding of its psychological implications (e.g., at the level of attention, perception, and decision). We also review four lines of theoretical progress regarding the law of Prägnanz—the brain’s tendency of being attracted towards states corresponding to the simplest possible organization, given the available stimulation. The first considers the brain as a complex adaptive system and explains how self-organization solves the conundrum of trading between robustness and flexibility of perceptual states. The second specifies the economy principle in terms of optimization of neural resources, showing that elementary sensors working independently to minimize uncertainty can respond optimally at the system level. The third considers how Gestalt percepts (e.g., groups, objects) are optimal given the available stimulation, with optimality specified in Bayesian terms. Fourth, Structural Information Theory explains how a Gestaltist visual system that focuses on internal coding efficiency yields external veridicality as a side-effect. To answer the fundamental question of why things look as they do, a further synthesis of these complementary perspectives is required. PMID:22845750

Differential Effects of Emotion-Focused Therapy and Psychoeducation in Facilitating Forgiveness and Letting Go of Emotional Injuries

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Greenberg, Leslie J.; Warwar, Serine H.; Malcolm, Wanda M.

2008-01-01

This study compared the effectiveness of emotion-focused therapy (EFT) involving gestalt empty-chair dialogue in the treatment of individuals who were emotionally injured by a significant other with therapy in a psychoeducation group designed to deal with these injuries. In addition, this study examined aspects of the emotional process of…

A Comparison of Jungian, Person-Centered, and Gestalt Approaches to Personal Growth Groups.

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Day, Bryon; Matthes, William

1992-01-01

Compares Jungian approach to personal growth groups to Person-centered and Gestalt approaches. Notes similarities, though Jungian approach adds dimension of "cognitive map" not found in other two. Notes that cognitive map uses constructs from Jung's theory of individuation process, hypothesizing that integration of these constructs into…

The role of the Gestalt principle of similarity in the watercolor illusion.

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Pinna, Baingio

2005-01-01

The watercolor illusion presents two main effects: a long-range assimilative color spreading (coloration effect), and properties imparting a strong figure status (figural effect) to a region delimited by a dark (e.g. purple) contour flanked by a lighter chromatic contour (e.g. orange). In four experiments, the strength of the watercolor illusion to determine figure-ground organization is directly compared (combined or pitted against) with the Gestalt principle of similarity both of color and line width. The results demonstrated that (i) the watercolor illusion and, particularly, its figural effect won over the classical Gestalt factors of similarity; (ii) the watercolor illusion cannot be due to the coloration effect as suggested by the similarity principle; (iii) coloration and figural effects may be independent in the watercolor illusion, and (iv) the watercolor illusion can be considered as a principle of figure-ground segregation on its own. Two parallel and independent processes as proposed within the FACADE model (Grossberg, 1994, 1997) are suggested to account for the two effects of coloration and figural enhancement in the watercolor illusion.

Humanistic therapies versus treatment as usual for depression

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Davies, Philippa; Hunot, Vivien; Moore, Theresa HM; Caldwell, Deborah; Jones, Hannah; Lewis, Glyn; Churchill, Rachel

2014-01-01

This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness and acceptability of all humanistic therapies compared with treatment as usual/waiting list/attention placebo control conditions for acute depression.To examine the effectiveness and acceptability of different humanistic therapy models (person-centred, gestalt, process-experiential, transactional analysis, existential and non-directive therapies) compared with treatment as usual/waiting list/attention placebo control conditions for acute depression.To examine the effectiveness and acceptability of all humanistic therapies compared with different types of comparator (standard care, no treatment, waiting list, attention placebo) for acute depression. PMID:25408624

La psicologia della Gestalt come scuola di rispetto

Directory of Open Access Journals (Sweden)

Giuseppe Galli

2012-01-01

Full Text Available Gestalt Psychology as a School of Respect - Respect as “phenomenological principle” means that one must respect phenomenal reality in the same way as physical reality. Respect as “epistemological principle” means that studying the self of the other the researcher must establish an intimate and equal relation with this person. This is not an accidental aspect, but one of the basic epistemological factors of the “field” in the sense of Lewin’s “action-research”. Respect as “educational principle” means that in the caring for a living being we must respect its inner factors and conditions and its rhythm of development.

Multiple Sources of Test Bias on the WISC-R and Bender-Gestalt Test.

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Oakland, Thomas; Feigenbaum, David

1979-01-01

Assessed test bias on the Wechsler Intelligence Test for Children-Revised (WISC-R) and Bender-Gestalt. On the Bender, evidence of bias was infrequent and irregular. On the WISC-R, group differences were most discernible for age, sex, family structure, and race. Consistent patterns of bias were not apparent among comparison groups. (Author)

A Randomized Controlled Clinical Trial of Dialogical Exposure Therapy versus Cognitive Processing Therapy for Adult Outpatients Suffering from PTSD after Type I Trauma in Adulthood.

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Butollo, Willi; Karl, Regina; König, Julia; Rosner, Rita

2016-01-01

Although there are effective treatments for posttraumatic stress disorder (PTSD), there is little research on treatments with non-cognitive-behavioural backgrounds, such as gestalt therapy. We tested an integrative gestalt-derived intervention, dialogical exposure therapy (DET), against an established cognitive-behavioural treatment (cognitive processing therapy, CPT) for possible differential effects in terms of symptomatic outcome and drop-out rates. We randomized 141 treatment-seeking individuals with a diagnosis of PTSD to receive either DET or CPT. Therapy length in both treatments was flexible with a maximum duration of 24 sessions. Dropout rates were 12.2% in DET and 14.9% in CPT. Patients in both conditions achieved significant and large reductions in PTSD symptoms (Impact of Event Scale - Revised; Hedges' g = 1.14 for DET and d = 1.57 for CPT) which were largely stable at the 6-month follow-up. At the posttreatment assessment, CPT performed statistically better than DET on symptom and cognition measures. For several outcome measures, younger patients profited better from CPT than older ones, while there was no age effect for DET. Our results indicate that DET merits further research and may be an alternative to established treatments for PTSD. It remains to be seen whether DET confers advantages in areas of functioning beyond PTSD symptoms. © 2015 S. Karger AG, Basel.

Architectural drawing, intention, perception and Gestalt. Transparencies, stratification and graphic polyphony

OpenAIRE

Marcos Alba, Carlos L.; Allepuz Pedreño, Ángel; Juan Gutiérrez, Pablo Jeremías

2017-01-01

[EN] Gestalt theory laid the foundations to infer perceptual laws through empirical experiences relating the phenomenon of visual perception with epistemology. Thus, determining perceptual aspects involved in graphic design or in pictorial language itself could be intentionally used ever since based on the knowledge of these perceptual of laws. Some of these, such as ground-figure, continuity, closure or the different expressive possibilities arising from the use of transparency allow to unfo...

La Definición del Concepto de Percepción en Psicología con Base en la Teoria Gestalt

Directory of Open Access Journals (Sweden)

Gilberto Leonardo Oviedo

2004-08-01

Full Text Available This article presents the contribution of the Gestalt theory (Theory of the form in the definition of the perceptual concept. It begins with the philosophical analysis of the formulated by the asociacionist and then follow with the subsequently debate established between this philosophical view and the representatives of the Gestalt movement.The main laws of perception, with special emphasis in the principle of the good contours and the holism are particularly examinated. Finally, the conclusion presents the relevance of the concept to the psychological discipline, of perception as a mental process that privilege sim

Counselling--Alternative Approaches. Information Bank Working Paper No. 2476.

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Brookes, Jeannie

This document looks at various types of counseling approaches and includes sections on Rogerian counseling, Gestalt therapy, and rational emotive therapy. The section on Rogerian counseling includes a discussion of the principles of counseling from Rogers'"Client Centered Therapy." Gestalt therapy is explained in more detail and a…

Figure and ground in the visual cortex: v2 combines stereoscopic cues with gestalt rules.

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Qiu, Fangtu T; von der Heydt, Rüdiger

2005-07-07

Figure-ground organization is a process by which the visual system identifies some image regions as foreground and others as background, inferring 3D layout from 2D displays. A recent study reported that edge responses of neurons in area V2 are selective for side-of-figure, suggesting that figure-ground organization is encoded in the contour signals (border ownership coding). Here, we show that area V2 combines two strategies of computation, one that exploits binocular stereoscopic information for the definition of local depth order, and another that exploits the global configuration of contours (Gestalt factors). These are combined in single neurons so that the "near" side of the preferred 3D edge generally coincides with the preferred side-of-figure in 2D displays. Thus, area V2 represents the borders of 2D figures as edges of surfaces, as if the figures were objects in 3D space. Even in 3D displays, Gestalt factors influence the responses and can enhance or null the stereoscopic depth information.

Memory-for-Designs, Bender-Gestalt, Trail Making Test, and WISC-R Performance of Retarded and Adequate Readers

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McManis, Donald L.; And Others

1978-01-01

Twelve reading-disabled and 12 nondisabled boys, of average intellectual ability, in Grades 3 to 6 were compared on the Memory-For-Designs, Bender-Gestalt, Trail Making Test, and the 11 subtests of the Wechsler Intelligence Scale for Children--Revised (WISC-R). (Author)

A multicenter controlled study for dementia prevention through physical, cognitive and social activities – GESTALT-kompakt

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Streber A

2017-12-01

Full Text Available Anna Streber, Karim Abu-Omar, Christian Hentschke, Alfred Rütten Department of Sport Science and Sport, Faculty of Humanities, Social Sciences, and Theology, Friedrich-Alexander-University of Erlangen-Nürnberg, Erlangen, Germany Abstract: Prevention of dementia is a public health priority. Physical activity (PA can reduce the risk of dementia, but the majority of people remain sedentary. We conducted a multicenter controlled study with older adults (60+ years. We hypothesized that an evidence-based PA intervention – GEhen, Spielen und Tanzen Als Lebenslange Tätigkeiten – kompakt [walking, playing and dancing as lifelong activities-compact] (GESTALT-kompakt – would lead to significantly larger improvements in PA levels (step counts/Fitbit Zip™, cognitive functions (DemTect and social activities (Social Activity Log, compared to an active control group. Data were collected at baseline and after 3 and 12 months. The intervention group received a 12-week (1/week multimodal and multicomponent PA program, which combined PA with cognitive and social activities. The control group received either regular gymnastics or cognitive training (1/week. A mixed linear model was chosen for analysis. A total of 87 older individuals were recruited in the GESTALT-kompakt study (68 females, average age =76.0 years, SD ±9.2, range 52–95 years. Marginally significant differences were observed in the intervention group (n=57 in comparison to the control group (n=30, regarding improvements in PA (difference of mean changes =866.4 steps, p=0.055 after 3 months. However, their PA decreased to the baseline score value after 12 months (-866.0 steps, p=0.061. GESTALT-kompakt did not cause significant differences in cognitive functioning (-0.8620, p=0.074 and social activities (-0.2428, p=0.288 in comparison to the control intervention from T0 to T1. Sixteen (24.2% study participants who finished T2 reported a negative life event during the follow-up period

The Field Concept in Psychology, Gestalt Theory, Physics, and Epic Theatre – Brecht’s Adaptations of Kurt Lewin

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Langemeyer, Ines

2017-03-01

Full Text Available In the first half of the 20th century, the field concept was part of theoretical and methodological innovations in physics, gestalt theory as well as epic theatre as introduced by Bertolt Brecht. Another reference is the psychology of Kurt Lewin. In what ways Brecht took notice of Lewin’s research, especially his demand of a transition from Aristotelian to Galileian thought is reconstructed within the context of paradigm shifts fostered by logical empiricism, gestalt theory and physics. Lewin’s argumentation of an advanced understanding of the lawfulness of societal and psychological processes is placed in the center and traced back as an inspiration to Brecht’s writings. Vice versa, the article investigates in what ways Brecht’s theoretical writings and adaptations of Lewin’s approach can be reconsidered as a source for psychological theorizing.

Connectionism, parallel constraint satisfaction processes, and gestalt principles: (re) introducing cognitive dynamics to social psychology.

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Read, S J; Vanman, E J; Miller, L C

1997-01-01

We argue that recent work in connectionist modeling, in particular the parallel constraint satisfaction processes that are central to many of these models, has great importance for understanding issues of both historical and current concern for social psychologists. We first provide a brief description of connectionist modeling, with particular emphasis on parallel constraint satisfaction processes. Second, we examine the tremendous similarities between parallel constraint satisfaction processes and the Gestalt principles that were the foundation for much of modem social psychology. We propose that parallel constraint satisfaction processes provide a computational implementation of the principles of Gestalt psychology that were central to the work of such seminal social psychologists as Asch, Festinger, Heider, and Lewin. Third, we then describe how parallel constraint satisfaction processes have been applied to three areas that were key to the beginnings of modern social psychology and remain central today: impression formation and causal reasoning, cognitive consistency (balance and cognitive dissonance), and goal-directed behavior. We conclude by discussing implications of parallel constraint satisfaction principles for a number of broader issues in social psychology, such as the dynamics of social thought and the integration of social information within the narrow time frame of social interaction.

Ruling Out Pulmonary Embolism in Primary Care: Comparison of the Diagnostic Performance of "Gestalt" and the Wells Rule

NARCIS (Netherlands)

Hendriksen, Janneke M. T.; Lucassen, Wim A. M.; Erkens, Petra M. G.; Stoffers, Henri E. J. H.; van Weert, Henk C. P. M.; Büller, Harry R.; Hoes, Arno W.; Moons, Karel G. M.; Geersing, Geert-Jan

2016-01-01

Diagnostic prediction models such as the Wells rule can be used for safely ruling out pulmonary embolism (PE) when it is suspected. A physician's own probability estimate ("gestalt"), however, is commonly used instead. We evaluated the diagnostic performance of both approaches in primary care.

Metafísica romântica (verniz científico: a Gestalt não é uma teoria da comunicação visual

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Marcelo Santos

2014-06-01

Full Text Available Não é difícil encontrar em trabalhos devotados ao estudo da comunicação visual referência a autores provenientes da Gestalt, notadamente Donis A. Dondis e Rudolf Arnheim. Neste artigo, as bases goetheanas que fundamentam o pensamento gestáltico são investigadas. O objetivo é explicitar que a Gestalt, abordagem sustentada por postulados românticos não comprovados cientificamente, apresenta sérios problemas epistemológicos. Tudo exposto, nas considerações finais, a pertinência do mencionado campo à análise das imagens é colocada em suspenso.

An Adaptive Sweep-Circle Spatial Clustering Algorithm Based on Gestalt

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Qingming Zhan

2017-08-01

Full Text Available An adaptive spatial clustering (ASC algorithm is proposed in this present study, which employs sweep-circle techniques and a dynamic threshold setting based on the Gestalt theory to detect spatial clusters. The proposed algorithm can automatically discover clusters in one pass, rather than through the modification of the initial model (for example, a minimal spanning tree, Delaunay triangulation, or Voronoi diagram. It can quickly identify arbitrarily-shaped clusters while adapting efficiently to non-homogeneous density characteristics of spatial data, without the need for prior knowledge or parameters. The proposed algorithm is also ideal for use in data streaming technology with dynamic characteristics flowing in the form of spatial clustering in large data sets.

Fenomenologia do onírico: a gestalt-terapia e a daseinsanálise

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Ívena Pérola do Amaral Santos

Full Text Available O texto apresenta a gestalt-terapia e a daseinsanálise enquanto abordagens representativas no trabalho clínico com o sonhar humano, tendo como base o método fenomenológico. Traz os conceitos teóricos e as aplicações práticas propostas por ambas. Por fim, traz uma análise das convergências e divergências entre as duas teorias, estabelecendo-se suas distinções e contribuições.

[Schema therapy: an integrative approach for personality disorders].

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Roediger, Eckhard; Dieckmann, Eva

2012-01-01

Schema Therapy (ST) is a comprehensive approach deriving from cognitive behavioral therapy (CBT) for the treatment of chronic personality problems. ST extends CBT in 3 major issues: 1. The Schema-Mode-Model. 2. The therapeutic relationship. 3. The intensive use of experiential techniques. Schemas are persistent, rigid, and dysfunctional patterns preventing the patient from further personal emotive-interpersonal development. The central focus of the therapeutic process is the relationship between the therapist and the patient. Supported by the therapeutic relationship the patient gets in touch with painful childhood experiences. In ST, the core schemas are identified, put into a biographical context, and weakened by using several specific therapeutic techniques including experiential methods and strategies taken from Gestalt therapy that enrich traditional CBT techniques. © Georg Thieme Verlag KG Stuttgart · New York.

Detecting aberrant opioid behavior in the emergency department: a prospective study using the screener and Opioid Assessment for Patients with Pain-Revised (SOAPP®-R), Current Opioid Misuse Measure (COMM)™, and provider gestalt.

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Varney, Shawn M; Perez, Crystal A; Araña, Allyson A; Carey, Katherine R; Ganem, Victoria J; Zarzabal, Lee A; Ramos, Rosemarie G; Bebarta, Vikhyat S

2018-03-03

Emergency department (ED) providers have limited time to evaluate patients at risk for opioid misuse. A validated tool to assess the risk for aberrant opioid behavior may mitigate adverse sequelae associated with prescription opioid misuse. We sought to determine if SOAPP-R, COMM, and provider gestalt were able to identify patients at risk for prescription opioid misuse as determined by pharmacy records at 12 months. We conducted a prospective observational study of adult patients in a high volume US ED. Patients completed the SOAPP-R and COMM, and treating EM providers evaluated patients' opioid misuse risk. We performed variable-centered, person-centered, and hierarchical cluster analyses to determine whether provider gestalt, SOAPP-R, or COMM, or a combination, predicted higher misuse risk. The primary outcome was the number of opioid prescriptions at 12 months according to pharmacy records. For 169 patients (mean age 43 years, 51% female, 73% white), correlation analysis showed a strong relationship between SOAPP-R and COMM with predicting the number of opioid prescriptions dispensed at 12 months. Provider scores estimating opioid misuse were not related to SOAPP-R and only weakly associated with COMM. In our adjusted regression models, provider gestalt and SOAPP-R uniquely predicted opioid prescriptions at 6 and 12 months. Using designated cutoff scores, only SOAPP-R detected a difference in the number of opioid prescriptions. Cluster analysis revealed that provider gestalt, SOAPP-R, and COMM scores jointly predicted opioid prescriptions. Provider gestalt and self-report instruments uniquely predicted the number of opioid prescriptions in ED patients. A combination of gestalt and self-assessment scores can be used to identify at-risk patients who otherwise miss the cutoff scores for SOAPP-R and COMM.

O corpo na gestalt-terapia : um diálogo com Jean-Paul Sartre

OpenAIRE

Melo, Daniel Marcio Pereira

2014-01-01

Sendo uma perspectiva humanista, existencial e fenomenológica, a gestalt-terapia assume uma concepção de homem pautada na liberdade de ser e, também, na facticidade da existência vivida, principalmente, por meio do seu corpo. Se o homem não tem essência a priori, mas se faz existência a partir da sua liberdade de ser, conforme a fenomenologia existencial sartreana, isto ocorre a cada dia, em cada escolha, e se revela, objetivamente, num corpo que é, de fato, aqui-agora, marcado...

Conflicts and missed signals in psychoanalysis, behaviorism, and Gestalt psychology.

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Murray, David J; Kilgour, Andrea R; Wasylkiw, Louise

2000-04-01

At the turn of the 20th century, European psychologists found themselves in conflict situations with respect to the role that private mental states should play in a scientific psychology. Out of this conflict arose 3 of the best-known schools of the 20th century: psychoanalysis, behaviorism, and Gestalt psychology. Each of these schools is discussed with respect to two characteristics. First, the authors discuss the attitude of each school on the meaning of the word unconscious as it was understood around 1900. Second, the authors discuss the influence of each school on the reception accorded to books written around 1900 espousing viewpoints that did not cohere with the school's beliefs. Such books may be considered "missed signals" in the history of psychology. "Hits" associated with each school are also highlighted.

The wholeness teaching in history lessons: A perspective essay from Gestalt approach to holistic approach

OpenAIRE

Ahmet Şimşek

2008-01-01

In these days, education researchs emphasise on learning. The importance of wholeness in learning is just realized. Because of this, the thesis that the way individuals sense the world is complete, is became more important. The studies which are emphasize on wholeness learning are Gestalt, contructivism and holistic thinking. In this study, it is claimed that teaching history will be more fruitfull by the wholeness learning approach. Because, by wholeness history teaching, it will be possible...

Arnheim's Gestalt theory of visual balance: Examining the compositional structure of art photographs and abstract images

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McManus, I C; Stöver, Katharina; Kim, Do

2011-01-01

In Art and Visual Perception, Rudolf Arnheim, following on from Denman Ross's A Theory of Pure Design, proposed a Gestalt theory of visual composition. The current paper assesses a physicalist interpretation of Arnheim's theory, calculating an image's centre of mass (CoM). Three types of data are used: a large, representative collection of art photographs of recognised quality; croppings by experts and non-experts of photographs; and Ross and Arnheim's procedure of placing a frame around objects such as Arnheim's two black disks. Compared with control images, the CoM of art photographs was closer to an axis (horizontal, vertical, or diagonal), as was the case for photographic croppings. However, stronger, within-image, paired comparison studies, comparing art photographs with the CoM moved on or off an axis (the ‘gamma-ramp study’), or comparing adjacent croppings on or off an axis (the ‘spider-web study’), showed no support for the Arnheim–Ross theory. Finally, studies moving a frame around two disks, of different size, greyness, or background, did not support Arnheim's Gestalt theory. Although the detailed results did not support the Arnheim–Ross theory, several significant results were found which clearly require explanation by any adequate theory of the aesthetics of visual composition. PMID:23145250

Arnheim's Gestalt theory of visual balance: Examining the compositional structure of art photographs and abstract images.

Science.gov (United States)

McManus, I C; Stöver, Katharina; Kim, Do

2011-01-01

In Art and Visual Perception, Rudolf Arnheim, following on from Denman Ross's A Theory of Pure Design, proposed a Gestalt theory of visual composition. The current paper assesses a physicalist interpretation of Arnheim's theory, calculating an image's centre of mass (CoM). Three types of data are used: a large, representative collection of art photographs of recognised quality; croppings by experts and non-experts of photographs; and Ross and Arnheim's procedure of placing a frame around objects such as Arnheim's two black disks. Compared with control images, the CoM of art photographs was closer to an axis (horizontal, vertical, or diagonal), as was the case for photographic croppings. However, stronger, within-image, paired comparison studies, comparing art photographs with the CoM moved on or off an axis (the 'gamma-ramp study'), or comparing adjacent croppings on or off an axis (the 'spider-web study'), showed no support for the Arnheim-Ross theory. Finally, studies moving a frame around two disks, of different size, greyness, or background, did not support Arnheim's Gestalt theory. Although the detailed results did not support the Arnheim-Ross theory, several significant results were found which clearly require explanation by any adequate theory of the aesthetics of visual composition.

Arnheim's Gestalt Theory of Visual Balance: Examining the Compositional Structure of Art Photographs and Abstract Images

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I C McManus

2011-08-01

Full Text Available In Art and Visual Perception, Rudolf Arnheim, following on from Denman Ross's A Theory of Pure Design, proposed a Gestalt theory of visual composition. The current paper assesses a physicalist interpretation of Arnheim's theory, calculating an image's centre of mass (CoM. Three types of data are used: a large, representative collection of art photographs of recognised quality; croppings by experts and non-experts of photographs; and Ross and Arnheim's procedure of placing a frame around objects such as Arnheim's two black disks. Compared with control images, the CoM of art photographs was closer to an axis (horizontal, vertical, or diagonal, as was the case for photographic croppings. However, stronger, within-image, paired comparison studies, comparing art photographs with the CoM moved on or off an axis (the “gamma-ramp study”, or comparing adjacent croppings on or off an axis (the “spider-web study”, showed no support for the Arnheim-Ross theory. Finally, studies moving a frame around two disks, of different size, greyness, or background, did not support Arnheim's Gestalt theory. Although the detailed results did not support the Arnheim-Ross theory, several significant results were found which clearly require explanation by any adequate theory of the aesthetics of visual composition.

Arnheim's Gestalt theory of visual balance: Examining the compositional structure of art photographs and abstract images

OpenAIRE

McManus, I C; Stöver, Katharina; Kim, Do

2011-01-01

In Art and Visual Perception, Rudolf Arnheim, following on from Denman Ross's A Theory of Pure Design, proposed a Gestalt theory of visual composition. The current paper assesses a physicalist interpretation of Arnheim's theory, calculating an image's centre of mass (CoM). Three types of data are used: a large, representative collection of art photographs of recognised quality; croppings by experts and non-experts of photographs; and Ross and Arnheim's procedure of placing a frame around obje...

Possibilidades de diálogos entre abordagens humanistas: escutando vivências de psicodramatistas e gestalt-terapeutas

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Érico Douglas Vieira

2014-03-01

Full Text Available A diversidade de concepções presente na Psicologia Clínica torna as possibilidades de diálogo entre abordagens uma questão importante. Objetivou-se neste trabalho compreender a dinâmica de aproximações e afastamentos entre duas abordagens humanistas - a Gestalt-terapia e o Psicodrama - a partir da análise dos dados provenientes de entrevistas realizadas com profissionais das duas orientações. A Teoria Fundamentada nos Dados foi escolhida como método, na busca de produção teórica a partir do contato analítico com narrativas de terapeutas. Foram entrevistados 22 profissionais do Psicodrama e da Gestalt-terapia (onze de cada orientação que possuem expressivo percurso na abordagem de filiação. As experiências que facilitaram a abertura e flexibilidade para o exame sério e interessado das contribuições de outros sistemas incluem o contato com vários sistemas desde cedo na carreira, a apreciação de conceitos trabalhados na outra abordagem e a influência de alguém importante que exercia prática integrativa. A admiração, a fidelidade e o sentimento de que a própria abordagem supre as necessidades pessoais contribuem para que o profissional fique fechado às contribuições de outras escolas.

[Gestalt therapy of complaints].

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De Baranchuk, J Z; Dayan, A; Gomez, A; Grimaldi, S; Morra, A

1980-03-01

People can express their suffering voicing it, complaining with their body, with gestures, movements; for alerts eyes it is even more comprehensive and true than words. Complaints that human beings are capable of expressing are not so many, there are only a handful, and this work intends to be exhaustive in its exposition. It is possible to complain against third persons. It is also possible to do so against oneself assuming either the intransigent attitude of a father who judges a son who does not fulfill his expectancies, or as a son who resents the paternal demands which he feels he cannot comply. Other kind of complaints include physical symptoms, either isolated (cephalea, dysnea, urticaria) or constituting syndromes or illnesses. Losses suffered are also a source of complaints, whatever the lost object might be (person, situation, material things or a part of oneself). It can be mourned because of its absence, or else by feeling guilty of the real or imaginary damage inflicted or else by feeling indisolubly linked to it with a phantom tie. Other types of complaints are the feeling of dependancy towards something oppressive, be it a substance, such as alcohol, smoking, drugs or overeating, or it may be a person or a situation. In view of the compulsive addiction characteristics with which the subject lives, it is possible to assimilate this dependancy and the feeling of oppression and damage to the link with a toxic.

2. Gestaltdrama as an Integrative Psychotherapeutic Approach

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Polínek Martin Dominik

2016-03-01

Full Text Available The following text is an overview study which defines the basic phenomena and effective factors of Gestalt drama and outlines some of the researches carried out in this area by the author during recent years. Gestalt drama is the name of a specific psychotherapeutic approach applied by the author in his practice, which combines Gestalt therapy with expressive approaches (especially with dramatherapy, theatrotherapy and fairytale-therapy. Linking Gestalt therapy and expressive techniques results in a specific psychotherapeutic approach whose versatility and holistic conception makes it suitable not only for psychotherapy but also for self-development of people with special needs, as it has the potential to meet the higher psychological needs even when the lower needs are not sufficiently saturated. The article further presents the interpretation of the partial results of research focusing on the analysis of integration performance where gestaltdrama techniques have been applied. These performances resulted from one-day dramatherapy workshops with clients suffering from mental retardation and with clients with behavioural disorders. This includes the analysis of differences between dramatical expression within the above target groups.

Enhanced Fine-Form Perception Does Not Contribute to Gestalt Face Perception in Autism Spectrum Disorder

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Maekawa, Toshihiko; Miyanaga, Yuka; Takahashi, Kenji; Takamiya, Naomi; Ogata, Katsuya; Tobimatsu, Shozo

2017-01-01

Individuals with autism spectrum disorder (ASD) show superior performance in processing fine detail, but often exhibit impaired gestalt face perception. The ventral visual stream from the primary visual cortex (V1) to the fusiform gyrus (V4) plays an important role in form (including faces) and color perception. The aim of this study was to investigate how the ventral stream is functionally altered in ASD. Visual evoked potentials were recorded in high-functioning ASD adults (n = 14) and typically developing (TD) adults (n = 14). We used three types of visual stimuli as follows: isoluminant chromatic (red/green, RG) gratings, high-contrast achromatic (black/white, BW) gratings with high spatial frequency (HSF, 5.3 cycles/degree), and face (neutral, happy, and angry faces) stimuli. Compared with TD controls, ASD adults exhibited longer N1 latency for RG, shorter N1 latency for BW, and shorter P1 latency, but prolonged N170 latency, for face stimuli. Moreover, a greater difference in latency between P1 and N170, or between N1 for BW and N170 (i.e., the prolongation of cortico-cortical conduction time between V1 and V4) was observed in ASD adults. These findings indicate that ASD adults have enhanced fine-form (local HSF) processing, but impaired color processing at V1. In addition, they exhibit impaired gestalt face processing due to deficits in integration of multiple local HSF facial information at V4. Thus, altered ventral stream function may contribute to abnormal social processing in ASD. PMID:28146575

Enhanced Fine-Form Perception Does Not Contribute to Gestalt Face Perception in Autism Spectrum Disorder.

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Takao Yamasaki

Full Text Available Individuals with autism spectrum disorder (ASD show superior performance in processing fine detail, but often exhibit impaired gestalt face perception. The ventral visual stream from the primary visual cortex (V1 to the fusiform gyrus (V4 plays an important role in form (including faces and color perception. The aim of this study was to investigate how the ventral stream is functionally altered in ASD. Visual evoked potentials were recorded in high-functioning ASD adults (n = 14 and typically developing (TD adults (n = 14. We used three types of visual stimuli as follows: isoluminant chromatic (red/green, RG gratings, high-contrast achromatic (black/white, BW gratings with high spatial frequency (HSF, 5.3 cycles/degree, and face (neutral, happy, and angry faces stimuli. Compared with TD controls, ASD adults exhibited longer N1 latency for RG, shorter N1 latency for BW, and shorter P1 latency, but prolonged N170 latency, for face stimuli. Moreover, a greater difference in latency between P1 and N170, or between N1 for BW and N170 (i.e., the prolongation of cortico-cortical conduction time between V1 and V4 was observed in ASD adults. These findings indicate that ASD adults have enhanced fine-form (local HSF processing, but impaired color processing at V1. In addition, they exhibit impaired gestalt face processing due to deficits in integration of multiple local HSF facial information at V4. Thus, altered ventral stream function may contribute to abnormal social processing in ASD.

Possibilidades de diálogos entre abordagens humanistas: escutando vivências de psicodramatistas e gestalt-terapeutas

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Vieira, Érico Douglas; Vandenberghe, Luc

2014-01-01

A diversidade de concepções presente na Psicologia Clínica torna as possibilidades de diálogo entre abordagens uma questão importante. Objetivou-se neste trabalho compreender a dinâmica de aproximações e afastamentos entre duas abordagens humanistas - a Gestalt-terapia e o Psicodrama - a partir da análise dos dados provenientes de entrevistas realizadas com profissionais das duas orientações. A Teoria Fundamentada nos Dados foi escolhida como método, na busca de produção teórica a partir do c...

Hiperatividade: doença ou essência um enfoque da gestalt-terapia

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Sheila Antony

Full Text Available Este trabalho discute a hiperatividade considerando a metáfora do corpo da criança e o seu funcionamento psicológico, de forma a esclarecer se a sua expressão constitui doença ou um modo próprio de ser. O transtorno de déficit de atenção/hiperatividade (TDAH tem sido extensivamente investigado em pesquisas que visam aprimorar os critérios diagnósticos e conhecer sua etiologia. Poucos estudos são orientados para elucidar a dimensão psíquica da criança hiperativa. A Gestalt-Terapia é uma abordagem fenomenológico-existencial assentada em teorias holísticas que reconhecem a multidimensionalidade do humano, enfocando a relação (o contato como ontológica à existência humana.

BENDER GESTALT VISUALMOTOR TEST AND CARAS TEST: A EXAM OF CONSTRUCT VALIDITY

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Cesar Merino Soto

2011-12-01

Full Text Available Research with new versions of the Bender Gestalt Test (TGB has hardly attracted attention to the researchers of the Hispanic world, onsidering that this test is one of the most widely used psychological assessments. This study evaluates the construct validity of the modified version of TGB for children, elative to sustainedattention assessed by the Caras Test. Both tests were applied to 90 children, aged between 5 and 8, in standardized conditions. The esults indicate that the shared variance between the two measures is zero, even when applied disattenuated correlations for measurement error; also, no non-linear patterns were detected between the two variables. These correlations were consistent in the total sample and among subgroups of children. We discuss these results with respect to the limits of validity of this modified version of TGB in the Spanish language.

Programa de formación en valores dirigidos al sistema parejas: una propuesta desde el Enfoque Gestalt

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Sequera Cabeza, Nuvia

2015-01-01

Resumen del Proyecto de Tesis Doctoral: PROGRAMA DE FORMACIÓN EN VALORES DIRIGIDO AL SISTEMA PAREJA: UNA PROPUESTA DESDE EL ENFOQUE GESTALT Presentado por Nuvia Sequera Cabeza Dirigido por Ana D’Ocon Giménez 1. Introducción: El estudio conceptual de los valores se justifica desde la dimensión formativa o instructiva de la persona, aunque no sea ésta su finalidad más valiosa. Lo sería la plasmación de valores respetuosos con la humanidad y el entorno en la conducta cotidia...

What does "brief" mean? A theoretical critique of the concept of brief therapy from a psychoanalytic viewpoint.

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Migone, Paolo

2014-08-01

The concept of "brief therapy" contains internal contradictions. The techniques suggested by brief therapists are the same techniques that have been discussed historically in debates on theory of technique, both within and without psychoanalysis (e.g., the experiential factor at the center of the Freud-Ferenczi confrontation is also an important aspect of Gestalt therapy). A time limit is the only operational criterion that allows a rigorous definition of brief therapy; without this criterion it is impossible to discriminate between "brief" and simply "good" therapies (i.e., those in which patients are successfully treated in a short time). An important question is why, with a given patient, a therapist should decide, a priori, to terminate a treatment within a set time. Two clinical examples are presented, illustrating the usefulness of Eissler's concept of parameters as a heuristic framework to identify the potentially defensive nature of both "brief" and "long-term" therapy. © 2014 by the American Psychoanalytic Association.

