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Sample records for psychoanalytic approaches criteria

  1. On psychoanalytic approaches to autism.

    Science.gov (United States)

    Hobson, R P

    1990-07-01

    An analysis of the strengths and limitations of psychoanalytic approaches to autism serves to highlight the need for a theoretical scheme adequate to encompass social as well as cognitive development in autistic individuals. It is proposed that such a scheme will entail an account of normal development in which children's "object relations" feature prominently.

  2. A Psychoanalytic Approach to Fieldwork

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    Ramvi, Ellen

    2012-01-01

    This article focuses on what both psychoanalysis and anthropology have in common: the emphasis on the researcher's own experience. An ethnographic fieldwork will be used to illustrate how a psychoanalytical approach unfolds the material when studying conditions for learning from experience among teachers in two Norwegian junior high schools, and…

  3. Counselling University Students: A Psychoanalytic Approach

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    Massimiliano Sommantico

    2017-05-01

    Full Text Available The authors describe a psychoanalytic approach to the counselling with university students, as it is proposed at the University of Naples Federico II. On one hand, the focus is on the specific evolution phase of counselling students, which is late adolescence; on the other hand, it is on the specific aspects of the approach at issue. The authors particularly carry out a description of three characteristics of psychoanalytic counselling with university students: the specific space-time of the setting, the functioning through the free association/freely floating attention, the transference/countertransference dynamic. The authors support their theses, by presenting the clinical case of a student, who consulted the Psychological Counselling Centre for University Students (CCPSU. Clinical excerpts of four counselling sessions are then briefly commented on the basis of the theoretical-clinical paradigm of reference.

  4. RELIGIOUS AND PHILOSOPHICAL CRITICISM OF THE PSYCHOANALYTIC APPROACH TO EKZEGETICS OF DREAMS

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    Viyacheslav Alekseevich Ermakov

    2015-08-01

    Full Text Available n this article the author reconstructed and generalized the religious and philosophical aspects of Christian criticism of psychoanalytic methodology of dreams interpretation. The research opens an occult specifics of a psychoanalytic oneurocritics. There is a consideration of a concept how such factors as «cocaine promotion» affects Freudian theory of dreams, a freemasonry and cabalism. The article reveals that Christian ekzegetics of dreams is essentially opposite to psychoanalytic interpretation of dreaming experience. The author makes a hypothesis of before-Freud unity of psychiatric and Christian approaches to interpretation of dreams and an orientation of psychoanalysis on destruction of this unity. The assumption of spiritual and psychological danger of application of psychoanalytic approach of dreams interpretation in psychological work is reasonable. The author comes to a conclusion that the Freudian methodology of dreams interpretation has been developed with the purposes of introduction of anti-Christian occult psychology in the theory and practice of medical and psychiatric activity and elimination of Christian vicarial psychotherapy.Purpose. The research objective consists of retrospective reconstruction of the main critical aspects of the psychoanalytic concept of dreams presented in Christian approach to ekzegetics of dreams.Methodology. Method of this research is a comparative analysis of Christian and psychoanalytic approaches of understanding the nature and essence of dreaming process and its interpretation.Results. Results of research can be used as in the scientific purposes of critical genera-lization and studying of the theoretical model of a dream developed by psychoanalysis and in educational activity where students can compare Christian and psychoanalytic approaches.Practical implementation: psychology, philosophy history, sociology, theological researches.

  5. A psychoanalytically oriented combined treatment approach for severely disturbed borderline patients: the Athens project.

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    Vaslamatzis, Grigoris; Coccossis, Maria; Zervis, Christos; Panagiotopoulou, Victoria; Chatziandreou, Maria

    2004-01-01

    A psychoanalytically oriented combined treatment is considered beneficial for severely disturbed borderline patients, especially during an acute crisis. The proposed treatment comprises hospitalization and specialized psychotherapeutic inpatient treatment, individual psychoanalytic psychotherapy, and psychiatric management. It is important to take into account that during inpatient treatment, projective identifications and splitting mechanisms are activated, involving different members of the therapeutic personnel or other patients. The mental health team--the psychiatrist, the nurses, the assigned psychotherapist, and other members of the therapeutic personnel--should work together in the context of teamwork in order to explore transference and countertransference manifestations. This function promotes empathy and understanding of the patient's inner difficulties. A combined treatment approach can help the patient stabilize his or her condition and develop awareness and motivation for undertaking long-term treatment and individual psychoanalytic psychotherapy, with the prospect that therapy will be maintained after the patient's discharge.

  6. The predictive power of Horney's psychoanalytic approach: an empirical study.

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    Coolidge, Frederick L; Segal, Daniel L; Benight, Charles C; Danielian, Jack

    2004-12-01

    This study investigated the construct validity of a measure of Karen Horney's (1945) psychoanalytic theory that postulated three neurotic trends: compliant, aggressive, and detached. Her theory was operationalized by the Horney-Coolidge Type Indicator (HCTI). One hundred seventy-two adults completed the HCTI and the short form of the Coolidge Axis II Inventory, a measure of the three DSM-IV personality disorder clusters. Multiple regression and canonical correlation analyses revealed significant and differential patterns of the three HCTI dimensions with the three clusters. Because Paris (1994) has noted that Horney's neurotic trends may today be conceived of as personality disorders, one implication of the present findings is that Horney's dynamic theory can be valid and useful in the general understanding of personality disorders from a cluster perspective.

  7. Interaction, Transference, and Subjectivity: A Psychoanalytic Approach to Fieldwork

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    Linda Lundgaard Andersen

    2012-12-01

    Full Text Available Fieldwork is one of the important methods in educational, social, and organisational research. In fieldwork, the researcher takes residence for a shorter or longer period amongst the subjects and settings to be studied. The aim of this is to study the culture of people: how people seem to make sense of their lives and which moral, professional, and ethical values seem to guide their behaviour and attitudes. In fieldwork, the researcher has to balance participation and observation in her attempts at representation. Consequently, the researcher’s academic and life-historical subjectivity are important filters for fieldwork. In general, fieldwork can be understood as processes where field reports and field analysis are determined by how the researcher interacts with and experiences the field, the events and informants in it, and how she subsequently develops an ethnography. However, fieldwork is also subjected to psychodynamic processes. In this article, I draw upon a number of research inquiries to illustrate how psychodynamic processes influence research processes: data production, research questions and methodology, relations to informants, as well as interpretation and analysis. I further investigate through a case study how the psychoanalytical concepts of “transference” and “institutional transference” can provide insight into the dynamics of efficiency and democracy at a number of Danish human service organisations.

  8. The psychoanalytic approach to the mass communication process modelling

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    Косюк, Оксана Михайлівна; Kosiuk, O.M.

    2011-01-01

    У статті розглядається можливість введення додаткового (психоаналітичного) критерію для підтвердження функціонування чотирьох універсальних моделей у царині масової комунікації. The article considers the possibility of additional (psychoanalytic) criterion introduction for four universal models functioning confirmation in mass communication. В статье рассматривается возможность введения дополнительного (психоаналитического) критерия для подтверждения функционирования четырех уни...

  9. AN ARTISTIC AND PSYCHOANALYTIC APPROACH OF LEONARDO DA VINCI’S PAINTINGS

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    Irina-Andreea STOLERIU

    2015-06-01

    Full Text Available The starting point of the present paper is the work 'The Virgin and Child with Saint Anne', made by Leonardo da Vinci. The paper is based both on an artistic and psychoanalytic approach which opens new ways of interpretation due to the research of Sigmund Freud - 'Leonardo da Vinci and a Memory of His Childhood'. Freud claims that Leonardo had found the lost image of his mother in his works 'The Virgin and Child with Saint Anne' and 'Mona Lisa', thus justifying the artist’s direct attachment to these creations. Along with specific interpretations of the creative process, the psychoanalytic approach intends to explain and enrich the content of ideas of the present paper regarding one of the most valuable creations of Leonardo and also an artistic testament created towards the end of his life. Freud’s psychoanalytic approach brings specific interpretative content for the mentioned work of art. It is different from the artistic method, not contradicting various artistic studies, but complementing them in a harmonious way.

  10. Chestnut Lodge and the psychoanalytic approach to psychosis.

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    Kafka, John S

    2011-02-01

    The study of psychosis has a long history in psychoanalysis, as does the debate over the suitability of psychoanalysis for treating schizophrenia. For decades, Chestnut Lodge was not only a hospital but also a clinical research and educational institution. A unique patient-staff ratio--about twenty analytic therapists for a hundred patients--made possible prolonged and intense clinical work with schizophrenic and other severely disturbed patients. Interstaff discussions were encouraged and facilitated. This quasi-academic approach to in-depth individual case studies led to clinical findings and theoretical formulations that had a significant impact on developments in psychoanalysis, both here and abroad. Many of these findings and theoretical formulations are relevant to current studies and treatments of psychotic and nonpsychotic patients.

  11. Review Essay: Our Rules Leave a Backdoor Open—At the Heart of the Radically Incomplete Psychoanalytic Process

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    Michael Langenbach

    2008-10-01

    Full Text Available Practical work in psychoanalytic practice is a core component of the enhancement of psychoanalytic knowledge. Despite its importance it is a rather dark chapter in the research history of psychoanalysis and empirical research into what actually happens in practice has been rare. The book by Andreas STRATKÖTTER reviewed here takes psychoanalytic practice as the empirical basis of an extensive qualitative study. The psychoanalysts interviewed by STRATKÖTTER describe the criteria they take to indicate the need for psychoanalytic treatment, the practical relevance of central psychoanalytic notions, and their professional development after psychoanalytic training. STRATKÖTTER's study can be taken as a reference for demands for improvements in the culture of psychoanalytic training and for further development of qualitative research approaches in psychoanalysis. URN: urn:nbn:de:0114-fqs0901173

  12. Phantasm of Freud: Nandor Fodor and the psychoanalytic approach to the supernatural in interwar Britain.

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    Timms, Joanna

    2012-01-01

    The paper examines the appearance of "psychoanalytic psychical research" in interwar Britain, notably in the work of Nandor Fodor, Harry Price and others, including R. W. Pickford and Sylvia Payne. The varying responses of Sigmund Freud and Ernest Jones to the area of research are discussed. These researches are placed in the context of the increasingly widespread use of psychoanalytic and psychological interpretations of psychical events in the period, which in turn reflects the penetration of psychoanalysis into popular culture. The saturation of psychical research activity with gender and sexuality and the general fascination with, and embarrassment about, psychical activity is explored.

  13. The question of representation in the psychoanalytical and cognitive-behavioural approaches. Some theoretical aspects and therapy considerations

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    Philippe eDe Timary

    2011-04-01

    Full Text Available This paper compares the cognitive-behavioural and psychoanalytical approaches with respect to the way in which each of them conceives of representation and deals with the issues that this involves. In both of them conscious and latent (unconscious representations play a crucial role. Highlighting similarities and differences facilitate communication on a theoretical level but also prove helpful to the clinical practitioners involved. We try to put forward an attempt at comparison, with the idea of going beyond the -- obviously important -- differences in vocabulary. In this attempt at comparison, we have successively compared the definitions of representation and the respective therapeutic interventions proposed by each approach. There are no doubt many overlapping elements in the way in which the workings of the mind are conceived of in these approaches, particularly as regards their links with affects. We next developed the implications of representation deficits in pathology, suggesting the important role played by elements that are avoided, suppressed from memory or repressed, and with respect to the need to treat such material in a specific manner so as to ensure some progress as to the symptoms presented. We finally summarized common and distinct aspects of the two perspectives. The very fact that two approaches that follow very distinct methodologies reach the same conclusion concerning the importance of distortions and failures of representation in generating mental distress strengthens, in our view, the epistemological reliability of the role of representation in psychopathology.

  14. In the Intimacy of My "Enactlon": Modeling Kohut's "Bipolar Self" as an Autopoietic System: A Dialectic Approach to Phenomenological Research in Contemporary Psychoanalytic Self Psychology.

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    Prendergast, Claire Nicole

    2016-06-01

    This paper demonstrates that Kohut's definitional system of the "bipolar self" within psychoanalytic self psychology can be modeled as a biological autopoietic system, both in terms of its structure and dynamics, in a way that accounts for the phenomenological aspects of experiential living. Based on this finding, the author argues that a nonreductionist definitional system of this type is an integral component of any pragmatic methodology, such as Kohut's "empathic-introspective" method of treatment, which aims to enable the analyst, as observer, to gain access to the phenomenological world of the analysand within the analytic setting. The dialectic approach undertaken in this preliminary exploration of the "bipolar self" as an autopoietic system has proven fruitful in excavating some of the theoretical features of psychoanalytic self psychology, the weighted importance of which can now be reevaluated in contemporary practice.

  15. Psychoanalytic attitudes towards homosexuality: an empirical research.

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    Lingiardi, Vittorio; Capozzi, Paola

    2004-02-01

    Homosexuality is a challenging subject for the psychoanalytic community, which is now rethinking some of its basic theoretical and institutional assumptions. In recent decades psychoanalytic theory has changed, and the classical psychosexual model has been challenged. After a short review of major psychoanalytical theories of homosexuality, the authors focus on the existence of contrasting attitudes towards homosexuality. This plurality of theories and their clinical and institutional consequences stimulated the authors to investigate the relationship between the individual analyst's theoretical model and his/her clinical practice. The authors present the results of empirical research conducted in the Italian psychoanalytic community on the attitude of psychoanalysts towards homosexuality and the implications for cultural, theoretical and institutional issues. A questionnaire was sent to 600 psychoanalysts (206 of which responded), members of the five main Italian psychoanalytic institutions. First, analysts' personal characteristics and preferred theoretical models were investigated. Second, the respondents responded to statements eliciting their theoretical and clinical approach towards homosexuality. Results indicate that: a) cultural and theoretical background influences the analysts' attitudes towards homosexuality more than gender; b) there is a discrepancy between analysts' theoretical position and their clinical practice; and c) IPA institutes are more discriminatory towards homosexual colleagues than are Jungian ones.

  16. Psychoanalytic reality of prose

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    Todorović Milorad V.

    2015-01-01

    Full Text Available Scientific methods of a particular field of knowledge can not be freely applied to a different field without any adjustments or reservations. Openness to a different approach is detrimental here. According to Nothrop Frye, psychonalysis in literature tends to 'blur the lines between methods' (Frye 1979: 383 thus increasing openness. Therefore, the anxiety that exists between the theory of psychonalysis and the practice of psychoanalytic therapy will follow the application of psychoanalysis to other scientific fields. Solid grasp of the theory of psychoanalysis is incomplete without understanding its practical implementation in the domain of pain as its priviledged source of truth. Even Jacques Lacan emphasized this by distinguishing between understanding and knowing Jacques Derrida's psychoanalysis. The interdisciplinary activity, valued today as an important aspect of research, cannot be accomplished by simple confrontations between various specialized branches of knowledge. According to Roland Barthes, interdisciplinary work is not a peaceful operation: it begins effectively when the solidarity of the old disciplines breaks down to the benefit of a new object and a new language, neither of which is in the domain of those branches of knowledge that one calmly sought to confront (Barthes 1986b:181. Mirjana Lončar Vujnović proposes, following Barthes logic, to substitute the term psychoanalysis with the term 'experimental mysticism' (Lončar Vujnović 2014: 46. Her proposition has no semantic justification (and not only for its failed attempt at oxymoron let alone scientific. The exploration of the unconscious psyche which is unknown and irrational - designated under certain circumstances as the exploration of the mystical as a hidden, secret part of a man's soul - was scrutinized in psychoanalysis by employing a rigorous scientific method in reverence to the methods of the natural sciences. Furthermore, due to the nomothetic-ideographic and

  17. Subjective approach to the determination of criteria weights

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    Milić R. Milićević

    2012-04-01

    Full Text Available This paper presents the methods of the subjective approach in determining the criteria weights. The compensatory and noncompensatory methods for determining the criteria weights are briefly summarized. Determining the criteria weight using pairwise comparisons and rankings is elaborated in detail. Possible ways of determining the criteria weight in a group environment are presented in the last part of the paper. A subjective approach includes an impact of the decision maker on the criteria weights, and therefore on the final solution of multicriteria problems. In contrast to the objective approach, some methods of the subjective approach do not require the existence of a decision matrix. The main aim of this paper is a systematic review of possible ways of determining the criteria weights by the decision maker or more participants in the decision process.

  18. Hamlet and psychoanalytic experience.

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    Schwaber, Paul

    2007-01-01

    Hamlet draws us into its rendered world, enabling us to experience it with depth, awareness, and resonance, in a mode we recognize as aesthetic. By way of Shakespeare's play--primarily the first act--and a detailed case study, aesthetic and psychoanalytic experience are compared, to suggest that, for our own analytic discourse, we revalue Freud's unease that his case studies read like short stories.

  19. La Adicción a Sustancias Químicas: ¿Puede ser Efectivo un Abordaje Psicoanalítico? Substance Addiction: Can a Psychoanalytical Approach be Effective?

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    Cristián López

    2006-05-01

    Full Text Available En este artículo se discute la posibilidad de usar una aproximación psicoanalítica para el tratamiento de pacientes con adicción. Los conceptos centrales de los llamados "clásicos" son analizados, discutiendo si la adicción puede ser considerada un síntoma psicoanalítico, una expresión de conflictos inconscientes. Se distinguen tres etapas en el proceso que lleva al desarrollo de una adicción. Se presenta el concepto de "rectificación subjetiva" de Lacan, con el fin de discutir el proceso de entrada a tratamiento desde una aproximación psicoanalítica. Se discute la necesidad de abstinencia. Se realiza una propuesta para establecer una aproximación técnicamente flexible a partir de la cual se puedan incluir las instancias y elementos terapéuticos requeridos sin renunciar al punto de vista psicoanalítico.This article discusses how possible it is to use a psychoanalytical approach to treat patients with drug addiction. Main concepts of the so called "classics" are analysed discussing if drug addiction can be considered a psychoanalytical sympton, an expression of unconscious conflicts. Three steps of the process leading to an addiction are distinguished. The concept of "subjective rectification" of Lacan is presented, aiming to discuss the entrance process to a treatment from a psychoanalytical point of view. The need of abstinence is discussed. A proposal is made to set a technically flexible approach, in order to include all the therapeutic instances and elements required without giving up a psychoanalytical point of view.