Fantasy and Experiential-Gestalt Therapy.

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Witchel, Robert

Fantasy activities are part of everyday experience. The author imagines hugging or touching someone, daydreams about sitting on a bench or riverbank, visualizes standing up during a boring meeting and shouting "let's wake up and do something!" Fantasy is also a tool that can be used in experimenting with new behavior, becoming more aware…

Benutting van vergifnis binne ’n pastorale Gestaltterapeutiese intervensie

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Rudy A. Denton

2011-11-01

Full Text Available Utilisation of forgiveness within a pastoral Gestalt therapeutic intervention This article is based on a pastoral base theory within the Gestalt therapeutic perspective to guide abused persons in their utilisation of forgiveness as a source of a recovery experience. The formation of the paradigm is based on a multidisciplinary approach, which takes place on the interface between pastoral counselling and Gestalt therapy without the unique content and character of pastoral care or the Gestalt therapy being lost. It appears that forgiveness, as a source of repair experience, can guide abused persons to psychological and physical health, positive emotions and healthy social interaction. Forgiveness can be defined as the unconditional acceptance of God’s grace through faith, and release (surrender of an offender to the mercy of God. It does not deny the pain or change the past, but it breaks the cycle of bitterness that abused people associate with the pain of the past. Through the use of forgiveness as a coping mechanism abused people can be guided to handle unfinished business.

Psychotherapy for Suicidal Clients.

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Lester, David

1994-01-01

Reviews various systems of psychotherapy for suitability for suicidal clients. Discusses psychoanalysis, cognitive therapy, primal therapy, transactional analysis, Gestalt therapy, reality therapy, person-centered therapy, existential analysis, and Jungian analysis in light of available treatment options. Includes 36 citations. (Author/CRR)

Feasibility and outcome of dialogical exposure therapy for posttraumatic stress disorder: a pilot study with 25 outpatients.

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Butollo, Willi; König, Julia; Karl, Regina; Henkel, Christine; Rosner, Rita

2014-01-01

The research on psychotherapy for posttraumatic stress disorder (PTSD) stems predominantly from a cognitive-behavioral orientation while other approaches are underrepresented. We evaluated dialogical exposure in trauma therapy (DET), a treatment for PTSD combining cognitive-behavioral elements with an interpersonal, gestalt-based framework. In this uncontrolled pilot trial, 25 PTSD patients were treated with DET in an outpatient setting and 21 completed therapy. There was a significant reduction in self-rated PTSD symptoms from pre- to posttreatment. Effect sizes were large in the completer sample and moderate to large in the intent-to-treat sample. General psychopathology also decreased significantly. The dropout rate was rather low at 16%. These results show that further research on DET as a treatment for PTSD is warranted.

Determination of sensitivity, specificity and cut off point of visual- Motor Bender Gestalt Test in the diagnosis of traumatic brain injury

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tayebeh Rezaie nasab

2013-02-01

Results: In this study, cut-off point was calculated as 6.5%, sensitivity as 55.8%, characteristic as 81.2%, and the area under the Roc curve as 0.69. Moreover, positive predictive value, negative predictive value and efficiency were 95.08%, 22.03%, and 59.17%, respectively. Conclusion: Results of this study revealed that Bender Gestalt Test is relatively weak in diagnosis of mild TBI. Hence, its characteristic is high and it was successful in diagnosing healthy individuals.

Hermenêutica gestáltica de uma violência sexual intrafamiliar Hermenéutica gestáltica de una violencia sexual intrafamiliar Interpretation gestalt of a sexual violence inside family

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Adelma do Socorro Gonçalves Pimentel

2009-12-01

, ora cómo hondo - y negativos - repercusiones disfuncionales de autocontacto, en el contacto con el otro y en algunas áreas de desempeño.This article shows the results of a qualitative research of orientation phenomenological-existential gestalt, which aimed to reveal some meanings attributed to the sexual violence inside family. It was configured as a case study in which the informant, from 9 to 11 years, was victimized by her father. The data were obtained in ONG República of Emaús, contemplating reading of documents, informal reports, participant observation and interview. The analysis conjugated, whenever possible, the theory of the interpretation of Ricoeur, concepts of the Gestalt-therapy (contact, figure-bottom and psychological nutrition and of the Occupational Therapy (areas, components and acting contexts. Units of significance agglutinated meanings of the speech, that revealed positive aspects such as revelation of the experience, expansion of some contact borders and presentation of the weight of the lived experience sometimes as illustration other as bottom and negative aspects: repercussions own-contact without functionality, in the contact with the other and in some acting areas.

Therapy response evaluation with positron emission tomography-computed tomography.

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Segall, George M

2010-12-01

Positron emission tomography-computed tomography with F-18-fluorodeoxyglucose is widely used for evaluation of therapy response in patients with solid tumors but has not been as readily adopted in clinical trials because of the variability of acquisition and processing protocols and the absence of universal response criteria. Criteria proposed for clinical trials are difficult to apply in clinical practice, and gestalt impression is probably accurate in individual patients, especially with respect to the presence of progressive disease and complete response. Semiquantitative methods of determining tissue glucose metabolism, such as standard uptake value, can be a useful descriptor for levels of tissue glucose metabolism and changes in response to therapy if technical quality control measures are carefully maintained. The terms partial response, complete response, and progressive disease are best used in clinical trials in which the terms have specific meanings and precise definitions. In clinical practice, it may be better to use descriptive terminology agreed upon by imaging physicians and clinicians in their own practice. Copyright © 2010. Published by Elsevier Inc.

Configural Gestalts Remain Nothing More Than the Sum of Their Parts in Visual Agnosia

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Lee H. de-Wit

2013-12-01

Full Text Available We report converging evidence that higher stages of the visual system are critically required for the whole to become more than the sum of its parts by studying patient DF with visual agnosia using a configural superiority paradigm. We demonstrate a clear dissociation between this patient and normal controls such that she could more easily report information about parts, demonstrating a striking reversal of the normal configural superiority effect. Furthermore, by comparing DF's performance to earlier neuroimaging and novel modeling work, we found a compelling consistency between her performance and representations in the early visual areas, which are spared in this patient. The reversed pattern of performance in this patient highlights that in some cases visual Gestalts do not emerge early on without processing in higher visual areas. More broadly, this study demonstrates how neuropsychological patients can be used to unmask representations maintained at early stages of processing.

Interpersonal Subtypes and Therapy Response in Patients Treated for Posttraumatic Stress Disorder.

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König, Julia; Onnen, Margarete; Karl, Regina; Rosner, Rita; Butollo, Willi

2016-01-01

Interpersonal traits may influence psychotherapy success. One way of conceptualizing such traits is the interpersonal circumplex model. In this study, we analyse interpersonal circumplex data, assessed with the Inventory of Interpersonal Problems (Horowitz, Strauß, & Kordy, 1994) from a randomized study with 138 patients suffering from posttraumatic stress disorder after trauma in adulthood. The study compared cognitive processing therapy and dialogical exposure therapy, a Gestalt-based intervention. We divided the interpersonally heterogeneous sample according to the quadrants of the interpersonal circumplex. The division into quadrants yielded subgroups that did not differ in their general psychological distress, but the cold-submissive quadrant tended to exhibit higher posttraumatic stress disorder symptom severity and interpersonal distress than the other three. There was also a trend for patients in different quadrants to be affected differently by the treatments. Correlation analyses supported these results: in cognitive processing therapy, more dominant patients had more successful therapies, while in dialogical exposure therapy, success was not correlated with interpersonal style. Results indicate that especially patients with cold interpersonal styles profited differentially from the two treatments offered. Dividing samples according to the interpersonal circumplex quadrants seems promising. Interpersonal traits may contribute to psychotherapy outcome. Dividing the sample according to the quadrants of the interpersonal circumplex, as opposed to cluster analysis, yielded promising results. Patients higher in dominance fared better with cognitive processing therapy, while interpersonal style had no correlations with therapy success in dialogical exposure therapy. Copyright © 2015 John Wiley & Sons, Ltd.

Long-term follow-up results of post-radiation therapy for pituitary adenoma. Focusing on highly functional disorders

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Hirao, Jun; Mitsushima, Yuzuru; Watanabe, Takashi; Hori, Tomokatsu; Miwa, Miwako

1997-01-01

Affective disorders and highly functional disorders derived from diencephalohypophyseal function and observable in adult patients who underwent radiation therapy for macroadenoma were evaluated. Patients (4 males and 3 females) were 45.14 years old in average, who had received 48-50 (49.6 in a mean) Gy of 2-gated 60 Co irradiation to 5 x 5 cm area around Turkish saddle 7.8 years ago in a mean (3y4m-21y5m). Tests for mentation and computed tomography and magnetic resonance imaging for organic disorders were performed for the evaluation. Lowered functions in encoding and Bender-Gestalt test were recognized without any organic abnormality. (K.H.)

Upgrading Gestalt psychology with variational neuroethology: The case of perceptual pleasures. Comment on "Answering Schrödinger's question: A free-energy formulation" by M.J. Desormeau Ramstead et al.

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Van de Cruys, Sander

2018-03-01

Ramstead et al. provide a promising, encompassing framework for biology and psychology, based on the free energy principle (FEP) and Tinbergen's four questions [16]. Because their exposition remains at a fairly high level of abstraction, here we attempt to illustrate the potential of the framework through a concrete, classic case in psychology, namely that of our preference or liking of perceptual inputs. Two dominant but different views can be found in the literature. One harks back to the great Gestalt psychologists of the last century and stresses the salient and positive qualities of the 'goodness of form' or Prägnanz, i.e., orderly, balanced and coherent configuration [20,21]. Inputs that allow the formation of those "good Gestalts" would be most attractive. Later on, other authors added a role for learning (mere exposure) and argued that we prefer very familiar, regular or prototypical stimuli (e.g., [2]). However, these stimuli are quickly considered boring [3] and more importantly, highly attractive stimuli rarely conform to the principle (cf. art), partly discrediting the view.

Phi is not beta, and why Wertheimer's discovery launched the Gestalt revolution.

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Steinman, R M; Pizlo, Z; Pizlo, F J

2000-01-01

Max Wertheimer (1880-1943), the founder of the Gestalt School of Psychology, published a monograph on the perception of apparent motion in 1912, which initiated a new direction for a great deal of subsequent perceptual theory and research. Wertheimer's research was inspired by a serendipitous observation of a pure apparent movement, which he called the phi-phenomenon to distinguish it from optimal apparent movement (beta), which resembles real movement. Wertheimer called his novel observation 'pure' because it was perceived in the absence of any object being seen to change its position in space. The phi-phenomenon, as well as the best conditions for seeing it, were not described clearly in this monograph, leading to considerable subsequent confusion about its appearance and occurrence. We review the history leading to the discovery of the phi-phenomenon, and then describe: (i) a likely source for the confusion evident in most contemporary research on the phi-phenomenon; (ii) the best conditions for seeing the phi-phenomenon; (iii) new conditions that provide a particularly vivid phi-phenomenon; and (iv) two lines of thought that may provide explanations of the phi-phenomenon and also distinguish phi from beta.

Contrasts in Gestalt and Analytic Therapy.

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Shuger, Dan; Bebout, Jim

1980-01-01

No significant differences between beginning and advanced clients of either school were found. Clients from the two schools differed significantly from each other, however, and appeared to be drawn to a theory by their personality. (Author)

Student Development and Experimental-Gestalt Therapy.

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Witchel, Robert

The rapid pace at which societal changes have occurred in our culture has presented a tremendous challenge to higher education. A major attempt to meet this challenge has been the Tomorrow's Higher Education (THE) Project. The goal of the THE Project is to reconceptualize student affaris work in a way that will provide a measure of creative input…

Challenges in the sequencing of therapies for the management of metastatic castration-resistant prostate cancer.

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Parente, Phillip; Parnis, Francis; Gurney, Howard

2014-09-01

Prior to 2010, docetaxel was the standard option for chemotherapy in men with metastatic castration-resistant prostate cancer (mCRPC). Today, the picture is vastly different: several additional therapies have each demonstrated a survival benefit such that we now have chemotherapy (cabazitaxel), androgen suppressive agents (abiraterone acetate and enzalutamide), a cellular vaccine (sipuleucel-T) and radium-233 (for symptomatic bone metastases). With several other agents in the pipeline for late-stage disease, the future looks promising for mCRPC. As the available data are not able to inform as to the optimum sequencing of therapy, this remains a challenge. This paper draws on insights from published and ongoing clinical studies to provide a practical patient-focused approach to maximize the benefits of the current therapeutic armamentarium. Preliminary sequencing suggestions are made based on clinical trial criteria. But until more data become available, clinical gestalt, experience, cost and individual patient preferences will continue to drive choices. © 2014 Wiley Publishing Asia Pty Ltd.

Accessing Transgenerational Themes Through Dreamwork.

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Andrews, Jennifer; And Others

1988-01-01

Proposes use of dreamwork to evoke historical patterns or transgenerational themes. Describes new variant of dreamwork which combines aspects of both gestalt and family systems therapies. Implications of therapeutic dramatization for couple therapy are suggested. Examples are included. (Author/NB)

Predicting Fluid Responsiveness Using Bedside Ultrasound Measurements of the Inferior Vena Cava and Physician Gestalt in the Emergency Department of an Urban Public Hospital in Sub-Saharan Africa.

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Hendry Robert Sawe

Full Text Available Bedside inferior vena cava (IVC ultrasound has been proposed as a non-invasive measure of volume status. We compared ultrasound measurements of the caval index (CI and physician gestalt to predict blood pressure response in patients requiring intravenous fluid resuscitation.This was a prospective study of adult emergency department patients requiring fluid resuscitation. A structured data sheet was used to record serial vital signs and the treating clinician's impression of patient volume status and cause of hypotension. Bedside ultrasound CI measurements were performed at baseline and after each 500mL of fluid. Receiver operating characteristic (ROC curve analysis was performed to characterize the relationship between CI and Physician gestalt, and the change in mean arterial pressure (MAP.We enrolled 364 patients, 52% male, mean age 36 years. Indications for fluid resuscitation were haemorrhage (54%, dehydration (30%, and sepsis (17%. Receiver operating characteristic curve analysis found optimal CI cut-off values of 45%, 52% and 53% to predict a MAP rise of 5, 8 and 10 mmHg per litre of fluid, respectively. The sensitivity and specificity of CI of 50% for predicting a 10mmHg increase in MAP per litre were 88% (95%CI 81-93% and 73% (95%CI 67-79%, respectively, area under the curve (AUC = 0.85 (0.81-0.89. The sensitivity and specificity of physician gestalt estimate of volume depletion severity were 68% (95%CI 60-75% and 86% (95%CI 80-90%, respectively, AUC = 0.83 (95% CI: 0.79-0.87. Those with a baseline CI ≥ 50% (51% of patients had a 2.8-fold greater fluid responsiveness than those with a baseline CI<50% (p<0.0001.Ultrasound measurement of the CI can predict blood pressure response among patients requiring intravenous fluid resuscitation and may be useful in early identification of patients who will benefit most from volume resuscitation, and those who will likely require other interventions.

Long-term follow-up results of post-radiation therapy for pituitary adenoma. Focusing on highly functional disorders

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Hirao, Jun; Mitsushima, Yuzuru; Watanabe, Takashi; Hori, Tomokatsu; Miwa, Miwako [Tottori Univ., Yonago (Japan). School of Medicine

1997-01-01

Affective disorders and highly functional disorders derived from diencephalohypophyseal function and observable in adult patients who underwent radiation therapy for macroadenoma were evaluated. Patients (4 males and 3 females) were 45.14 years old in average, who had received 48-50 (49.6 in a mean) Gy of 2-gated {sup 60}Co irradiation to 5 x 5 cm area around Turkish saddle 7.8 years ago in a mean (3y4m-21y5m). Tests for mentation and computed tomography and magnetic resonance imaging for organic disorders were performed for the evaluation. Lowered functions in encoding and Bender-Gestalt test were recognized without any organic abnormality. (K.H.)

Interview with Violet Oaklander, Author of "Windows to Our Children."

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Campbell, Chari A.

1993-01-01

Presents interview with Dr. Violent Oaklander, experienced child therapist and author of "Windows to Our Children: A Gestalt Therapy with Children and Adolescents." Discusses critical components of successful therapy with children. Explains how developmental stage of child affects therapeutic process, and provides specific examples of working with…

Entre o psicodrama e a Gestalt-terapia: Encontros, obstáculos e perspectivas

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Érico Douglas Vieira

2015-09-01

Full Text Available ResumoA divisão das psicoterapias em escolas e sistemas representa um desafio para o campo. Questionamos as dinâmicas de aproximação e de afastamento entre o Psicodrama e a Gestalt-terapia, a partir de entrevistas realizadas com 22 profissionais dessas abordagens. A pesquisa identificou um leque de condições facilitadoras e de obstáculos para o diálogo. Destacaram-se tanto a pessoa do profissional com suas necessidades e sua história singular, quanto a estrutura do campo e os processos sociais envolvidos. Os atrativos da integração incluem o enfrentamento de realidades clínicas complexas através de uma prática mais versátil, o refinamento teórico através do aproveitamento de conceitos externos e uma reflexividade mais madura proporcionada pelo encontro com o outro. Porém, emerge uma ligação íntima entre a identidade profissional do indivíduo e as características das abordagens e das comunidades profissionais que as sustentam. As forças que afastam o diálogo não podem ser compreendidas sem levar essas dinâmicas em consideração.

Controlling Depersonalized Counseling.

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Balistrieri, Tom

1982-01-01

Outlines Gestalt therapy techniques to increase active listening and counselor/client involvement in career counseling. Discusses awareness through dialog, role playing or "presentizing," and experiential "presentizing." Presents a sample dialog as illustration. (RC)

Breaking the mold: sculpting impasses in couples' therapy.

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Papp, Peggy; Scheinkman, Michele; Malpas, Jean

2013-03-01

In the fall of 2009, we the authors started a project at the Ackerman Institute for the Family in New York City that focuses on understanding and transforming impasses in couples' therapy. In experimenting with various interventions, we discovered the power of sculpting to capture and transform stalemates in couples relationships. In this article, we describe the ways in which sculpting brings forward the gestalt of a couple's impasse, highlights nuances of emotions and feelings, and reveals elements of both present and past. We also discuss the ways in which sculpting illuminates the partners' sense of self in the relationship as they feel constrained within their reciprocal dynamics. Through three different cases, we outline a protocol for sculpting. We demonstrate how the therapist invites the partners to create a visual/sensory narrative of their impasse, guides staging of their metaphors and images, and utilizes their enactments to unpack emotions, beliefs, and patterns that are typically on the periphery of awareness. We also articulate how sculpting offers a platform for the process of change. © FPI, Inc.

ONR (Office of Naval Research) Far East Scientific Bulletin. Volume 9, Number 3, July to September 1984,

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1984-09-01

patients, psychotherapy, with 14 papers, in which discussions were held on various * psychotherapeutic techniques, such as Gestalt therapy, play therapy , group...Japanese as play therapy with a miniature garden in a small box (Hakoniwa), counseling and encounter groups, with I I papers, among which discussions were...autistic children, psychological traits of enuretic children, the success with play therapy to reduce the number of vomitings of a profoundly retarded child

Therapist's interpersonal style and therapy benefit as the determinants of personality self-reports in clients.

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Hadziahmetović, Nina; Alispahić, Sabina; Tuce, Đenita; Hasanbegović-Anić, Enedina

2016-02-01

BACKGROUND/AIM. In (counter)transference relationship therapist's interpersonal style, implying the perceived relation of therapist to a client (patient) in terms of control, autonomy, care and positive feedback, has been shown to be important. The aim of our study was to assess the relationship between therapist's interpersonal style and clients' personality self-reports. Within therapist's interpersonal style, preliminary validation of the Therapist's Interpersonal Style Scale has been conducted, which included double translation method, exploratory factor analysis, confirmatory factor analysis, as well as the reliability tests of the derived components. This research was conducted on a group of 206 clients, attending one of the four psychotherapy modalities: psychoanalysis, gestalt therapy, cognitive-behavioral and systemic family therapy. Beside Therapist's Interpersonal Style Scale, Big Five Questionnaire and Therapy Benefit Scale were administered, showing good internal consistency. Principal component analysis of therapist's interpersonal style singled out two components Supportive Autonomy and Ignoring Control, explaining 42% of variance. Two-factor model of the therapist's styles was better fitted in confirmatory factor analysis than the original 4-factor model. Structural model showing indirect and direct effects of therapist's interpersonal styles on self-reports in clients indicates good fitness (χ²(12) = 8.932, p = 0.709; goodness-of-fit index = 0.989), with Ignoring Control having direct effect on Stability, Supportive Autonomy on Therapy Benefit, and Therapy Benefit on Plasticity. The results of this study indicate the importance of further research on therapist's interpersonal style, as well as further validation of the instrument that measures this construct. Besides, a client's perception that the therapy is being helpful could instigate more explorative and approach-oriented behavior, what indirectly might contribute to a client's stability.

Children Facing Divorce: A Treatment Program

Science.gov (United States)

Magid, Kenneth M.

1977-01-01

The children facing divorce program began last year and was built on the talents of an interdisciplinary staff. Included are experts in client-centered counseling, sociometry and psychodrama, Gestalt and TA, behavior modification, and various eclectic approaches to family therapy. (Author)

Neurotic Anxiety, Pronoun Usage, and Stress

Science.gov (United States)

Alban, Lewis Sigmund; Groman, William D.

1976-01-01

Attempts to clarify the function of a particular aspect of verbal communication, pronoun usage, by (a) using a Gestalt Therapy theory conceptual framework and (b) experimentally focusing on the relationship of pronoun usage to neurotic anxiety and emotional stress. (Author/RK)

Cerebral blood flow in hypothyroidism: Response to therapy and associated cognitive performance

International Nuclear Information System (INIS)

Ilgin, N.; Akdemir, U.O.; Yetkin, I.; Eroglu, A.

2002-01-01

Hypothyroidism is often associated with defective memory, psychomotor slowing and depression. However, the relationship between thyroid status, related cognitive state and associated cerebral circulatory and/or metabolic abnormalities have not been elucidated. Purpose: The aim of this study was to evaluate pre-and post-therapy brain perfusion patterns in 9 hypothyroid patients presenting with Hashimoto thyroiditis. Method: Patients were referred on the basis of abnormal levels of anti-thyroglobulin and anti-microsomal antibodies, hypothyroidism and symptoms of cognitive dysfunction. Cognitive performance was tested using Raven's Coloured Progressive Matrices and Bender Gestalt Test. Functional evaluation of the brain was also performed via the methods of electroencephalography (EEG) and single photon emission tomography (SPECT). An initial SPECT study was carried out after I.V. injection of Tc99m-HMPAO and semiquantitative rCBF analysis was performed by drawing irregular regions of interest (ROIs) in three slices. A total number of 12 sector regions of interest placed on the two hemispheres and regional cerebral blood flow (rCBF) was determined using cortical region/cerebellum ratios obtained in each hemisphere. A repeat SPECT study was undertaken in 5 subjects 3-6 months after the initiation of medical therapy. Results: Pre-therapy perfusion data in four patients showed that the cortical ratios were globally depressed at the levels of 0.65-0.85 where these ratios improved quickly to the near normal-above normal levels (range of rCBF improvement as % difference from baseline 25%-45%) within 3-4 months of therapy. Conclusion: These results indicate that brain activity was globally decreased in severe hypothyroidism of short duration which normalized steadily as the hypothyroid state is corrected

Fifty Strategies for Counseling Defiant, Aggressive Adolescents: Reaching, Accepting, and Relating.

Science.gov (United States)

Hanna, Fred J.; Hanna, Constance A.; Keys, Susan G.

1999-01-01

Takes a transtheoretical approach using ideas from cognitive behavioral, existential, Gestalt, psychodynamic, and multicultural therapies to describe both new and established strategies for relationships building with defiant youth. Arranges strategies in three categories: reaching, accepting, and relating. Suggestions for counselors when working…

Therapist’s interpersonal style and therapy benefit as the determinants of personality self-reports in clients

Directory of Open Access Journals (Sweden)

Hadžiahmetović Nina

2016-01-01

Full Text Available Background/Aim. In (countertransference relationship therapist’s interpersonal style, implying the perceived relation of therapist to a client (patient in terms of control, autonomy, care and positive feedback, has been shown to be important. The aim of our study was to assess the relationship between therapist’s interpersonal style and clients’ personality self-reports. Within therapist’s interpersonal style, preliminary validation of the Therapist’s Interpersonal Style Scale has been conducted, which included double translation method, exploratory factor analysis, confirmatory factor analysis, as well as the reliability tests of the derived components. Methods. This research was conducted on a group of 206 clients, attending one of the four psychotherapy modalities: psychoanalysis, gestalt therapy, cognitive-behavioral and systemic family therapy. Beside Therapist’s Interpersonal Style Scale, Big Five Questionnaire and Therapy Benefit Scale were administered, showing good internal consistency. Results. Principal component analysis of therapist’s interpersonal style singled out two components Supportive Autonomy and Ignoring Control, explaining 42% of variance. Two-factor model of the therapist’s styles was better fitted in confirmatory factor analysis than the original 4-factor model. Structural model showing indirect and direct effects of therapist’s interpersonal styles on selfreports in clients indicates good fitness (χ2(12 = 8.932, p = 0.709; goodness-of-fit index = 0.989, with Ignoring Control having direct effect on Stability, Supportive Autonomy on Therapy Benefit, and Therapy Benefit on Plasticity. Conclusion. The results of this study indicate the importance of further research on therapist’s interpersonal style, as well as further validation of the instrument that measures this construct. Besides, a client’s perception that the therapy is being helpful could instigate more explorative and approach

Dream Symbol or Dream Process?

Science.gov (United States)

Himelstein, Philip

1984-01-01

Discusses the relationship of the symbolic content of dreams to the theory of the dream in psychoanalysis and Gestalt therapy. Points out that the utility of the dream depends upon the techniques of the therapist and not on the validity of the underlying theory of the dream. (LLL)

A Model for Teaching Experiential Counseling Interventions to Novice Counselors.

Science.gov (United States)

Cummings, Anne L.

1992-01-01

Describes model for teaching experiential interventions to novice counselors. Includes two experiential interventions that are focus for new model: two-chair approach based on Gestalt therapy principles and resolution of problematic reaction points. Cognitive, affective, and behavioral concepts of model are related to transfer of learning with the…

100 Ways to Enhance Self-Concept in the Classroom: A Handbook for Teachers and Parents.

Science.gov (United States)

Canfield, Jack; Wells, Harold C.

This handbook for teachers and parents presents 100 practical and easily applicable ways to enhance the self-concept of children in the classroom or at home. The techniques are drawn from many of the newer approaches to self-development such as gestalt therapy, psychosynthesis, guided fantasy, sensory awareness, transactional analysis, expressive…

Journal of Child and Adolescent Mental Health - Vol 18, No 2 (2006)

African Journals Online (AJOL)

Utility of the Koppitz norms for the Bender Gestalt Test performance of a group of Sesotho-speaking children · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL ... Cognitive Behavioural Therapy in Mental Health Care by Alec Grant, Jem Mills, Ronan Mulhern and Nigel Short · EMAIL FULL TEXT EMAIL FULL TEXT

A case illustration of resistance from a gestalt-experiential perspective.

Science.gov (United States)

Engle, David; Holiman, Marjorie

2002-02-01

The case of Victoria illustrates psychotherapy with a woman faced with a difficult and unexpected divorce. The authors present a summary of typical struggles faced by Victoria through three phases of therapy. The therapy focused initially on coping with the divorce, then moved to work on her career dissatisfaction, and finally to her efforts to develop a new relationship. The case presentation illustrates resistance as it manifested itself in both a behavioral manner and as in-session resistance to awareness of internal states. The behavioral mode of resistance is manifested by her inability to follow through on decisions made in therapy sessions and by her interruptions of ongoing therapy. A transcript of a typical in-session exchange illustrates the resistance to awareness. The authors also describe interventions intended to work with the resistance. Copyright 2002 John Wiley & Sons, Inc.

The environmental design of children- nature relations: some strands of applicative theory

Science.gov (United States)

Robin C. Moore

1977-01-01

A brief framework for children-environment relations, focused on 8- to 12-year-olds and their natural environment, is based on the principles of maturation and Gestalt therapy. The concepts of "quality" and "place" are discussed. A comprehensive ecological framework is proposed, relating theory to the material resources used in place-making,...

Making Contact: The NAMES Project in Comparison to the Vietnam Memorial.

Science.gov (United States)

Jensen, Marvin D.

Several principles of gestalt therapy are applied in an analysis of the similarities between the Vietnam Veterans Memorial and The NAMES Project Quilt. The NAMES Project Quilt memorializes people who have died of Acquired Immune Deficiency Syndrome (AIDS). The creators of the two memorials engaged in the initial searches for "whole"…

Gestalt y Heterodoxia: un cambio proactivo aplicable en la praxis investigativa universitaria

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Beatriz Carolina Carvajal

2017-01-01

Full Text Available La pesquisa que da origen a este artículo está soportada en la propia experiencia en el área de sistemas humanos, específica - mente en el estudio del quehacer investigativo y la gestión del conocimiento universitario latinoamericano. De esa experien - cia previa, se desprende la siguiente premisa: el contexto cam - biante exige a las universidades respuestas basadas en un en - foque vanguardista para comprender e interpretar los hechos sociales y naturales. El objetivo que fundamenta este reporte es proponer estrategias de acción creativas en el quehacer in- vestigativo para el reciclaje de los métodos de investigación, y así, generar una praxis proactiva, gestáltica y heterodoxa. Los métodos aplicados fueron la investigación documental y la re- flexión hermenéutica. Se tomó una muestra intencional y se rea - lizaron entrevistas a informantes clave provenientes de diversas universidades e institutos de investigación latinoamericanos y que están afiliados a una de estas redes: 1 Red para la Difusión Científica y Humanística Heterodoxias y 2 Red de Estudios Organizacionales en América Latina, el Caribe e Iberoamérica. Como soporte teórico se reflexiona con base en los constructos de Gestalt (Perls, 1977; Moreau, 1999; Vázquez-Badin, 2010 y de Heterodoxia (Savater y Villena, 1989; Carvajal, 2010a. Se concluye que el cambio proactivo aplicable en la praxis inves - tigativa universitaria supone la responsabilidad, el compromiso y el liderazgo del investigador universitario como agente trans - formacional, lo cual conlleva la revalorización de la vinculación universidad-sector socio productivo y demanda la innovación, la creatividad y la recreación permanentemente de los métodos de investigación usados para comprender e interpretar la reali- dad desde la heterodoxia y la totalidad.

Gestalt psychotherapy in the outpatient treatment of borderline ...

African Journals Online (AJOL)

): ... psychotic reactions as well as self-destructive behaviour could also be experienced. ... level graduate program, moved out of her parents' home and bought her own ... effectiveness of cognitive behavior therapy for borderline personality ...

Looking for One's Shadow at Noon: Vol. II. Finding the Self in School and Community.

Science.gov (United States)

Leue, Mary M.

This volume contains a collection of essays, reflections, and other writings (many of which originally appeared in several journals) on the relations among self and school and community. The first selection is an obituary of Fritz Perls, a leader of Gestalt therapy. The second essay, "A Social and Political Reassessment of the Work of Wilhelm…

Contralateral delay activity tracks the influence of Gestalt grouping principles on active visual working memory representations.

Science.gov (United States)

Peterson, Dwight J; Gözenman, Filiz; Arciniega, Hector; Berryhill, Marian E

2015-10-01

Recent studies have demonstrated that factors influencing perception, such as Gestalt grouping cues, can influence the storage of information in visual working memory (VWM). In some cases, stationary cues, such as stimulus similarity, lead to superior VWM performance. However, the neural correlates underlying these benefits to VWM performance remain unclear. One neural index, the contralateral delay activity (CDA), is an event-related potential that shows increased amplitude according to the number of items held in VWM and asymptotes at an individual's VWM capacity limit. Here, we applied the CDA to determine whether previously reported behavioral benefits supplied by similarity, proximity, and uniform connectedness were reflected as a neural savings such that the CDA amplitude was reduced when these cues were present. We implemented VWM change-detection tasks with arrays including similarity and proximity (Experiment 1); uniform connectedness (Experiments 2a and 2b); and similarity/proximity and uniform connectedness (Experiment 3). The results indicated that when there was a behavioral benefit to VWM, this was echoed by a reduction in CDA amplitude, which suggests more efficient processing. However, not all perceptual grouping cues provided a VWM benefit in the same measure (e.g., accuracy) or of the same magnitude. We also found unexpected interactions between cues. We observed a mixed bag of effects, suggesting that these powerful perceptual grouping benefits are not as predictable in VWM. The current findings indicate that when grouping cues produce behavioral benefits, there is a parallel reduction in the neural resources required to maintain grouped items within VWM.

A Behavioral Analysis of Figurative Language in Psychotherapy: One Session in a Single Case Study.

Science.gov (United States)

Pollio, Howard R.; Barlow, Jack M.

Assuming that all problem solving has both its rational and poetic aspects and that the solution to a problem is often found in the poetic well before it surfaces in the rational, this study examined in detail the ebb and flow of figurative language as it occurred in the course of a single, highly successful hour of gestalt therapy involving both…

« Le Virgile de l’Amérique »

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Bernard Vincent

2006-03-01

Full Text Available Paul Goodman (1911-1972 est une importante figure du paysage intellectuel des années 40 à 60. On lui doit des ouvrages sur de nombreux sujets, dont la Gestalt Therapy (1951, mais il est aujourd’hui surtout connu pour son analyse de la jeunesse des années 50 dans Growing Up Absurd (1960 et pour son roman-fresque The Empire City (1959.

The collaboration of grouping laws in vision.

Science.gov (United States)

Grompone von Gioi, Rafael; Delon, Julie; Morel, Jean-Michel

2012-01-01

Gestalt theory gives a list of geometric grouping laws that could in principle give a complete account of human image perception. Based on an extensive thesaurus of clever graphical images, this theory discusses how grouping laws collaborate, and conflict toward a global image understanding. Unfortunately, as shown in the bibliographical analysis herewith, the attempts to formalize the grouping laws in computer vision and psychophysics have at best succeeded to compute individual partial structures (or partial gestalts), such as alignments or symmetries. Nevertheless, we show here that a never formalized clever Gestalt experimental procedure, the Nachzeichnung suggests a numerical set up to implement and test the collaboration of partial gestalts. The new computational procedure proposed here analyzes a digital image, and performs a numerical simulation that we call Nachtanz or Gestaltic dance. In this dance, the analyzed digital image is gradually deformed in a random way, but maintaining the detected partial gestalts. The resulting dancing images should be perceptually indistinguishable if and only if the grouping process was complete. Like the Nachzeichnung, the Nachtanz permits a visual exploration of the degrees of freedom still available to a figure after all partial groups (or gestalts) have been detected. In the new proposed procedure, instead of drawing themselves, subjects will be shown samples of the automatic Gestalt dances and required to evaluate if the figures are similar. Several numerical preliminary results with this new Gestaltic experimental setup are thoroughly discussed. Copyright © 2012 Elsevier Ltd. All rights reserved.