  20. Ontology Evaluation:Consideration of Criteria, Approaches and Layers

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    Akram Fathian Dastgerdi

    2012-03-01

    Full Text Available Ontology is commonly used as a structure capturing knowledge about a certain area via providing relevant concepts and relations between them. Nowadays, because of the increase in designing ontologies in different domains, it is important to describe some criteria for selecting the most appropriate ontology. The purpose of this paper is to discuss the ontology evaluation criteria, approaches and layers. At first, different evaluation stages in ontology evaluation were explained. Then the most important approaches to ontology evaluation were described: included gold standard, task-based, data-driven and criteria based evaluation. Another part of this paper was about ontology evaluation criteria such as those mentioned by experts of ontology domain as well as the criteria that proposed by US National Center for ontological Research. Lastly, the levels of ontology evaluation, involved lexical, vocabulary, or data layer, hierarchy or taxonomy layer, other semantic relations layer, context or application level, syntactic level, structure, architecture and design layer were characterized.

  1. A PSYCHOANALYTIC APPROACH TO AFANASY FET’S WORK, “A DREAM” - AFANASİY FET’İN “RÜYA” ADLI ESERİNE PSİKANALİTİK YAKLAŞIM

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    Leyla KERİM

    2015-04-01

    Full Text Available The idea that literature and psychology which are based on human and the issues related to human in all their historical process should be scientifically explored from each other’s perspective was first suggested by Sigmund Freud. Freud used the literary works as materials to examine their writers and protagonists better; consequently, his approach is known as the psychoanalytic criticism since he examined writers’ and protagonists’ earlier lives, dreams and psychologies through these literary works. In this respect, Afanasy Fet’s work ,“A Dream” could be considered as a very interesting study theme. Fet, who is not as well-known as L. N. Tolstoy and F. M. Dostoyevsky in Turkey, is one of the poets that belong to the literary approach known as the “Clean Art” in 19.th century Russian literature. The poem named “A Dream” has a special place among A. Fet’s works because of its subject matter and its being one of the “clean art” works. The work is about Lieutenant Losev’s vision he dreamt. The reason for us to choose this work which provided a basis for our study is that dreams have big importance regarding psychology, and they are directly connected to sub conscience. Due to the psychoanalytic approach, the works examined can be understood better, and the hidden factors can emerge. We recognize two different sub consciences in this work that is analyzed with psychoanalytic approach: first, a protagonist who is narrating his dream and feelings (Lieutenant Losev and then Afanasy Fet whose feelings and psychology are reflected on the work. As a result of our analysis, we could say that Afanasy Fet reflected on Lieutenant Losev with regard to the deductions we get through the methods of psychoanalytic criticism. Since the methods of psychoanalytic criticism have not been given enough place in the studies on Russian Literature in Turkey, we believe that our study will be useful in this field.

  2. Psychoanalytic treatment of psychosis in institutions.

    OpenAIRE

    Mackie, Belinda S.

    2017-01-01

    Psychoanalysis can provide a conceptual foundation for the treatment of psychosis and for understanding how institutions that care for patients with psychosis function. The research of this thesis aims to examine theoretic, therapeutic and institutional approaches to psychosis. What is of significance is the priority that psychoanalysis places on the individual patient's treatment, how it is conceived psychoanalytically and incorporated in the overall organisation of an institution. Psychoan...

  3. New approach to decision making by multiple criteria analysis

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    Vanicek Tomas

    2018-01-01

    Full Text Available Many decision processes in technical and economical sciences require multiple criteria decision making. The most widely applied methods for multiple criteria evaluation of alternatives are based on the evaluation of alternatives in terms of an additive preference function. All of them require the estimation of weights of usually conflicting criteria. There are several methods how to find the weights of the criteria and how to find the evaluation of each solution in each criterion. The decision process based on simple weighted sum of values may not be the best approach in all situations. This paper contains a new approach of the evaluation of measured value set by different mathematical operators than the usually used multiple criteria evaluation methods. The approach was applied in a case study for multiple criteria evaluation. Generally, this new decision-support tool can help in various situations where different types of effects caused by a construction or reconstruction can occur. This is a very frequent situation in dealing with building defects, too.

  4. The Flexible Function of the Modern Kleinian Psychoanalytic Approach: Interpreting Through the Unbearable Security of Paranoid and Depressive Phantasies.

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    Waska, Robert

    2016-09-01

    Working to establish analytic contact (Waska, 2007) with a patient involves the verbal act of interpretation. But, how one interprets and what we try to hold in words is not the same with each patient. Each patient requires, invites, provokes and responds to a unique mixture of interpretive elements or approaches. The projective identification process that is so often the bedrock of the transference, and therefore the catalyst of the counter-transference, forms the psychological climate between patient and analyst. Case material is used to explore a Modern Kleinian interpretive approach with both a very entrenched depressive position (Klein, 1935, 1940) patient and a very primitive paranoid-schizoid (Klein, 1946) patient. Both these individuals desired relief from their symptoms of anxiety, anger, emptiness, and guilt. But, their unbearable unconscious phantasies offered pathological security that they were familiar with and therefore they preferred the known internal trauma and chaos to facing the unknown and undefined reality of self and other that change, grief, and growth would bring.

  5. Mourning and psychosis: a psychoanalytic perspective.

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    Tizón, Jorge L

    2010-12-01

    The author attempts to develop some of the basic models and concepts relating to mourning processes in psychotic patients on the assumption that situations of loss and mourning are key moments for psychoanalysis, psychotherapy, and therapeutic approaches in general. Secondly, he reminds us that 'mourning processes in psychotics' are not always 'psychotic mourning processes', that is to say, that they do not necessarily occur within, or give rise to, a psychotic clinical picture. These ideas are illustrated by a number of sessions and vignettes concerning two psychotic patients in psychotherapeutic and psychoanalytic treatment. In theoretical terms, it seems vitally important in this context to combine a relationship-based approach within a framework of special psychoanalytic psychopathology with an updated view of processes of mourning and affective loss. A fundamental requirement at clinical level is to determine the role to be played by psychoanalytically based treatments in combined, integrated or global therapies when working with psychotic patients. For this purpose, the paper ends by outlining a set of principles and objectives for such treatments. Copyright © 2010 Institute of Psychoanalysis.

  6. Dry Port Location Problem: A Hybrid Multi-Criteria Approach

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    BENTALEB Fatimazahra

    2016-03-01

    Full Text Available Choosing a location for a dry port is a problem which becomes more essential and crucial. This study deals with the problem of locating dry ports. On this matter, a model combining multi-criteria (MACBETH and mono-criteria (BARYCENTER methods to find a solution to dry port location problem has been proposed. In the first phase, a systematic literature review was carried out on dry port location problem and then a methodological classification was presented for this research. In the second phase, a hybrid multi-criteria approach was developed in order to determine the best dry port location taking different criteria into account. A Computational practice and a qualitative analysis from a case study in the Moroccan context have been provided. The results show that the optimal location is very convenient with the geographical region and the government policies.

  7. Psychoanalytic Schools in Historical Perspective

    OpenAIRE

    Suzuki, Yuzuru

    2002-01-01

    This paper summarizes the historical evolution of major psychoanalytic schools. Because Sigmund Freud founded psychoanalysis, we start with the description of the Freudian model. Freud proposed his libido theory as an answer to the fundamental question in psychology, i.e. "What drives the human mind?" Many of the psychoanalytic schools came into existence from criticism of Freud's libido theory. Although they all disagree with the libido theory in one way or another, each school formulated a ...

  8. Automobile Tire Assessment: A Multi-Criteria Approach

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    Ateekh-Ur-Rehman

    2017-02-01

    Full Text Available In response to the present dynamic market, automobile manufacturing industries are constantly evaluating and improving their manufacturing strategies to stay competitive. It is also evident that they evaluate those strategies considering multiple criteria. In one such case, an automobile project manager has to ensure that the selected tire (among the available alternatives complies with the prospective automobile’s performance. This paper presents an approach for the assessment of alternative automobile tires taking into account multiple criteria, such as tire sustainability, tire road performance, environmental issues, tire purchase cost and tire road grip. The presented approach is quite helpful to any decision maker who is interested not only in ranking alternatives but also in establishing the superiority of an alternative over others. The approach also helps to specify the position of each alternative with respect to ideal solution. A case illustration is used to demonstrate an application of the approach.

  9. Multi-criteria decision making approaches for green supply chains

    NARCIS (Netherlands)

    Banasik, Aleksander; Bloemhof-Ruwaard, Jacqueline M.; Kanellopoulos, Argyris; Claassen, G.D.H.; Vorst, van der Jack G.A.J.

    2016-01-01

    Designing Green Supply Chains (GSCs) requires complex decision-support models that can deal with multiple dimensions of sustainability while taking into account specific characteristics of products and their supply chain. Multi-Criteria Decision Making (MCDM) approaches can be used to quantify

  10. Participatory flood vulnerability assessment: a multi-criteria approach

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    M. M. de Brito

    2018-01-01

    Full Text Available This paper presents a participatory multi-criteria decision-making (MCDM approach for flood vulnerability assessment while considering the relationships between vulnerability criteria. The applicability of the proposed framework is demonstrated in the municipalities of Lajeado and Estrela, Brazil. The model was co-constructed by 101 experts from governmental organizations, universities, research institutes, NGOs, and private companies. Participatory methods such as the Delphi survey, focus groups, and workshops were applied. A participatory problem structuration, in which the modellers work closely with end users, was used to establish the structure of the vulnerability index. The preferences of each participant regarding the criteria importance were spatially modelled through the analytical hierarchy process (AHP and analytical network process (ANP multi-criteria methods. Experts were also involved at the end of the modelling exercise for validation. The final product is a set of individual and group flood vulnerability maps. Both AHP and ANP proved to be effective for flood vulnerability assessment; however, ANP is preferred as it considers the dependences among criteria. The participatory approach enabled experts to learn from each other and acknowledge different perspectives towards social learning. The findings highlight that to enhance the credibility and deployment of model results, multiple viewpoints should be integrated without forcing consensus.

  11. Participatory flood vulnerability assessment: a multi-criteria approach

    Science.gov (United States)

    Madruga de Brito, Mariana; Evers, Mariele; Delos Santos Almoradie, Adrian

    2018-01-01

    This paper presents a participatory multi-criteria decision-making (MCDM) approach for flood vulnerability assessment while considering the relationships between vulnerability criteria. The applicability of the proposed framework is demonstrated in the municipalities of Lajeado and Estrela, Brazil. The model was co-constructed by 101 experts from governmental organizations, universities, research institutes, NGOs, and private companies. Participatory methods such as the Delphi survey, focus groups, and workshops were applied. A participatory problem structuration, in which the modellers work closely with end users, was used to establish the structure of the vulnerability index. The preferences of each participant regarding the criteria importance were spatially modelled through the analytical hierarchy process (AHP) and analytical network process (ANP) multi-criteria methods. Experts were also involved at the end of the modelling exercise for validation. The final product is a set of individual and group flood vulnerability maps. Both AHP and ANP proved to be effective for flood vulnerability assessment; however, ANP is preferred as it considers the dependences among criteria. The participatory approach enabled experts to learn from each other and acknowledge different perspectives towards social learning. The findings highlight that to enhance the credibility and deployment of model results, multiple viewpoints should be integrated without forcing consensus.

  12. Theory and practice in psychoanalysis: psychoanalytic praxis. 1969.

    Science.gov (United States)

    Bleger, José

    2012-08-01

    The author systematises and examines the relation between theory and practice in psychoanalysis in three directions: one, eminently epistemological, which is only mentioned because it pertains not only to psychoanalysis but to all the sciences; another, the relation between theory and technique; and the third, the relation between theory and the institutional organisation of psychoanalysis and psychoanalysts. All the problems described, especially the second and third points, together define psychoanalytic praxis. With regard to contradictions between theory and technique, the author points out that psychoanalytic theory is constructed fundamentally on the basis of an approach that is historico-genetic, dynamic and consistent with formal logic, whereas psychoanalytic practice occurs within a transference–countertransference relation, in a situation configured as an analytic field, a ‘here and now’, within a dramatic explanation and in a dialectic process. This triple diagnosis involves naturalistic and phenomenological approaches, the problem of objectivity and the role given to sexuality as a privileged parameter in psychoanalytic theory. In relation to the third direction mentioned above,the author refers briefly to the problem of psychoanalytic organisations, in the sense that they come into conflict with the development of psychoanalytic theory and the deepening of investigation. In reference to the latter, the author emphasises the need to widen the perspective of what constitutes psychoanalytic praxis. He points out that praxis is always replete with contradictions and that it is not a question of ignoring,denying or impeding these contradictions themselves (which would in any case be totally ineffective), but that by taking them into account, scientific development could be managed in a more planned way, less blindly; that is to say, less abandoned to spontaneity.

  13. Automobile Tire Assessment: A Multi-Criteria Approach

    OpenAIRE

    Ateekh-Ur-Rehman; Alkahtani, M.

    2017-01-01

    In response to the present dynamic market, automobile manufacturing industries are constantly evaluating and improving their manufacturing strategies to stay competitive. It is also evident that they evaluate those strategies considering multiple criteria. In one such case, an automobile project manager has to ensure that the selected tire (among the available alternatives) complies with the prospective automobile’s performance. This paper presents an approach for the assessment of alternativ...

  14. The constitution of intelligence: a psychoanalytical approach / A constituição da inteligência: uma abordagem psicanalítica

    Directory of Open Access Journals (Sweden)

    Regina Orgler Sordi

    2005-01-01

    Full Text Available This paper aims to discuss human intelligence in the psychoanalytical perspective, particularly considering the contribution of Silvia Bleichmar who explores how human mind develops the intellectual activity from the embryonic states. It is recognized the contribution of genetic epistemology developed by Jean Piaget which allows to understand the capacity to build symbolic systems from sensory-motor schemes. There is also pointed some convergence between the genetic psychology and the psychoanalytic thought. What is stressed in this article, however, is that the contribution of psychoanalysis about the origins of intelligence has been less studied, although it is of most interest both theoretically and clinically. The theoretical inspiration of the paper relies on Freud's theory but it is more definitely grounded on the French school of Jean Laplanche. It tries to show that to reach the objectivity of logical structures, characterized by the categories of the Aristotelian logic – classification, space, time, causality, denial – the psychism does an active work of mind connection which starts in the first inscriptions of the other sexualized human and has to implant the originary repression, the only one able to organize the logic of the secondary thought. It stresses, at the end, that the contribution about a theory of the origins of psychism, concerning the development of intelligence is of great help in the studies about learning disabilities, as it differentiates learning difficulties due to secondary causes of the disorders which address to the lack of constitution of the ego.

  15. Multi-Criteria Approach in Multifunctional Building Design Process

    Science.gov (United States)

    Gerigk, Mateusz

    2017-10-01

    The paper presents new approach in multifunctional building design process. Publication defines problems related to the design of complex multifunctional buildings. Currently, contemporary urban areas are characterized by very intensive use of space. Today, buildings are being built bigger and contain more diverse functions to meet the needs of a large number of users in one capacity. The trends show the need for recognition of design objects in an organized structure, which must meet current design criteria. The design process in terms of the complex system is a theoretical model, which is the basis for optimization solutions for the entire life cycle of the building. From the concept phase through exploitation phase to disposal phase multipurpose spaces should guarantee aesthetics, functionality, system efficiency, system safety and environmental protection in the best possible way. The result of the analysis of the design process is presented as a theoretical model of the multifunctional structure. Recognition of multi-criteria model in the form of Cartesian product allows to create a holistic representation of the designed building in the form of a graph model. The proposed network is the theoretical base that can be used in the design process of complex engineering systems. The systematic multi-criteria approach makes possible to maintain control over the entire design process and to provide the best possible performance. With respect to current design requirements, there are no established design rules for multifunctional buildings in relation to their operating phase. Enrichment of the basic criteria with functional flexibility criterion makes it possible to extend the exploitation phase which brings advantages on many levels.

  16. The didactics of psychoanalytic education.

    Science.gov (United States)

    Körner, Jürgen

    2002-12-01

    The author first discusses general didactic considerations regarding psychoanalytic education and the teacher-pupil relationship. He then demonstrates that psychoanalytic education is greatly influenced by the ideal of a liberal education, of which in Germany there is a strong tradition under the name 'Bildung'. The main characteristics of 'Bildung'--as opposed to professional training--are that the objectives remain undefined and there is no attempt to achieve defined and operationalisable professional qualifications. The relationship between teacher and pupil is characterised by authority and trust. A psychoanalytic education by means of a 'liberal education' is based upon the assumption that the student should be motivated and supported in achieving competence through a passionate study of the world of psychic reality. Today, however, psychoanalytic education must be seen within a contemporary context that forces us to abandon the ideals of a liberal education, to operationalise the subjects studied and to control the education itself with regard to efficiency and results. These modern demands are the result of a professionalisation which has reached all social professions and from which psychoanalysis also cannot escape. Because of this, it is especially important to reflect on our educational methods and objectives. The author makes several suggestions on this subject. It is to be hoped that psychoanalysis will find its own way, without, on the one hand, losing sight of the special nature of psychoanalytic competence through an over-hasty adaptation to the process of professionalisation and, on the other hand, without reverting to unquestioned and outdated ideas on education.

  17. Psychoanalytic interpretation and cognitive transformation.

    Science.gov (United States)

    Basch, M F

    1981-01-01

    Psychoanalytic metapsychology should be recognized for what it is, namely a theory of cognition and affect that is not derived directly from clinical data but is advanced in order to provide the development background that will let us deal with the clinical findings of psychoanalysis as aberrations of and deviations from the normal and expected evolution of the thinking process. Its cornerstone is Freud's belief that thought depends on the forging of links between the sensory perception of objects and their appropriate verbal descriptions. He made no secret of his dissatisfaction with his metapsychology and repeatedly revised it in an attempt to encompass those clinical discoveries of psychoanalysis that outstripped the explanatory power of that metapsychology and demonstrated its shortcomings. Using what we now know about normal development in infancy and childhood through the work of Piaget, Vygotsky and other investigators, it is possible to formulate an explanatory theory that does justice to the varied and complex findings uncovered by the application of the psychoanalytic method. For example, the significance of Freud's postulated second censorship between the preconscious and consciousness, as well as the importance of the defence of disavowal that Freud emphasized in his writings after 1927, can now be accounted for with a theory of thought formation that was not available to the founder of psychoanalysis. The implications of this proposed reformulation for psychoanalytic interpretation and for the application of psychoanalysis to an increasingly wide range of psychopathology is discussed in some detail.