Hunter syndrome in an 11-year old girl on enzyme replacement therapy with idursulfase: brain magnetic resonance imaging features and evolution.

Science.gov (United States)

Manara, Renzo; Rampazzo, Angelica; Cananzi, Mara; Salviati, Leonardo; Mardari, Rodica; Drigo, Paola; Tomanin, Rosella; Gasparotto, Nicoletta; Priante, Elena; Scarpa, Maurizio

2010-12-01

Mucopolysaccharidosis type II (MPS-II, Hunter disease) is a X-linked recessive disorder. Affected females are extremely rare, mostly due to skewed X chromosome inactivation. A few papers outline MPS-II brain magnetic resonance imaging (MRI) "gestalt" in males, but neuroradiological reports on females are still lacking. We present an 11-year-old girl affected by the severe form of MPS-II who was followed up over a time span of 8 years, focusing on clinical and brain MRI evolution. In the last 2.5 years, the patient has been treated with enzyme replacement therapy (ERT) with idursulfase (Elaprase™, Shire Human Genetic Therapies AB, Sweden). On brain and cervical MRI examination, abnormalities in our patient did not differ from those detected in male patients: J-shaped pituitary sella, enlargement of perivascular spaces, brain atrophy, mild T2-hyperintensity in the paratrigonal white matter, diffuse platyspondylia, and mild odontoid dysplasia with odontoid cup. Brain atrophy progressed despite ERT introduction, whereas perivascular space enlargement did not change significantly before and after ERT. Cognitive impairment worsened independently from the course of white matter abnormality. Despite a profound knowledge of genetic and biochemical aspects in MPS-II, neuroradiology is still poorly characterized, especially in female patients. Spinal and brain involvement and its natural course and evolution after ERT introduction still need to be clarified.

The Sino-Indian Border: Is Conflict Inevitable?

Science.gov (United States)

2013-12-13

relationship between China and India may be thought in terms of a gestalt theory . The basis of the gestalt theory is that before perceiving different...greater than the sum of the parts” is often used to explain gestalt theory .33 Analysts on both sides often view their relations as the sum of border...Most often, hawkish views grab the headlines.”56 This adds to the Sino-Indian gestalt and form perception about each other based on viewpoints of

[Support and tools for preparing for birth].

Science.gov (United States)

Bouychou, Mathilde; Sallez, Hélène; de Brito, Gina; Mouilti, Yamina; Piquée, Nathalie; Boyé, Hélène

There are a thousand and one ways of preparing to be a parent. Specific support is offered to pregnant women or the couple in order to take the time to prepare for this personal transformation. Haptonomy, sophrology, shiatsu and massage, acupuncture or gestalt therapy are some of the methods helping parents to prepare to welcome their future child with peace of mind. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Common Factor Mechanisms in Clinical Practice and Their Relationship with Outcome.

Science.gov (United States)

Gaitan-Sierra, Carolina; Hyland, Michael E

2015-01-01

This study investigates three common factor mechanisms that could affect outcome in clinical practice: response expectancy, the affective expectation model and motivational concordance. Clients attending a gestalt therapy clinic (30 clients), a sophrology (therapeutic technique) clinic (33 clients) and a homeopathy clinic (31 clients) completed measures of expectancy and the Positive Affect and Negative Affect Schedule (PANAS) before their first session. After 1 month, they completed PANAS and measures of intrinsic motivation, perceived effort and empowerment. Expectancy was not associated with better outcome and was no different between treatments. Although some of the 54 clients who endorsed highest expectations showed substantial improvement, others did not: 19 had no change or deteriorated in positive affect, and 18 had the same result for negative affect. Intrinsic motivation independently predicted changes in negative affect (β = -0.23). Intrinsic motivation (β = 0.24), effort (β = 0.23) and empowerment (β = 0.20) independently predicted positive affect change. Expectancy (β = -0.17) negatively affected changes in positive affect. Clients found gestalt and sophrology to be more intrinsically motivating, empowering and effortful compared with homeopathy. Greater improvement in mood was found for sophrology and gestalt than for homeopathy clients. These findings are inconsistent with response expectancy as a common factor mechanism in clinical practice. The results support motivational concordance (outcome influenced by the intrinsic enjoyment of the therapy) and the affective expectation model (high expectations can lead for some clients to worse outcome). When expectancy correlates with outcome in some other studies, this may be due to confound between expectancy and intrinsic enjoyment. Common factors play an important role in outcome. Intrinsic enjoyment of a therapeutic treatment is associated with better outcome. Active engagement with a

A study on subsequent neurologic complications in children with acute leukemia

International Nuclear Information System (INIS)

Kobayashi, Naoaki; Shimazaki, Haruyo; Hoshi, Yasutaka; Akatsuka, Jun-ichi

1989-01-01

Twenty-seven children with acute leukemia were studied in order to detect the subsequent neurologic complications due to chemotherapy and radiation therapy. Twenty-four patients with ALL received central nervous system prophylaxis including cranial irradiation. The methods of evaluation consisted of electroencephalogram (EEG), computed tomography of the head (CT scan), soft neurological sign, intelligence quotient (IQ) and Bender Gestalt test. The patients with relapse showed severe abnormalities in various kinds of examinations. Younger children at diagnosis were associated with a higher abnormality rate of soft neurological signs and Bender Gestalt test. Factors which were found to be closely associated with a lower IQ score included younger children at diagnosis and longer duration of remission time. These results indicate the need for caution for the dosage of cranial irradiation for younger patients in CNS prophylaxis, and improvement of a lower IQ score in long-term survivors requires further investigation as to the appropriate intellectual environment for their development after remission. (author)

Study on subsequent neurologic complications in children with acute leukemia

Energy Technology Data Exchange (ETDEWEB)

Kobayashi, Naoaki; Shimazaki, Haruyo; Hoshi, Yasutaka; Akatsuka, Jun-ichi (Jikei Univ., Tokyo (Japan). School of Medicine)

1989-06-01

Twenty-seven children with acute leukemia were studied in order to detect the subsequent neurologic complications due to chemotherapy and radiation therapy. Twenty-four patients with ALL received central nervous system prophylaxis including cranial irradiation. The methods of evaluation consisted of electroencephalogram (EEG), computed tomography of the head (CT scan), soft neurological sign, intelligence quotient (IQ) and Bender Gestalt test. The patients with relapse showed severe abnormalities in various kinds of examinations. Younger children at diagnosis were associated with a higher abnormality rate of soft neurological signs and Bender Gestalt test. Factors which were found to be closely associated with a lower IQ score included younger children at diagnosis and longer duration of remission time. These results indicate the need for caution for the dosage of cranial irradiation for younger patients in CNS prophylaxis, and improvement of a lower IQ score in long-term survivors requires further investigation as to the appropriate intellectual environment for their development after remission. (author).

Organization principles in visual working memory: Evidence from sequential stimulus display.

Science.gov (United States)

Gao, Zaifeng; Gao, Qiyang; Tang, Ning; Shui, Rende; Shen, Mowei

2016-01-01

Although the mechanisms of visual working memory (VWM) have been studied extensively in recent years, the active property of VWM has received less attention. In the current study, we examined how VWM integrates sequentially presented stimuli by focusing on the role of Gestalt principles, which are important organizing principles in perceptual integration. We manipulated the level of Gestalt cues among three or four sequentially presented objects that were memorized. The Gestalt principle could not emerge unless all the objects appeared together. We distinguished two hypotheses: a perception-alike hypothesis and an encoding-specificity hypothesis. The former predicts that the Gestalt cue will play a role in information integration within VWM; the latter predicts that the Gestalt cue will not operate within VWM. In four experiments, we demonstrated that collinearity (Experiment 1) and closure (Experiment 2) cues significantly improved VWM performance, and this facilitation was not affected by the testing manner (Experiment 3) or by adding extra colors to the memorized objects (Experiment 4). Finally, we re-established the Gestalt cue benefit with similarity cues (Experiment 5). These findings together suggest that VWM realizes and uses potential Gestalt principles within the stored representations, supporting a perception-alike hypothesis. Copyright © 2015 Elsevier B.V. All rights reserved.

Verbal Therapeutic Behavior of Expert Psychoanalytically Oriented, Gestalt, and Behavior Therapists.

Science.gov (United States)

Brunink, Sharon A.; Schroeder, Harold E.

1979-01-01

Findings indicated that expert therapists were similar in their communication of empathy, the basis for their therapeutic relationships. Theoretical orientation, however, differentially influenced use of direct guidance and facilitative techniques, interview content, therapist self-disclosure, therapist initiative, and supportive therapy climate.…

ʼn Praktykbenadering tot geloofsvorming vanuit die benadering van Thomas Groome en die Gestaltteorie: ʼn Prakties-teologiese dialoog

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Siegfried W. Louw

2016-06-01

Full Text Available The article describes the dialogue between Thomas Groome’s approach to faith formation and Gestalt theory in order to develop a practice approach to faith formation. The transversal model of cross-disciplinary dialogue, developed by Wentzel van Huyssteen, is utilised to develop a practice approach to faith formation. The process of faith formation, according to Thomas Groome’s Shared Christian Praxis approach, encompassing five movements, is described first. This is followed by a literature study on Gestalt theory. The philosophical roots of Gestalt theory as well as specific Gestalt concepts are explored in order to explain the process of human growth and change. Gestalt theory’s paradoxical theory of change, as well as the contact cycle are utilised in order to explain the process of integration and assimilation of faith. The transversal dialogue is continued by relating the insights gained from Groome’s approach and Gestalt theory. The context of missional ecclesiology, in which the researcher finds himself, is also accounted for during the dialogue. The process identifies six guidelines for the practice of faith formation. The findings of the dialogue are processed into a practice approach to faith formation. The practice approach is presented in such a way that it can be utilised in a variety of settings.

Dialogical Exposure with Traumatically Bereaved Bosnian Women: Findings from a Controlled Trial.

Science.gov (United States)

Hagl, Maria; Powell, Steve; Rosner, Rita; Butollo, Willi

2015-01-01

In this trial, we compared the relative efficacy of dialogical exposure group treatment using Gestalt empty-chair method with a supportive group in the treatment of symptoms stemming from traumatic loss in a post-war society. One-hundred and nineteen women whose husbands were either killed or registered as missing during the war in Bosnia and Herzegovina were quasi-randomized to seven sessions of group treatment with dialogical exposure or to an active control condition. Both interventions resulted in significant improvement from baseline to post-treatment for both kinds of loss, in terms of post-traumatic symptoms, general mental health and grief reactions, with the exception of depression and traumatic grief in the control condition. Regarding mean effect sizes (Cohen's d), pre-treatment to post-treatment improvements were moderate (d = 0.56) for the dialogical exposure group and small (d = 0.34) for the supportive group. Treatment gains were maintained at least until the 1-year follow-up. In controlled comparisons, dialogical exposure was superior concerning traumatic grief (Cohen's d = 0.37) and post-traumatic avoidance (d = 0.73) at post-treatment. Results show that short-term dialogical exposure group treatment was moderately effective in treating traumatically bereaved women. Research attests to high levels of symptoms among post-war civil populations, in particular, when a loved one was killed, which can lead not only to trauma reactions but also to severe separation distress. Grieving the loss of a loved one is hampered if the death remains unconfirmed. Unconfirmed loss could be conceptualized as unfinished business in terms of Gestalt therapy, which offers empty-chair dialogue for resolving unfinished business and grief. Dialogical exposure therapy (DET) supports the client in gaining awareness of and expressing his or her inner dialogues concerning the traumatic event, using Gestalt empty-chair method. Short-term DET was effective in

Neutralidade na relação terapêutica - reflexões a partir da abordagem gestáltica

Directory of Open Access Journals (Sweden)

Mariana Miranda Autran Sampaio

2014-07-01

Full Text Available This paper intends to contemplate the theme of psychologist neutrality in clinician practice, discussing its feasibility and necessity. Its objective is to reflect about psychologist's action as a therapist and as human being in the psycotherapic practice. If the neutrality seams to be too distant and unattainable, on the other hand, a psychologist that talks about his or her life, using the therapy setting with his or her own problems, feelings and opinions would be inopportune as well. Gestalt-therapy uses phenomenology as human seeing and as a method, taking its concepts to clinician practice. This way, it establishes some concepts, founded on phenomenology, humanism and existentialism that give a direction to the psychologist’s practice.

Semantic stability is more pleasurable in unstable episodic contexts. On the relevance of perceptual challenge in art appreciation

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Claudia eMuth

2016-02-01

Full Text Available Research in the field of psychological aesthetics points to the appeal of stimuli which defy easy recognition by being semantically unstable but which still allow for creating meaning—in the ongoing process of elaborative perception or as an end product of the entire process. Such effects were reported for hidden images (Muth & Carbon, 2013 as well as Cubist artworks concealing detectable—although fragmented—objects (Muth, Pepperell, & Carbon, 2013. To test the stability of the relationship between semantic determinacy and appreciation across different episodic contexts, 30 volunteers evaluated an artistic movie continuously on visual determinacy or liking via the Continuous Evaluation Procedure (CEP, Muth, Raab, & Carbon, 2015. The movie consisted of five episodes with emerging Gestalts. In the first between-participants condition, the hidden Gestalts in the movie episodes were of increasing determinacy, in the second condition, the episodes showed decreasing determinacies of hidden Gestalts. In the increasing-determinacy group, visual determinacy was rated higher and showed better predictive quality for liking than in the decreasing-determinacy group. Furthermore, when the movie started with low visual determinacy of hidden Gestalts, unexpectedly strong increases in visual determinacy had a bigger effect on liking than in the condition which allowed for weaker Gestalt recognition after having started with highly determinate Gestalts. The resulting pattern calls for consideration of the episodic context when examining art appreciation.

[Body-centered psychotherapy IKP (Institute of Body-Centered Psychotherapy): holistic psychotherapy].

Science.gov (United States)

Maurer-Groeli, Y

1996-03-01

Body centered Psychotherapy IKP is treated in this article under the aspect of a holistic approach. First the theory and the system of science are summarised and shown as to which amount they are changing concerning knowledge of details and wholeness. It is pointed out that the actual paradigma "to the depth" has to be completed by that of "wideness". The way of holistic-multirelational thinking, stating a diagnosis and doing therapy is demonstrated along a case study going on at the background of a therapeutic encounter-relationship which is emotionally warm (Gestalt-approach).

A new principle of figure-ground segregation : The accentuation

NARCIS (Netherlands)

Pinna, Baingio; Reeves, Adam; Koenderink, Jan; van Doorn, Andrea; Deiana, Katia

2018-01-01

The problem of perceptual organization was studied by Gestalt psychologists in terms of figure-ground segregation. In this paper we explore a new principle of figure-ground segregation: accentuation. We demonstrate the effectiveness of accentuation relative to other Gestalt principles, and also

At oversætte musikterapeutisk interaktion til teoretisk beskrivelse

DEFF Research Database (Denmark)

Hannibal, Niels

1995-01-01

begreber, og medfører dannelse af teoretiske gestalter. De teoretiske gestalter formidler en genkendelighed af begreberne i den oplevede virkelighed. Udfra en kompliment ær analysemodel betragtes begivenheder i den musikterapeutiske praksis enten som punkter, der former gestalten (punktform), eller som en...

Searching Remotely Sensed Images for Meaningful Nested Gestalten

Science.gov (United States)

Michaelsen, E.; Muench, D.; Arens, M.

2016-06-01

Even non-expert human observers sometimes still outperform automatic extraction of man-made objects from remotely sensed data. We conjecture that some of this remarkable capability can be explained by Gestalt mechanisms. Gestalt algebra gives a mathematical structure capturing such part-aggregate relations and the laws to form an aggregate called Gestalt. Primitive Gestalten are obtained from an input image and the space of all possible Gestalt algebra terms is searched for well-assessed instances. This can be a very challenging combinatorial effort. The contribution at hand gives some tools and structures unfolding a finite and comparably small subset of the possible combinations. Yet, the intended Gestalten still are contained and found with high probability and moderate efforts. Experiments are made with images obtained from a virtual globe system, and use the SIFT method for extraction of the primitive Gestalten. Comparison is made with manually extracted ground-truth Gestalten salient to human observers.

SEARCHING REMOTELY SENSED IMAGES FOR MEANINGFUL NESTED GESTALTEN

Directory of Open Access Journals (Sweden)

E. Michaelsen

2016-06-01

Full Text Available Even non-expert human observers sometimes still outperform automatic extraction of man-made objects from remotely sensed data. We conjecture that some of this remarkable capability can be explained by Gestalt mechanisms. Gestalt algebra gives a mathematical structure capturing such part-aggregate relations and the laws to form an aggregate called Gestalt. Primitive Gestalten are obtained from an input image and the space of all possible Gestalt algebra terms is searched for well-assessed instances. This can be a very challenging combinatorial effort. The contribution at hand gives some tools and structures unfolding a finite and comparably small subset of the possible combinations. Yet, the intended Gestalten still are contained and found with high probability and moderate efforts. Experiments are made with images obtained from a virtual globe system, and use the SIFT method for extraction of the primitive Gestalten. Comparison is made with manually extracted ground-truth Gestalten salient to human observers.

LichtGestalt

DEFF Research Database (Denmark)

Fehr, Jonas; Erkut, Cumhur

2015-01-01

We present a new interactive sound installation to be explored by movement. Specifically, movement qualities extracted from the motion tracking data excite a dynamical system (a synthetic flock of agents), which responds to the movement qualities and indirectly controls the visual and sonic feedb...

En af anarkister tilberedt sardindåse

DEFF Research Database (Denmark)

Thing, Morten

2005-01-01

Henrik Pontoppidan bruger 'det jødiske' som tema i sit forfatterskab, især i Lykke-Per, til at gestalte 'det moderne' som noget fremmed.......Henrik Pontoppidan bruger 'det jødiske' som tema i sit forfatterskab, især i Lykke-Per, til at gestalte 'det moderne' som noget fremmed....

Examining Reliability and Validity of an Online Score (ALiEM AIR) for Rating Free Open Access Medical Education Resources.

Science.gov (United States)

Chan, Teresa Man-Yee; Grock, Andrew; Paddock, Michael; Kulasegaram, Kulamakan; Yarris, Lalena M; Lin, Michelle

2016-12-01

Since 2014, Academic Life in Emergency Medicine (ALiEM) has used the Approved Instructional Resources (AIR) score to critically appraise online content. The primary goals of this study are to determine the interrater reliability (IRR) of the ALiEM AIR rating score and determine its correlation with expert educator gestalt. We also determine the minimum number of educator-raters needed to achieve acceptable reliability. Eight educators each rated 83 online educational posts with the ALiEM AIR scale. Items include accuracy, usage of evidence-based medicine, referencing, utility, and the Best Evidence in Emergency Medicine rating score. A generalizability study was conducted to determine IRR and rating variance contributions of facets such as rater, blogs, posts, and topic. A randomized selection of 40 blog posts previously rated through ALiEM AIR was then rated again by a blinded group of expert medical educators according to their gestalt. Their gestalt impression was subsequently correlated with the ALiEM AIR score. The IRR for the ALiEM AIR rating scale was 0.81 during the 6-month pilot period. Decision studies showed that at least 9 raters were required to achieve this reliability. Spearman correlations between mean AIR score and the mean expert gestalt ratings were 0.40 for recommendation for learners and 0.35 for their colleagues. The ALiEM AIR scale is a moderately to highly reliable, 5-question tool when used by medical educators for rating online resources. The score displays a fair correlation with expert educator gestalt in regard to the quality of the resources. The score displays a fair correlation with educator gestalt. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

Parallel and Serial Grouping of Image Elements in Visual Perception

Science.gov (United States)

Houtkamp, Roos; Roelfsema, Pieter R.

2010-01-01

The visual system groups image elements that belong to an object and segregates them from other objects and the background. Important cues for this grouping process are the Gestalt criteria, and most theories propose that these are applied in parallel across the visual scene. Here, we find that Gestalt grouping can indeed occur in parallel in some…

Last but not least.

Science.gov (United States)

Shapiro, Arthur G; Hamburger, Kai

2007-01-01

A central tenet of Gestalt psychology is that the visual scene can be separated into figure and ground. The two illusions we present demonstrate that Gestalt processes can group spatial contrast information that cuts across the figure/ground separation. This finding suggests that visual processes that organise the visual scene do not necessarily require structural segmentation as their primary input.

Computer face-matching technology using two-dimensional photographs accurately matches the facial gestalt of unrelated individuals with the same syndromic form of intellectual disability.

Science.gov (United States)

Dudding-Byth, Tracy; Baxter, Anne; Holliday, Elizabeth G; Hackett, Anna; O'Donnell, Sheridan; White, Susan M; Attia, John; Brunner, Han; de Vries, Bert; Koolen, David; Kleefstra, Tjitske; Ratwatte, Seshika; Riveros, Carlos; Brain, Steve; Lovell, Brian C

2017-12-19

Massively parallel genetic sequencing allows rapid testing of known intellectual disability (ID) genes. However, the discovery of novel syndromic ID genes requires molecular confirmation in at least a second or a cluster of individuals with an overlapping phenotype or similar facial gestalt. Using computer face-matching technology we report an automated approach to matching the faces of non-identical individuals with the same genetic syndrome within a database of 3681 images [1600 images of one of 10 genetic syndrome subgroups together with 2081 control images]. Using the leave-one-out method, two research questions were specified: 1) Using two-dimensional (2D) photographs of individuals with one of 10 genetic syndromes within a database of images, did the technology correctly identify more than expected by chance: i) a top match? ii) at least one match within the top five matches? or iii) at least one in the top 10 with an individual from the same syndrome subgroup? 2) Was there concordance between correct technology-based matches and whether two out of three clinical geneticists would have considered the diagnosis based on the image alone? The computer face-matching technology correctly identifies a top match, at least one correct match in the top five and at least one in the top 10 more than expected by chance (P syndromes except Kabuki syndrome. Although the accuracy of the computer face-matching technology was tested on images of individuals with known syndromic forms of intellectual disability, the results of this pilot study illustrate the potential utility of face-matching technology within deep phenotyping platforms to facilitate the interpretation of DNA sequencing data for individuals who remain undiagnosed despite testing the known developmental disorder genes.

UN ANÁLISIS NO PARAMÉTRICO DE ÍTEMS DE LA PRUEBA DEL BENDER/A NONPARAMETRIC ITEM ANALYSIS OF THE BENDER GESTALT TEST MODIFIED

Directory of Open Access Journals (Sweden)

César Merino Soto

2009-05-01

Full Text Available Resumen:La presente investigación hace un estudio psicométrico de un nuevo sistema de calificación de la Prueba Gestáltica del Bendermodificada para niños, que es el Sistema de Calificación Cualitativa (Brannigan y Brunner, 2002, en un muestra de 244 niñosingresantes a primer grado de primaria en cuatro colegios públicos, ubicados en Lima. El enfoque usado es un análisis noparamétrico de ítems mediante el programa Testgraf (Ramsay, 1991. Los resultados indican niveles apropiados deconsistencia interna, identificándose la unidimensionalidad, y el buen nivel discriminativo de las categorías de calificación deeste Sistema Cualitativo. No se hallaron diferencias demográficas respecto al género ni la edad. Se discuten los presenteshallazgos en el contexto del potencial uso del Sistema de Calificación Cualitativa y del análisis no paramétrico de ítems en lainvestigación psicométrica.AbstracThis research designs a psychometric study of a new scoring system of the Bender Gestalt test modified to children: it is theQualitative Scoring System (Brannigan & Brunner, 2002, in a sample of 244 first grade children of primary level, in four public school of Lima. The approach aplied is the nonparametric item analysis using The test graft computer program (Ramsay, 1991. Our findings point to good levels of internal consistency, unidimensionality and good discriminative level ofthe categories of scoring from the Qualitative Scoring System. There are not demographic differences between gender or age.We discuss our findings within the context of the potential use of the Qualitative Scoring System and of the nonparametricitem analysis approach in the psychometric research.

External validation and comparison of three pediatric clinical dehydration scales.

Science.gov (United States)

Jauregui, Joshua; Nelson, Daniel; Choo, Esther; Stearns, Branden; Levine, Adam C; Liebmann, Otto; Shah, Sachita P

2014-01-01

To prospectively validate three popular clinical dehydration scales and overall physician gestalt in children with vomiting or diarrhea relative to the criterion standard of percent weight change with rehydration. We prospectively enrolled a non-consecutive cohort of children ≤ 18 years of age with an acute episode of diarrhea or vomiting. Patient weight, clinical scale variables and physician clinical impression, or gestalt, were recorded before and after fluid resuscitation in the emergency department and upon hospital discharge. The percent weight change from presentation to discharge was used to calculate the degree of dehydration, with a weight change of ≥ 5% considered significant dehydration. Receiver operating characteristics (ROC) curves were constructed for each of the three clinical scales and physician gestalt. Sensitivity and specificity were calculated based on the best cut-points of the ROC curve. We approached 209 patients, and of those, 148 were enrolled and 113 patients had complete data for analysis. Of these, 10.6% had significant dehydration based on our criterion standard. The Clinical Dehydration Scale (CDS) and Gorelick scales both had an area under the ROC curve (AUC) statistically different from the reference line with AUCs of 0.72 (95% CI 0.60, 0.84) and 0.71 (95% CI 0.57, 0.85) respectively. The World Health Organization (WHO) scale and physician gestalt had AUCs of 0.61 (95% CI 0.45, 0.77) and 0.61 (0.44, 0.78) respectively, which were not statistically significant. The Gorelick scale and Clinical Dehydration Scale were fair predictors of dehydration in children with diarrhea or vomiting. The World Health Organization scale and physician gestalt were not helpful predictors of dehydration in our cohort.

Practice-based interpretation of ultrasound studies leads the way to more effective clinical support and less pharmaceutical and surgical intervention for breastfeeding infants.

Science.gov (United States)

Douglas, Pamela; Geddes, Donna

2018-03-01

breastfeeding optimises health outcomes for both mothers and infants. Although most women want to breastfeed, they report commencing infant formula because of nipple pain, unsettled infant behaviour, and infant growth concerns. To date, existing approaches to fit and hold ('latch and positioning') have been demonstrated not to help breastfeeding outcomes, and women report widespread dissatisfaction with the quality of support and conflicting advice they receive. Breast and nipple pain, difficulty with latching and sucking, fussing at the breast, back-arching, marathon feeds, excessively frequent feeds, poor weight gain, breast refusal, and crying due to poor satiety often signal suboptimal positional instability and impaired milk transfer, but may be misdiagnosed as medical conditions. Over the past two decades, there has been an exponential increase in numbers of infants being treated with medications, laser or scissors frenotomy, and manual therapy for unsettled behaviour and breastfeeding difficulty. New approaches to clinical breastfeeding support are urgently required. we analyse the findings of a literature search of PubMed and MEDLINE databases for ultrasound studies measuring sucking in term and preterm infants. The findings demonstrate that the Stripping Action Model of infant suck during breastfeeding, and the resultant Structural Model of infant suck dysfunction, are inaccurate. Instead, ultrasound data demonstrates the critical role of intra-oral vacuum for milk transfer. We integrate these two-dimensional ultrasound results with clinical experience of the third dimension, volume, to propose a Gestalt Model of the biomechanics of healthy infant suck during breastfeeding. The Gestalt Model hypothesises that optimal intra-oral vacuums and breast tissue volumes are achieved when mother-infant positional stability eliminates conflicting intra-oral vectors, resulting in pain-free, effective milk transfer. the Gestalt Model of the biomechanics of healthy

[Therapy-resistant and therapy-refractory arterial hypertension].

Science.gov (United States)

Wallbach, M; Koziolek, M J

2018-05-02

Therapy-resistant and therapy-refractory arterial hypertension differ in prevalence, pathogenesis, prognosis and therapy. In both cases, a structured approach is required, with the exclusion of pseudoresistance and, subsequently, secondary hypertension. Resistant hypertension has been reported to be more responsive to intensified diuretic therapy, whereas refractory hypertension is presumed to require sympathoinhibitory therapy. Once the general measures and the drug-based step-up therapy have been exhausted, interventional procedures are available.

Art Therapy: What Is Art Therapy?

Science.gov (United States)

... individual, couples, family, and group therapy formats. Art therapy is an effective treatment for people experiencing developmental, medical, educational, and social or psychological impairment. Individuals who benefit from art therapy include ...

75 FR 50880 - TRICARE: Non-Physician Referrals for Physical Therapy, Occupational Therapy, and Speech Therapy

Science.gov (United States)

2010-08-18

... 0720-AB36 TRICARE: Non-Physician Referrals for Physical Therapy, Occupational Therapy, and Speech... referrals of beneficiaries to the Military Health System for physical therapy, occupational therapy, and... practitioners will be allowed to issue referrals to patients for physical therapy, occupational therapy, and...

The watercolor effect: A new principle of grouping and figure-ground organization

OpenAIRE

Pinna, B; Werner, JS; Spillmann, L

2003-01-01

The watercolor effect is perceived when a dark (e.g., purple) contour is flanked by a lighter chromatic contour (e.g., orange). Under these conditions, the lighter color will assimilate over the entire enclosed area. This filling-in determines figure-ground organization when it is pitted against the classical Gestalt factors of proximity, good continuation, closure, symmetry, convexity, as well as amodal completion, and past experience. When it is combined with a given Gestalt factor, the res...

Perceptual-motor functioning in children with phenylketonuria.

Science.gov (United States)

Koff, E; Boyle, P; Pueschel, S M

1977-10-01

Children with treated phenylketonuria (PKU) have been described as being at high risk for perceptual-motor dysfunction. In this study, the Wechsler Intelligence Scale for Children (WISC) and the Bender Gestalt test were administered to 19 school age children with treated PKU and of average intelligence who have been off diet from five months to six years four months. Perceptual-motor performance was evaluated, and school functioning was rated by classroom teachers. Substantial impairment of perceptual-motor functioning as measured by the Bender Gestalt test and lower WISC performance IQs than verbal IQs were observed in children of average intelligence. Quality of dietary control was found to be associated with performance on the Bender Gestalt test. These findings suggest the possibility of a specific deficit that could seriously interfere with academic progress, but which is not signalled by obvious impairment of overall intellectual functioning.

External validation and comparison of three pediatric clinical dehydration scales.

Directory of Open Access Journals (Sweden)

Joshua Jauregui

Full Text Available OBJECTIVE: To prospectively validate three popular clinical dehydration scales and overall physician gestalt in children with vomiting or diarrhea relative to the criterion standard of percent weight change with rehydration. METHODS: We prospectively enrolled a non-consecutive cohort of children ≤ 18 years of age with an acute episode of diarrhea or vomiting. Patient weight, clinical scale variables and physician clinical impression, or gestalt, were recorded before and after fluid resuscitation in the emergency department and upon hospital discharge. The percent weight change from presentation to discharge was used to calculate the degree of dehydration, with a weight change of ≥ 5% considered significant dehydration. Receiver operating characteristics (ROC curves were constructed for each of the three clinical scales and physician gestalt. Sensitivity and specificity were calculated based on the best cut-points of the ROC curve. RESULTS: We approached 209 patients, and of those, 148 were enrolled and 113 patients had complete data for analysis. Of these, 10.6% had significant dehydration based on our criterion standard. The Clinical Dehydration Scale (CDS and Gorelick scales both had an area under the ROC curve (AUC statistically different from the reference line with AUCs of 0.72 (95% CI 0.60, 0.84 and 0.71 (95% CI 0.57, 0.85 respectively. The World Health Organization (WHO scale and physician gestalt had AUCs of 0.61 (95% CI 0.45, 0.77 and 0.61 (0.44, 0.78 respectively, which were not statistically significant. CONCLUSION: The Gorelick scale and Clinical Dehydration Scale were fair predictors of dehydration in children with diarrhea or vomiting. The World Health Organization scale and physician gestalt were not helpful predictors of dehydration in our cohort.

Gene therapy and radionuclides targeting therapy in mammary carcinoma

International Nuclear Information System (INIS)

Song Jinhua

2003-01-01

Breast carcinoma's gene therapy is a hotspot in study of the tumor's therapy in the recent years. Currently the major therapy methods that in the experimentative and primary clinical application phases include immunological gene therapy, multidrug resistance gene therapy, antisense oligonucleotide therapy and suicide gene therapy. The gene targeting brachytherapy, which is combined with gene therapy and radiotherapy has enhanced the killer effects of the suicide gene and nuclide in tumor cells. That has break a new path in tumor's gene therapy. The further study in this field will step up it's space to the clinical application

Intensity-modulated radiation therapy: dynamic MLC (DMLC) therapy, multisegment therapy and tomotherapy. An example of QA in DMLC therapy

International Nuclear Information System (INIS)

Webb, S.

1998-01-01

Intensity-modulated radiation therapy will make a quantum leap in tumor control. It is the new radiation therapy for the new millennium. The major methods to achieve IMRT are: 1. Dynamic multileaf collimator (DMLC) therapy, 2. multisegment therapy, and 3. tomotherapy. The principles of these 3 techniques are briefly reviewed. Each technique presents unique QA issues which are outlined. As an example this paper will present the results of a recent new study of an important QA concern in DMLC therapy. (orig.) [de

Physical Therapy and Occupational Therapy in Progeria

Science.gov (United States)

Physical Therapy and Occupational Therapy in Progeria Information for Families and Caretakers from The Progeria Research Foundation ... Inc. All rights reserved. Page 2 of 5 Physical and Occupational Therapy in Progeria Hutchinson-Gilford Progeria ...

Music Therapy: A Career in Music Therapy

Science.gov (United States)

About Music Therapy & Music Therapy Training M usic therapy is a healthcare profession that uses music to help individuals of all ages improve physical, cognitive, emotional, and social functioning. Music therapists work with children and adults with developmental ...

Visual binding abilities in the initial and advanced stages of schizophrenia

DEFF Research Database (Denmark)

Parnas, Josef; Vianin, P; Saebye, D

2001-01-01

attention, Raven's test and two conventional cortical tasks of spatial working memory (SWM) and a global local test. RESULTS: Chronic patients had a decreased performance on the binding tests. Unexpectedly, the prodromal group exhibited an enhanced Gestalt extraction on these tests compared both...... of neurocognitive deficits in schizophrenia which, however, in this sample seem to be linked to chronicity of illness. However, certain aspects of visual processing concerned with Gestalt extraction deserve attention as potential vulnerability- or prodrome- indicators. The initial hypothesis of the study...