  18. Promoting Behavioral Change in Psychoanalytic Treatments.

    Science.gov (United States)

    Busch, Fredric N

    2017-01-01

    One of the shibboleths of psychoanalysis is that treatment should not target behavioral change, focusing instead on gaining insight and the therapeutic relationship (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). Such an approach is believed to be accompanied by disruptions of exploration or problematic distortions of the transference (Freud, 1917; 1923; Gabbard, 2014; Greenson, 1967). However, ignoring behavioral change can put patients at increased risk for stalemates in treatment and persistent problematic behaviors that interfere with improvement and impair relationships. This article suggests that rather than being at odds or disruptive, efforts at behavioral change can be part of the development and employment of a psychodynamic formulation, and can be used to enhance self-understanding and exploration of the transference. Psychoanalytic approaches provide strategies for behavioral change not included in other psychotherapeutic treatments. This article describes a variety of ways in which efforts at behavioral change can be integrated with and enhanced by psychodynamic exploration.

  19. On psychoanalytic supervision as signature pedagogy.

    Science.gov (United States)

    Watkins, C Edward

    2014-04-01

    What is signature pedagogy in psychoanalytic education? This paper examines that question, considering why psychoanalytic supervision best deserves that designation. In focusing on supervision as signature pedagogy, I accentuate its role in building psychoanalytic habits of mind, habits of hand, and habits of heart, and transforming theory and self-knowledge into practical product. Other facets of supervision as signature pedagogy addressed in this paper include its features of engagement, uncertainty, formation, and pervasiveness, as well as levels of surface, deep, and implicit structure. Epistemological, ontological, and axiological in nature, psychoanalytic supervision engages trainees in learning to do, think, and value what psychoanalytic practitioners in the field do, think, and value: It is, most fundamentally, professional preparation for competent, "good work." In this paper, effort is made to shine a light on and celebrate the pivotal role of supervision in "making" or developing budding psychoanalysts and psychoanalytic psychotherapists. Now over a century old, psychoanalytic supervision remains unparalleled in (1) connecting and integrating conceptualization and practice, (2) transforming psychoanalytic theory and self-knowledge into an informed analyzing instrument, and (3) teaching, transmitting, and perpetuating the traditions, practice, and culture of psychoanalytic treatment.

  20. A constituição da inteligência: uma abordagem psicanalítica The constitution of intelligence: a psychoanalytical approach

    Directory of Open Access Journals (Sweden)

    Regina Orgler Sordi

    2005-12-01

    Full Text Available O artigo procura situar o tema da inteligência humana na perspectiva psicanalítica, em especial, da contribuição de Silvia Bleichmar, explorando como a mente humana desenvolve a atividade intelectual a partir de seus estados embrionários. É reconhecida a contribuição da epistemologia genética desenvolvida por Jean Piaget que nos permite compreender a capacidade de construir sistemas simbólicos a partir de esquematismos sensório-motores. São também salientadas algumas convergências entre o pensamento piagetiano e o pensamento psicanalítico. O que é enfatizado neste artigo, entretanto, é que a contribuição psicanalítica sobre os primórdios da inteligência tem sido bem menos estudada, embora de grande interesse teórico e clínico. A inspiração teórica deste artigo, a partir dos estudos de Bleichmar, apoia-se fortemente em Freud, mas fundamenta-se de forma mais decisiva na orientação da escola francesa de Jean Laplanche. O artigo procura mostrar que, para alcançar a objetividade das estruturas lógicas, caracterizadas pelas categorias da lógica aristotélica - classificação, espaço, tempo, causalidade e negação - o psiquismo realiza um ativo trabalho de ligação dentro da mente que se inicia nas primeiras inscrições do outro humano sexualizado e que necessita implantar a repressão originária, única operação capaz de organizar a lógica do pensamento secundário. Enfatiza, ao final, que a contribuição sobre uma teoria das origens do psiquismo, no que concerne ao desenvolvimento da inteligência, permite ajudar nos estudos sobre os problemas de aprendizagem, diferenciando as dificuldades secundárias à construção do conhecimento dos transtornos que remetem ao não constituído do ego.This paper aims to discuss human intelligence in the psychoanalytical perspective, particularly considering the contribution of Silvia Bleichmar who explores how human mind develops the intellectual activity from the

  1. A STATISTICAL APPROACH FOR DERIVING KEY NFC EVALUATION CRITERIA

    Directory of Open Access Journals (Sweden)

    S.K. KIM

    2014-02-01

    As a result of analyzing the weight of evaluation criteria with the sample of nuclear power experts and the general public, both sides recognized safety as the most important evaluation criterion, and the social factors such as public acceptance appeared to be ranked as more important evaluation criteria by the nuclear energy experts than the general public.

  2. Formalizalization of clinical trial eligibility criteria: Evaluation of a pattern-based approach

    NARCIS (Netherlands)

    Milian, K.; Bucur, A.; ten Teije, A.C.M.; Gao, J.; Alhaij, R.; Dubitzky, W.; Ungar, L.; Wu, C.; Christianson, A,; Liebman, M.; Hu, X.

    2012-01-01

    The semi-automatic evaluation of eligibility criteria can facilitate the recruitment for clinical trials, timely completion of studies and generation of clinical evidence about new approaches to treatment, prevention and diagnosis. Because eligibility criteria are represented as free text,

  3. Theoretical pluralism in psychoanalytic case studies

    Science.gov (United States)

    Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M.; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M. B. D.

    2015-01-01

    The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or “Classical psychoanalysis” dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals. PMID:26483725

  4. Theoretical pluralism in psychoanalytic case studies.

    Science.gov (United States)

    Willemsen, Jochem; Cornelis, Shana; Geerardyn, Filip M; Desmet, Mattias; Meganck, Reitske; Inslegers, Ruth; Cauwe, Joachim M B D

    2015-01-01

    The aim of this study is to provide an overview of the scientific activity of different psychoanalytic schools of thought in terms of the content and production of case studies published on ISI Web of Knowledge. Between March 2013 and November 2013, we contacted all case study authors included in the online archive of psychoanalytic and psychodynamic case studies (www.singlecasearchive.com) to inquire about their psychoanalytic orientation during their work with the patient. The response rate for this study was 45%. It appears that the two oldest psychoanalytic schools, Object-relations psychoanalysis and Ego psychology or "Classical psychoanalysis" dominate the literature of published case studies. However, most authors stated that they feel attached to two or more psychoanalytic schools of thought. This confirms that the theoretical pluralism in psychoanalysis stretches to the field of single case studies. The single case studies of each psychoanalytic school are described separately in terms of methodology, patient, therapist, or treatment features. We conclude that published case studies features are fairly similar across different psychoanalytic schools. The results of this study are not representative of all psychoanalytic schools, as some do not publish their work in ISI ranked journals.

  5. The roots of violence: converging psychoanalytic explanatory models for power struggles and violence in schools.

    Science.gov (United States)

    Twemlow, S W

    2000-10-01

    This paper demonstrates that several psychoanalytic models taken together converge to collectively explain school violence and power struggles better than each does alone. Using my own experience in doing psychoanalytically informed community intervention, I approach the problem of school violence from a combination of Adlerian, Stollerian, dialectical social systems, and Klein-Bion perspectives. This integrated model is then applied to the Columbine High School massacre in Littleton, Colorado.

  6. [The ethics of psychoanalytic technique].

    Science.gov (United States)

    Treurniet, N

    1996-01-01

    The ethic of psychoanalytic technique which goes back to Freud and emphasizes the importance of anonymity, abstinence, neutrality and the central role of interpretation is subjected to a critical examination. The author traces the changes that have taken place since Freud and proposes a new ethic of psychoanalytic technique. Proceeding from the theory of object relations, Treurniet stresses the symmetrical relationship between analyst and analysand permitting both to assume a "meta-position" in order to reflect on the analysis material. The author further suggests that, beyond the projections of the analysand, the analyst should be open to his own subjectivity, as this openness is the key to the essential feature of analytic procedure, the enactment of countertransference. Finally, Treurniet reformulates his advocacy of a non-intrusive, affirmative attitude on the part of the analyst, a spontaneous willingness to "fall into the analysand's trap", an ability to oscillate between acting-out and introspection, to live out countertransference involuntarily and finally to incorporate the non-ideal into his conscience. These rules of technique must be controlled not only by the conscience and the countertransference of the analyst, but also--apart from intervision and consultation with collegues--by the analysand himself, whose opinion of the analytic situation the analyst should ask for.

  7. Questions of technique following the psychoanalytic perspective of Erich Fromm.

    Science.gov (United States)

    Biancoli, Romano

    2006-01-01

    To avoid dogma and ritual Erich Fromm chose not to write a book on psychoanalytic technique, leaving his teachings to the oral tradition of his pupils which advises us to treat each patient and each session as unique. The rules of technique are neither revoked nor denied but rather discussed and criticized. In the author's opinion the "question of technique" takes the place of technique, making the Frommian approach wholly current and in dialogue with interpersonal and relational orientations in psychoanalysis. On this dialectical line and assuming the analyst's awareness as point of view, the theme of the relationship between the here-and-now of the session and the there-and-then of the analysand's life is developed. A dialectical context is also offered between operations of objectivization and operations of alienation in the psychoanalytic process.

  8. A STATISTICAL APPROACH FOR DERIVING KEY NFC EVALUATION CRITERIA

    OpenAIRE

    S.K. KIM; G.B. KANG; W.I. KO; S.R. YOUN; R.X. GAO

    2014-01-01

    This study suggests 5 evaluation criteria (safety and technology, environmental impact, economic feasibility, social factors, and institutional factors) and 24 evaluation indicators for a NFC (nuclear fuel cycle) derived using factor analysis. To do so, a survey using 1 on 1 interview was given to nuclear energy experts and local residents who live near nuclear power plants. In addition, by conducting a factor analysis, homogeneous evaluation indicators were grouped with the same evaluatio...

  9. Psychoanalytic/Psychodynamic Psychotherapy for Sexually Abused Children and Adolescents: A Systematic Review

    Science.gov (United States)

    Parker, Ben; Turner, William

    2014-01-01

    Objective: To assess the effectiveness of psychoanalytic/psychodynamic psychotherapy for children and adolescents who have been sexually abused. Method: The Cochrane Collaboration's criteria for data synthesis and study quality assessment were used. Electronic bibliographic databases and web searches were used to identify randomized and…

  10. Psychoanalytic lexicography: notes from two "harmless drudges".

    Science.gov (United States)

    Samberg, Eslee; Auchincloss, Elizabeth L

    2010-12-01

    The co-Editors in Chief of the American Psychoanalytic Association's new edition of Psychoanalytic Terms and Concepts (previously edited by Moore and Fine and last revised in 1990) recount their lexicographical adventures. Editing a dictionary at the turn of the twenty-first century is a daunting, some might say foolhardy, undertaking. The most obvious challenge faced by the editors was the growing pluralism within psychoanalysis. However, a more fundamental challenge was that the object of psychoanalytic study, the mind and its processes, can be known only by putting words to our observations, inferences, and interpretations. Psychoanalytic thinkers, starting with Freud, have wrestled with this challenge in ways that define the history of psychoanalysis itself. Long gone are the days when Freud could commend the "correctness" of Sterba's lexicographical efforts. Today postmodern critics, at the opposite extreme, argue that terms and concepts are best understood as "verbal gestures" in the "language-game" of psychoanalysis. Some go so far as to assert that dictionary-writing is obsolete. The co-Editors in Chief of Psychoanalytic Terms and Concepts have not succumbed to such nihilistic views, but have instead struggled to establish a reasonable stance within contemporary debates over the nature of psychoanalytic language.

  11. Predictors of discharge in child psychoanalytic psychotherapy

    Directory of Open Access Journals (Sweden)

    Izabel Cristina Paez

    2015-06-01

    Full Text Available Introduction: This empirical study was based on the analysis of the results of a study about dropout predictors among in child psychoanalytic psychotherapy. The objectives were to characterize the sample of children discharged from psychoanalytic psychotherapy, examine the association between sociodemographic/ clinical variables and child psychoanalytic psychotherapy discharge, and determine predictors of discharge in child psychoanalytic psychotherapy.Method: This quantitative, descriptive and retrospective study analyzed the clinical records of 600 children treated in three institutions that offer graduate courses in psychoanalytic psychotherapy in Porto Alegre, Brazil.Results: The analysis of clinical records revealed that 24.2% of the child patients were discharged from treatment. Neurological assessment and treatment duration were predictors of discharge in child psychoanalytic psychotherapy.Conclusion: The predictors of discharge and dropout may coincide, but they are not the same. In this sample, the construction of the therapeutic alliance and the understanding of the reasons why children need psychotherapy by their parents or guardians may explain our findings.

  12. 'Texts' and 'signs': Criteria for choosing an analytical approach

    Directory of Open Access Journals (Sweden)

    Trocuk Irina V.

    2014-01-01

    Full Text Available At least for two and a half decades the concepts 'narrative' and 'narrative analysis', 'discourse' and 'discourse analysis', 'text', 'context', 'signs' and 'semiotic analysis' have become extremely popular in humanities and social sciences but still have not received precise definitions and are interpreted quite arbitrary based on the conceptual and methodological preferences of the researcher, as well as the goals and objectives of the particular applied or fundamental sociological research project. The author proposes a way to structure the field of textual analysis in sociology that goes far beyond even the broadest interpretations of the content analysis method. Undoubtedly, we need to develop clear criteria for at least the correct naming of different formats of analytical work with textual data; otherwise, we run the risk of writing not scientific articles but rather 'original discursive collages' skillfully juggling an ambiguous and diverse terminology of textual analysis. Key words:.

  13. THE PSYCHOANALYTIC STUDY OF THE CHILD. PSYCHOANALYTIC STUDY OF THE CHILD SERIES, VOLUME 22.

    Science.gov (United States)

    EISSLER, RUTH S., ED.; AND OTHERS

    TWENTY ARTICLES ARE INCLUDED IN THIS VOLUME, THE 22ND IN THE PSYCHOLOGICAL STUDY OF THE CHILD SERIES. PAPERS ON PSYCHOPATHOLOGY AND THERAPY INTERPRET LOSING AND BEING LOST, OBSTACLES TO PSYCHOANALYTIC CURE, AND AFFECT CONTROL. ASPECTS OF PSYCHOANALYTIC THEORY CONSIDERED ARE FREUD'S CONCEPT OF PRIMAL REPRESSION, CONCEPTS OF STRUCTURE AND…

  14. Risk-based microbiological criteria for Campylobacter in broiler meat: A comparison of two approaches

    DEFF Research Database (Denmark)

    Nauta, Maarten; Andersen, Jens Kirk; Tuominen, Pirkko

    2015-01-01

    Risk-based microbiological criteria can offer a tool to control Campylobacter in the broiler meat production chain. Recently two approaches have been applied to derive such criteria and to analyse their potential impact in terms of human health risk reduction: the risk-based version of the establ...... analysis would be needed to develop these risk-based criteria further. (C) 2015 Elsevier Ltd. All rights reserved....

  15. The patient's experience of validation in psychoanalytic treatment.

    Science.gov (United States)

    Schechter, Mark

    2007-01-01

    The importance of the patient's experience of validation is not a new one in psychoanalytic thinking, and can be traced throughout the literature. However, its role as an essential aspect of the psychoanalytic process, particularly in working with intrapsychic conflict, has traditionally been underappreciated. It is argued that validating interventions have an important role in psychoanalytic treatment, and that they often serve to open up, rather than foreclose, the analysis of transference. Marsha Linehan's conceptualization of the role of validation in Dialectical Behavioral Therapy provides a unifying framework for a more extensive psychoanalytic consideration of validation. After a review of the psychoanalytic literature, a number of conceptual issues are discussed that have complicated thinking about validation from a psychoanalytic perspective. Two clinical examples are presented, one from the author's psychoanalytic practice and one from his own analysis. Both illustrate how active validation by the analyst can play an essential facilitating role in the psychoanalytic process.

  16. Approaches in Synesthesia Research: Neurocognitive Aspects and Diagnostic Criteria

    Directory of Open Access Journals (Sweden)

    Nina Mikus

    2013-10-01

    Full Text Available Synesthesia is a fairly rare phenomenon in which the subject in contact with certain stimulus in one modality experiences unusual extra sensations in other modalities, such as seeing or feeling colours while listening to music or personifying of letters and numbers. The phenomenon was long perceived to be merely a product of imagination and associations. Latest research, however, is based on a multidisciplinary approach, which includes first-hand synesthetic reports, neuroimaging and behavioural tests used in confirming and explaining the phenomenon’s presence as well as its neurophysiological foundations. This article presents an overview of such investigations through the lens of cognitive and psychophysical paradigms, neural models and genetic studies of synesthesia.

  17. Multi-criteria evaluation of on-board hydrogen storage technologies using the MACBETH approach

    Energy Technology Data Exchange (ETDEWEB)

    Montignac, F.; Noirot, I.; Chaudourne, S. [CEA, LITEN, Departement des Technologies de l' Hydrogene, 17 rue des Martyrs, 38054 Grenoble (France)

    2009-05-15

    This paper provides some results obtained from the implementation of the MACBETH multi-criteria evaluation approach for the evaluation and comparison of the technical performance of three hydrogen storage technologies: a type IV 70 MPa hydrogen storage system, a cylindrical steel made liquid hydrogen storage system and a solid storage system. The evaluation is carried out considering a 6 kg hydrogen fuel cell vehicle application. Five technical evaluation criteria are taken into account in the analysis: system volume, system mass, refuelling time, hydrogen loss rate and conformability. The outcomes and added-value of this multi-criteria approach are finally discussed. (author)

  18. Civilisation on the Couch: Theorising Multi-Levelled Psychoanalytical Arts Practice

    Science.gov (United States)

    Benjamin, Garfield

    2014-01-01

    This paper combines two psychological approaches to art to theorise a both subjective and cultural methodology for practice-based arts research. The first psychoanalytical approach will follow the work of Deleuze and Guattari's Schizoanalysis, considering the role of the artist in order to assess their work in relation to society from an…

  19. On the origins of psychoanalytic psychohistory.

    Science.gov (United States)

    Pietikainen, Petteri; Ihanus, Juhani

    2003-05-01

    This article examines the origins and early development of psychoanalytically inspired psychohistory from the late 1950s to the early 1970s. It focuses on Erik H. Erikson, Bruce Mazlish, and Robert Jay Lifton and illustrates their contributions to psychoanalytic psychohistory. Erikson, Mazlish, and Lifton were core members of the Wellfleet group, a research project originally funded by the American Academy of Arts and Sciences in 1965 to conceptualize the foundation of psychohistory. The article gives an account of the early history of the Wellfleet group and argues for specific historical reasons to explain why psychoanalytic psychohistory emerged on the East Coast of the United States in the late 1950s and early 1960s. A critique of the Wellfleet group in unpublished correspondence of Erich Fromm and David Riesman is also discussed.