Cortical dynamics of figure-ground separation in response to 2D pictures and 3D scenes:How V2 combines border ownership, stereoscopic cues, and Gestalt grouping rules

Directory of Open Access Journals (Sweden)

Stephen eGrossberg

2016-01-01

Full Text Available The FACADE model, and its laminar cortical realization and extension in the 3D LAMINART model, have explained, simulated, and predicted many perceptual and neurobiological data about how the visual cortex carries out 3D vision and figure-ground perception, and how these cortical mechanisms enable 2D pictures to generate 3D percepts of occluding and occluded objects. In particular, these models have proposed how border ownership occurs, but have not yet explicitly explained the correlation between multiple properties of border ownership neurons in cortical area V2 that were reported in a remarkable series of neurophysiological experiments by von der Heydt and his colleagues; namely, border ownership, contrast preference, binocular stereoscopic information, selectivity for side-of-figure, Gestalt rules, and strength of attentional modulation, as well as the time course during which such properties arise. This article shows how, by combining 3D LAMINART properties that were discovered in two parallel streams of research, a unified explanation of these properties emerges. This explanation proposes, moreover, how these properties contribute to the generation of consciously seen 3D surfaces. The first research stream models how processes like 3D boundary grouping and surface filling-in interact in multiple stages within and between the V1 interblob – V2 interstripe – V4 cortical stream and the V1 blob – V2 thin stripe – V4 cortical stream, respectively. Of particular importance for understanding figure-ground separation is how these cortical interactions convert computationally complementary boundary and surface mechanisms into a consistent conscious percept, including the critical use of surface contour feedback signals from surface representations in V2 thin stripes to boundary representations in V2 interstripes. Remarkably, key figure-ground properties emerge from these feedback interactions. The second research stream shows how cells that

A Female Therapist's Perspective on Growing Older.

Science.gov (United States)

Fodor, Iris

2015-11-01

As an older woman therapist, I find that my life experience grounds me in my work with people of all ages and backgrounds as they deal with life crises, aging issues, and loss. People with whom I work in therapy appreciate the fact that I am older and have had varied life experiences. Gender issues are still central to my work with clients whether I am working with a man or a woman. I am an integrative therapist, with a background in cognitive-behavioral therapy and gestalt therapy. Therapists need to help clients to identify less with their aging bodies and our culture's view of attractiveness, shifting instead to a paradigm that values life experience and the cultivation of wisdom. We need to find ways of embracing what we have learned about life instead of extolling youthful values. As I get older, I more fully appreciate a constructivism framework and life-cycle perspective, focusing on making sense of clients' life narratives. Storytelling and memoirs have both provided a framework for working with clients on coping with the many changes and challenges of life that bring them to therapy and added another layer to my integrative therapeutic work. © 2015 Wiley Periodicals, Inc.

Stress is dominant in patients with depression and chronic low back pain. A qualitative study of psychotherapeutic interventions for patients with non-specific low back pain of 3–12 months’ duration

Directory of Open Access Journals (Sweden)

Ellegaard Hanne

2012-09-01

Full Text Available Abstract Background There is continuing uncertainty in back pain research as to which treatment is best suited to patients with non-specific chronic low back pain (CLBP. In this study, Gestalt therapy and the shock trauma method Somatic Experiencing® (SE were used as interventions in parallel with the usual cross-disciplinary approach. The aim was to investigate how these treatments influence a patient’s capacity to cope with CLBP when it is coupled with depression. Methods In this qualitative explorative study, a phenomenological–hermeneutic framework was adopted. Patients were recruited on the basis of following criteria: A moderate depression score of 23–30 according to the Beck Depression Inventory Scale and a pain score of 7–10 (Box scale from 0–10 and attendance at five- six psychotherapeutic sessions. Six patients participated in the study. The data was comprised of written field notes from each session, which were subsequently analysed and interpreted at three levels: naive reading, structural analysis and critical interpretation and discussion. Results Three areas of focus emerged: the significance of previous experiences, restrictions in everyday life and restoration of inner resources during the therapy period. The study revealed a diversity of psychological stressors that related to loss and sorrow, being let down, violations, traumatic events and reduced functioning, which led to displays of distress, powerlessness, reduced self-worth, anxiety and discomfort. Overall, the sum of the stressors together with pain and depression were shown to trigger stress symptoms. Stress was down-played in the psychotherapeutic treatment and inner resources were re-established, which manifested as increased relaxation, presence, self-worth, sense of responsibility and happiness. This, in turn, assisted the patients to better manage their CLBP. Conclusions CLBP is a stress factor in itself but when coupled with depression, they can be

Stress is dominant in patients with depression and chronic low back pain. A qualitative study of psychotherapeutic interventions for patients with non-specific low back pain of 3-12 months' duration.

Science.gov (United States)

Ellegaard, Hanne; Pedersen, Birthe D

2012-09-06

There is continuing uncertainty in back pain research as to which treatment is best suited to patients with non-specific chronic low back pain (CLBP). In this study, Gestalt therapy and the shock trauma method Somatic Experiencing® (SE) were used as interventions in parallel with the usual cross-disciplinary approach. The aim was to investigate how these treatments influence a patient's capacity to cope with CLBP when it is coupled with depression. In this qualitative explorative study, a phenomenological-hermeneutic framework was adopted. Patients were recruited on the basis of following criteria: A moderate depression score of 23-30 according to the Beck Depression Inventory Scale and a pain score of 7-10 (Box scale from 0-10) and attendance at five- six psychotherapeutic sessions. Six patients participated in the study. The data was comprised of written field notes from each session, which were subsequently analysed and interpreted at three levels: naive reading, structural analysis and critical interpretation and discussion. Three areas of focus emerged: the significance of previous experiences, restrictions in everyday life and restoration of inner resources during the therapy period. The study revealed a diversity of psychological stressors that related to loss and sorrow, being let down, violations, traumatic events and reduced functioning, which led to displays of distress, powerlessness, reduced self-worth, anxiety and discomfort.Overall, the sum of the stressors together with pain and depression were shown to trigger stress symptoms. Stress was down-played in the psychotherapeutic treatment and inner resources were re-established, which manifested as increased relaxation, presence, self-worth, sense of responsibility and happiness. This, in turn, assisted the patients to better manage their CLBP. CLBP is a stress factor in itself but when coupled with depression, they can be regarded as two symptom complexes that mutually affect each other in negative

Stress is dominant in patients with depression and chronic low back pain. A qualitative study of psychotherapeutic interventions for patients with non-specific low back pain of 3–12 months’ duration

Science.gov (United States)

2012-01-01

Background There is continuing uncertainty in back pain research as to which treatment is best suited to patients with non-specific chronic low back pain (CLBP). In this study, Gestalt therapy and the shock trauma method Somatic Experiencing® (SE) were used as interventions in parallel with the usual cross-disciplinary approach. The aim was to investigate how these treatments influence a patient’s capacity to cope with CLBP when it is coupled with depression. Methods In this qualitative explorative study, a phenomenological–hermeneutic framework was adopted. Patients were recruited on the basis of following criteria: A moderate depression score of 23–30 according to the Beck Depression Inventory Scale and a pain score of 7–10 (Box scale from 0–10) and attendance at five- six psychotherapeutic sessions. Six patients participated in the study. The data was comprised of written field notes from each session, which were subsequently analysed and interpreted at three levels: naive reading, structural analysis and critical interpretation and discussion. Results Three areas of focus emerged: the significance of previous experiences, restrictions in everyday life and restoration of inner resources during the therapy period. The study revealed a diversity of psychological stressors that related to loss and sorrow, being let down, violations, traumatic events and reduced functioning, which led to displays of distress, powerlessness, reduced self-worth, anxiety and discomfort. Overall, the sum of the stressors together with pain and depression were shown to trigger stress symptoms. Stress was down-played in the psychotherapeutic treatment and inner resources were re-established, which manifested as increased relaxation, presence, self-worth, sense of responsibility and happiness. This, in turn, assisted the patients to better manage their CLBP. Conclusions CLBP is a stress factor in itself but when coupled with depression, they can be regarded as two symptom

A qualitative study of the use of Skype for psychotherapy consultations in the Ukraine.

Science.gov (United States)

Edirippulige, Sisira; Levandovskaya, Marina; Prishutova, Anna

2013-10-01

There has been rather limited use of Skype for health and medical purposes. We investigated the use of Skype for delivering psychotherapy services in the Ukraine. A provider questionnaire was distributed to all delegates (n = 50) at the Annual Symposium of Psychotherapists. One copy of a client questionnaire was also given to each service provider and they were instructed to request their next client to complete the survey. In total, 29 providers and 23 clients responded to the questionnaire. The majority of clients (61%) and providers (72%) had used Skype for a range of services. The services they provided were related to a wide range of paradigms including psycho-analysis, psycho-drama, Gestalt therapy, cognitive behavioural therapy and existential therapy. A key reason for using Skype was to allow practitioners to contact clients who were not easily accessible, e.g. those who lived in other countries. Most practitioners (n = 24) thought their clients considered the services received on Skype were good or excellent. All 26 practitioners charged for Skype consultations. The majority of clients and providers showed high satisfaction with the use of Skype for psychotherapy services.

MODERNIDADE (INVIÁVEL

Directory of Open Access Journals (Sweden)

Johan Konings

2017-12-01

Full Text Available Parece que não é mais moderno ser moderno. Para falar em termos hege­lianos, a Gestalt que se chamou de Modernidade parece estar encerrando seu ciclo histórico. Mas neste momento conserva-se e confirma-se aquilo que ela tem tornado verdadeiro e real (verwirklicht, para integrar-se numa nova Gestalt. É a boa herança da Modernidade, embora não possamos esquecer os dejetos que ela produziu, para não voltarmos a reproduzi-los. “Historia magistra vitae”.

Den brede, folkelige debat om EU

DEFF Research Database (Denmark)

Dosenrode, Søren

2005-01-01

I Danmark er EUropa noget fjernt på trods af, at EU er rammen om dansk politik, både udenrigs og indenrigs. Danmark er medlem af en de facto føderation, men de brede folkelige debater om hvordan EU skal gestaltes har manglet.......I Danmark er EUropa noget fjernt på trods af, at EU er rammen om dansk politik, både udenrigs og indenrigs. Danmark er medlem af en de facto føderation, men de brede folkelige debater om hvordan EU skal gestaltes har manglet....

Conceptualising services

DEFF Research Database (Denmark)

Tollestrup, Christian

2009-01-01

and gestalt clustering. Object clustering is mainly aimed at categorizing ideas into an overviewable set of groups of ideas. No special connections are being made, other then looking for similarities. Morphological clustering is used to split up a problem into subproblems after which the ideas generated...... are considered as subsolutions which can then be combined into concepts. Functional clustering is interesting when different approaches can be chosen to answer some question. It permits a more strategic choice to be made. Gestalt clustering is a more synthesis like approach, often with a more metaphoric...

Wavelet-filtering of symbolic music representations for folk tune segmentation and classification

DEFF Research Database (Denmark)

Velarde, Gissel; Weyde, Tillman; Meredith, David

2013-01-01

The aim of this study is to evaluate a machine-learning method in which symbolic representations of folk songs are segmented and classified into tune families with Haar-wavelet filtering. The method is compared with previously proposed Gestalt based method. Melodies are represented as discrete...... coefficients’ local maxima to indicate local boundaries and classify segments by means of k-nearest neighbours based on standard vector-metrics (Euclidean, cityblock), and compare the results to a Gestalt-based segmentation method and metrics applied directly to the pitch signal. We found that the wavelet...

Em busca de uma abordagem não atomizada para o exame das relações entre liderança transformacional e comprometimento organizacional

OpenAIRE

Maciel, Cristiano de Oliveira; Nascimento, Mauricio Reinert

2013-01-01

As pesquisas tradicionais sobre liderança fazem uso de uma abordagem atomizada, que desconsidera os efeitos de diferentes padrões (gestalts) do construto e prioriza a lógica de uma variável por vez. A partir dessa crítica, o objetivo no presente trabalho é analisar a relação de distintas gestalts (configurações) de liderança transformacional com o comprometimento organizacional. Para a consecução desse objetivo, foram analisados 331 questionários de funcionários de oito organizações do setor ...

Role of physician perception of patient smile on pretest probability assessment for acute pulmonary embolism.

Science.gov (United States)

Kline, Jeffrey A; Neumann, Dawn; Hall, Cassandra L; Capito, Jacob

2017-02-01

Many clinicians use a global visual interpretation of patient appearance to decide if a patient looks sick or not. For patients with suspected acute pulmonary embolism (PE), we tested the relationship between visual appearance of a happy patient facial affect and probability of PE+ on CT pulmonary angiography (CTPA). Eligible patients were selected by usual care to undergo CTPA, the criterion standard for PE+ or PE-. Prior to CTPA result, trained study personnel obtained physician pretest probability using the gestalt method (visual analogue scale, 0%-100%), the Wells score (0-12) and physicians' impression of whether the patient smiled during the initial examination (smile+). Patients' faces were also video recorded and analysed with an automated neural network-based algorithm (Noldus FaceReader) for happy affect. Of the 208 patients enrolled, 27 were PE+ and smile+ was more frequent in patients with PE+ than PE-, a finding confirmed by the Noldus. The diagnostic sensitivity and specificity of smile was low, and physicians overestimated presence of an alternative diagnosis more likely to PE with smile+ than smile- patients in patients with true PE. As a result, the area under the receiver operating characteristic curve (AUROC) was lower for the Wells score in smile+ patients. However, the physicians' mean gestalt estimate of PE did not differ with smile status, nor did smile status affect the AUROC for gestalt. In patients with suspected PE, physician recollection of patients' smile+ was more common in PE+ patients, and was associated with a less accurate Wells score, primarily because physicians overestimated probability of alternative diagnosis. However, the overall diagnostic accuracy of physicians' gestalt did not differ with perceived smile status. These data suggest that the patients' smile had less effect on the numeric gestalt pretest probability assessment than on the binary decision about an alternative diagnosis. Published by the BMJ Publishing Group

Family Therapy

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Family therapy Overview Family therapy is a type of psychological counseling (psychotherapy) that can help family members improve communication and resolve conflicts. Family therapy is usually provided by a psychologist, ...

Beyond Faces and Expertise

Science.gov (United States)

Zhao, Mintao; Bülthoff, Heinrich H.; Bülthoff, Isabelle

2016-01-01

Holistic processing—the tendency to perceive objects as indecomposable wholes—has long been viewed as a process specific to faces or objects of expertise. Although current theories differ in what causes holistic processing, they share a fundamental constraint for its generalization: Nonface objects cannot elicit facelike holistic processing in the absence of expertise. Contrary to this prevailing view, here we show that line patterns with salient Gestalt information (i.e., connectedness, closure, and continuity between parts) can be processed as holistically as faces without any training. Moreover, weakening the saliency of Gestalt information in these patterns reduced holistic processing of them, which indicates that Gestalt information plays a crucial role in holistic processing. Therefore, holistic processing can be achieved not only via a top-down route based on expertise, but also via a bottom-up route relying merely on object-based information. The finding that facelike holistic processing can extend beyond the domains of faces and objects of expertise poses a challenge to current dominant theories. PMID:26674129

Beyond Faces and Expertise: Facelike Holistic Processing of Nonface Objects in the Absence of Expertise.

Science.gov (United States)

Zhao, Mintao; Bülthoff, Heinrich H; Bülthoff, Isabelle

2016-02-01

Holistic processing-the tendency to perceive objects as indecomposable wholes-has long been viewed as a process specific to faces or objects of expertise. Although current theories differ in what causes holistic processing, they share a fundamental constraint for its generalization: Nonface objects cannot elicit facelike holistic processing in the absence of expertise. Contrary to this prevailing view, here we show that line patterns with salient Gestalt information (i.e., connectedness, closure, and continuity between parts) can be processed as holistically as faces without any training. Moreover, weakening the saliency of Gestalt information in these patterns reduced holistic processing of them, which indicates that Gestalt information plays a crucial role in holistic processing. Therefore, holistic processing can be achieved not only via a top-down route based on expertise, but also via a bottom-up route relying merely on object-based information. The finding that facelike holistic processing can extend beyond the domains of faces and objects of expertise poses a challenge to current dominant theories. © The Author(s) 2015.

The watercolor effect: a new principle of grouping and figure-ground organization.

Science.gov (United States)

Pinna, Baingio; Werner, John S; Spillmann, Lothar

2003-01-01

The watercolor effect is perceived when a dark (e.g., purple) contour is flanked by a lighter chromatic contour (e.g., orange). Under these conditions, the lighter color will assimilate over the entire enclosed area. This filling-in determines figure-ground organization when it is pitted against the classical Gestalt factors of proximity, good continuation, closure, symmetry, convexity, as well as amodal completion, and past experience. When it is combined with a given Gestalt factor, the resulting effect on figure-ground organization is stronger than for each factor alone. When the watercolor effect is induced by a dark red edge instead of an orange edge, its figural strength is reduced, but still stronger than without it. Finally, when a uniform surface is filled physically using the color of the orange fringe, figure-ground organization is not different from that for the purple contour only. These findings show that the watercolor effect induced by the edge could be an independent factor, different from the classical Gestalt factors of figure-ground organization. Copyright 2002 Elsevier Science Ltd.

Meaning of dancing therapy in therapy of clients with psychological diseases

OpenAIRE

NĚMCOVÁ, Barbora

2010-01-01

Bachelor thesis deals with meaning and effects of Dance therapy in frame of medical therapy of clients with psychical disease. Theoretical part defines words like dance, movement and Dance therapy. This part also describes history of dance, meaning and aims of Dance therapy, its school, aims and divisions. Mensioned are person of dance therapist, personalities connected with dance and Dance therapy, target groups of clients suitable for Dance therapy, importance of Dance therapy for clients w...

Behaviour therapy for obesity treatment considering approved drug therapy

Directory of Open Access Journals (Sweden)

Wasem, Jürgen

2008-05-01

Full Text Available Introduction: Obesity is a worldwide health problem whose prevalence is on the increase. Many obesity-associated diseases require intensive medical treatment and are the cause of a large proportion of health-related expenditures in Germany. Treatment of obesity includes nutritional, exercise and behaviour therapy, usually in combination. The goal of behaviour therapy for obesity is to bring about a long-term alteration in the eating and exercise habits of overweight and obese individuals. Under certain circumstances, drug treatment may be indicated. Objectives: What is the effectiveness of behaviour therapy for obesity considering approved drugs reduce weight under medical, economic, ethical-social and legal aspects? Methods: A systematic review was conducted using relevant electronic literature databases. Publications chosen according to predefined criteria are evaluated by approved methodical standards of the evidence-based medicine systematically and qualitatively. Results: In total 18 studies, included one HTA and one meta-analysis could be identified according to the predefined inclusion criteria. Three studies compare behaviour therapy to other therapy forms (advice or instruction on nutritional changes, physical activity or a combination of the two, six studies evaluate different forms of behaviour therapy, four studies and four studies compare behaviour therapies mediated by Internet or telephone. Three studies could be identified examining the effect of the combination of behaviour and drug therapy. Furthermore one HTA and one meta-analysis could be included in the evaluation. The behaviour therapy in comparison with other therapy forms reveals a higher effectiveness. In comparison of the different therapeutic approaches of the behaviour therapy intensive behaviour therapy forms and group therapy show a higher effectiveness. Studies related to behaviour therapy based on media support demonstrate a weight reduction both through the

Plerosis and Atomic Gestalts

NARCIS (Netherlands)

Koenderink, J.J.|info:eu-repo/dai/nl/070864543; van Doorn, A.J.|info:eu-repo/dai/nl/304091294; Pinna, Baingio

2017-01-01

Franz Brentano, 1838–1917, introduced the intriguing concept of “plerosis” in order to account for aspects of the continuum that were “explained” by formal mathematics in ways that he considered absurd from the perspective of intuition, especially visual awareness and imagery. In doing this, he

Sex Therapy

Science.gov (United States)

Sex therapy Overview Sex therapy is a type of psychotherapy — a general term for treating mental health problems by talking with a mental health professional. Through sex therapy, you can address concerns about sexual function, ...

Perceiving Conspecifics is Not Purely Visual: “Body Gestalt” Completion is Influenced by the Body Posture of the Observer

Directory of Open Access Journals (Sweden)

K Kessler

2011-04-01

Full Text Available When we perceive other people in our everyday encounters their bodies are often partially occluded. High-level visual areas are known to automatically complete partially occluded objects, as revealed by the classic “gestalt” phenomena. However, here we set out to investigate if “body gestalt” completion is “embodied” and not purely visual. Human observers might intuitively map their own body knowledge onto partially occluded others and thereby complete their “body gestalt” by means of posture and/or motor resonance. To this end we developed new stimuli showing a face and two hands that could either form a “body gestalt” or not. Our most important finding across five behavioural experiments was that body gestalt completion was not solely based on visual features like the classic gestalt phenomena. Responses were significantly faster when the observer's posture matched the configuration of face and hands shown on screen then. In this sense body gestalt completion is an embodied process, where humans intuitively use their own body knowledge to ‘fill in the gaps’ in a body stimulus. We further conclude that in our particular paradigm posture resonance was apparently more important for body gestalt completion than motor resonance—with the former being most likely mediated by proprioceptive body schema representations, while the latter by the mirror neuron system. Finally, we will also present preliminary analysis of MEG data. Our findings elucidate the mechanisms of how humans perceive others holistically and how they might implicitly align themselves in everyday social interactions to facilitate an optimal co-representation of each other.

The Development, Implementation, and Evaluation of a Model for Teaching Composition Which Utilizes Gestalt Therapy Techniques.

Science.gov (United States)

Tixier, Linda

As a solution to the problems presented by approaches to teaching English composition that are almost purely cognitive in nature, an experimental course was offered for freshmen at the Miami-Dade Community College. The course was designed to be holistic and confluent, synthesizing both the cognitive and affective domains by incorporating Gestalt…

What Is Music Therapy?

Science.gov (United States)

American Music Therapy Association Home Contact News Help/FAQ Members Only Login About Music Therapy & AMTA What is Music Therapy? Definition and ... is Music Therapy? Print Email Share What is Music Therapy What is Music Therapy? Music Therapy is ...

Therapy with radionuclides. Radionuklid-Therapie

Energy Technology Data Exchange (ETDEWEB)

Biersack, H.J.; Hotze, A.L. (Bonn Univ. (Germany). Klinik fuer Nuklearmedizin)

1992-12-01

Radioiodine therapy of benign and malignant thyroid diseases is a well-established procedure in Nuclear Medicine. However, the therapeutic use of radioisotopes in other diseases is relatively unknown among our refering physicians. The therapeutic effects of intraarticular (rheumatoid arthritis) and intracavitary (pleural and peritoneal carcinosis) applications yields good results. The radiophosphorus therapy in polycythemia vera rubra has always to be considered as an alternative to chemotherapy. The use of analgetics may be reduced by pain therapy of bone metastasis by injection of bone-seeking beta emitters like Rh-186 HEDP. Other procedures like therapeutic application of meta-iodo-benzylguanidine in neuroblastoma and malignant pheochromocytoma resulted in at least remissions of the disease. Radioimmunotherapy needs further evaluation before it can be recommended as a routine procedure. (orig.).

Gene Therapy

Science.gov (United States)

Gene therapy Overview Gene therapy involves altering the genes inside your body's cells in an effort to treat or stop disease. Genes contain your ... that don't work properly can cause disease. Gene therapy replaces a faulty gene or adds a new ...

Food therapy and medical diet therapy of Traditional Chinese Medicine

OpenAIRE

Qunli Wu; Xiaochun Liang

2018-01-01

Food therapy of traditional Chinese medicine aims to maintain balanced nutrition through diet. Medical diet therapy, however, is to achieve the balance of Yin and Yang through the combination of nutrition and medicine. Either “food therapy” or “medical diet therapy” aims to keep health, prevent disease, remove illness and slow aging. In recent years, both food therapy and medical diet therapy have been increasingly applied in clinical nutrition therapy. In terms of traditional Chinese food th...

A Atuação do Psicólogo na Estratégia Saúde da Família: Articulações Teóricas e Práticas do Olhar Gestáltico

OpenAIRE

Diógenes, Juliana; Pontes, Ricardo José Soares

2016-01-01

Resumo Este trabalho emerge de interrogações da pesquisadora durante desenvolvimento profissional, a partir da experiência em Gestalt-terapia e Residência Multiprofissional em Saúde da Família e Comunidade. Com conhecimento teórico e prático em ambas as áreas, propõe a construção de pontes teórico-conceituais entre elas, mostrando contribuições possíveis da Gestalt-terapia para o trabalho do psicólogo no contexto da Estratégia Saúde da Família (ESF), bem como à sua principal ferramenta de pro...

Current perspectives of radiation therapy. History of radiation therapy

International Nuclear Information System (INIS)

Itami, Jun

2011-01-01

More than 100 years have passed since the discovery of X-Strahlen by Roentgen. The history of radiation therapy has evolved under mutual stimulating relationships of the external beam radiation therapy by X-ray tubes and accelerators, and the internal radiation therapy employing radium and other radionuclides. The currently employed technologies in radiation therapy have its origin already till nineteen sixties and the development of physics and engineering have realized the original concept. (author)

Feminist Therapy.

Science.gov (United States)

Laidlaw, Toni; Malmo, Cheryl

1991-01-01

Traces roots of feminist therapy and its independence from traditional and prevalent theories and therapy practices. Asserts that Freudian theory and humanistic assumptions are sexist and contribute to powerlessness of women. In contrast, feminist therapy is seen as dealing directly with client-counselor relationships, trust, advocacy, and…

Emotion Regulation in Schema Therapy and Dialectical Behavior Therapy

NARCIS (Netherlands)

Fassbinder, E.; Schweiger, U.; Martius, D.; Brand-de Wilde, O.; Arntz, A.

2016-01-01

Schema therapy (ST) and dialectical behavior therapy (DBT) have both shown to be effective treatment methods especially for borderline personality disorder. Both, ST and DBT, have their roots in cognitive behavioral therapy and aim at helping patient to deal with emotional dysregulation. However,

Three-dimensional conformal radiation therapy: the tomo-therapy approach

International Nuclear Information System (INIS)

Linthout, N.; Verellen, D.; Coninck, P. de; Bel, A.; Storme, G.

2000-01-01

Conformal radiation therapy allows the possibility of delivering high doses at the tumor volume whilst limiting the dose to the surrounding tissues and diminishing the secondary effects. With the example of the conformal radiation therapy used at the AZ VU8 (3DCRT and tomo-therapy), two treatment plans of a left ethmoid carcinoma will be evaluated and discussed in detail. The treatment of ethmoid cancer is technically difficult for both radiation therapy and surgery because of the anatomic constraints and patterns of local spread. A radiation therapy is scheduled to be delivered after surgical resection of the tumor. The treatment plan for the radiation therapy was calculated on a three-dimensional (3D) treatment planning system based on virtual simulation with a beam's eye view: George Sherouse's Gratis. An effort was made to make the plan as conformal and as homogeneous as possible to deliver a dose of 66 Gy in 33 fractions at the tumor bed with a maximum dose of 56 Gy to the right optic nerve and the chiasma. To establish the clinical utility and potential advantages of tomo-therapy over 3DCRT for ethmoid carcinoma, the treatment of this patient was also planned with Peacock Plant. For both treatment plans the isodose distributions and cumulative dose volume histograms (CDVH) were computed. Superimposing the CDVHs yielded similar curves for the target and an obvious improvement for organs at risk such as the chiasma, brainstem and the left eye when applying tomo-therapy. These results have also been reflected in the tumor control probabilities (equal for both plans) and the normal tissue complication probabilities (NTCP), yielding significant reductions in NTCP for tomo-therapy. The probability of uncomplicated tumor control was 52.7% for tomo-therapy against 38.3% for 3DCRT. (authors)

Medical Art Therapy

Directory of Open Access Journals (Sweden)

Birgul Aydin

2012-03-01

Full Text Available Art therapy is a form of expressive therapy that uses art materials. Art therapy combines traditional psychotherapeutic theories and techniques with an understanding of the psychological aspects of the creative process, especially the affective properties of the different art materials. Medical art therapy has been defined as the clinical application of art expression and imagery with individuals who are physically ill, experiencing physical trauma or undergoing invasive or aggressive medical procedures such as surgery or chemotherapy and is considered as a form of complementary or integrative medicine. Several studies have shown that patients with physical illness benefit from medical art therapy in different aspects. Unlike other therapies, art therapy can take the patients away from their illness for a while by means of creative activities during sessions, can make them forget the illness or lost abilities. Art therapy leads to re-experiencing normality and personal power even with short creative activity sessions. In this article definition, influence and necessity of medical art therapy are briefly reviewed.

42 CFR 410.35 - X-ray therapy and other radiation therapy services: Scope.

Science.gov (United States)

2010-10-01

... 42 Public Health 2 2010-10-01 2010-10-01 false X-ray therapy and other radiation therapy services... Other Health Services § 410.35 X-ray therapy and other radiation therapy services: Scope. Medicare Part B pays for X-ray therapy and other radiation therapy services, including radium therapy and...

Personal therapy for undergraduate music therapy students: a survey of AMTA program coordinators.

Science.gov (United States)

Gardstrom, Susan C; Jackson, Nancy A

2011-01-01

The primary purpose of this study was to gather information in order to understand if and how various modalities of personal therapy are employed with undergraduate music therapy students in the United States. AMTA degree program coordinators were asked about 3 therapy modalities, in particular: verbal therapy, music therapy, and expressive arts therapy (excluding music therapy). It was predicted that less than a quarter of the respondents would indicate that personal therapy of any modality was required in their undergraduate curricula, but that a larger percentage would indicate that it was encouraged. Both hypotheses were supported, with just over 14% of the respondents indicating that they require some form of personal therapy and 32% indicating that they encourage it, with 73% of this latter subgroup encouraging verbal therapy and 46% encouraging music therapy. It was further predicted that, when therapy was required or encouraged, it was most often provided by an individual who was associated with the college/university and that therapy was usually provided in a group format. Respondent comments related to these 2 questions revealed considerable confusion between experiential exercises and personal therapy, leading to dubious validity of some of the numerical data. Qualitative treatment of narrative responses illuminated 4 salient issues regarding personal therapy for undergraduate music therapy students, as follows: (a) the legal and ethical feasibility of making personal therapy a requirement; (b) the cost and availability of qualified professionals; (c) the benefits of personal therapy as an integral facet of undergraduate music therapy training and education; and (d) the appropriateness of personal therapy at the undergraduate level of training.

Comparison of dose-volume histograms for Tomo therapy, linear accelerator-based 3D conformal radiation therapy, and intensity-modulated radiation therapy

International Nuclear Information System (INIS)

Ji, Youn-Sang; Dong, Kyung-Rae; Kim, Chang-Bok; Choi, Seong-Kwan; Chung, Woon-Kwan; Lee, Jong-Woong

2011-01-01

Highlights: → Evaluation of DVH from 3D CRT, IMRT and Tomo therapy was conducted for tumor therapy. → The doses of GTV and CTV were compared using DVHs from 3D CRT, IMRT and Tomo therapy. → The GTV was higher when Tomo therapy was used, while the doses of critical organ were low. → They said that Tomo therapy satisfied the goal of radiation therapy more than the others. - Abstract: Evaluation of dose-volume histograms from three-dimensional conformal radiation therapy (3D CRT), intensity-modulated radiation therapy (IMRT), and Tomo therapy was conducted. These three modalities are among the diverse treatment systems available for tumor therapy. Three patients who received tumor therapy for a malignant oligodendroglioma in the cranium, nasopharyngeal carcinoma in the cervical neck, and prostate cancer in the pelvis were selected as study subjects. Therapy plans were made for the three patients before dose-volume histograms were obtained. The doses of the gross tumor volume (GTV) and the clinical target volume (CTV) were compared using the dose-volume histograms obtained from the LINAC-based 3D CRT, IMRT planning station (Varian Eclipse-Varian, version 8.1), and Tomo therapy planning station. In addition, the doses of critical organs in the cranium, cervix, and pelvis that should be protected were compared. The GTV was higher when Tomo therapy was used compared to 3D CRT and the LINAC-based IMRT, while the doses of critical organ tissues that required protection were low. These results demonstrated that Tomo therapy satisfied the ultimate goal of radiation therapy more than the other therapies.

A Play Therapy Approach Focusing on Parent-Child Relationship: Filial Therapy

Directory of Open Access Journals (Sweden)

Banu Tortamis Ozkaya

2015-06-01

Full Text Available Filial therapy is a structured, short-term, and evidence-based play therapy model that aims to train and supervise parents in conducting child-centered play therapy sessions with their children. Filial therapy strengthens the relationship among all family members -in particular the relationship between the parent and the child- and helps parents acquire new and effective parenting skills. Thus parents gain a powerful tool to cope with the difficulties they experience even after therapy sessions end. In this review, filial therapy is explained within the context of its theoretical background and therapy process. Several adaptations of the model and research studies on its effectiveness are also discussed briefly. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2015; 7(2: 208-220

Cortical Dynamics of Figure-Ground Separation in Response to 2D Pictures and 3D Scenes: How V2 Combines Border Ownership, Stereoscopic Cues, and Gestalt Grouping Rules

Science.gov (United States)

Grossberg, Stephen

2016-01-01

The FACADE model, and its laminar cortical realization and extension in the 3D LAMINART model, have explained, simulated, and predicted many perceptual and neurobiological data about how the visual cortex carries out 3D vision and figure-ground perception, and how these cortical mechanisms enable 2D pictures to generate 3D percepts of occluding and occluded objects. In particular, these models have proposed how border ownership occurs, but have not yet explicitly explained the correlation between multiple properties of border ownership neurons in cortical area V2 that were reported in a remarkable series of neurophysiological experiments by von der Heydt and his colleagues; namely, border ownership, contrast preference, binocular stereoscopic information, selectivity for side-of-figure, Gestalt rules, and strength of attentional modulation, as well as the time course during which such properties arise. This article shows how, by combining 3D LAMINART properties that were discovered in two parallel streams of research, a unified explanation of these properties emerges. This explanation proposes, moreover, how these properties contribute to the generation of consciously seen 3D surfaces. The first research stream models how processes like 3D boundary grouping and surface filling-in interact in multiple stages within and between the V1 interblob—V2 interstripe—V4 cortical stream and the V1 blob—V2 thin stripe—V4 cortical stream, respectively. Of particular importance for understanding figure-ground separation is how these cortical interactions convert computationally complementary boundary and surface mechanisms into a consistent conscious percept, including the critical use of surface contour feedback signals from surface representations in V2 thin stripes to boundary representations in V2 interstripes. Remarkably, key figure-ground properties emerge from these feedback interactions. The second research stream shows how cells that compute absolute disparity

Cortical Dynamics of Figure-Ground Separation in Response to 2D Pictures and 3D Scenes: How V2 Combines Border Ownership, Stereoscopic Cues, and Gestalt Grouping Rules.

Science.gov (United States)

Grossberg, Stephen

2015-01-01

The FACADE model, and its laminar cortical realization and extension in the 3D LAMINART model, have explained, simulated, and predicted many perceptual and neurobiological data about how the visual cortex carries out 3D vision and figure-ground perception, and how these cortical mechanisms enable 2D pictures to generate 3D percepts of occluding and occluded objects. In particular, these models have proposed how border ownership occurs, but have not yet explicitly explained the correlation between multiple properties of border ownership neurons in cortical area V2 that were reported in a remarkable series of neurophysiological experiments by von der Heydt and his colleagues; namely, border ownership, contrast preference, binocular stereoscopic information, selectivity for side-of-figure, Gestalt rules, and strength of attentional modulation, as well as the time course during which such properties arise. This article shows how, by combining 3D LAMINART properties that were discovered in two parallel streams of research, a unified explanation of these properties emerges. This explanation proposes, moreover, how these properties contribute to the generation of consciously seen 3D surfaces. The first research stream models how processes like 3D boundary grouping and surface filling-in interact in multiple stages within and between the V1 interblob-V2 interstripe-V4 cortical stream and the V1 blob-V2 thin stripe-V4 cortical stream, respectively. Of particular importance for understanding figure-ground separation is how these cortical interactions convert computationally complementary boundary and surface mechanisms into a consistent conscious percept, including the critical use of surface contour feedback signals from surface representations in V2 thin stripes to boundary representations in V2 interstripes. Remarkably, key figure-ground properties emerge from these feedback interactions. The second research stream shows how cells that compute absolute disparity in

THE EFFECTIVENESS OF PLAY THERAPY AND MUSICAL THERAPY IN REDUCING THE HOSPITALIZATION STRESS

Directory of Open Access Journals (Sweden)

Yuni Sufyanti Arief

2017-07-01

Full Text Available Introduction: Hospitalization in pediatric patients may caused an anxiety and stress in all age levels. Several techniques can be applied to reduced hospitalization stress in children, such as playing therapy and music therapy. The objective of this study was to analyze the difference of effectiveness between both therapies in reducing the hospitalization stress in 4-6 years old children. Method: A quasy-experimental pre-posttest design was used in this study. There were 18 respondents, divided into three groups, i.e. group one receiving playing therapy, group two receiving music therapy and the last group as control group. Data were collected by using observation sheet before and after intervention to recognize the hospitalization stress. Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α<0.05. Result: Result showed that playing therapy and music therapy had significant effect to reduce the hospitalization stress with p=0.027 for play therapy, p=0.024 for musical therapy, and p=0.068 for control. Mann Whitney U Test revealed that there were no difference in the effectiveness of play therapy and musical therapy in reducing the hospitalization stress with p=0.009 for play therapy and control group, p=0.012 for music therapy and control group, and p=0.684 for playing therapy and musical therapy. Discussion: It can be concluded that play therapy and musical therapy are equally effective to reduce the hospitalization stress in children. It’s recommended for nurses in pediatric ward to do  playg therapy and musical therapy periodically.

Adaptive therapy.

Science.gov (United States)

Gatenby, Robert A; Silva, Ariosto S; Gillies, Robert J; Frieden, B Roy

2009-06-01

A number of successful systemic therapies are available for treatment of disseminated cancers. However, tumor response is often transient, and therapy frequently fails due to emergence of resistant populations. The latter reflects the temporal and spatial heterogeneity of the tumor microenvironment as well as the evolutionary capacity of cancer phenotypes to adapt to therapeutic perturbations. Although cancers are highly dynamic systems, cancer therapy is typically administered according to a fixed, linear protocol. Here we examine an adaptive therapeutic approach that evolves in response to the temporal and spatial variability of tumor microenvironment and cellular phenotype as well as therapy-induced perturbations. Initial mathematical models find that when resistant phenotypes arise in the untreated tumor, they are typically present in small numbers because they are less fit than the sensitive population. This reflects the "cost" of phenotypic resistance such as additional substrate and energy used to up-regulate xenobiotic metabolism, and therefore not available for proliferation, or the growth inhibitory nature of environments (i.e., ischemia or hypoxia) that confer resistance on phenotypically sensitive cells. Thus, in the Darwinian environment of a cancer, the fitter chemosensitive cells will ordinarily proliferate at the expense of the less fit chemoresistant cells. The models show that, if resistant populations are present before administration of therapy, treatments designed to kill maximum numbers of cancer cells remove this inhibitory effect and actually promote more rapid growth of the resistant populations. We present an alternative approach in which treatment is continuously modulated to achieve a fixed tumor population. The goal of adaptive therapy is to enforce a stable tumor burden by permitting a significant population of chemosensitive cells to survive so that they, in turn, suppress proliferation of the less fit but chemoresistant

Proton therapy

International Nuclear Information System (INIS)

Smith, Alfred R

2006-01-01

Proton therapy has become a subject of considerable interest in the radiation oncology community and it is expected that there will be a substantial growth in proton treatment facilities during the next decade. I was asked to write a historical review of proton therapy based on my personal experiences, which have all occurred in the United States, so therefore I have a somewhat parochial point of view. Space requirements did not permit me to mention all of the existing proton therapy facilities or the names of all of those who have contributed to proton therapy. (review)

Proton-therapy and hadron-therapy ionization chambers

International Nuclear Information System (INIS)

Boissonnat, Guillaume

2015-01-01

In the framework of the ARCHADE project (Advanced Resource Center for Hadron-therapy in Europe), a research project in Carbone ion beam therapy and clinical Proton-therapy, this work investigates the beam monitoring and dosimetry aspects of ion beam therapy. The main goal, here, is to understand the operating mode of air ionization chambers, the detectors used for such applications. This study starts at a very fundamental level as the involved physical and chemical parameters of air were measured in various electric field conditions with dedicated setups and used to produce a simulation tools aiming at reproducing the operating response in high intensity PBS (Pencil Beam Scanning) coming from IBA's (Ion Beam Applications) next generation of proton beam accelerators. In addition, an ionization chamber-based dosimetry equipment was developed, DOSION III, for radiobiology studies conducted at GANIL under the supervision of the CIMAP laboratory. (author)

Who to handover: a case-control study of a novel scoring system to prioritise handover of internal medicine inpatients.

Science.gov (United States)

Bittman, Jesse; Tam, Penny; Little, Chris; Khan, Nadia

2017-06-01

Handover of patients between care providers is a critical event in patient care. There is, however, little evidence to guide the handover process, including determining which patients to handover. Compare the ability of gestalt-based handover with two structured scores, the modified early warning score (MEWS) and our novel iHAND clinical decision support system, to predict which patients will be assessed by a physician overnight. This case-control study included 90 inpatients, comprising 32 patients assessed overnight (cases) and 58 patients not assessed overnight (controls) at a teaching hospital in British Columbia, Canada (May 2012). Gestalt, MEWS and iHAND scores were analysed against patients seen overnight using logistic regression and receiver-operating characteristic (ROC) curves. Neither current gestalt-based handover practice (odds ratio (OR) 1.50, 95% CI 0.89 to 3.83) nor MEWS (OR 0.96, 95% CI 0.75 to 1.24, area under the ROC curve (AUC) 0.61, 95% CI 0.49 to 0.73) were significantly associated with need to be seen overnight. The iHAND score was associated with need to be seen (OR 1.93, 95% CI 1.24 to 3.02, AUC 0.70, 95% CI 0.60 to 0.81). The iHAND score had moderate ability to predict which patients required assessment overnight, while MEWS score and current gestalt approach correlated poorly, suggesting the iHAND score may help prioritisation of patients likely to be seen overnight for handover. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

The robustness of buildings and installations. Part 2; Robuustheid van gebouwen en installaties. Deel 2

Energy Technology Data Exchange (ETDEWEB)

Leijten, J.L. [Afdeling Climate Design and Environment, Faculteit Bouwkunde, Technische Universiteit Delft, Delft (Netherlands); Kurvers, S.R. [Apogeum Indoor Environment Consult, Gouda (Netherlands)

2011-03-15

In a previous article of this magazine (January 2007) attention was paid to the hypothesis of the robustness of a building. Since then, the hypothesis has been extended and refined. The robustness of an office building was defined as the measure by which the building lives up to its design purpose in a real life situation. In the refined hypothesis more attention is given to the way occupants react to the indoor environment as a whole. Robustness is expected to be particularly increased when the environmental 'Gestalt', the total working environment as perceived by occupants, promotes acceptance of the indoor environment. [Dutch] Een voorgaand artikel in dit tijdschrift (januari 2007) behandelde de gebouwrobuustheidshypothese, waarin de robuustheid van een kantoorgebouw werd gedefinieerd als de mate waarin het binnenmileu in het gerealiseerde gebouw in de praktijk voldoet aan zijn ontwerpdoelstelling. Sindsdien is de hypothese uitgebreid en verfijnd met speciale aandacht voor de manier waarop gebruikers reageren op het binnenmilieu als geheel. De verwachting is dat de robuustheid van een gebouw verder zal toenemen wanneer de omgevings-Gestalt de acceptatie van het binnenmilieu bevordert. De omgevings-Gestalt is het geheel van de werkomgeving zoals de gebruikers die ervaren.

“The Thinking Eye” and “The Open Sky:” Developing a Framework of an Environmental View of Security

Directory of Open Access Journals (Sweden)

Dr. Helen MARGARITOU-ANDRIANESSI

2016-07-01

Full Text Available Discussion of security integration began with discussion of the threatened local time-frame of our existence and preferred forms of behavior. We examine strategic requirements and stances toward environmental security, because the “gestalt thinking and ontology” and the “reflective cast of mind” influence our experience of security procedures in order to evaluate successful modes of interventions in ecosystem, changes in politics and security exchanges. The goal is a multi-criterion optimization problem which we suggest to bring to a single criterion one: to embrace more gestalt relations in order to reproduce the basic elements of the concept of security and common strategies.

Radon therapy; Radon in der Therapie

Energy Technology Data Exchange (ETDEWEB)

Spruck, Kaija [Technische Hochschule Mittelhessen, Giessen (Germany). Inst. fuer Medizinische Physik und Strahlenschutz

2017-04-01

Radon therapies are used since more than 100 years in human medicine. Today this method is controversially discussed due to the possible increase of ionizing radiation induced tumor risk. Although the exact mode of biological radiation effect on the cell level is still not known new studies show the efficiency of the radon therapy without side effect for instance for rheumatic/inflammatory or respiratory disorders.

Combined tumor therapy

International Nuclear Information System (INIS)

Wrba, H.

1990-01-01

This comprehensive survey of current methods and achievements first takes a look at the two basic therapies, devoting a chapter each to the surgery and radiotherapy of tumors. The principal subjects of the book, however, are the systemic, adjuvant therapy, biological therapies, hyperthermia and various other therapies (as e.g. treatment with ozone, oxygen, or homeopathic means), and psychotherapy. (MG) With 54 figs., 86 tabs [de

Brain Stimulation Therapies

Science.gov (United States)

... Magnetic Seizure Therapy Deep Brain Stimulation Additional Resources Brain Stimulation Therapies Overview Brain stimulation therapies can play ... for a shorter recovery time than ECT Deep Brain Stimulation Deep brain stimulation (DBS) was first developed ...

The perfect marriage: Solution-focused therapy and motivational interviewing in medical family therapy

Directory of Open Access Journals (Sweden)

Gage Stermensky

2014-01-01

Full Text Available Medical family therapy has many potential uses in behavioral medicine and primary care. Current research was reviewed to determine the most advantageous way to apply solution-focused therapy and motivational interviewing as a perfect marriage in medical family therapy. An extensive literature review was done in the following databases for medical family therapy: Proquest, EBSCO, Medline, and PsychInfo. The search resulted in 86 relevant articles, of which 46 of the most recent were selected for review. Medical family therapy lacks current research that supports solution-focused therapy or motivational interviewing. However, evidence supports the use of solution-focused therapy as a brief format, as well as the closely related intervention, motivational interviewing. While medical family therapy presents many hopeful possibilities in the fields of behavioral medicine, psychology, and marriage and family therapy, little evidence currently exists for the most effective implementation. This review found evidence supporting solution-focused therapy and motivational interviewing as the perfect marriage of the collaborative team approaches for the future implementation and use of specific interventions in medical family therapy.

Music Therapy and Music Therapy Research. Response

DEFF Research Database (Denmark)

Pedersen, Inge Nygaard

2002-01-01

This response to Keynote by Prof. Even Ruud (N)"Music Education and Music Therapy seeks to define these two areas with specific focus on tools and methods for analysis of music as these methods are developed in music therapy. This includes that the music therapist, the music and the client create...

Treatment of Recurrent Chordomas by Percutaneous Ethanol Injection Therapy and Radiation Therapy

International Nuclear Information System (INIS)

Nakajo, M.; Ohkubo, K.; Fukukura, Y.; Nandate, T.; Nakajo, M.

2006-01-01

We report a case of recurrent sacral chordomas that have been successfully controlled by the combination therapy of percutaneous ethanol injection therapy (PEIT) and radiation therapy in a 71-year-old man. PEIT may be one of the adjuvant therapies for recurrent chordomas

Dystonia: Physical Therapy

Science.gov (United States)

... Online Support Frequently Asked Questions Faces of Dystonia Physical Therapy Physical therapy may be an important component of treating ... everyday tasks, Since dystonia is a neurological disorder, physical therapy does not treat the dystonia directly but ...

Physical therapy and occupational therapy in Parkinson's disease

NARCIS (Netherlands)

Radder, D.L.M.; Sturkenboom, I.H.W.M.; Nimwegen, M. van; Keus, S.H.; Bloem, B.R.; Vries, N.M. de

2017-01-01

Current medical management is only partially effective in controlling the symptoms of Parkinson's disease. As part of comprehensive multidisciplinary care, physical therapy and occupational therapy aim to support people with Parkinson's disease in dealing with the consequences of their disease in

CAM therapies among primary care patients using opioid therapy for chronic pain

Directory of Open Access Journals (Sweden)

Mundt Marlon P

2007-05-01

Full Text Available Abstract Background Complementary and alternative medicine (CAM is an increasingly common therapy used to treat chronic pain syndromes. However; there is limited information on the utilization and efficacy of CAM therapy in primary care patients receiving long-term opioid therapy. Method A survey of CAM therapy was conducted with a systematic sample of 908 primary care patients receiving opioids as a primary treatment method for chronic pain. Subjects completed a questionnaire designed to assess utilization, efficacy and costs of CAM therapies in this population. Results Patients were treated for a variety of pain problems including low back pain (38.4%, headaches (9.9%, and knee pain (6.5%; the average duration of pain was 16 years. The median morphine equivalent opioid dose was 41 mg/day, and the mean dose was 92 mg/day. Forty-four percent of the sample reported CAM therapy use in the past 12 months. Therapies utilized included massage therapy (27.3%, n = 248, chiropractic treatment (17.8%, n = 162, acupuncture (7.6%, n = 69, yoga (6.1%, n = 55, herbs and supplements (6.8%, n = 62, and prolotherapy (5.9%, n = 54. CAM utilization was significantly related to age female gender, pain severity income pain diagnosis of neck and upper back pain, and illicit drug use. Medical insurance covered chiropractic treatment (81.8% and prolotherapy (87.7%, whereas patients primarily paid for other CAM therapies. Over half the sample reported that one or more of the CAM therapies were helpful. Conclusion This study suggests CAM therapy is widely used by patients receiving opioids for chronic pain. Whether opioids can be reduced by introducing such therapies remains to be studied.

CAM therapies among primary care patients using opioid therapy for chronic pain.

Science.gov (United States)

Fleming, Sara; Rabago, David P; Mundt, Marlon P; Fleming, Michael F

2007-05-16

Complementary and alternative medicine (CAM) is an increasingly common therapy used to treat chronic pain syndromes. However; there is limited information on the utilization and efficacy of CAM therapy in primary care patients receiving long-term opioid therapy. A survey of CAM therapy was conducted with a systematic sample of 908 primary care patients receiving opioids as a primary treatment method for chronic pain. Subjects completed a questionnaire designed to assess utilization, efficacy and costs of CAM therapies in this population. Patients were treated for a variety of pain problems including low back pain (38.4%), headaches (9.9%), and knee pain (6.5%); the average duration of pain was 16 years. The median morphine equivalent opioid dose was 41 mg/day, and the mean dose was 92 mg/day. Forty-four percent of the sample reported CAM therapy use in the past 12 months. Therapies utilized included massage therapy (27.3%, n = 248), chiropractic treatment (17.8%, n = 162), acupuncture (7.6%, n = 69), yoga (6.1%, n = 55), herbs and supplements (6.8%, n = 62), and prolotherapy (5.9%, n = 54). CAM utilization was significantly related to age female gender, pain severity income pain diagnosis of neck and upper back pain, and illicit drug use. Medical insurance covered chiropractic treatment (81.8%) and prolotherapy (87.7%), whereas patients primarily paid for other CAM therapies. Over half the sample reported that one or more of the CAM therapies were helpful. This study suggests CAM therapy is widely used by patients receiving opioids for chronic pain. Whether opioids can be reduced by introducing such therapies remains to be studied.

[Music therapy and depression].

Science.gov (United States)

Van Assche, E; De Backer, J; Vermote, R

2015-01-01

Music therapy is a predominantly non-verbal psychotherapy based on music improvisation, embedded in a therapeutic relationship. This is the reason why music therapy is also used to treat depression. To examine the efficacy of music therapy and to report on the results of recent research into the value of music therapy as a treatment for depression. We reviewed the literature on recent research into music therapy and depression, reporting on the methods used and the results achieved, and we assessed the current position of music therapy for depression in the context of evidence-based scientific research. A wide variety of research methods was used to investigate the effects of using music therapy as a psychotherapy. Most studies focused usually on the added value that music therapy brings to the standard form of psychiatric treatment, when administered with or without psychopharmacological support. Music therapy produced particularly significant and favourable results when used to treat patients with depression. Current research into music therapy and depression points to a significant and persistent reduction in patients' symptoms and to improvements in their quality of life. However, further research is needed with regard to the best methods of illustrating the effects of music therapy.

Physical Therapy (For Parents)

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español Physical Therapy KidsHealth / For Parents / Physical Therapy Print en español Terapia física Physical Therapy Basics Doctors often recommend physical therapy (PT) ...

Minding the Gap – of Indifference: Approaching ‘Performance Philosophy’ with Salomo Friedlaender (1871-1946

Directory of Open Access Journals (Sweden)

Alice Lagaay

2015-04-01

Full Text Available The concept of "Creative Indifference" put forward by Salomo Friedlaender in his 1918 magnum opus, Schöpferische Indifferenz, provides much food for thought from a Performance Philosophy perspective. Friedlaender's work, which has been largely overlooked by academic philosophers until now, was in fact hugely influential in expressionist Dada circles at the time of its publication. It also contributed to shaping Gestalt Therapy theories and practice, thereby relating to a number of bodywork movements that continue to inform performance practice and Performance Philosophy alike. In this short text, Alice Lagaay begins to explore the manner in which Friedlaender/Mynona can be seen as a Performance Philosopher “avant la lettre”, and how the notion of "Creative Indifference” might be fruitful in the ongoing "Mind-the-Gap”- debate relating to the relation between “Performance" and "Philosophy".

Combination of nitric oxide therapy, anti-oxidative therapy, low level laser therapy, plasma rich platelet therapy and stem cell therapy as a novel therapeutic application to manage the pain and treat many clinical conditions

Science.gov (United States)

Halasa, Salaheldin; Dickinson, Eva

2014-02-01

From hypertension to diabetes, cancer to HIV, stroke to memory loss and learning disorders to septic shock, male impotence to tuberculosis, there is probably no pathological condition where nitric oxide does not play an important role. Nitric oxide is an analgesic, immune-modulator, vasodilator, anti-apoptotic, growth modulator, angiogenetic, anti-thrombotic, anti-inflammatory and neuro-modulator. Because of the above actions of nitric oxide, many clinical conditions associated with abnormal Nitric oxide (NO) production and bioavailability. Our novel therapeutic approach is to restore the homeostasis of nitric oxide and replace the lost cells by combining nitric oxide therapy, anti-oxidative therapy, low level laser therapy, plasma rich platelet therapy and stem cell therapy.

Alternative Therapy of Animals – Homeopathy and Other Alternative Methods of Therapy

Directory of Open Access Journals (Sweden)

Løken Torleiv

2002-03-01

Full Text Available Alternative therapy of animals is described, in the meaning of alternatives to veterinary therapy traditionally accepted by veterinary faculties and schools and included in their curricula. Alternative therapy composes of different disciplines, of which homeopathy is emphasised in this presentation. Information is given on the use and interest of such therapy among veterinarians and animal owners. Homeopathy as other alternative therapies, may offer great advances, if they induce any effect. Some of the disciplines are based on a scientifically accepted documentation. Others, and homeopathy in particular, are missing such a documentation of effect. The justification of including alternative therapy in treating animals is discussed. Research in alternative therapy of animals is greatly needed, in particular to evaluate therapeutic methods which are in extensive use without any documented effect. An ongoing research project in Norway on the effect of homeopathic treatment of mastitis in cows is shortly presented.

Chemotherapy and molecular target therapy combined with radiation therapy

International Nuclear Information System (INIS)

Akimoto, Tetsuo

2012-01-01

Combined chemotherapy and radiation therapy has been established as standard treatment approach for locally advanced head and neck cancer, esophageal cancer and so on through randomized clinical trials. However, radiation-related morbidity such as acute toxicity also increased as treatment intensity has increased. In underlining mechanism for enhancement of normal tissue reaction in chemo-radiation therapy, chemotherapy enhanced radiosensitivity of normal tissues in addition to cancer cells. Molecular target-based drugs combined with radiation therapy have been expected as promising approach that makes it possible to achieve cancer-specific enhancement of radiosensitivity, and clinical trials using combined modalities have been performed to evaluate the feasibility and efficacy of this approach. In order to obtain maximum radiotherapeutic gain, a detailed understanding of the mechanism underlying the interaction between radiation and Molecular target-based drugs is indispensable. Among molecular target-based drugs, inhibitors targeting epidermal growth factor receptor (EGFR) and its signal transduction pathways have been vigorously investigated, and mechanisms regarding the radiosensitizing effect have been getting clear. In addition, the results of randomized clinical trials demonstrated that radiation therapy combined with cetuximab resulted in improvement of overall and disease-specific survival rate compared with radiation therapy in locally advanced head and neck cancer. In this review, clinical usefulness of chemo-radiation therapy and potential molecular targets for potentiation of radiation-induced cell killing are summarized. (author)

Music therapy in kindergarten

OpenAIRE

Šírová, Michaela

2017-01-01

This work deals with the subject of music therapy in a special kindergarten for the children with combined disabilities. In the theoretical part it clarifies the concept and principle of music therapy and characterizes the types of disabilities that occur at researched clients. As a research method were used observation and interviews with three music therapists from the institution. KEYWORDS Music therapy, preschool education, special pedagogy, group music therapy,individual music therapy, p...

Art therapy, psychodrama, and verbal therapy. An integrative model of group therapy in the treatment of adolescents with anorexia nervosa and bulimia nervosa.

Science.gov (United States)

Diamond-Raab, Lisa; Orrell-Valente, Joan K

2002-04-01

Anorexia nervosa and bulimia nervosa typically afflict individuals in adolescence. Given the intractability of these diseases in combination with the natural recalcitrance of adolescence, treatment with this population presents a daunting challenge. Traditional group therapy that focuses on verbal therapy is often not effective with this population, particularly in the acute stages of the diseases. A group therapy approach that integrates art therapy, psychodrama, and verbal therapy offers an innovative alternative to traditional group therapy.

Complementary and Integrative Therapies

Science.gov (United States)

... include: • Acupressure and acupuncture • Aromatherapy • Art therapy and music therapy • Chiropractic medicine and massage • Guided imagery • Meditation and ... should I avoid? • Is this complementary therapy (name therapy) safe? Is there research showing it is safe? • Are there side effects ...

Interpersonal, cognitive analytic and other integrative therapies versus other psychological therapies for depression

OpenAIRE

Hunot, Vivien; Moore, Theresa HM; Caldwell, Deborah; Davies, Philippa; Jones, Hannah; Lewis, Glyn; Churchill, Rachel

2010-01-01

This is the protocol for a review and there is no abstract. The objectives are as follows: To examine the effectiveness and acceptability of all integrative therapies compared with all other psychological therapy approaches for acute depression.To examine the effectiveness and acceptability of different integrative therapy models (IPT, CAT, psychodynamic-interpersonal therapy, CBASP, counselling) compared with all other psychological therapy approaches for acute depression.To examine the e...

Drug Therapy.

Science.gov (United States)

He, Ri-Hui; Tao, Ran

2017-01-01

This chapter first summarizes the therapy of addiction disorder, and elaborates on the progress of medication. First, the difference between dependency and addiction are introduced. The basic principles of the therapy of substance and non-substance addiction are then put forward. It is also pointed out in this chapter that with the progress of the study, the goal of addiction disorder therapy is expected to transfer from reducing the relapse and harm of the addiction to completely eliminating and recovering from it. This chapter also introduces the progress of psychological addiction elimination technology, especially the "Unconditioned Stimulus Retrieval Extinction Paradigm and Conditioned Stimulus Retrieval Extinction Paradigm" and PITDH technology. Finally it is pointed out that in addiction disorder therapy, comprehensive intervention has become a trend. With regard to the medication for addiction disorders, this chapter also includes the progress and deficiencies of substance and non-substance addiction. In terms of addiction disorder rehabilitation, the foundation of substance addiction is medication which is, however, limited for non-substance addiction. The key to the rehabilitation of addiction disorder is psycho-behavioral therapy, which is especially effective in eliminating craving.

Taller gestáltico para desarrollar el potencial humano en estudiantes en formación docente

Directory of Open Access Journals (Sweden)

Israel Alberto Cisneros Concha

2014-06-01

Full Text Available This research was aimed to facilitate the development of the human potential of undergraduate students by means of a workshop with a Gestalt approach. The design was pre-experimental, pretest-postest, one group. The Psicodiagnosis Gestalt Test of Salama was used and the group consisted of twelve students of a teachers training program.The workshop lasted forty hours. Results showed that the participants widen their corporal and emotional consciousness, as well as their contact skills, and the dissolution of their introjects and projections. They also took responsibility of their emotions and behaviors, and also of the way they communicate and express themselves to others, taking recognition of their personal resources, and establishing goals and commitments.

[Achromatic watercolor effect: about requirement of formation of sumi painting effect].

Science.gov (United States)

Takashima, Midori

2008-10-01

The watercolor effect (Pinna, Brelstaff, & Spillmann, 2001) is a new color spreading phenomenon. Pinna et al. (2001) proposed that the watercolor effect is a new Gestalt factor because it determines figure-ground organization more strongly than classical Gestalt factors. We used achroriatic watercolor patterns and varied the lightness of the background and two border lines to study the relationship between the color spreading effect and figure-ground organization. The results demonstrated (a)a bidirectional color spreading phenomenon when the background lightness was between the two border-lines' lightness, and that (b) some patterns elicit only a color spreading effect without organization of figure-ground, while others elicit only figure-ground organization without a color spreading effect.

External radiation therapy of prostatic carcinoma and its relationship to hormonal therapy

International Nuclear Information System (INIS)

Takada, Chitose; Ito, Koushiro; Nishi, Junko; Yamamoto, Toshihiro; Hatanaka, Yoshimi; Baba, Yuji; Takahashi, Mutsumasa.

1995-01-01

From 1980 to 1990, a total of 54 patients with prostatic carcinoma were treated with external radiation therapy at the Kumamoto National Hospital. Ten patients were classified as Stage B, 22 as Stage C, and another 22 as Stage D according to the American Urological Association Clinical Staging System. The 5-year survival for all 54 patients was 30%. The 5-year disease-specific survival was 67% for Stage B, 47% for Stage C, and 26% for Stage D. The 5-year survival was 43% for patients in whom radiation therapy was initiated immediately after the first diagnosis or with less than one year of hormonal therapy, while it was 0% for patients in whom radiation therapy was initiated after more than one year of hormonal therapy (p=0.01). The cause of intercurrent death was acute myocardial infarction in four patients and acute cardiac failure in one. Four of these patients received hormonal therapy for more than one year. The incidence of radiation-induced proctitis was not severe. This study suggests that long-term hormonal therapy prior to radiation therapy worsens the prognosis of patients with prostatic carcinoma. (author)

Predictors of trimodality therapy and trends in therapy for malignant pleural mesothelioma.

Science.gov (United States)

Nelson, David B; Rice, David C; Niu, Jiangong; Atay, Scott M; Vaporciyan, Ara A; Antonoff, Mara B; Hofstetter, Wayne L; Walsh, Garrett L; Swisher, Stephen G; Roth, Jack A; Tsao, Anne S; Gomez, Daniel R; Giordano, Sharon H; Mehran, Reza J; Sepesi, Boris

2018-05-01

Malignant pleural mesothelioma is an aggressive and rare malignancy that frequently recurs despite aggressive therapy. We evaluated the frequency of treatment with surgery, radiation or chemotherapy, changes in therapy and survival over time and factors associated with the receipt of trimodality therapy. The National Cancer Database (NCDB) was used to query patients with histologically proven malignant pleural mesothelioma (2004-14). Treatment over time was evaluated using the Armitage trend test. Factors associated with the receipt of trimodality therapy were analysed using logistic regression. Among 20 561 patients, only 4028 (20%) underwent cancer-directed surgery; 533 (2.6%) of whom received trimodality therapy. From 2004 to 2014, the use of surgery with chemotherapy increased 87% (P 26 miles for treatment were more likely to undergo trimodality therapy. Additional factors associated with the receipt of trimodality therapy include age less than 70, Charlson comorbidity score of 0 and presence of private insurance. Many malignant pleural mesothelioma patients are not treated with trimodality therapy, with significant variation in treatment patterns. Referrals to high-volume and specialized centres may help offer more therapeutic options and trial or registry enrolment.

Rumination-focused cognitive behaviour therapy vs. cognitive behaviour therapy for depression

DEFF Research Database (Denmark)

Hvenegaard, Morten; Watkins, Ed R; Poulsen, Stig

2015-01-01

BACKGROUND: Cognitive behavioural therapy is an effective treatment for depression. However, one third of the patients do not respond satisfactorily, and relapse rates of around 30 % within the first post-treatment year were reported in a recent meta-analysis. In total, 30-50 % of remitted patients...... of future depression. Rumination-focused cognitive behavioural therapy is a psychotherapeutic treatment targeting rumination. Because rumination plays a major role in the initiation and maintenance of depression, targeting rumination with rumination-focused cognitive behavioural therapy may be more...... effective in treating depression and reducing relapse than standard cognitive behavioural therapy. METHOD/DESIGN: This study is a two-arm pragmatic randomised controlled superiority trial comparing the effectiveness of group-based rumination-focused cognitive behaviour therapy with the effectiveness...

Radiotechnologies and gene therapy

International Nuclear Information System (INIS)

Xia Jinsong

2001-01-01

Gene therapy is an exciting frontier in medicine today. Radiologist will make an uniquely contribution to these exciting new technologies at every level by choosing sites for targeting therapy, perfecting and establishing routes of delivery, developing imaging strategies to monitor therapy and assess gene expression, developing radiotherapeutic used of gene therapy

[Physical therapy for scars].

Science.gov (United States)

Masanovic, Marguerite Guillot

2013-01-01

Physical therapy consists notably of hand or mechanical massages, pressure therapy using various fabrics or splints, cryotherapy, laser therapy, etc. It forms part of the range of therapies used to treat pathological scars, including medical and surgical treatment. While the results are often satisfactory for hypertrophic scars, they remain uncertain for major keloids.

Dance movement therapy in the concept of expressive arts-therapy

OpenAIRE

Martinec, Renata

2013-01-01

Dance Movement Therapy is a complementary method which includes using and analyzing of different aspects of body-experience and body-expression such us movement, mimics, pantomime, touch… In Dance Movement Therapy body is dominant media of therapeutic process. So this kind of therapy may have positive influence on physiological awareness, body expression of emotions, inducing unconscious impulses, and improving new strategies of behaviour through exploring new patterns and qualities of mov...

Radionuclide therapy of endocrine-related cancer; Nuklearmedizinische Therapie endokriner Tumoren

Energy Technology Data Exchange (ETDEWEB)

Kratochwil, C.; Giesel, F.L. [Universitaetsklinikum Heidelberg, Abteilung Nuklearmedizin, Heidelberg (Germany)

2014-10-15

This article gives an overview of the established radionuclide therapies for endocrine-related cancer that already have market authorization or are currently under evaluation in clinical trials. Radioiodine therapy is still the gold standard for differentiated iodine-avid thyroid cancer. In patients with bone and lung metastases (near) total remission is seen in approximately 50 % and the 15-year survival rate for these patients is approximately 90 %. In contrast to the USA, meta-iodobenzylguanidine (MIBG) therapy has market approval in Europe. According to the current literature, in the setting of advanced stage neuroblastoma and malignant pheochromocytoma or paraganglioma, radiological remission can be achieved in > 30 % and symptom control in almost 80 % of the treated patients. Somatostatin receptor targeted radionuclide therapies (e.g. with DOTATATE or DOTATOC) demonstrated promising results in phase 2 trials, reporting progression-free survival in the range of 24-36 months. A first phase 3 pivotal trial for intestinal carcinoids is currently recruiting and another trial for pancreatic neuroendocrine tumors is planned. Radiopharmaceuticals based on glucagon-like peptide 1 (GLP1) or minigastrins are in the early evaluation stage for application in the treatment of insulinomas and medullary thyroid cancer. In general, radiopharmaceutical therapy belongs to the group of so-called theranostics which means that therapy is tailored for individual patients based on molecular imaging diagnostics to stratify target positive or target negative tumor phenotypes. (orig.) [German] Dieser Artikel gibt einen Ueberblick ueber die etablierten sowie weitere vielversprechende, aktuell im Rahmen von Studien eingesetzte nuklearmedizinische Therapiemoeglichkeiten diverser endokrinologischer Neoplasien. Die Radiojodtherapie ist unveraendert die Therapie der Wahl beim differenzierten, jodspeichernden Schilddruesenkarzinom. Im metastasierten Stadium sind in ca. 50 % der Faelle noch

Play therapy in perspective theory of eco systemic therapy

Directory of Open Access Journals (Sweden)

Sofwan Adiputra

2017-11-01

Full Text Available Play therapy is a counseling approach for children applying toys, games, and other play media to communicate to the children "language." One of the Play therapy models that combine ecosystems as being formed by an inseparable reciprocal relationship between living things, and their environment is Eco systemic Play Therapy (EPT. Ecosystem Play Therapy as a hybrid model that integrates the concepts of science biology, several models of child psychotherapy, and developmental theories. This model is not eclectic. Rather, it is the integration of several models to create an independent model that is different from the sum of its parts. The focus of EPT is on the process of optimizing the implementation of the child's function as the context of the child's ecosystem or world. EPT is developed from a phenomenological philosophical perspective, in contrast to traditional perspectives.