  20. aspects of irreparable loss. psychoanalytic approach

    Directory of Open Access Journals (Sweden)

    José Andrade Salazar

    2012-01-01

    Full Text Available The Colombian armed conflict and the high level of impunity (UN, 2011 linked to practices against humanity perpetrated by social actors in every way impairs the quality and life expectancy of actual and potential victims; historically their internal mobile have led to the establishment of a system (RCAA of repression-coercion-alienation that aims for the annulment of the social collective memory, which gradually has remained in lethargy alternative ideals of socio-political organization of some groups, but those have strongly silenced through systematic cancellation, ergo historically also restricts the ability of many groups to fight for their civil rights claim.

  1. [Medically unexplained persistent pain syndrome: psychoanalytic approach].

    Science.gov (United States)

    Davoine, Georges-André; Godinat, Gilles; Petite, Dominique; Saurer, Andreas

    2013-06-26

    Chronic persistant pain is very challenging as the patient and his/her therapist are confronted with a lack of explanation about the origin of pain. The relationship has also to face many obstacles such as psychological strain or psychosocial tensions such as disagreements about the patients working capacity. Nevertheless continuing attention from a solid and secure therapist may progressively lead to changes in pain experience, the emergence of emotions and improved therapist patient interactions.

  2. Selection of suitable e-learning approach using TOPSIS technique with best ranked criteria weights

    Science.gov (United States)

    Mohammed, Husam Jasim; Kasim, Maznah Mat; Shaharanee, Izwan Nizal Mohd

    2017-11-01

    This paper compares the performances of four rank-based weighting assessment techniques, Rank Sum (RS), Rank Reciprocal (RR), Rank Exponent (RE), and Rank Order Centroid (ROC) on five identified e-learning criteria to select the best weights method. A total of 35 experts in a public university in Malaysia were asked to rank the criteria and to evaluate five e-learning approaches which include blended learning, flipped classroom, ICT supported face to face learning, synchronous learning, and asynchronous learning. The best ranked criteria weights are defined as weights that have the least total absolute differences with the geometric mean of all weights, were then used to select the most suitable e-learning approach by using TOPSIS method. The results show that RR weights are the best, while flipped classroom approach implementation is the most suitable approach. This paper has developed a decision framework to aid decision makers (DMs) in choosing the most suitable weighting method for solving MCDM problems.

  3. Conceptualización psicoanalítica acerca del juego de los niños: Punto de partida para una investigación empírica en psicoterapia Psychoanalytical conceptual approach to children´s play: Initial step for an empirical research in psychotherapy

    Directory of Open Access Journals (Sweden)

    Ana M. Luzzi

    2009-12-01

    of the English Psychoanalytical School Considering this approach, Melanie Klein´s contributions are emphasized, as she was a pioneer in the psychoanalytical work with children, and Donald Winnicott´s ones, as he enriched the concept of ludic production in childhood. Results and conclusion: The different approaches to children´s ludic production, established by the previously mentioned authors, influenced the way to conceive the psychoanalytical clinic with children.

  4. THE QUEST FOR TRUTH AS THE FOUNDATION OF PSYCHOANALYTIC PRACTICE: A TRADITIONAL FREUDIAN-KLEINIAN PERSPECTIVE.

    Science.gov (United States)

    Blass, Rachel B

    2016-04-01

    In responding to the question of whether truth in psychoanalysis is relevant today, the author presents what she refers to as a traditional Freudian-Kleinian perspective. According to this perspective, truth is not only relevant, but rather the quest for it is the alpha and omega of psychoanalytic practice. The author reviews Freud's approach to truth and then discusses Klein's essential contribution to its understanding, grounding, and enrichment, highlighting Klein's thinking about phantasy and the life and death instincts. Finally, the author contends with the opposing view that the quest for truth is no longer relevant to contemporary analytic practice. © 2016 The Psychoanalytic Quarterly, Inc.

  5. Integrated multi-criteria flood vulnerability approach using fuzzy TOPSIS and Delphi technique

    Science.gov (United States)

    Lee, G.; Jun, K.-S.; Chung, E.-S.

    2013-05-01

    This study aims to develop a new procedure that combines multi-criteria spatial vulnerability analysis with the traditional linear probabilistic risk approach. This approach is named integrated fuzzy flood vulnerability assessment because it combines the watershed-based vulnerability framework with stream-based risk analysis. The Delphi technique and pressure-state-impact-response framework are introduced to objectively select evaluation criteria, and the fuzzy TOPSIS technique is proposed to address the uncertainty of weights to all criteria and crisp input data of all spatial units. ArcGIS is used to represent the spatial results to all criteria. This framework is applied to the south Han River basin in South Korea. As a result, the flood vulnerability ranking was derived and vulnerability characteristics of all spatial units were compared. This framework can be used to conduct a prefeasibility study for flood mitigation projects when various stakeholders should be included.

  6. Encountering a cartwheeling princess: relational psychoanalytic ...

    African Journals Online (AJOL)

    Objective: This study was conducted to demonstrate the use and process of contemporary relational psychoanalytic child therapy to address the interpersonal implications of attention deficit hyperactivity disorder and interlinked insecure attachment processes. Method: This therapy case study explicates the seven-month ...

  7. A psychoanalytic study of Sophocles' Antigone.

    Science.gov (United States)

    Almansi, R J

    1991-01-01

    This paper examines, in a detailed and comprehensive fashion, the unconscious motivations of the main protagonists of Sophocles' Antigone and the play's general structure as a psychoanalytically coherent whole. This examination helps to foster an understanding of the conceptual place of Antigone within the Oedipus Trilogy, its relationship to Oedipus Rex, and the complementary character of these two tragedies.

  8. A Semi-Automated Approach for Structuring Multi Criteria Decision Problems

    OpenAIRE

    Maier, Konradin; Stix, Volker

    2013-01-01

    This article seeks to enhance multi criteria decision making by providing a scientic approach for decomposing and structuring decision problems. We propose a process, based on concept mapping, which integrates group creativity techniques, card sorting procedures, quantitative data analysis and algorithmic automatization to construct meaningful and complete hierarchies of criteria. The algorithmic aspect is covered by a newly proposed recursive cluster algorithm, which automatically generat...

  9. Local Action Groups and Rural Sustainable Development. A spatial multiple criteria approach for efficient territorial planning

    DEFF Research Database (Denmark)

    Palmisano, Giovanni Ottomano; Govindan, M.E., PhD.,, Kannan; Boggia, Antonio

    2016-01-01

    of their rural municipalities, and therefore to aid the identification of a common Rural Sustainable Development strategy to allocate the European Agricultural Fund for Rural Development budget. This decision problem was tackled by applying a Multiple Criteria Spatial Decision Support System that integrates...... a Geographic Information System with the Multiple Criteria Decision Aiding methods “Technique for Order Preference by Similarity to Ideal Solution” and “Dominance-based Rough Set Approach”. In order to demonstrate the validity of this methodological approach, this Multiple Criteria Spatial Decision Support...... provided a common decision making framework that can also be applied to Local Action Group partnerships within the European Union....

  10. Multi-criteria decision making--an approach to setting priorities in health care.

    Science.gov (United States)

    Nobre, F F; Trotta, L T; Gomes, L F

    1999-12-15

    The objective of this paper is to present a multi-criteria decision making (MCDM) approach to support public health decision making that takes into consideration the fuzziness of the decision goals and the behavioural aspect of the decision maker. The approach is used to analyse the process of health technology procurement in a University Hospital in Rio de Janeiro, Brazil. The method, known as TODIM, relies on evaluating alternatives with a set of decision criteria assessed using an ordinal scale. Fuzziness in generating criteria scores and weights or conflicts caused by dealing with different viewpoints of a group of decision makers (DMs) are solved using fuzzy set aggregation rules. The results suggested that MCDM models, incorporating fuzzy set approaches, should form a set of tools for public health decision making analysis, particularly when there are polarized opinions and conflicting objectives from the DM group. Copyright 1999 John Wiley & Sons, Ltd.

  11. A Human-Computer Collaborative Approach to Identifying Common Data Elements in Clinical Trial Eligibility Criteria

    Science.gov (United States)

    Luo, Zhihui; Miotto, Riccardo; Weng, Chunhua

    2012-01-01

    Objective To identify Common Data Elements (CDEs) in eligibility criteria of multiple clinical trials studying the same disease using a human-computer collaborative approach. Design A set of free-text eligibility criteria from clinical trials on two representative diseases, breast cancer and cardiovascular diseases, was sampled to identify disease-specific eligibility criteria CDEs. In this proposed approach, a semantic annotator is used to recognize Unified Medical Language Systems (UMLS) terms within the eligibility criteria text. The Apriori algorithm is applied to mine frequent disease-specific UMLS terms, which are then filtered by a list of preferred UMLS semantic types, grouped by similarity based on the Dice coefficient, and, finally, manually reviewed. Measurements Standard precision, recall, and F-score of the CDEs recommended by the proposed approach were measured with respect to manually identified CDEs. Results Average precision and recall of the recommended CDEs for the two diseases were 0.823 and 0.797, respectively, leading to an average F-score of 0.810. In addition, the machine-powered CDEs covered 80% of the cardiovascular CDEs published by The American Heart Association and assigned by human experts. Conclusion It is feasible and effort saving to use a human-computer collaborative approach to augment domain experts for identifying disease-specific CDEs from free-text clinical trial eligibility criteria. PMID:22846169

  12. Miss Freud Returns to the Classroom: Toward Psychoanalytic Literacy among Educators

    Science.gov (United States)

    Tieman, John Samuel

    2013-01-01

    This essay is a call for a more psychoanalytically informed approach to educational psychology and teacher formation. To this end, the author gives an overview of a course in psychology that he recommends for inclusion in teacher education. This course is in two parts. The first part is an introduction to some important elements of psychoanalytic…

  13. Understanding Suicidal Behaviour in Young People Referred to Specialist CAMHS: A Qualitative Psychoanalytic Clinical Research Project

    Science.gov (United States)

    Anderson, Jan; Hurst, Margaret; Marques, Ana; Millar, David; Moya, Sue; Pover, Lesley; Stewart, Sue

    2012-01-01

    A qualitative psychoanalytic clinical research project using a post-Kleinian contemporary approach was undertaken by a team of seven qualified and experienced child psychotherapists working in community Tier 3 Child and Adolescent Mental Health Services (CAMHS). A number of referred young people who deliberately harmed themselves or attempted…

  14. Comparison of approaches to weighting of multiple criteria for selecting equipment to optimize performance and safety.