Music Therapy for Seniors

OpenAIRE

SLUNEČKOVÁ, Petra

2014-01-01

This bachelor thesis deals with the use of music therapy in the lives of seniors. The target of this thesis is to map the possibilities of using music therapy ways with seniors and to recommend a suitable music therapy resources on the basis of the research and evaluation of obtained dates. The theoretical part describes the term "the music therapy", e.g. concept, definition, types and forms, the development of music therapy, the history, methods and techniques. This age group is defined in t...

Patient predictors of response to cognitive behaviour therapy and schema therapy for depression.

Science.gov (United States)

Carter, Janet D; McIntosh, Virginia Vw; Jordan, Jennifer; Porter, Richard J; Douglas, Katie; Frampton, Christopher M; Joyce, Peter R

2018-01-01

Few studies have examined differential predictors of response to psychotherapy for depression. Greater understanding about the factors associated with therapeutic response may better enable therapists to optimise response by targeting therapy for the individual. The aim of the current exploratory study was to examine patient characteristics associated with response to cognitive behaviour therapy and schema therapy for depression. Participants were 100 outpatients in a clinical trial randomised to either cognitive behaviour therapy or schema therapy. Potential predictors of response examined included demographic, clinical, functioning, cognitive, personality and neuropsychological variables. Individuals with chronic depression and increased levels of pre-treatment negative automatic thoughts had a poorer response to both cognitive behaviour therapy and schema therapy. A treatment type interaction was found for verbal learning and memory. Lower levels of verbal learning and memory impairment markedly impacted on response to schema therapy. This was not the case for cognitive behaviour therapy, which was more impacted if verbal learning and memory was in the moderate range. Study findings are consistent with the Capitalisation Model suggesting that therapy that focuses on the person's strengths is more likely to contribute to a better outcome. Limitations were that participants were outpatients in a randomised controlled trial and may not be representative of other depressed samples. Examination of a variety of potential predictors was exploratory and requires replication.

Massage therapy and exercise therapy in patients with multiple sclerosis: a randomized controlled pilot study.

Science.gov (United States)

Negahban, Hossein; Rezaie, Solmaz; Goharpey, Shahin

2013-12-01

The primary aim was to investigate the comparative effects of massage therapy and exercise therapy on patients with multiple sclerosis. The secondary aim was to investigate whether combination of both massage and exercise has an additive effect. Randomized controlled pilot trial with repeated measurements and blinded assessments. Local Multiple Sclerosis Society. A total of 48 patients with multiple sclerosis were randomly assigned to four equal subgroups labelled as massage therapy, exercise therapy, combined massage-exercise therapy and control group. The treatment group received 15 sessions of supervised intervention for five weeks. The massage therapy group received a standard Swedish massage. The exercise therapy group was given a combined set of strength, stretch, endurance and balance exercises. Patients in the massage-exercise therapy received a combined set of massage and exercise treatments. Patients in the control group were asked to continue their standard medical care. Pain, fatigue, spasticity, balance, gait and quality of life were assessed before and after intervention. Massage therapy resulted in significantly larger improvement in pain reduction (mean change 2.75 points, P = 0.001), dynamic balance (mean change, 3.69 seconds, P = 0.009) and walking speed (mean change, 7.84 seconds, P = 0.007) than exercise therapy. Patients involved in the combined massage-exercise therapy showed significantly larger improvement in pain reduction than those in the exercise therapy (mean change, 1.67 points, P = 0.001). Massage therapy could be more effective than exercise therapy. Moreover, the combination of massage and exercise therapy may be a little more effective than exercise therapy alone.

Intra-articular therapies for osteoarthritis.

Science.gov (United States)

Yu, Shirley P; Hunter, David J

2016-10-01

Conventional medical therapies for osteoarthritis are mainly palliative in nature, aiming to control pain and symptoms. Traditional intra-articular therapies are not recommended in guidelines as first line therapy, but are potential alternatives, when conventional therapies have failed. Current and future intra-articular drug therapies for osteoarthritis are highlighted, including corticosteroids, hyaluronate, and more controversial treatments marketed commercially, namely platelet rich plasma and mesenchymal cell therapy. Intraarticular disease modifying osteoarthritis drugs are the future of osteoarthritis treatments, aiming at structural modification and altering the disease progression. Interleukin-1β inhibitor, bone morphogenic protein-7, fibroblast growth factor 18, bradykinin B2 receptor antagonist, human serum albumin, and gene therapy are discussed in this review. The evolution of drug development in osteoarthritis is limited by the ability to demonstrate effect. High quality trials are required to justify the use of existing intra-articular therapies and to advocate for newer, promising therapies. Challenges in osteoarthritis therapy research are fundamentally related to the complexity of the pathological mechanisms of osteoarthritis. Novel drugs offer hope in a disease with limited medical therapy options. Whether these future intra-articular therapies will provide clinically meaningful benefits, remains unknown.

CAM therapies among primary care patients using opioid therapy for chronic pain

OpenAIRE

Fleming, Sara; Rabago, David P; Mundt, Marlon P; Fleming, Michael F

2007-01-01

Abstract Background Complementary and alternative medicine (CAM) is an increasingly common therapy used to treat chronic pain syndromes. However; there is limited information on the utilization and efficacy of CAM therapy in primary care patients receiving long-term opioid therapy. Method A survey of CAM therapy was conducted with a systematic sample of 908 primary care patients receiving opioids as a primary treatment method for chronic pain. Subjects completed a questionnaire designed to as...

Inhalation Therapy in Horses.

Science.gov (United States)

Cha, Mandy L; Costa, Lais R R

2017-04-01

This article discusses the benefits and limitations of inhalation therapy in horses. Inhalation drug therapy delivers the drug directly to the airways, thereby achieving maximal drug concentrations at the target site. Inhalation therapy has the additional advantage of decreasing systemic side effects. Inhalation therapy in horses is delivered by the use of nebulizers or pressured metered dose inhalers. It also requires the use of a muzzle or nasal mask in horses. Drugs most commonly delivered through inhalation drug therapy in horses include bronchodilators, antiinflammatories, and antimicrobials. Copyright © 2016 Elsevier Inc. All rights reserved.

42 CFR 418.74 - Waiver of requirement-Physical therapy, occupational therapy, speech-language pathology, and...

Science.gov (United States)

2010-10-01

..., occupational therapy, speech-language pathology, and dietary counseling. 418.74 Section 418.74 Public Health... requirement—Physical therapy, occupational therapy, speech-language pathology, and dietary counseling. (a) A... providing physical therapy, occupational therapy, speech-language pathology, and dietary counseling services...

From perceptive fields to Gestalt.

Science.gov (United States)

Spillmann, Lothar

2006-01-01

Studies on visual psychophysics and perception conducted in the Freiburg psychophysics laboratory during the last 35 years are reviewed. Many of these were inspired by single-cell neurophysiology in cat and monkey. The aim was to correlate perceptual phenomena and their effects to possible neuronal mechanisms from retina to visual cortex and beyond. Topics discussed include perceptive field organization, figure-ground segregation and grouping, fading and filling-in, and long-range color interaction. While some of these studies succeeded in linking perception to neuronal response patterns, others require further investigation. The task of probing the human brain with perceptual phenomena continues to be a challenge for the future.

42 CFR 418.72 - Condition of participation: Physical therapy, occupational therapy, and speech-language pathology.

Science.gov (United States)

2010-10-01

..., occupational therapy, and speech-language pathology. 418.72 Section 418.72 Public Health CENTERS FOR MEDICARE... therapy, occupational therapy, and speech-language pathology. Physical therapy services, occupational therapy services, and speech-language pathology services must be available, and when provided, offered in...

Music therapy CD creation for initial pediatric radiation therapy: a mixed methods analysis.

Science.gov (United States)

Barry, Philippa; O'Callaghan, Clare; Wheeler, Greg; Grocke, Denise

2010-01-01

A mixed methods research design was used to investigate the effects of a music therapy CD (MTCD) creation intervention on pediatric oncology patients' distress and coping during their first radiation therapy treatment. The music therapy method involved children creating a music CD using interactive computer-based music software, which was "remixed" by the music therapist-researcher to extend the musical material. Eleven pediatric radiation therapy outpatients aged 6 to 13 years were randomly assigned to either an experimental group, in which they could create a music CD prior to their initial treatment to listen to during radiation therapy, or to a standard care group. Quantitative and qualitative analyses generated multiple perceptions from the pediatric patients, parents, radiation therapy staff, and music therapist-researcher. Ratings of distress during initial radiation therapy treatment were low for all children. The comparison between the two groups found that 67% of the children in the standard care group used social withdrawal as a coping strategy, compared to 0% of the children in the music therapy group; this trend approached significance (p = 0.076). MTCD creation was a fun, engaging, and developmentally appropriate intervention for pediatric patients, which offered a positive experience and aided their use of effective coping strategies to meet the demands of their initial radiation therapy treatment.

42 CFR 409.23 - Physical therapy, occupational therapy and speech-language pathology.

Science.gov (United States)

2010-10-01

...-language pathology. 409.23 Section 409.23 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES... § 409.23 Physical therapy, occupational therapy and speech-language pathology. Medicare pays for... therapy or speech-language pathology services must be furnished— (1) By qualified physical therapists...

Hendee's radiation therapy physics

CERN Document Server

Pawlicki, Todd; Starkschall, George

2016-01-01

The publication of this fourth edition, more than ten years on from the publication of Radiation Therapy Physics third edition, provides a comprehensive and valuable update to the educational offerings in this field. Led by a new team of highly esteemed authors, building on Dr Hendee’s tradition, Hendee’s Radiation Therapy Physics offers a succinctly written, fully modernised update. Radiation physics has undergone many changes in the past ten years: intensity-modulated radiation therapy (IMRT) has become a routine method of radiation treatment delivery, digital imaging has replaced film-screen imaging for localization and verification, image-guided radiation therapy (IGRT) is frequently used, in many centers proton therapy has become a viable mode of radiation therapy, new approaches have been introduced to radiation therapy quality assurance and safety that focus more on process analysis rather than specific performance testing, and the explosion in patient-and machine-related data has necessitated an ...

Play Therapy

Science.gov (United States)

Lawver, Timothy; Blankenship, Kelly

2008-01-01

Play therapy is a treatment modality in which the therapist engages in play with the child. Its use has been documented in a variety of settings and with a variety of diagnoses. Treating within the context of play brings the therapist and the therapy to the level of the child. By way of an introduction to this approach, a case is presented of a six-year-old boy with oppositional defiant disorder. The presentation focuses on the events and interactions of a typical session with an established patient. The primary issues of the session are aggression, self worth, and self efficacy. These themes manifest themselves through the content of the child’s play and narration of his actions. The therapist then reflects these back to the child while gently encouraging the child toward more positive play. Though the example is one of nondirective play therapy, a wide range of variation exists under the heading of play therapy. PMID:19724720

Music therapy improvisation

Directory of Open Access Journals (Sweden)

Mira Kuzma

2001-09-01

Full Text Available In this article, the technique of music therapy – music therapy improvisation is introduced. In this form of music therapy the improvising partners share meaning through the improvisation: the improvisation is not an end in itself: it portrays meaning that is personal, complex and can be shared with the partner. The therapeutic work, then, is meeting and matching the client's music in order to give the client an experience of "being known", being responded through sounds and being able to express things and communicate meaningfully. Rather than the client playing music, the therapy is about developing the engagement through sustained, joint improvisations. In music therapy, music and emotion share fundamental features: one may represent the other, i.e., we hear the music not as music but as dynamic emotional states. The concept of dynamic structure explains why music makes therapeutic sense.

Proton therapy physics

CERN Document Server

2012-01-01

Proton Therapy Physics goes beyond current books on proton therapy to provide an in-depth overview of the physics aspects of this radiation therapy modality, eliminating the need to dig through information scattered in the medical physics literature. After tracing the history of proton therapy, the book summarizes the atomic and nuclear physics background necessary for understanding proton interactions with tissue. It describes the physics of proton accelerators, the parameters of clinical proton beams, and the mechanisms to generate a conformal dose distribution in a patient. The text then covers detector systems and measuring techniques for reference dosimetry, outlines basic quality assurance and commissioning guidelines, and gives examples of Monte Carlo simulations in proton therapy. The book moves on to discussions of treatment planning for single- and multiple-field uniform doses, dose calculation concepts and algorithms, and precision and uncertainties for nonmoving and moving targets. It also exami...

[Play therapy in hospital].

Science.gov (United States)

Gold, Katharina; Grothues, Dirk; Leitzmann, Michael; Gruber, Hans; Melter, Michael

2012-01-01

The following article presents an overview of current research studies on play therapy in the hospital. It highlights individual diagnoses for which play therapy has shown reasonable success. The aim of this review is to describe the current status of the scientific debate on play therapy for sick children in order to allow conclusions regarding the indications for which play therapy is or might be useful.

Laser therapy for cancer

Science.gov (United States)

... this page: //medlineplus.gov/ency/patientinstructions/000905.htm Laser therapy for cancer To use the sharing features ... Lasers are also used on the skin. How Laser Therapy is Used Laser therapy can be used ...

The feminist/emotionally focused therapy practice model: an integrated approach for couple therapy.

Science.gov (United States)

Vatcher, C A; Bogo, M

2001-01-01

Emotionally focused therapy (EFT) is a well-developed, empirically tested practice model for couple therapy that integrates systems, experiential, and attachment theories. Feminist family therapy theory has provided a critique of biased assumptions about gender at play in traditional family therapy practice and the historical absence of discussions of power in family therapy theory. This article presents an integrated feminist/EFT practice model for use in couple therapy, using a case from practice to illustrate key concepts. Broadly, the integrated model addresses gender roles and individual emotional experience using a systemic framework for understanding couple interaction. The model provides practitioners with a sophisticated, comprehensive, and relevant practice approach for working with the issues and challenges emerging for contemporary heterosexual couples.

Radiation therapy for prostate cancer

International Nuclear Information System (INIS)

Nakamura, Katsumasa

2001-01-01

In Japan, where the mortality rate of prostate cancer is lower than in Western countries, radical prostatectomy or hormonal therapy has been applied more frequently than radiation therapy. However, the number of patients with prostate cancer has been increasing recently and the importance of radiation therapy has rapidly been recognized. Although there have been no randomized trials, results from several institutions in Western countries suggest that similar results of cancer control are achieved with either radiation therapy or radical prostatectomy. For higher-risk cases, conformal high-dose therapy or adjuvant hormonal therapy is more appropriate. In this article, the results of radiation therapy for prostate cancer were reviewed, with a view to the appropriate choice of therapy in Japan. (author)

[Therapy of intermediate uveitis].

Science.gov (United States)

Doycheva, D; Deuter, C; Zierhut, M

2014-12-01

Intermediate uveitis is a form of intraocular inflammation in which the vitreous body is the major site of inflammation. Intermediate uveitis is primarily treated medicinally and systemic corticosteroids are the mainstay of therapy. When recurrence of uveitis or side effects occur during corticosteroid therapy an immunosuppressive treatment is required. Cyclosporine A is the only immunosuppressive agent that is approved for therapy of uveitis in Germany; however, other immunosuppressive drugs have also been shown to be effective and well-tolerated in patients with intermediate uveitis. In severe therapy-refractory cases when conventional immunosuppressive therapy has failed, biologics can be used. In patients with unilateral uveitis or when the systemic therapy is contraindicated because of side effects, an intravitreal steroid treatment can be carried out. In certain cases a vitrectomy may be used.

Therapy of the burnout syndrome [Therapie des Burnout-Syndroms

Directory of Open Access Journals (Sweden)

Korczak, Dieter

2012-06-01

Full Text Available [english] The prevalence, diagnostics and therapy of the burnout syndrome are increasingly discussed in the public. The unclear definition and diagnics of the burnout syndrome are scientifically criticized. There are several therapies with unclear evidence for the treatment of burnout in existence.The health technology assessment (HTA report deals with the question of usage and efficacy of different burnout therapies.For the years 2006 to 2011, a systematic literature research was done in 31 electronic databases (e.g. EMBASE, MEDLINE, PsycINFO. Important inclusion criteria are burnout, therapeutic intervention and treatment outcome.17 studies meet the inclusion criteria and are regarded for the HTA report. The studies are very heterogeneous (sample size, type of intervention, measuring method, level of evidence. Due to their study design (e.g. four reviews, eight randomized controlled trials the studies have a comparable high evidence: three times 1A, five times 1B, one time 2A, two times 2B and six times 4. 13 of the 17 studies are dealing with the efficacy of psychotherapy and psychosocial interventions for the reduction of burnout (partly in combination with other techniques. Cognitive behaviour therapy leads to the improvement of emotional exhaustion in the majority of the studies. The evidence is inconsistent for the efficacy of stress management and music therapy. Two studies regarding the efficacy of Qigong therapy do not deliver a distinct result. One study proves the efficacy of roots of Rhodiola rosea (evidence level 1B. Physical therapy is only in one study separately examined and does not show a better result than standard therapy.Despite the number of studies with high evidence the results for the efficacy of burnout therapies are preliminary and do have only limited reach. The authors of the studies complain about the low number of skilled studies for the therapy of burnout. Furthermore, they point to the insufficient evaluation of

Comparison of steroid pulse therapy and conventional oral steroid therapy as initial treatment for autoimmune pancreatitis

International Nuclear Information System (INIS)

Tomiyama, Takashi; Uchida, Kazushige; Matsushita, Mitsunobu; Ikeura, Tsukasa; Fukui, Toshiro; Takaoka, Makoto; Nishio, Akiyoshi; Okazaki, Kazuichi

2011-01-01

The efficacy of oral steroid therapy for autoimmune pancreatitis (AIP) is well known, and oral prednisolone treatment is most usually commenced at 30-40 mg/day, but there have been few reports about comparative studies of oral steroid therapy and steroid pulse therapy as the initial treatment for AIP. We studied the clinical course and image findings to estimate the utility of steroid pulse therapy for AIP, comparing it with oral steroid therapy. Laboratory and image findings were assessed retrospectively in 11 patients who received steroid pulse therapy, and the findings were compared to those in 10 patients who received conventional oral steroid therapy. Change in pancreatic size showed no significant difference between the therapies after 2 weeks of treatment. Significant improvement of lower bile duct strictures after 2 weeks of treatment and that of immunoglobulin values within 6 months were shown with both therapies. However, steroid pulse therapy showed significant improvement of γ-guanosine triphosphate (GTP) in 2 weeks and of alanine aminotransferase (ALT) in 2 and 8 weeks, compared with oral steroid therapy. Moreover, there was one patient in whom the lower bile duct stricture was not improved by oral steroid therapy, but it did show improvement with steroid pulse therapy. Initial steroid pulse therapy is a beneficial alternative to oral steroid therapy for the improvement of bile duct lesions. In future, the accumulation of a larger number of patients receiving steroid pulse therapy is needed, and prospective studies will be required. (author)

American Music Therapy Association

Science.gov (United States)

American Music Therapy Association Home Contact News Help/FAQ Members Only Login Quick Links Facts About Music Therapy Qualifications ... with AMTA Sponsor AMTA Events Social Networking Support Music Therapy When you shop at AmazonSmile, Amazon will ...

Population Health and Occupational Therapy.

Science.gov (United States)

Braveman, Brent

2016-01-01

Occupational therapy practitioners play an important role in improving the health of populations through the development of occupational therapy interventions at the population level and through advocacy to address occupational participation and the multiple determinants of health. This article defines and explores population health as a concept and describes the appropriateness of occupational therapy practice in population health. Support of population health practice as evidenced in the official documents of the American Occupational Therapy Association and the relevance of population health for occupational therapy as a profession are reviewed. Recommendations and directions for the future are included related to celebration of the achievements of occupational therapy practitioners in the area of population health, changes to the Occupational Therapy Practice Framework and educational accreditation standards, and the importance of supporting, recognizing, rewarding, and valuing occupational therapy practitioners who assume roles in which direct care is not their primary function. Copyright © 2016 by the American Occupational Therapy Association, Inc.

History of gene therapy.

Science.gov (United States)

Wirth, Thomas; Parker, Nigel; Ylä-Herttuala, Seppo

2013-08-10

Two decades after the initial gene therapy trials and more than 1700 approved clinical trials worldwide we not only have gained much new information and knowledge regarding gene therapy in general, but also learned to understand the concern that has persisted in society. Despite the setbacks gene therapy has faced, success stories have increasingly emerged. Examples for these are the positive recommendation for a gene therapy product (Glybera) by the EMA for approval in the European Union and the positive trials for the treatment of ADA deficiency, SCID-X1 and adrenoleukodystrophy. Nevertheless, our knowledge continues to grow and during the course of time more safety data has become available that helps us to develop better gene therapy approaches. Also, with the increased understanding of molecular medicine, we have been able to develop more specific and efficient gene transfer vectors which are now producing clinical results. In this review, we will take a historical view and highlight some of the milestones that had an important impact on the development of gene therapy. We will also discuss briefly the safety and ethical aspects of gene therapy and address some concerns that have been connected with gene therapy as an important therapeutic modality. Copyright © 2013 Elsevier B.V. All rights reserved.

Combining Voice Therapy and Physical Therapy: A Novel Approach to Treating Muscle Tension Dysphonia

Science.gov (United States)

Craig, Jennifer; Tomlinson, Carey; Stevens, Kristin; Kotagal, Kiran; Fornadley, Judith; Jacobson, Barbara; Garrett, C. Gaelyn; Francis, David O.

2015-01-01

Objective This study investigated the role of a specialized physical therapy program for muscle tension dysphonia patients as an adjunct to standard of care voice therapy. Study Design Retrospective Cohort Study Methods Adult MTD patients seen between 2007 and 2012 were identified from the clinical database. They were prescribed voice therapy and, if concomitant neck pain, adjunctive physical therapy. In a pragmatic observational cohort design, patients underwent one of four potential treatment approaches: voice therapy alone (VT), voice therapy and physical therapy (VT+PT), physical therapy alone (PT), or incomplete/no treatment. Voice handicap outcomes were compared between treatment approaches. Results Of 153 patients meeting criteria (Median age 48 years, 68% female, and 30% had fibromyalgia, chronic pain, chronic fatigue, depression, and/or anxiety), there was a similar distribution of patients with moderate or severe pre-treatment VHI scores across treatment groups (VT 45.5%, VT+PT 43.8%, PT 50%, no treatment 59.1%; p=0.45). Patients treated with VT alone had significantly greater median improvement in VHI than those not treated: 10-point vs. 2-point (p=0.02). Interestingly, median VHI improvement in patients with baseline moderate-severe VHI scores was no different between VT (10), VT+PT (8) and PT alone (10; p=0.99). Conclusions Findings show voice therapy to be an effective approach to treating MTD. Importantly, other treatment modalities incorporating physical therapy had a similar, albeit not significant, improvement in VHI. This preliminary study suggests that physical therapy techniques may have a role in the treatment of a subset of MTD patients. Larger, comparative studies are needed to better characterize the role of physical therapy in this population. PMID:26012419

Aphasia therapy in the age of globalization: cross-linguistic therapy effects in bilingual aphasia.

Science.gov (United States)

Ansaldo, Ana Inés; Saidi, Ladan Ghazi

2014-01-01

Globalization imposes challenges to the field of behavioural neurology, among which is an increase in the prevalence of bilingual aphasia. Thus, aphasiologists have increasingly focused on bilingual aphasia therapy and, more recently, on the identification of the most efficient procedures for triggering language recovery in bilinguals with aphasia. Therapy in both languages is often not available, and, thus, researchers have focused on the transfer of therapy effects from the treated language to the untreated one. This paper discusses the literature on bilingual aphasia therapy, with a focus on cross-linguistic therapy effects from the language in which therapy is provided to the untreated language. Fifteen articles including two systematic reviews, providing details on pre- and posttherapy in the adult bilingual population with poststroke aphasia and anomia are discussed with regard to variables that can influence the presence or absence of cross-linguistic transfer of therapy effects. . The potential for CLT of therapy effects from the treated to the untreated language depends on the word type, the degree of structural overlap between languages, the type of therapy approach, the pre- and postmorbid language proficiency profiles, and the status of the cognitive control circuit.

Nuclear medicine therapy

CERN Document Server

Eary, Janet F

2013-01-01

One in three of the 30 million Americans who are hospitalized are diagnosed or treated with nuclear medicine techniques. This text provides a succinct overview and detailed set of procedures and considerations for patient therapy with unsealed radioactivity sources.  Serving as a complete literature reference for therapy with radiopharmaceuticals currently utilized in practice, this source covers the role of the physician in radionuclide therapy, and essential procedures and protocols required by health care personnel.

Psicoterapeutas iniciantes: os desafios das diversidades afetivo-sexuais

Directory of Open Access Journals (Sweden)

Maria Alves de Toledo Bruns

2011-04-01

Full Text Available This article is a report of a supervision experience with cases of clients with affective-sexual claims brought to me by psychotherapists adopting the Person-centered approach developed by Carl Rogers (1902-1987 and the Gestalt Therapy, by Fritz Perls (1893-1970. Its aim is to foster a critical reflection upon a gap in new psychotherapists’ education regarding the contemporary sexual diversity in an interface with the existential phenomenological paradigm pondering that contemporary individuals have been experiencing profound transformation in their lebenswelt, lifeworld, in their affective, emotional and sexual relationships which dialectically reflect their imprisonment to the paradigm of sexual pleasure as to abominate frustrations and conflicts, crises inherent to the horizons of an individual’s development. The article establishes a critical-reflexive dialog with authors committed to researching such issues, who have been pointing out the impasse and challenges of the contemporary clinic.

Morality in group and family therapies: multiperson therapies and the 1992 ethics code.

Science.gov (United States)

Lakin, M

1994-11-01

Although virtually every psychotherapeutic approach or orientation has adapted group and family therapy to its conceptions of psychological dysfunctions and how to treat them, levels of training of practitioners in all of these approaches are often insufficient to meet the requirements of ethically as well as technically responsible conduct of treatment for persons in groups and families. The new ethics code (American Psychological Association [APA], 1992) does include a few issues specific to multiperson therapies, but other issues critical to the competent practice of group and family therapy remain unaddressed. The result can be confusing to those applying standards for individual therapy to multiperson therapies. It is argued that the classical ethical concerns of psychotherapists, informed consent, confidentiality, countertransference reactions, aand intrusions of therapist values, require special sensitivity to how they are expressed in mulitperson therapies. Practitioners of group and family therapies must be better sensitized to the technical distinctions and the associated ethical vulnerabilities of the modalities they use. Future planning for revision of the APA ethics code should take these factors into account.

Music therapy

DEFF Research Database (Denmark)

Ridder, Hanne Mette Ochsner

alternate with clear and lucid mental states. These states are important as it is here that it is possible to meet the person’s psychosocial needs. Ketil Normann’s conceps of periods of lucidity are presented and connected to clinical music therapy practice and how it is possible to use music in order...... as a consequence of person-centred care. Umeå University Medical Dissertations. New Series. Ridder, H.M. (2005). Music therapy as a way to enhance lucidity in persons with dementia in advanced stages. In: Esch, A.; Frohne-Hagemann, I.; Laqua, M.; Schirmer, H.; Seitz, E. (Eds.) Jahrbuch Musicktherapie. Forschung...... und Entwicklung Music Therapy Annual. Research and Development. 2005 (1), pp. 25-40. Reichert Verlag Wiesbaden....

Journal of Proton Therapy

Directory of Open Access Journals (Sweden)

Editorial Office

2015-01-01

Full Text Available Journal of Proton Therapy (JPT is an international open access, peer-reviewed journal, which publishes original research, technical reports, reviews, case reports, editorials, and other materials on proton therapy with focus on radiation oncology, medical physics, medical dosimetry, and radiation therapy.No article processing/submission feeNo publication feePeer-review completion within 3-6 weeksImmediate publication after the completion of final author proofreadDOI assignment for each published articleFree access to published articles for all readers without any access barriers or subscriptionThe views and opinions expressed in articles are those of the author/s and do not necessarily reflect the policies of the Journal of Proton Therapy.Authors are encouraged to submit articles for publication in the inaugural issue of the Journal of Proton Therapy by online or email to editor@protonjournal.comOfficial Website of Journal of Proton Therapy: http://www.protonjournal.org/

Mammary carcinoma diagnostics and therapy; Diagnostik und Therapie des Mammakarzinoms

Energy Technology Data Exchange (ETDEWEB)

Fischer, Uwe; Baum, Friedemann (eds.) [Diagnostisches Brustzentrum Goettingen BZG, Goettingen(Germany)

2014-11-01

The book on mammary carcinoma diagnostics and therapy covers the following issues: development, anatomy and physiology of the mammary glands, pathology of benign and malign mammary gland changes, non-imaging diagnostics; mammography; ultrasonic mammography; magnetic resonance tomography of the mammary glands; imaging diagnostics findings; mammary interventions; examination concepts; operative therapy of the mammary carcinoma; chemotherapy of the mammary carcinoma; radio-oncological therapy of the mammary carcinoma; logistics in a medical center for mammary gland diseases; logistics in an interdisciplinary center for mammary diseases; dialogue conduction and psycho-social attendance.

Physical Therapy and Manual Physical Therapy: Differences in Patient Characteristics.

NARCIS (Netherlands)

van Ravensberg, C. D. Dorine; Oostendorp, Rob A B; van Berkel, Lonneke M.; Scholten-Peeters, Gwendolijne G M; Pool, Jan J.M.; Swinkels, Raymond A. H. M.; Huijbregts, Peter A.

2005-01-01

This study compared socio-demographic characteristics, health problem characteristics, and primary process data between database samples of patients referred to physical therapy (PT) versus a sample of patients referred to manual physical therapy (MPT) in the Netherlands. Statistical analysis

Physical therapy and manual physical therapy: Differences in patient characteristics

NARCIS (Netherlands)

van Ravensberg, C. D. Dorine; Oostendorp, R.A.B.; van Berkel, Lonneke M.; Scholten-Peeters, G.G.M.; Pool, J.J.M.; Swinkels, Raymond A. H. M.; Huijbregts, Peter A.

2005-01-01

This study compared socio-demographic characteristics, health problem characteristics, and primary process data between database samples of patients referred to physical therapy (PT) versus a sample of patients referred to manual physical therapy (MPT) in the Netherlands. Statistical analysis

Physical Therapy and Manual Physical Therapy: Differences in Patient Characteristics

NARCIS (Netherlands)

van Ravensberg, C. D. Dorine; Oostendorp, Rob A B; van Berkel, Lonneke M.; Scholten-Peeters, Gwendolijne G. M.; Pool, Jan J.M.; Swinkels, Raymond A. H. M.; Huijbregts, Peter A.

2005-01-01

This study compared socio-demographic characteristics, health problem characteristics, and primary process data between database samples of patients referred to physical therapy (PT) versus a sample of patients referred to manual physical therapy (MPT) in the Netherlands. Statistical analysis

The Use of Dialectical Behavior Therapy (DBT) in Music Therapy: A Sequential Explanatory Study.

Science.gov (United States)

Chwalek, Carolyn M; McKinney, Cathy H

2015-01-01

There are published examples of how dialectical behavior therapy (DBT) and music therapy are effectively being used as separate therapies in the treatment of individuals with a variety of mental health disorders. However, research examining DBT-informed music therapy is limited. The purpose of this study was to determine whether music therapists working in mental health settings are implementing components of DBT in their work, and if so, how and why; and if not, why not and what is their level of interest in such work. We used a sequential explanatory mixed-methods research design implemented in two phases. Phase 1 was a quantitative survey of board-certified music therapists (n=260). Due to a low survey response rate (18%), and to enhance the validity of the findings, Phase 2, an embedded qualitative procedure in the form of interviews with clinicians experienced in the DBT approach, was added to the study. Both survey and interviews inquired about DBT training, use of DBT-informed music therapy, music therapy experiences used to address DBT skills, and experiences of implementing DBT-informed music therapy. Respondents indicating they implement DBT-informed music therapy (38.3%) are using components and adaptations of the standard DBT protocol. Advantages of implementing DBT-informed music therapy were identified, and more than half of the respondents who do not implement DBT in their music therapy practice also perceived this work as at least somewhat important. Disadvantages were also identified and support the need for further research. Components of DBT are used in music therapy and are valued, but there is a lack of empirical evidence to inform, refine, and guide practice. © the American Music Therapy Association 2015. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Cost-utility analysis of antithyroid drug therapy versus 131I therapy for Graves' disease

International Nuclear Information System (INIS)

Hayashi, Katsumi; Abe, Katsumi; Sakata, Ikuko; Sakaguchi, Chiharu; Yamamoto, Kentaro; Kosuda, Shigeru

2005-01-01

There is no comparative cost-utility study between 131 I therapy and antithyroid drugs (ATD) therapy for Graves' disease, though 131 I therapy has higher remission rate and less side effects. The objective of the study was to analyze the cost-utility of ATD therapy versus 131 I therapy by calculating life-long medical costs and utility, based on the responses of Graves' disease patients to questionnaires. To determine the expected cost and expected utility, a decision tree analysis was designed on the basis of the 2 competing strategies of ATD therapy versus 131 I therapy. A simulation of 1,000 female patients weighing≥50 kg who assumed to experience the onset of Graves' disease at the age of 30, to first complain of thyrotoxic symptoms and moderate goiter 2-3 mo. previously, and to undergo a 40-years-long cohort study, was created for each strategy using a decision tree and baselines of other relevant variables. The variables and costs were based on the literature and hospital bills. The maximum and minimum values of utility were defined as 1.0 and 0.0, respectively. Future costs and utilities were discounted 5%. The medical costs and utilities were 85,739-88,650 yen/patient/40 years and 16.47-16.56/patient/40 years, respectively, for the ATD therapy strategy, and 81,842 yen/patient/40 years and 17.41/patient/40 years, respectively, for the 131 I therapy strategy. These results quantitatively demonstrated that the 131 I therapy strategy was superior to the ATD therapy strategy in terms of both cost and utility. 131 I therapy should be used more widely in Japan because of its greater utility and lower cost. (author)

42 CFR 440.110 - Physical therapy, occupational therapy, and services for individuals with speech, hearing, and...

Science.gov (United States)

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Physical therapy, occupational therapy, and..., occupational therapy, and services for individuals with speech, hearing, and language disorders. (a) Physical...) Where applicable, licensed by the State. (b) Occupational therapy. (1) Occupational therapy means...

Detecting Phonemes and Letters in Text: Interactions Between Different Types and Levels of Processes

National Research Council Canada - National Science Library

Schnelder, Vivian

1998-01-01

.... In addition, visual word unitization processes were implicated. Experiments 3 and 4 provided support for the hypothesis that the Gestalt goodness of pattern affected detection errors when subjects searched for letters...

Comparison of Efficacy of Neural Therapy and Physical Therapy in Chronic Low Back Pain

OpenAIRE

Atalay, Nilgun Simsir; Sahin, Fusun; Atalay, Ali; Akkaya, Nuray

2013-01-01

The aim of this prospective study was to evaluate the effects of neural therapy, and physical therapy on level of pain, disability, quality of life, and psychological status in patients with chronic low back pain. Patients admitted to the physical therapy and rehabilitation outpatient clinic with the complaint of low back pain of at least 3 months duration. Group 1 (n=27), physical therapy (PT, hotpack, ultrasound, TENS 15 sessions), group 2 (n=33), neural therapy (NT, 1:1 mixture of 20 mg/mL...

The synergistic effect of nanoparticles in photodynamic therapy and radiation therapy

International Nuclear Information System (INIS)

Chen Na; Tu Yu; Zhang Xuguang

2010-01-01

This paper describes a novel treatment: based on nanoparticles that combines radiotherapy and photodynamic therapy. With this approach, the application of traditional photodynamic therapies only to surface treatment can be solved, so that the therapeutic effect can be improved; the approach also could guarantee the effectiveness of treatment and reduce radiation doses, so it can effectively control the complications of radiotherapy, This new modality will open a new chapter for cancer therapy. (authors)

WHO HAS THERAPY-RELATED AML?

Directory of Open Access Journals (Sweden)

Robert Gale

2017-03-01

Full Text Available Therapy-related leukemia or therapy-related myeloid neoplasm are widely-used terms to designate leukemia developing in persons who previously received anti-cancer therapy (for example, see references 1, 2, especially if the prior anti-cancer therapy included drugs such as alkylators, DNA-intercalators, topoisomerase-2-inhibitors, purines and/or ionizing radiations.   Sometimes specific genes such as AML1, EVI1, NRAS or MLL are mutated by therapy or gene variants are produced which activate mutagens or interfere with DNA repair, such FANC, NQ01 or AML2. 3-5   But how can we know if AML in someone is a therapy-related? Keywords: Therapy-related leukemia; alkylators; ionizing radiations; Topoisomerase Inhibitors; DNA Repair

Radiation therapy for digestive tumors

International Nuclear Information System (INIS)

Piedbois, P.; Levy, E.; Thirion, P.; Martin, L.; Calitchi, E.; Otmezguine, Y.; Le Bourgeois, J.P.

1995-01-01

This brief review of radiation therapy of digestive tumors in 1994 seeks to provide practical answers to the most commonly asked questions: What is the place of radiation therapy versus chemotherapy for the treatment of these patients ? What are the approved indications of radiation therapy and which avenues of research are being explored ? Radiation therapy is used in over two-thirds of patients referred to an oncology department for a gastrointestinal tract tumor. The main indications are reviewed: cancer of the rectum and anal canal and, to a lesser extent, cancer of the esophagus and pancreas. The main focuses of current research include radiation therapy-chemotherapy combinations, intraoperative radiation therapy, and radiation therapy of hepatobiliary tumors. (authors). 23 refs., 1 fig

Music therapy career aptitude and generalized self-efficacy in music therapy students.

Science.gov (United States)

Lim, Hayoung A; Befi, Cathy M

2014-01-01

While the Music Therapy Career Aptitude Test (MTCAT) provides a measure of student aptitude, measures of perceived self-efficacy may provide additional information about a students' suitability for a music therapy career. As a first step in determining whether future studies examining combined scores from the MTCAT and the Generalized Self-Efficacy (GSE) scale would be useful to help predict academic success in music therapy, we explored the internal reliability of these two measures in a sample of undergraduate students, and the relationship (concurrent validity) of the measures to one another. Eighty undergraduate music therapy students (14 male; 66 female) completed the MTCAT and GSE. To determine internal reliability we conducted tests of normality and calculated Cronbach's Coefficient Alpha for each measure. Pearson correlation coefficients were calculated to ascertain the strength of the relationship between the MTCAT and GSE. MTCAT scores were normally distributed and had high internal consistency (Cronbach's α = 0.706). GSE scores were not normally distributed, but had high internal consistency (Cronbach's α = 0.748). The correlation coefficient analysis revealed that MTCAT and GSE scores were moderately correlated ((r = 0.426, p music therapy students; however, a more complete picture of student suitability for music therapy may be determined by administering the GSE alongside the MTCAT. Future studies are needed to determine whether combined MTCAT and GSE scores can be used to predict student success in an undergraduate music therapy program. © the American Music Therapy Association 2014. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Massage therapy research review.

Science.gov (United States)

Field, Tiffany

2016-08-01

In this review, massage therapy has been shown to have beneficial effects on varying conditions including prenatal depression, preterm infants, full-term infants, autism, skin conditions, pain syndromes including arthritis and fibromyalgia, hypertension, autoimmune conditions including asthma and multiple sclerosis, immune conditions including HIV and breast cancer and aging problems including Parkinson's and dementia. Although many of the studies have involved comparisons between massage therapy and standard treatment control groups, several have compared different forms of massage (e.g. Swedish versus Thai massage), and different active therapies such as massage versus exercise. Typically, the massage therapy groups have experienced more positive effects than the control or comparison groups. This may relate to the massage therapy providing more stimulation of pressure receptors, in turn enhancing vagal activity and reducing cortisol levels. Some of the researchers have assessed physical, physiological and biochemical effects, although most have relied exclusively on self-report measures. Despite these methodological problems and the dearth of research from the U.S., the massage therapy profession has grown significantly and massage therapy is increasingly practiced in traditional medical settings, highlighting the need for more rigorous research. Copyright © 2016 Elsevier Ltd. All rights reserved.

Tumor therapy and pregnancy

International Nuclear Information System (INIS)

Joss, R.; Brunner, K.W.

1982-01-01

Many successfully treated tumour patients are children and juveniles. This raises questions as to the effects of tumour therapy on reproductiveness and offspring. The possible extent of damage to the male and female gonads caused by surgical, chemical, and radiological tumour therapy is investigated. Also, the problem of tumour therapy or women developing neoplasms during pregnancy. Pregnancies after successful tumour therapy are quite frequent today. Experience so far suggests that the rate of congenital deformities is not significantly increased. (orig.) [de

Evaluation of Inter Therapy

DEFF Research Database (Denmark)

Pedersen, Inge Nygaard

2002-01-01

This article (revised conference lecture from the 10th World Congress of Music Therapy, Oxford July 2002)) emphasizes the evaluation of the training of Inter Therapy for music therapy students at the MA training at Aalborg University. The students take turns in being client and therapist within...

Fertility and cancer therapy

International Nuclear Information System (INIS)

Maguire, L.C.

1979-01-01

With increased survival of increasing numbers of cancer patients as a result of therapy, the consequences, early and late, of the therapies must be realized. It is the treating physician's duty to preserve as much reproductive potential as possible for patients, consistent with adequate care. With radiotherapy this means shielding the gonads as much as possible, optimal but not excessive doses and fields, oophoropexy, or sperm collection and storage prior to irradiation. With chemotherapy it means the shortest exposure to drugs consistent with best treatment and prior to therapy the collection and storage of sperm where facilities are available. At present this is still an experimental procedure. Artificial insemination for a couple when the male has received cancer therapy is another alternative. Finally, it is the responsibility of physicians caring for patients with neoplasms to be knowledgeable about these and all other effects of therapy so that patients may be counseled appropriately and understand the implications of therapy for their life

Complementary therapies in social psychiatry

DEFF Research Database (Denmark)

Lunde, Anita; Dürr, Dorte Wiwe

three residential homes (n= 51 / 91 respondents - response rate 56 %) shows that the most common used complementary therapy is music therapy 43%, and only 10% of residents do not use these therapies at all. Overall, 43% of residents strongly agree, that these therapies strengthens their recovery process...

Accelerators for cancer therapy

International Nuclear Information System (INIS)

Lennox, Arlene J.

2000-01-01

The vast majority of radiation treatments for cancerous tumors are given using electron linacs that provide both electrons and photons at several energies. Design and construction of these linacs are based on mature technology that is rapidly becoming more and more standardized and sophisticated. The use of hadrons such as neutrons, protons, alphas, or carbon, oxygen and neon ions is relatively new. Accelerators for hadron therapy are far from standardized, but the use of hadron therapy as an alternative to conventional radiation has led to significant improvements and refinements in conventional treatment techniques. This paper presents the rationale for radiation therapy, describes the accelerators used in conventional and hadron therapy, and outlines the issues that must still be resolved in the emerging field of hadron therapy

Hadron Therapy for Cancer Treatment

International Nuclear Information System (INIS)

Lennox, Arlene

2003-01-01

The biological and physical rationale for hadron therapy is well understood by the research community, but hadron therapy is not well established in mainstream medicine. This talk will describe the biological advantage of neutron therapy and the dose distribution advantage of proton therapy, followed by a discussion of the challenges to be met before hadron therapy can play a significant role in treating cancer. A proposal for a new research-oriented hadron clinic will be presented.

The ethics of gene therapy.

Science.gov (United States)

Chan, Sarah; Harris, John

2006-10-01

Recent developments have progressed in areas of science that pertain to gene therapy and its ethical implications. This review discusses the current state of therapeutic gene technologies, including stem cell therapies and genetic modification, and identifies ethical issues of concern in relation to the science of gene therapy and its application, including the ethics of embryonic stem cell research and therapeutic cloning, the risks associated with gene therapy, and the ethics of clinical research in developing new therapeutic technologies. Additionally, ethical issues relating to genetic modification itself are considered: the significance of the human genome, the distinction between therapy and enhancement, and concerns regarding gene therapy as a eugenic practice.

Gene therapy of thyroid carcinoma

International Nuclear Information System (INIS)

Zheng Wei; Tan Jian

2007-01-01

Normally, differentiated thyroid carcinoma(DTC) is a disease of good prognosis, but about 30% of the tumors are dedifferentiate, which are inaccessible to standard therapeutic procedures such as 'operation, 131 I therapy and thyroid hormone'. Both internal and abroad experts are researching a new therapy of dedifferentiated thyroid carcinoma--gene therapy. Many of them utilize methods of it, but follow different strategies: (1) transduction of the thyroid sodium/iodide transporter gene to make tissues that do not accumulate iodide treatable by 131 I therapy; (2) strengthening of the anti-tumor immune response; (3) suicide gene therapy; (4) depression the generation of tumor cells; (5) gene therapy of anti- vascularization. (authors)

Immune control of HIV-1 infection after therapy interruption: immediate versus deferred antiretroviral therapy

Directory of Open Access Journals (Sweden)

Bernaschi Massimo

2009-10-01

Full Text Available Abstract Background The optimal stage for initiating antiretroviral therapies in HIV-1 bearing patients is still a matter of debate. Methods We present computer simulations of HIV-1 infection aimed at identifying the pro et contra of immediate as compared to deferred Highly Active Antiretroviral Therapy (HAART. Results Our simulations highlight that a prompt specific CD8+ cytotoxic T lymphocytes response is detected when therapy is delayed. Compared to very early initiation of HAART, in deferred treated patients CD8+ T cells manage to mediate the decline of viremia in a shorter time and, at interruption of therapy, the virus experiences a stronger immune pressure. We also observe, however, that the immunological effects of the therapy fade with time in both therapeutic regimens. Thus, within one year from discontinuation, viral burden recovers to the value at which it would level off in the absence of therapy. In summary, simulations show that immediate therapy does not prolong the disease-free period and does not confer a survival benefit when compared to treatment started during the chronic infection phase. Conclusion Our conclusion is that, since there is no therapy to date that guarantees life-long protection, deferral of therapy should be preferred in order to minimize the risk of adverse effects, the occurrence of drug resistances and the costs of treatment.

Music therapy for depression.

Science.gov (United States)

Aalbers, Sonja; Fusar-Poli, Laura; Freeman, Ruth E; Spreen, Marinus; Ket, Johannes Cf; Vink, Annemiek C; Maratos, Anna; Crawford, Mike; Chen, Xi-Jing; Gold, Christian

2017-11-16

Depression is a highly prevalent mood disorder that is characterised by persistent low mood, diminished interest, and loss of pleasure. Music therapy may be helpful in modulating moods and emotions. An update of the 2008 Cochrane review was needed to improve knowledge on effects of music therapy for depression. 1. To assess effects of music therapy for depression in people of any age compared with treatment as usual (TAU) and psychological, pharmacological, and/or other therapies.2. To compare effects of different forms of music therapy for people of any age with a diagnosis of depression. We searched the following databases: the Cochrane Common Mental Disorders Controlled Trials Register (CCMD-CTR; from inception to 6 May 2016); the Cochrane Central Register of Controlled Trials (CENTRAL; to 17 June 2016); Thomson Reuters/Web of Science (to 21 June 2016); Ebsco/PsycInfo, the Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, and PubMed (to 5 July 2016); the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), ClinicalTrials.gov, the National Guideline Clearing House, and OpenGrey (to 6 September 2016); and the Digital Access to Research Theses (DART)-Europe E-theses Portal, Open Access Theses and Dissertations, and ProQuest Dissertations and Theses Database (to 7 September 2016). We checked reference lists of retrieved articles and relevant systematic reviews and contacted trialists and subject experts for additional information when needed. We updated this search in August 2017 and placed potentially relevant studies in the "Awaiting classification" section; we will incorporate these into the next version of this review as appropriate. All randomised controlled trials (RCTs) and controlled clinical trials (CCTs) comparing music therapy versus treatment as usual (TAU), psychological therapies, pharmacological therapies, other therapies, or different forms of music therapy for reducing depression. Two review

Nanomedicine and cancer therapies

CERN Document Server

Sebastian, Mathew; Ninan, Neethu

2012-01-01

Nanotechnology has the power to radically change the way cancer is diagnosed, imaged, and treated. The holistic approach to cancer involves noninvasive procedures that emphasize restoring the health of human energy fields. Presenting a wealth of information and research about the most potent cancer healing therapies, this forward-thinking book explores how nanomedicine, holistic medicine, and other cancer therapies play important roles in treatment of this disease. Topics include nanobiotechnology for antibacterial therapy and diagnosis, mitochondrial dysfunction and cancer, antioxidants and combinatorial therapies, and optical and mechanical investigations of nanostructures for biomolecular detection.

Object representations in visual working memory change according to the task context.

Science.gov (United States)

Balaban, Halely; Luria, Roy

2016-08-01

This study investigated whether an item's representation in visual working memory (VWM) can be updated according to changes in the global task context. We used a modified change detection paradigm, in which the items moved before the retention interval. In all of the experiments, we presented identical color-color conjunction items that were arranged to provide a common fate Gestalt grouping cue during their movement. Task context was manipulated by adding a condition highlighting either the integrated interpretation of the conjunction items or their individuated interpretation. We monitored the contralateral delay activity (CDA) as an online marker of VWM. Experiment 1 employed only a minimal global context; the conjunction items were integrated during their movement, but then were partially individuated, at a late stage of the retention interval. The same conjunction items were perfectly integrated in an integration context (Experiment 2). An individuation context successfully produced strong individuation, already during the movement, overriding Gestalt grouping cues (Experiment 3). In Experiment 4, a short priming of the individuation context managed to individuate the conjunction items immediately after the Gestalt cue was no longer available. Thus, the representations of identical items changed according to the task context, suggesting that VWM interprets incoming input according to global factors which can override perceptual cues. Copyright © 2016 Elsevier Ltd. All rights reserved.

Comparison of Women Who Enter Feminist Therapy and Women Who Enter Traditional Therapy.

Science.gov (United States)

Marecek, Jeanne; And Others

1979-01-01

Compared women in feminist v traditional therapy. There were no differences on demographic characteristics. Clients of feminist therapists were more likely to describe their political views as radical and to identify with members of the women's movements. They rated therapy as more helpful than clients of traditional therapy. (Author)

Play Therapy: A Review

Science.gov (United States)

Porter, Maggie L.; Hernandez-Reif, Maria; Jessee, Peggy

2009-01-01

This article discusses the current issues in play therapy and its implications for play therapists. A brief history of play therapy is provided along with the current play therapy approaches and techniques. This article also touches on current issues or problems that play therapists may face, such as interpreting children's play, implementing…

Music Therapy and Avatars: Reflections on Virtual Learning Environments for Music Therapy Students

DEFF Research Database (Denmark)

Story, Maya

2014-01-01

Music therapy students have expressed concerns regarding their general preparedness for practicum and working with new populations. Simulations in the immersive virtual world, Second Life, may provide a platform to assist in training music therapy students and enhance preparedness. This project...... examined the feasibility of utilizing Second Life to assist in training music therapists. Music therapy practicum students enrolled in a music therapy equivalency program participated in weekly one hour virtual class meetings in Second Life, which included 5 sessions of music therapy simulations....... At the end of the semester, students were interviewed in relation to their experiences, and interviews were analyzed qualitatively. Common themes among students were limitations of Second Life software, student’s knowledge of software, emotional reactions (both positive and negative), and distance learning....

Scientific perspectives on music therapy.

Science.gov (United States)

Hillecke, Thomas; Nickel, Anne; Bolay, Hans Volker

2005-12-01

What needs to be done on the long road to evidence-based music therapy? First of all, an adequate research strategy is required. For this purpose the general methodology for therapy research should be adopted. Additionally, music therapy needs a variety of methods of allied fields to contribute scientific findings, including mathematics, natural sciences, behavioral and social sciences, as well as the arts. Pluralism seems necessary as well as inevitable. At least two major research problems can be identified, however, that make the path stony: the problem of specificity and the problem of eclecticism. Neuroscientific research in music is giving rise to new ideas, perspectives, and methods; they seem to be promising prospects for a possible contribution to a theoretical and empirical scientific foundation for music therapy. Despite the huge heterogeneity of theoretical approaches in music therapy, an integrative model of working ingredients in music therapy is useful as a starting point for empirical studies in order to question what specifically works in music therapy. For this purpose, a heuristic model, consisting of five music therapy working factors (attention modulation, emotion modulation, cognition modulation, behavior modulation, and communication modulation) has been developed by the Center for Music Therapy Research (Viktor Dulger Institute) in Heidelberg. Evidence shows the effectiveness of music therapy for treating certain diseases, but the question of what it is in music therapy that works remains largely unanswered. The authors conclude with some questions to neuroscientists, which we hope may help elucidate relevant aspects of a possible link between the two disciplines.

Complementary Pancreatitis Therapies

Science.gov (United States)

... medication, and improve quality of life.1,2 Massage Therapy Massage therapy involves touch and different techniques of stroking ... of the body or be a full-body massage. Massage can be performed through one’s clothing or ...

Neutron therapy

International Nuclear Information System (INIS)

Riesler, Rudi

1995-01-01

Standard radiotherapy uses Xrays or electrons which have low LET (linear energy transfer); in contrast, particles such as neutrons with high LET have different radiobiological responses. In the late 1960s, clinical trials by Mary Catterall at the Hammersmith Hospital in London indicated that fast neutron radiation had clinical advantages for certain malignant tumours. Following these early clinical trials, several cyclotron facilities were built in the 1980s for fast neutron therapy, for example at the University of Washington, Seattle, and at UCLA. Most of these newer machines use extracted cyclotron proton beams in the range 42 to 66 MeV with beam intensities of 15 to 60 microamps. The proton beams are transported to dedicated therapy rooms, where neutrons are produced from beryllium targets. Second-generation clinical trials showed that accurate neutron beam delivery to the tumour site is more critical than for photon therapy. In order to achieve precise beam geometries, the extracted proton beams have to be transported through a gantry which can rotate around the patient and deliver beams from any angle; also the neutron beam outline (''field shape'') must be adjusted to extremely irregular shapes using a flexible collimation system. A therapy procedure has to be appropriately organized, with physicians, radiotherapists, nurses, medical physicists and other staff in attendance; other specialized equipment, such as CT or MRI scanners and radiation simulators must be made available. Neutron therapy is usually performed only in radiation oncology departments of major medical centres

Music therapy in dementia

DEFF Research Database (Denmark)

McDermott, Orii; Crellin, Nadia; Ridder, Hanne Mette Ochsner

2013-01-01

Objective Recent reviews on music therapy for people with dementia have been limited to attempting to evaluate whether it is effective, but there is a need for a critical assessment of the literature to provide insight into the possible mechanisms of actions of music therapy. This systematic review......, five studies investigated hormonal and physiological changes, and five studies focused on social and relational aspects of music therapy. The musical interventions in the studies were diverse, but singing featured as an important medium for change. Conclusions Evidence for short-term improvement...... in mood and reduction in behavioural disturbance was consistent, but there were no high-quality longitudinal studies that demonstrated long-term benefits of music therapy. Future music therapy studies need to define a theoretical model, include better-focused outcome measures, and discuss how the findings...

RITUAL AESTHETICS IN AFRICAN DRAMATURGY *Uzoma ...

African Journals Online (AJOL)

reassurance about his natural and psychological concerns. He therefore, continued ... to receive an explanatory image of those physical and spiritual conflicts which govern ..... gestalt for television drama production Ph.D Thesis. University of.

Adlerian Marriage Therapy.

Science.gov (United States)

Carlson, Jon; Dinkmeyer, Don, Sr.

1987-01-01

Describes the assumptions, processes, and techniques used in Alderian marriage therapy. Describes purpose of therapy as assessing current beliefs and behaviors while educating the couple in new procedures that can help the couple establish new goals. (Author/ABL)

Therapy of hyperthyroidism

International Nuclear Information System (INIS)

Wildmeister, W.

1982-01-01

The etiology of hyperthyroidism is still largely unknown and therefore no causal therapy of this condition is possible. Antithyroid drug treatment is usually carried out with thiocarbamides. When an euthyroid state is achieved synthetic thyroid hormones are added. Pregnancy and iodine contamination (after exposure to contrast medium) require individual treatment. In this paper the advantages, indications and contraindications are discussed as well as supportive drug therapy necessary in specific cases. Radioiodine therapy is reserved for patients over 35 years of age; the individual dose is calculated according to the size of the thyroid gland and the iodine uptake. Disadvantageous is the late onset of therapeutic efficiency, the small effect on the size of goitre and the exposure to radiation. A patient should be operated upon in an euthyroid state, i.e. after preoperative drug therapy. Operations are normally performed on individuals with a coexistent goitre or where antithyroid drugs or radioiodine therapy are contraindicated. Paresis of the recurrent laryngeal nerve and hypoparathyroidism are rare complications. 3 to 4 g of thyroid tissues should remain. Of great importance in all cases are precise diagnostics both before and after commencing treatment and adequate follow up. (orig./MG) [de

Improving access to psychological therapies in voice disorders: a cognitive behavioural therapy model.

Science.gov (United States)

Miller, Tracy; Deary, Vincent; Patterson, Jo

2014-06-01

The improving access to psychological therapies initiative has highlighted the importance of managing mental health problems effectively, and research has shown excellent outcomes from cognitive behavioural therapy (CBT) interventions. Patients presenting with functional dysphonia will often also describe psychological distress including anxiety, depression and reduced general well-being, and it is felt that effective voice therapy needs to include the management of psychological well-being. The evidence for the use of CBT enhanced voice therapy is limited to date. Recent research has only started to identify the benefits of this approach and questions regarding how to achieve and maintain competence are essential. Voice therapy outcomes are positive and patients receiving CBT with voice therapy have shown more improvement in their general well-being and distress. CBT is a very well evidenced therapy and recommended by The National Institute for Health and Care Excellence (NICE) as the treatment of choice for mental health difficulties and medically unexplained symptoms. Allied health professionals are increasingly being trained to use CBT skills in the management of a number of symptoms/illnesses, and this should be considered for the management of functional dysphonia. However, there is a need for more research and detailed consideration of how therapists should be trained and supervised and how cost-effective this approach may be.

Spectrum of Art Therapy Practice: Systematic Literature Review of "Art Therapy," 1983-2014

Science.gov (United States)

Potash, Jordan S.; Mann, Sarah M.; Martinez, Johanna C.; Roach, Ann B.; Wallace, Nina M.

2016-01-01

The objective of this study was to determine art therapists' fit in the continuum of health delivery services defined by behavioral health. All publications in "Art Therapy: Journal of the American Art" Therapy Association from 1983 (Volume 1) to 2014 (Volume 31) were systematically reviewed to understand how art therapy has been…

Effectiveness of medication / auricular therapy / phyto-therapy combination in the treatment of hypertensive patients

Directory of Open Access Journals (Sweden)

José Ramón Martínez Pérez

2015-10-01

Full Text Available Background: hypertension is one of the main cardiovascular risk factors, so its control improves the life expectancy of patients.Objective: to assess the effects of a treatment combining medication with auricular therapy and phyto-therapy in hypertensive patients assisted at the health area of ”Romárico Oro” Polyclinic, in Puerto Padre, Las Tunas province.Methods: an intervention study was carried out in 68 hypertensive patients of the health area of “Romárico Oro” Polyclinic in Puerto Padre from April, 2013 to April, 2014. The patients were distributed at random into two equal groups; the first received medication combined with auricular therapy and phyto-therapy, while the second one received only medication. The statistical analysis was done by means of Statistic system, t-student and Chi-Square tests were used and p< or =0.05 was considered as level of statistical significance.Results: by the end of the intervention, 73, 53% of the patients of the group with the combination of drug treatment and auricular therapy and phyto-therapy were controlled. In this group, the diastolic filling pressure diminished to 2, 2 mm Hg and the systolic gradient to 3, 66 mm, regarding the group treated only with drugs. Only one patient, representing the 2, 94% showed adverse reaction to the natural and traditional treatment.Conclusions: the combination of medication with auricular therapy and phyto-therapy proved to be effective, corroborated by a significant decrease of quantity of crisis, diastolic and systolic filling pressure values and increase of number of patients with their disease controlled; the report of only one complication shows the innocuousness of the auricular therapy and phyto-therapy treatment.

Translation of the Speech Therapy Programs in the Logomon Assisted Therapy System

Directory of Open Access Journals (Sweden)

SCHIPOR, D. M.

2010-05-01

Full Text Available This interdisciplinary research was developed with a view to create and implement an intelligent informatics system for the treatment of dyslalic disorders, specific to the Romanian language (CBTS system - computer-based speech therapy, as a complementary speech therapy method, customised and client-oriented. The rules of the logotherapeutic guide have been expressed in pseudocode programs in order to allow a greater flexibility in expressing the logotherapeutic procedures in an informatics system. The pseudocode logopedic programs comprise the succession of stages of the therapeutic program from a speech therapy perspective, and based on what the expert system can achieve. The LOGOMON system is conceived in order to assist the physical therapist and the child during the entire therapeutic period, recording the main data related to the child, which proved to be useful in diagnosis and treatment. The experimental validation of the system proved that assisted therapy contributes to the improvement of classical therapy, to obtaining optimal results in correcting the dyslalic person's speech.

Why commercialization of gene therapy stalled; examining the life cycles of gene therapy technologies.

Science.gov (United States)

Ledley, F D; McNamee, L M; Uzdil, V; Morgan, I W

2014-02-01

This report examines the commercialization of gene therapy in the context of innovation theories that posit a relationship between the maturation of a technology through its life cycle and prospects for successful product development. We show that the field of gene therapy has matured steadily since the 1980s, with the congruent accumulation of >35 000 papers, >16 000 US patents, >1800 clinical trials and >$4.3 billion in capital investment in gene therapy companies. Gene therapy technologies comprise a series of dissimilar approaches for gene delivery, each of which has introduced a distinct product architecture. Using bibliometric methods, we quantify the maturation of each technology through a characteristic life cycle S-curve, from a Nascent stage, through a Growing stage of exponential advance, toward an Established stage and projected limit. Capital investment in gene therapy is shown to have occurred predominantly in Nascent stage technologies and to be negatively correlated with maturity. Gene therapy technologies are now achieving the level of maturity that innovation research and biotechnology experience suggest may be requisite for efficient product development. Asynchrony between the maturation of gene therapy technologies and capital investment in development-focused business models may have stalled the commercialization of gene therapy.

Biological therapies for spondyloarthritis.

Science.gov (United States)

Bruner, Vincenzo; Atteno, Mariangela; Spanò, Angelo; Scarpa, Raffaele; Peluso, Rosario

2014-06-01

Biological therapies and new imaging techniques have changed the therapeutic and diagnostic approach to spondyloarthritis. In patients with axial spondyloarthritis, tumor necrosis factor α (TNFα) inhibitor treatment is currently the only effective therapy in patients for whom conventional therapy with nonsteroidal anti-inflammatory drugs (NSAIDs) has failed. TNFα inhibitor treatment is more effective in preventing articular damage in peripheral joints than in axial ones. It is important to treat patients at an early stage of disease to reduce disease progression; moreover it is necessary to identify causes of therapy inefficacy in preventing joint damage in the axial subset.

Individualized therapies in colorectal cancer: KRAS as a marker for response to EGFR-targeted therapy

Directory of Open Access Journals (Sweden)

Li Kuiyuan

2009-04-01

Full Text Available Abstract Individualized therapies that are tailored to a patient's genetic composition will be of tremendous value for treatment of cancer. Recently, Kirsten ras (KRAS status has emerged as a predictor of response to epidermal growth factor receptor (EGFR targeted therapies. In this article, we will discuss targeted therapies for colorectal cancers (CRC based on EGFR signaling pathway and review published data about the potential usefulness of KRAS as a biological marker for response to these therapies. Results from relevant studies published since 2005 and unpublished results presented at national meetings were retrieved and summarized. These studies reflected response (or lack of response to EGFR-targeted therapies in patients with metastatic CRC as a function of KRAS status. It has become clear that patients with colorectal cancer whose tumor has an activating mutation in KRAS do not respond to monoclonal antibody therapies targeting EGFR. It should now become a standard practice that any patients being considered for EGFR targeted therapies have their tumors tested for KRAS status and only those with wild-type KRAS being offered such therapies.

New advances in amblyopia therapy I: binocular therapies and pharmacologic augmentation.

Science.gov (United States)

Kraus, Courtney L; Culican, Susan M

2018-05-18

Amblyopia therapy options have traditionally been limited to penalisation of the non-amblyopic eye with either patching or pharmaceutical penalisation. Solid evidence, mostly from the Pediatric Eye Disease Investigator Group, has validated both number of hours a day of patching and days per week of atropine use. The use of glasses alone has also been established as a good first-line therapy for both anisometropic and strabismic amblyopia. Unfortunately, visual acuity equalisation or even improvement is not always attainable with these methods. Additionally, non-compliance with prescribed therapies contributes to treatment failures, with data supporting difficulty adhering to full treatment sessions. Interest in alternative therapies for amblyopia treatment has long been a topic of interest among researchers and clinicians alike. Incorporating new technology with an understanding of the biological basis of amblyopia has led to enthusiasm for binocular treatment of amblyopia. Early work on perceptual learning as well as more recent enthusiasm for iPad-based dichoptic training have each generated interesting and promising data for vision improvement in amblyopes. Use of pharmaceutical augmentation of traditional therapies has also been investigated. Several different drugs with unique mechanisms of action are thought to be able to neurosensitise the brain and enhance responsiveness to amblyopia therapy. No new treatment has emerged from currently available evidence as superior to the traditional therapies in common practice today. But ongoing investigation into the use of both new technology and the understanding of the neural basis of amblyopia promises alternate or perhaps better cures in the future. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Manual Therapy

OpenAIRE

Hakgüder, Aral; Kokino, Siranuş

2002-01-01

Manual therapy has been used in the treatment of pain and dysfunction of spinal and peripheral joints for more than a hundred years. Manual medicine includes manipulation, mobilization, and postisometric relaxation techniques. The aim of manual therapy is to enhance restricted movement caused by blockage of joints keeping postural balance, restore function and maintain optimal body mechanics. Anatomic, biomechanical, and neurophysiological evaluations of the leucomotor system is essential for...

Group treatment for trichotillomania: cognitive-behavioral therapy versus supportive therapy.

Science.gov (United States)

Toledo, Edson Luiz; De Togni Muniz, Enilde; Brito, Antônio Marcelo Cabrita; de Abreu, Cristiano Nabuco; Tavares, Hermano

2015-04-01

Trichotillomania is a psychiatric condition characterized by the chronic pulling and plucking of one's own hair. Cognitive-behavioral therapy shows promise as a treatment for trichotillomania and might be preferable to pharmacotherapy. However, there have been no randomized, controlled studies of the efficacy of group cognitive-behavioral therapy. We evaluated 44 subjects, recruited from April 2009 to May 2010, all of whom met DSM-IV criteria for a diagnosis of trichotillomania. Subjects were randomized to receive 22 sessions of either group cognitive-behavioral therapy or group supportive therapy (control). Treatment evaluation was non-blind and used self-report scales. The primary outcome measure was the improvement of hair-plucking behavior as assessed by the Massachusetts General Hospital Hairpulling Scale. Secondary measures included scores on the Beck Depression Inventory, the Beck Anxiety Inventory, and the Social Adjustment Scale-Self-Report. Both groups showed significant posttreatment improvement in the scores from the Massachusetts General Hospital Hairpulling Scale (F = 23.762, P behavior over time was significantly greater in the study group than in the control group (F = 3.545, P cognitive-behavioral therapy is a valid treatment for trichotillomania. This treatment model should be further revised and expanded to address comorbidities such as anxiety and social maladjustment. ClinicalTrials.gov identifier: NCT01968343. © Copyright 2015 Physicians Postgraduate Press, Inc.

Christian von Ehrenfels

Czech Academy of Sciences Publication Activity Database

Rollinger, Robin; Ierna, C.

-, May 28 (2015), s. 1-36 ISSN 1095-5054 Institutional support: RVO:67985955 Keywords : Ehrenfels * Gestalt * values * sexual ethics * philosophy of mathematics * cosmology Subject RIV: AA - Philosophy ; Religion http://plato.stanford.edu/entries/ehrenfels/

UtIlISINg forgIveNeSS to helP SexUAlly ABUSeD ADoleSceNtS ...

African Journals Online (AJOL)

(unfinished business) and break free from guilt and shame. A pastoral gestalt .... psychosocial problems connected to both individual and relationship ... As moral beings, abused adolescents live a life focused on god ...... William B. eerdmans.

Targeted enzyme prodrug therapies.

Science.gov (United States)

Schellmann, N; Deckert, P M; Bachran, D; Fuchs, H; Bachran, C

2010-09-01

The cure of cancer is still a formidable challenge in medical science. Long-known modalities including surgery, chemotherapy and radiotherapy are successful in a number of cases; however, invasive, metastasized and inaccessible tumors still pose an unresolved and ongoing problem. Targeted therapies designed to locate, detect and specifically kill tumor cells have been developed in the past three decades as an alternative to treat troublesome cancers. Most of these therapies are either based on antibody-dependent cellular cytotoxicity, targeted delivery of cytotoxic drugs or tumor site-specific activation of prodrugs. The latter is a two-step procedure. In the first step, a selected enzyme is accumulated in the tumor by guiding the enzyme or its gene to the neoplastic cells. In the second step, a harmless prodrug is applied and specifically converted by this enzyme into a cytotoxic drug only at the tumor site. A number of targeting systems, enzymes and prodrugs were investigated and improved since the concept was first envisioned in 1974. This review presents a concise overview on the history and latest developments in targeted therapies for cancer treatment. We cover the relevant technologies such as antibody-directed enzyme prodrug therapy (ADEPT), gene-directed enzyme prodrug therapy (GDEPT) as well as related therapies such as clostridial- (CDEPT) and polymer-directed enzyme prodrug therapy (PDEPT) with emphasis on prodrug-converting enzymes, prodrugs and drugs.

Physical therapy and occupational therapy in Parkinson's disease.

Science.gov (United States)

Radder, Danique L M; Sturkenboom, Ingrid H; van Nimwegen, Marlies; Keus, Samyra H; Bloem, Bastiaan R; de Vries, Nienke M

2017-10-01

Current medical management is only partially effective in controlling the symptoms of Parkinson's disease. As part of comprehensive multidisciplinary care, physical therapy and occupational therapy aim to support people with Parkinson's disease in dealing with the consequences of their disease in daily activities. In this narrative review, we address the limitations that people with Parkinson's disease may encounter despite optimal medical management, and we clarify both the unique and shared approaches that physical therapists and occupational therapists can apply in treating these limitations.

Where and how does physical therapy fit? Integrating physical therapy into interprofessional HIV care.

Science.gov (United States)

deBoer, Heather; Andrews, Matthew; Cudd, Stephanie; Leung, Ellie; Petrie, Alana; Chan Carusone, Soo; O'Brien, Kelly K

2018-03-13

To investigate the role of physical therapy in HIV care from the perspective of people living with HIV and health care professionals with expertise in HIV care. We conducted a qualitative descriptive study using semistructured interviews (with health care professionals) and focus groups (with people living with HIV). We purposively sampled health care professionals and recruited people living with HIV in collaboration with an HIV-specialty hospital. We asked participants about their knowledge of and experiences with physical therapy, and perceptions of the physical therapy role in interprofessional HIV care. We analyzed data using content analytical techniques. Thirteen people living with HIV and 12 health care professionals conceptualized physical therapy as positively influencing independence and social participation, and as a valuable ally in interprofessional collaboration. The Framework of Physical Therapy Role in HIV Care consists of two components: (1) multidimensional and client-centered roles of physical therapy addressing physical, psychological and social health domains; and (2) contextual factors important to consider for the role of physical therapy: aging, episodic nature of HIV, multimorbidity, competing priorities, continuity of care, stigma, resource security and social isolation. The interaction between contextual factors and health domains can influence the role of physical therapy. The role of physical therapy in HIV is multidimensional and client-centered. This Framework can be used by rehabilitation professionals working with people living with HIV. Implications for Rehabilitation Participants living with HIV in this study experienced physical therapy as a means of addressing rehabilitation goals that positively influenced physical health and social participation. The role of physical therapy in HIV care is multidimensional and client-centered and can address health challenges in physical, social and psychological health domains. The presence

Family therapy and dis/ableism:constructions of disability in family therapy literature

OpenAIRE

Haydon-Laurelut, Mark Andrew; Nunkoosing, Karl Khemraj; Wilcox, E.

2013-01-01

Family therapy has taken on board issues of human diversity such as race, gender, and poverty in its theorising and practise. We wanted to know more about how disability is constructed in contemporary family therapy literature and what are the discourses that family therapists draw upon when writing about their practices concerning impairment and disability? We reviewed four peer reviewed family therapy journals, published during 2010 and 2011 for articles about disability. Thirty-six article...

Navigating Comics: An Empirical and Theoretical Approach to Strategies of Reading Comic Page Layouts

Science.gov (United States)

Cohn, Neil

2013-01-01

Like the sequence of words in written language, comic book page layouts direct images into a deliberate reading sequence. Conventional wisdom would expect that comic panels follow the order of text: left-to-right and down – a “Z-path” – though several layouts can violate this order, such as Gestalt groupings of panels that deny a Z-path of reading. To examine how layouts pressure readers to choose pathways deviating from the Z-path, we presented participants with comic pages empty of content, and asked them to number the panels in the order they would read them. Participants frequently used strategies departing from both the traditional Z-path and Gestalt groupings. These preferences reveal a system of constraints that organizes panels into hierarchic constituents, guiding readers through comic page layouts. PMID:23616776

Have We Made It? Investigating Value-Creating Strategies in Early Internationalizing Ventures

DEFF Research Database (Denmark)

Turcan, Romeo V.; Juho, Anita

2016-01-01

. Following an intensity sampling strategy, we purposefully selected information-rich, but not extreme two-case companies. We initially collected unobtrusive data in the form of running records and mass-media news reports from the inception of the case companies. We then conducted in-depth interviews with key...... decision makers of the case companies, namely their co-founders and CEOs. We employed critical incident technique guidelines for data analysis. Grounded in data, the following constructs emerged related to value creation: strategic experimentation, gestalt tensions, and legitimacy lies. Entrepreneurs...... experiment with and reconfigure their venture at several levels: goal (vision), decision (strategic) and behavioral (tactical) levels of the organizational gestalt in order to reach a threshold level of practiced activity. Entrepreneurs’ strategic experimentation efforts are fueled by tensions that exist...

Navigating comics: an empirical and theoretical approach to strategies of reading comic page layouts

Directory of Open Access Journals (Sweden)

Neil eCohn

2013-04-01

Full Text Available Like the sequence of words in written language, comic book page layouts direct images into a deliberate reading sequence. Conventional wisdom would expect that comic panels follow the order of text: left-to-right and down—a Z-path—though several layouts can violate this order, such as Gestalt groupings of panels that deny a Z-path of reading. To examine how layouts pressure readers to choose pathways deviating from the Z-path, we presented participants with comic pages empty of content, and asked them to number the panels in the order they would read them. Participants frequently used strategies departing from both the traditional Z-path and Gestalt groupings. These preferences reveal a system of constraints that organizes panels into hierarchic constituents, guiding readers through comic page layouts.

Navigating comics: an empirical and theoretical approach to strategies of reading comic page layouts.

Science.gov (United States)

Cohn, Neil

2013-01-01

Like the sequence of words in written language, comic book page layouts direct images into a deliberate reading sequence. Conventional wisdom would expect that comic panels follow the order of text: left-to-right and down - a "Z-path" - though several layouts can violate this order, such as Gestalt groupings of panels that deny a Z-path of reading. To examine how layouts pressure readers to choose pathways deviating from the Z-path, we presented participants with comic pages empty of content, and asked them to number the panels in the order they would read them. Participants frequently used strategies departing from both the traditional Z-path and Gestalt groupings. These preferences reveal a system of constraints that organizes panels into hierarchic constituents, guiding readers through comic page layouts.

Accompanying therapy with melatonin at radiation therapy for uterine body cancer

International Nuclear Information System (INIS)

Prokhach, N.E.; Sorochan, P.P.; Gromakova, Yi.A.; Krugova, M.; Sukhyin, V.S.

2011-01-01

The results of treatment for uterine body cancer using post-operative radiation therapy (RT) accompanied by melatonin administration are analyzed. Accompanying therapy with melatonin limited negative RT influence on hematological and immune indices and prevented aggravation of quality of life.

Proton therapy

International Nuclear Information System (INIS)

Jongen, Y.

1995-01-01

Ideal radiotherapy deposits a large amount of energy in the tumour volume, and none in the surrounding healthy tissues. Proton therapy comes closer to this goal because of a greater concentration of dose, well defined proton ranges and points of energy release which are precisely known - the Bragg peak1. In the past, the development of clinical proton therapy has been hampered by complexity, size, and cost. To be clinically effective, energies of several hundred MeV are required; these were previously unavailable for hospital installations, and pioneering institutions had to work with complex, inadequate equipment originally intended for nuclear physics research. Recently a number of specialist organizations and commercial companies have been working on dedicated systems for proton therapy. One, IBA of Belgium, has equipment for inhouse hospital operation which encompasses a complete therapy centre, delivered as a turnkey package and incorporating a compact, automated, higher energy cyclotron with isocentric gantries. Their system will be installed at Massachusetts General Hospital, Boston. The proton therapy system comprises: - a 235 MeV isochronous cyclotron to deliver beams of up to 1.5 microamps, but with a hardware limitation to restrict the maximum possible dose; - variable energy beam (235 to 70 MeV ) with energy spread and emittance verification; - a beam transport and switching system to connect the exit of the energy selection system to the entrances of a number of gantries and fixed beamlines. Along the beam transport system, the beam characteristics are monitored with non-interceptive multiwire ionization chambers for automatic tuning; - gantries fitted with nozzles and beamline elements for beam control; both beam scattering and beam wobbling techniques are available for shaping the beam;

Art Therapy

DEFF Research Database (Denmark)

Skov, Vibeke; Pedersen, Inge Nygaard

2014-01-01

Abstract Based on a Jungian approach, this article will introduce an integrative model to therapeutic change using art therapy methods as practical tools, with the aim of improving quality of life and in the prevention of depression. In a research study involving six participants, painting, clay...... work and drumming were used together with imagination and personal dialogues linked to the artwork. These art therapy processes attempted to combine the participant’s experience of inner and outer reality. The effect of gaining more knowledge about their inner reality using dreams and symbols......, was that participants gained a new understanding about their personal life. In addition, some participants were able to continue to use art therapy experiences as selfdevelopmental tools after the research study terminated. Jung’s description of the interactive relationship between the two living parts of the psyche...

Risk management of radiation therapy. Survey by north Japan radiation therapy oncology group

International Nuclear Information System (INIS)

Aoki, Masahiko; Abe, Yoshinao; Yamada, Shogo; Hareyama, Masato; Nakamura, Ryuji; Sugita, Tadashi; Miyano, Takashi

2004-01-01

A North Japan Radiation Oncology Group (NJRTOG) survey was carried out to disclose the risk management of radiation therapy. During April 2002, we sent questionnaires to radiation therapy facilities in northern Japan. There were 31 replies from 27 facilities. Many incidents and accidents were reported, including old cases. Although 60% of facilities had a risk management manual and/or risk manager, only 20% had risk management manuals for radiation therapy. Eighty five percent of radiation oncologists thought that incidents may be due to a lack of manpower. Ninety percent of radiation oncologists want to know the type of cases happened in other facilities. The risk management system is still insufficient for radiation therapy. We hope that our data will be a great help to develop risk management strategies for radiation therapy for all radiation oncologists in Japan. (author)

Antiproton Cancer Therapy

DEFF Research Database (Denmark)

Bassler, Niels

An essential part in cancer radiotherapy, is to direct a sufficiently high dose towards the tumour, without damaging the surrounding tissue. Different techniques such as intensity modulated radiation therapy and proton therapy have been developed, in order to reduce the dose to the normal tissue...

Concept Analysis: Music Therapy.

Science.gov (United States)

Murrock, Carolyn J; Bekhet, Abir K

2016-01-01

Down through the ages, music has been universally valued for its therapeutic properties based on the psychological and physiological responses in humans. However, the underlying mechanisms of the psychological and physiological responses to music have been poorly identified and defined. Without clarification, a concept can be misused, thereby diminishing its importance for application to nursing research and practice. The purpose of this article was for the clarification of the concept of music therapy based on Walker and Avant's concept analysis strategy. A review of recent nursing and health-related literature covering the years 2007-2014 was performed on the concepts of music, music therapy, preferred music, and individualized music. As a result of the search, the attributes, antecedents, and consequences of music therapy were identified, defined, and used to develop a conceptual model of music therapy. The conceptual model of music therapy provides direction for developing music interventions for nursing research and practice to be tested in various settings to improve various patient outcomes. Based on Walker and Avant's concept analysis strategy, model and contrary cases are included. Implications for future nursing research and practice to use the psychological and physiological responses to music therapy are discussed.

Occupational Therapy and Physiotherapy in Acute Stroke: Do Rural Patients Receive Less Therapy?

Directory of Open Access Journals (Sweden)

Josie Merchant

2016-01-01

Full Text Available Objective. To assess whether acute stroke patients in rural hospitals receive less occupational therapy and physiotherapy than those in metropolitan hospitals. Design. Retrospective case-control study of health data in patients ≤10 days after stroke. Setting. Occupational therapy and physiotherapy services in four rural hospitals and one metropolitan hospital. Participants. Acute stroke patients admitted in one health district. Main Outcome Measures. Frequency and duration of face-to-face and indirect therapy sessions. Results. Rural hospitals admitted 363 patients and metropolitan hospital admitted 378 patients. Mean age was 73 years. Those in rural hospitals received more face-to-face (p>0.0014 and indirect (p=0.001 occupational therapy when compared to those in the metropolitan hospital. Face-to-face sessions lasted longer (p=0.001. Patients admitted to the metropolitan hospital received more face-to-face (p>0.000 and indirect (p>0.000 physiotherapy when compared to those admitted to rural hospitals. Face-to-face sessions were shorter (p>0.000. Almost all were seen within 24 hours of referral. Conclusions. Acute stroke patients in Australian rural hospital may receive more occupational therapy and less physiotherapy than those in metropolitan hospitals. The dose of therapy was lower than recommended, and the referral process may unnecessarily delay the time from admission to a patient’s first therapy session.

Hyperbaric Oxygen Therapy as an Adjuvant Therapy for Comprehensive Treatment of Fournier's Gangrene.

Science.gov (United States)

Li, Chao; Zhou, Xu; Liu, Long-Fei; Qi, Fan; Chen, Jin-Bo; Zu, Xiong-Bing

2015-01-01

To compare simple conventional treatment with the addition of hyperbaric oxygen therapy (HBOT) to conventional therapies in the treatment of Fournier's gangrene (FG). A retrospective study of clinical data was performed by reviewing 28 cases of FG from January 2004 to December 2013 at Xiangya Hospital, Central South University. Among them, 12 patients were treated with the conventional therapy (non-HBOT group) and the other 16 cases were combined with hyperbaric oxygen therapy besides conventional therapy (HBOT group). All patients were followed up for 2 months to assess the therapeutic effect. The analyzed data included age, Fournier gangrene severity index (FGSI) score, number of surgical debridement, indwelling drainage tube time, length of stay (LOS), effective time, and curative time. The mortality rate was lower in the HBOT group at 12.5% (2/16) compared to the non-HBOT group, which was 33.3% (4/12). The difference in the number of surgical debridement, indwelling drainage tube time, and curative time between were significantly lower in the HBOT group compared to the non-HBOT group. Our preliminary research suggests that the effect of combining hyperbaric oxygen therapy with conventional therapy offers considerable advantage in the management of Fournier's gangrene. Multicenter studies with a larger sample size are required to confirm these observations. © 2015 S. Karger AG, Basel.

Medical therapy in acromegaly.

LENUS (Irish Health Repository)

Sherlock, Mark

2011-05-01

Acromegaly is a rare disease characterized by excess secretion of growth hormone (GH) and increased circulating insulin-like growth factor 1 (IGF-1) concentrations. The disease is associated with increased morbidity and premature mortality, but these effects can be reduced if GH levels are decreased to <2.5 μg\\/l and IGF-1 levels are normalized. Therapy for acromegaly is targeted at decreasing GH and IGF-1 levels, ameliorating patients\\' symptoms and decreasing any local compressive effects of the pituitary adenoma. The therapeutic options for acromegaly include surgery, radiotherapy and medical therapies, such as dopamine agonists, somatostatin receptor ligands and the GH receptor antagonist pegvisomant. Medical therapy is currently most widely used as secondary treatment for persistent or recurrent acromegaly following noncurative surgery, although it is increasingly used as primary therapy. This Review provides an overview of current and future pharmacological therapies for patients with acromegaly.

Is Bicarbonate Therapy Useful?

Science.gov (United States)

Hopper, Kate

2017-03-01

Despite concerns about the negative effects of metabolic acidosis, there is minimal evidence that sodium bicarbonate administration is an effective treatment. In addition, sodium bicarbonate therapy is associated with many adverse effects, including paradoxic intracellular acidosis, hypokalemia, hypocalcemia, hypernatremia, and hyperosmolality. Definitive recommendations regarding bicarbonate therapy are challenging as there is little high-quality evidence available. In most clinical scenarios of metabolic acidosis, treatment efforts should focus on resolution of the underlying cause, and sodium bicarbonate therapy should be used with caution, if at all. An exception to this is kidney disease, wherein sodium bicarbonate therapy may have a valuable role. Published by Elsevier Inc.

Framework for Conducting Empirical Observations of Learning Processes.

Science.gov (United States)

Fischer, Hans Ernst; von Aufschnaiter, Stephan

1993-01-01

Reviews four hypotheses about learning: Comenius's transmission-reception theory, information processing theory, Gestalt theory, and Piagetian theory. Uses the categories preunderstanding, conceptual change, and learning processes to classify and assess investigations on learning processes. (PR)

Genetically Guided Statin Therapy

Science.gov (United States)

2017-03-01

number of new statin prescriptions, and (4) patient reported quality of life, physical activity, perceptions regarding statin therapy , and pain as...outcomes known to be prevented by statin therapy , we examined hospitalizations for three diagnoses: acute myocardial infarction (MI), stroke, and...cholesterol. However, the ultimate goal of statin therapy is to decrease incidence of CAD, acute myocardial infarction and perhaps stroke. However, there is a

Pathway to Efficacy: Recognizing Cognitive Behavioral Therapy as an Underlying Theory for Adventure Therapy.

Science.gov (United States)

Gillen, Mark C.

2003-01-01

Adventure therapy and cognitive behavioral therapy share elements, including transformation of distorted thinking patterns, a focus on current and future functioning, consideration of the counselor-client relationship, and the use of stress in the change process. Recognizing cognitive behavioral therapy as an empirically sound theory underlying…

Massage Therapy Research

Science.gov (United States)

Field, Tiffany; Diego, Miguel; Hernandez-Reif, Maria

2007-01-01

Massage therapy has been notably effective in preventing prematurity, enhancing growth of infants, increasing attentiveness, decreasing depression and aggression, alleviating motor problems, reducing pain, and enhancing immune function. This review covers massage therapy research from the last decade, as an update to the American Psychologist 1998…

Long-term results of golimumab therapy for rheumatoid arthritis. Therapy compliance issues

Directory of Open Access Journals (Sweden)

N. V. Chichasova

2016-01-01

Full Text Available The goal of therapy for rheumatoid arthritis (RA is to suppress inflammation, to prevent or delay destructive changes in the joints, and to normalize functions during the longest monitoring of the course of RA. The data of randomized controlled trials and national registries are of great importance to a clinician. The paper reviews the literature data characterizing the long-term results of RA therapy with the tumor necrosis factor-α inhibitor golimumab (GLM and patient compliance with the therapy. Treatment with GLM at the registered subcutaneous dose of 50 mg once every 4 weeks gives rise to an effect in the vast majority of patients regardless of the type of previous ineffective therapy, the dose of concurrently administered methotrexate, the number of previous ineffective disease-modifying antirheumatic drugs, and the use and nonuse of glucocorticoids. GLM is characterized by a long-term (as long as 5 years effect with suppressed progression of destruction, functional recovery, and satisfactory tolerability with no additional risk for adverse events as the therapy is continued.

Preclinical and clinical experience in vascular gene therapy: advantages over conservative/standard therapy.

Science.gov (United States)

Nikol, S; Huehns, T Y

2001-04-01

No systemic pharmacological treatment has been shown to convincingly reduce the incidence of restenosis after angioplasty or increase the formation of collaterals in ischemic tissue in patients. The lack of success of many pharmaceutical agents in reducing restenosis rates or in inducing angiogenesis post-angioplasty and following stent implantation has encouraged the development of new technological treatment approaches. Gene therapy is a novel strategy with the potential to prevent some of the sequelae after arterial injury, particularly cell proliferation, and to induce growth of new vessels or remodeling of pre-existing vessel branches, which may help patients with critical ischemia. Gene therapy strategies have the advantage of minimizing systemic side effects and may have a long-term effect as the encoded protein is released. Most clinical trials investigating gene therapy for vascular disease have been uncontrolled phase I and IIa trials. Gene therapy into vessels with the genes for growth factors has been demonstrated to be feasible and efficient. Local drug delivery devices have been used in combination with gene therapy in several trials to maximize safety and efficiency. Data from experimental animal work indicates that gene therapy may modify intimal hyperplasia after arterial injury, but there are few clinical trials on restenosis in patients. Preliminary clinical results show only limited success in altering restenosis rates. In vitro and experimental in vivo investigations into gene therapy for angiogenesis demonstrate increased formation of collaterals and functional improvement of limb ischemia. There is some evidence of increased collateral formation and clinical improvement in patients with critical limb ischemia. Results of placebo-controlled and double-blind trials of gene therapy for vascular disease are awaited.

"Music Therapy Helped Me Get Back Doing": Perspectives of Music Therapy Participants in Mental Health Services.

Science.gov (United States)

McCaffrey, Tríona; Edwards, Jane

2016-01-01

Mental health service development internationally is increasingly informed by the collaborative ethos of recovery. Service user evaluation of experiences within music therapy programs allows new phenomena about participation in services to be revealed that might otherwise remain unnoticed. The aim of this study was to demonstrate how asking service users about their experience of music therapy can generate useful information, and to reflect upon the feedback elicited from such processes in order to gain a deeper understanding of how music therapy is received among service users in mental health. Six mental health service users described their experiences of music therapy in one or two individual interviews. Transcripts of interviews were analyzed using the procedures and techniques of Interpretative Phenomenological Analysis. Interviews with mental health service users provided rich, in-depth accounts reflecting the complex nature of music therapy participation. Super-ordinate themes refer to the context in which music therapy was offered, the rich sound world of music in music therapy, the humanity of music therapy, and the strengths enhancing opportunities experienced by service users. Participants indicated that they each experienced music therapy in unique ways. Opinions about the value of music therapy were revealed through an interview process in which the researcher holds an open attitude, welcoming all narrative contributions respectfully. These findings can remind practitioners of the importance of closely tuning into the perspectives and understandings of those who have valuable expertise to share about their experience of music therapy services in mental health. © the American Music Therapy Association 2016. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Use of complementary and alternative medicine at Norwegian and Danish hospitals

Science.gov (United States)

2011-01-01

Background Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM). However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001. Methods A one-page questionnaire was sent to all included hospitals in both countries. The questionnaire was sent to the person responsible for the clinical activity, typically the medical director. 99 hospitals in the authority (85%) in Norway and 126 in Denmark (97%) responded. Given contact persons were interviewed. Results CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one) responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially. Conclusions The extent of CAM being offered has increased substantially in Norway during the first decade of the 21st century. This might indicate a shift in attitude regarding CAM within the conventional health care system. PMID

Use of complementary and alternative medicine at Norwegian and Danish hospitals

Directory of Open Access Journals (Sweden)

Launsø Laila

2011-01-01

Full Text Available Abstract Background Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM. However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001. Methods A one-page questionnaire was sent to all included hospitals in both countries. The questionnaire was sent to the person responsible for the clinical activity, typically the medical director. 99 hospitals in the authority (85% in Norway and 126 in Denmark (97% responded. Given contact persons were interviewed. Results CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially. Conclusions The extent of CAM being offered has increased substantially in Norway during the first decade of the 21st century. This might indicate a shift in attitude regarding CAM within the conventional

Prolonged Intermittent Renal Replacement Therapy.

Science.gov (United States)

Edrees, Fahad; Li, Tingting; Vijayan, Anitha

2016-05-01

Prolonged intermittent renal replacement therapy (PIRRT) is becoming an increasingly popular alternative to continuous renal replacement therapy in critically ill patients with acute kidney injury. There are significant practice variations in the provision of PIRRT across institutions, with respect to prescription, technology, and delivery of therapy. Clinical trials have generally demonstrated that PIRRT is non-inferior to continuous renal replacement therapy regarding patient outcomes. PIRRT offers cost-effective renal replacement therapy along with other advantages such as early patient mobilization and decreased nursing time. However, due to lack of standardization of the procedure, PIRRT still poses significant challenges, especially pertaining to appropriate drug dosing. Future guidelines and clinical trials should work toward developing consensus definitions for PIRRT and ensure optimal delivery of therapy. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

American Society of Gene & Cell Therapy

Science.gov (United States)

... Gene & Cell Therapy Defined Gene therapy and cell therapy are overlapping fields of biomedical research that aim to repair the direct cause of genetic diseases. Read More Gene & Cell Therapy FAQ's Read the most common questions raised by ...

[Dance/Movement Therapy.

Science.gov (United States)

Fenichel, Emily, Ed.

1994-01-01

This newsletter theme issue focuses on dance, play, and movement therapy for infants and toddlers with disabilities. Individual articles are: "Join My Dance: The Unique Movement Style of Each Infant and Toddler Can Invite Communication, Expression and Intervention" (Suzi Tortora); "Dynamic Play Therapy: An Integrated Expressive Arts Approach to…

Tumor targeted gene therapy

International Nuclear Information System (INIS)

Kang, Joo Hyun

2006-01-01

Knowledge of molecular mechanisms governing malignant transformation brings new opportunities for therapeutic intervention against cancer using novel approaches. One of them is gene therapy based on the transfer of genetic material to an organism with the aim of correcting a disease. The application of gene therapy to the cancer treatment had led to the development of new experimental approaches such as suicidal gene therapy, inhibition of oncogenes and restoration of tumor-suppressor genes. Suicidal gene therapy is based on the expression in tumor cells of a gene encoding an enzyme that converts a prodrug into a toxic product. Representative suicidal genes are Herpes simplex virus type 1 thymidine kinase (HSV1-tk) and cytosine deaminase (CD). Especially, physicians and scientists of nuclear medicine field take an interest in suicidal gene therapy because they can monitor the location and magnitude, and duration of expression of HSV1-tk and CD by PET scanner

Pharmacological therapy for amblyopia

Directory of Open Access Journals (Sweden)

Anupam Singh

2017-01-01

Full Text Available Amblyopia is the most common cause of preventable blindness in children and young adults. Most of the amblyopic visual loss is reversible if detected and treated at appropriate time. It affects 1.0 to 5.0% of the general population. Various treatment modalities have been tried like refractive correction, patching (both full time and part time, penalization and pharmacological therapy. Refractive correction alone improves visual acuity in one third of patients with anisometropic amblyopia. Various drugs have also been tried of which carbidopa & levodopa have been popular. Most of these agents are still in experimental stage, though levodopa-carbidopa combination therapy has been widely studied in human amblyopes with good outcomes. Levodopa therapy may be considered in cases with residual amblyopia, although occlusion therapy remains the initial treatment choice. Regression of effect after stoppage of therapy remains a concern. Further studies are therefore needed to evaluate the full efficacy and side effect profile of these agents.

Pharmacological therapy for amblyopia

Science.gov (United States)

Singh, Anupam; Nagpal, Ritu; Mittal, Sanjeev Kumar; Bahuguna, Chirag; Kumar, Prashant

2017-01-01

Amblyopia is the most common cause of preventable blindness in children and young adults. Most of the amblyopic visual loss is reversible if detected and treated at appropriate time. It affects 1.0 to 5.0% of the general population. Various treatment modalities have been tried like refractive correction, patching (both full time and part time), penalization and pharmacological therapy. Refractive correction alone improves visual acuity in one third of patients with anisometropic amblyopia. Various drugs have also been tried of which carbidopa & levodopa have been popular. Most of these agents are still in experimental stage, though levodopa-carbidopa combination therapy has been widely studied in human amblyopes with good outcomes. Levodopa therapy may be considered in cases with residual amblyopia, although occlusion therapy remains the initial treatment choice. Regression of effect after stoppage of therapy remains a concern. Further studies are therefore needed to evaluate the full efficacy and side effect profile of these agents. PMID:29018759

Cognitive-Behavioral Grief Therapy: The ABC Model of Rational-Emotion Behavior Therapy

OpenAIRE

Malkinson, Ruth

2010-01-01

The article briefly reviews the changes that occurred in the field of grief and bereavement, viewing it as a process of searching for a "rational" meaning to life without the deceased in line with the concept of continuing bonds and thus replacing that of Fred’s concept of decathexis. Cognitive-behavioral therapy (CBT) evidenced-based studies for PTSD and complicated grief and the Cognitive-behavioral therapy − Rational-emotion behavior therapy (CBT-REBT) model for grief are reviewed. The foc...

Oxygen Therapy

Directory of Open Access Journals (Sweden)

Bonnie Solmes

2000-01-01

Full Text Available LTOT is prescribed for people with chronic lung disease in whom there is a decrease in the ability of the lungs to supply enough oxygen to the body. The heart is obliged to pump faster to meet the body's oxygen requirements. This may place undue stress on the heart, resulting in palpitations, dizziness and fatigue. A low oxygen level in arterial blood is also harmful to the heart, the brain and the pulmonary blood vessels. Oxygen therapy is used to break this cycle. A person with low blood oxygen will often be able to accomplish more with less fatigue with the help of supplemental oxygen therapy. Shortness of breath is a mechanical problem resulting from the effects of chronic obstructive pulmonary disease. Oxygen therapy may or may not reduce shortness of breath, but it will help the lungs and heart to function with less stress.

Benjamin's Theory of the Lyric

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David E. Wellbery

1986-01-01

The paper reconstructs the argument of Benjamin's early Hölderlin essay, with special emphasis on the notion of das Gedichtete . This notion is shown to name a fundamental dissonance between two semiotic modalities, graphics and Gestalt .

Conversations from the Classroom: Reflections on Feminist Music Therapy Pedagogy in Teaching Music Therapy

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Hahna, Nicole D.

2011-01-01

Four music therapy educators participated in semi-structured, in-depth interviews as part of a qualitative study. The purpose of this study was to explore the phenomena of feminist pedagogy as experienced by music therapy educators using phenomenological inquiry. The study examined the following research questions: (a) do music therapy educators…

Influence of reinforcement behavioral therapy and Ellis cognitive therapy on derelict children’s aggression

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Habibollah Khazaie

2012-01-01

Full Text Available Background: Control of angry in effective manner is very important. In present study we compared the effect of reinforcement behavioral therapy and Ellis cognitive therapy on decreasing of aggression in derelict children aged 10 to 18 years old at hostelry care center of Welfare Organization of Kermanshah. Methods: Fifty-seven out of 89 children (31 male, 26 female was diagnosed as aggressive according to the AGQ results from six hostelry care center of welfare organization of Kermanshah, were selected and participated in the study. Participants allocated in to reinforcement behavioral therapy, Ellis cognitive therapy or control group randomly. Each groups received two hours therapeutic teaching for 10 sessions during 10 weeks. The control group had not been received any intervention. After 10 weeks, the posttest AGQ was performed on participant. The results of pretest and posttest were compared using T-test and ANOVA.Results: The posttest aggression score in reinforcement behavioral therapy group was decreased significantly after intervention (P=0.011. We didn’t find significant differences between pre and post tests aggression score in Ellis cognitive therapy (P=0.258. Result of ANOVA show that there was no significant difference between three group after intervention (P=0.691Conclusion: Reinforcement behavioral therapy and Ellis cognitive therapy did not change the aggression score in derelict children. This may relate to specific hard and stressful life of these children due to ineffectiveness of these short-term methods.

Therapy of the burnout syndrome.

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Korczak, Dieter; Wastian, Monika; Schneider, Michael

2012-01-01

The prevalence, diagnostics and therapy of the burnout syndrome are increasingly discussed in the public. The unclear definition and diagnostics of the burnout syndrome are scientifically criticized. There are several therapies with unclear evidence for the treatment of burnout in existence. The health technology assessment (HTA) report deals with the question of usage and efficacy of different burnout therapies. For the years 2006 to 2011, a systematic literature research was done in 31 electronic databases (e.g. EMBASE, MEDLINE, PsycINFO). Important inclusion criteria are burnout, therapeutic intervention and treatment outcome. 17 studies meet the inclusion criteria and are regarded for the HTA report. The studies are very heterogeneous (sample size, type of intervention, measuring method, level of evidence). Due to their study design (e.g. four reviews, eight randomized controlled trials) the studies have a comparable high evidence: three times 1A, five times 1B, one time 2A, two times 2B and six times 4. 13 of the 17 studies are dealing with the efficacy of psychotherapy and psychosocial interventions for the reduction of burnout (partly in combination with other techniques). Cognitive behaviour therapy leads to the improvement of emotional exhaustion in the majority of the studies. The evidence is inconsistent for the efficacy of stress management and music therapy. Two studies regarding the efficacy of Qigong therapy do not deliver a distinct result. One study proves the efficacy of roots of Rhodiola rosea (evidence level 1B). Physical therapy is only in one study separately examined and does not show a better result than standard therapy. Despite the number of studies with high evidence the results for the efficacy of burnout therapies are preliminary and do have only limited reach. The authors of the studies complain about the low number of skilled studies for the therapy of burnout. Furthermore, they point to the insufficient evaluation of the therapy

Dreams In Jungian Psychology: The use of Dreams as an Instrument For Research, Diagnosis and Treatment of Social Phobia.

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Khodarahimi, Siamak

2009-10-01

The significance of dreams has been explained in psychoanalysis, depth psychology and gestalt therapy. There are many guidelines in analytic psychology for dream interpretation and integration in clinical practice. The present study, based on the Jungian analytic model, incorporated dreams as an instrument for assessment of aetiology, the psychotherapy process and the outcome of treatment for social phobia within a clinical case study. This case study describes the use of dream analysis in treating a female youth with social phobia. The present findings supported the three stage paradigm efficiency in the Jungian model for dream working within a clinical setting, i.e. written details, reassembly with amplification and assimilation. It was indicated that childhood and infantile traumatic events, psychosexual development malfunctions, and inefficient coping skills for solving current life events were expressed in the patient's dreams. Dreams can reflect a patient's aetiology, needs, illness prognosis and psychotherapy outcome. Dreams are an instrument for the diagnosis, research and treatment of mental disturbances in a clinical setting.

Clinical judgement and the medical profession

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Kienle, Gunver S; Kiene, Helmut

2011-01-01

Objectives Clinical judgment is a central element of the medical profession, essential for the performance of the doctor, and potentially generating information also for other clinicians and for scientists and health care managers. The recently renewed interest in clinical judgement is primarily engaged with its role in communication, diagnosis and decision making. Beyond this issue, the present article highlights the interrelations between clinical judgement, therapy assessment and medical professionalism. Methods Literature review and theory development. Results The article presents different methodological approaches to causality assessment in clinical studies and in clinical judgement, and offers criteria for clinical single case causality. The article outlines models of medical professionalism such as technical rationality and practice epistemology, and characterizes features of professional expertise such as tacit knowledge, reflection in action, and gestalt cognition. Conclusions Consequences of a methodological and logistical advancement of clinical judgment are discussed, both in regard to medical progress and to the renewel of the cognitive basis of the medical profession. PMID:20973873