    Science.gov (United States)

    Agarski, Boris; Hadzistevic, Miodrag; Budak, Igor; Moraca, Slobodan; Vukelic, Djordje

    2017-12-08

    Nowadays every piece of working equipment and tools has to comply with safety standards and laws. This study investigated multi-criteria methods for selecting working equipment in order to optimize performance and occupational safety. The multi-criteria decision-making (MDCM) method was applied to the problem of selecting optimal working equipment using four different criterion weighting approaches (direct weighting, revised Simos procedure, Fuller's triangle and analytic hierarchy process). Groups of economic, technical and safety criteria were defined and five weighting scenarios were developed. Although the four weighting methods produced similar results, in some situations they produced different criterion weighting factors. The final output of the MCDM method was the identification of the optimal forklift in the five weighting scenarios. Although we have applied the MCDM method to a forklift selection problem, it can be applied to all sorts of working equipment in contexts where economic, technical and safety selection criteria can be identified.

  15. A multi-criteria optimization and decision-making approach for improvement of food engineering processes

    Directory of Open Access Journals (Sweden)

    Alik Abakarov

    2013-04-01

    Full Text Available The objective of this study was to propose a multi-criteria optimization and decision-making technique to solve food engineering problems. This technique was demonstrated using experimental data obtained on osmotic dehydration of carrot cubes in a sodium chloride solution. The Aggregating Functions Approach, the Adaptive Random Search Algorithm, and the Penalty Functions Approach were used in this study to compute the initial set of non-dominated or Pareto-optimal solutions. Multiple non-linear regression analysis was performed on a set of experimental data in order to obtain particular multi-objective functions (responses, namely water loss, solute gain, rehydration ratio, three different colour criteria of rehydrated product, and sensory evaluation (organoleptic quality. Two multi-criteria decision-making approaches, the Analytic Hierarchy Process (AHP and the Tabular Method (TM, were used simultaneously to choose the best alternative among the set of non-dominated solutions. The multi-criteria optimization and decision-making technique proposed in this study can facilitate the assessment of criteria weights, giving rise to a fairer, more consistent, and adequate final compromised solution or food process. This technique can be useful to food scientists in research and education, as well as to engineers involved in the improvement of a variety of food engineering processes.

  16. A influência do desejo parental nas altas habilidades/superdotação: uma abordagem psicanalítica The influence of the parental desire in the high abilities/superendowment: a psychoanalytical approach

    Directory of Open Access Journals (Sweden)

    Janaína Pereira Pretto

    2010-10-01

    maternal wish, putting itself as something that is beyond the structure, present in the neurosis, as well as in the perversion and psychosis. From this, we will approach the psychoanalytical conception of the process of psychic structuring, in order to emphasis the constitution neurotic of the subject, for circumscribing in what form the same found referred to the significant superendowment and how this will be reflected in its relation with knowing. Such being the case, we will try to analyze the notion of psychic structure and unconscious structure, verifying how this theory introduces the maternal figure in the process of psychic constitution concerning the subject and how this reflects in the cognitive processes. For this study, we carried out a bibliographic type qualitative research where were selected books and articles capable to explain the theme. PURPOSE: to try to understand how the high intellectual performance of the gifted child it appears as a form to answer the narcissus wish of the parents. CONCLUSION: in accordance with the literature revision, the gifted child, though on one form unconscious, can be a substitute capable to recover the losses of infancy, the return to the lost time, the lost loves, the parental ideals, answering promptly to the unconditional demand of the other. To such an effective high skills/ superendowment appear as a trace, intended to answer the parental ghost, above all in what it relates to the maternal wish.

  17. A fuzzy multi criteria approach for measuring sustainability performance of a supplier based on triple bottom line approach

    DEFF Research Database (Denmark)

    Govindan, Kannan; Khodaverdi, R.; Jafarian, A.

    2013-01-01

    . Traditionally, organizations consider criteria such as price, quality, flexibility, etc. when evaluating supplier performance. While the articles on the selection and evaluation of suppliers are abundant, those that consider sustainability issues are rather limited. This paper explores sustainable supply chain...... initiatives and examines the problem of identifying an effective model based on the Triple Bottom Line (TBL) approach (economic, environmental, and social aspects) for supplier selection operations in supply chains by presenting a fuzzy multi criteria approach. We use triangular fuzzy numbers to express...... linguistic values of experts' subjective preferences. Qualitative performance evaluation is performed by using fuzzy numbers for finding criteria weights and then fuzzy TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) is proposed for finding the ranking of suppliers. The proposed...

  18. Neuroscience in the residency curriculum: the psychoanalytic psychotherapy perspective.

    Science.gov (United States)

    Watson, Brendon O; Michels, Robert

    2014-04-01

    Educators of future psychiatrists tend to teach an array of approaches to the mind and brain, including among them the neurobiologic perspective and the psychoanalytic perspective. These may be considered at opposite ends of many spectra, including the fact that psychoanalysis takes a large-scale and treatment-oriented perspective and has helped countless patients over the years, while neuroscience has tended to be reductionistic, focused on understanding, and has helped very few people. A tension, therefore, exists for the educator in teaching neuroscience: is it wise to spend valuable time and energy teaching this interesting but, thus far, impractical field to future practitioners? Here, we argue that neuroscience is re-orienting itself towards more psychoanalytically relevant questions and is likely, in future years, to give new insights into the nature of basic drives and social relations. We additionally argue for balance on the part of providers in both acknowledging biologic underpinnings for clinical phenomena and yet continuing to take a stance oriented towards appropriate change. Given the burgeoning new focus within neuroscience on topics directly relating to the human internal experience and the novel challenges in both understanding those advances and appropriately using them, we encourage educators to continue to give future psychiatrists the educational foundation they need to follow neuroscientific discoveries into the future.

  19. National Risk Assessment in The Netherlands : A Multi-Criteria Decision Analysis Approach

    NARCIS (Netherlands)

    Pruyt, E.; Wijnmalen, D.J.D.

    2010-01-01

    Nowadays, National Safety and Security issues receive much attention in many countries. In 2007, the Dutch government approved a National Safety and Security Strategy based on a multi-criteria analysis approach to classify potential threats and hazards. The general methodology of this Dutch National

  20. Emerging adulthood features and criteria for adulthood : Variable- and person-centered approaches

    NARCIS (Netherlands)

    Tagliabue, Semira; Crocetti, Elisabetta; Lanz, Margherita

    Reaching adulthood is the aim of the transition to adulthood; however, emerging adults differently define both adulthood and the transitional period they are living. Variable-centered and person-centered approaches were integrated in the present paper to investigate if the criteria used to define

  1. Fatigue Equivalent Stress State Approach Validation in Non-conservative Criteria: a Comparative Study

    Directory of Open Access Journals (Sweden)

    Kévin Martial Tsapi Tchoupou

    Full Text Available Abstract This paper is concerned with the fatigue prediction models for estimating the multiaxial fatigue limit. An equivalent loading approach with zero out-of-phase angles intended for fatigue limit evaluation under multiaxial loading is used. Based on experimental data found in literatures, the equivalent stress is validated in Crossland and Sines criteria and predictions compared to the predictions of existing multiaxial fatigue; results over 87 experimental items show that the equivalent stress approach is very efficient.

  2. Writing about clinical theory and psychoanalytic process.

    Science.gov (United States)

    Glick, Robert Alan; Stern, Gloria Jean

    2008-12-01

    In the Senior Candidate Case Writing Seminar, the final component of the Writing as Pedagogy Program at the Columbia Center for Psychoanalytic Training and Research, candidates write about one of their longer training cases, with attention to the ways they use clinical theory, particularly transference and countertransference, to deepen their understanding of psychoanalytic process and therapeutic action. Building on the previous four years of the writing program, this seminar teaches advanced candidates to recognize and integrate the lived experience of conducting an analysis, the micro- and macroprocesses, and the theories most relevant to an understanding of the analytic work. The seminar emphasizes the challenge of dealing with the power of the transference, unrecognized or unacknowledged countertransference, and the nature of therapeutic action. Pedagogical emphasis is placed on peer group discussions and group learning, and common problems in integrating theory and practice are described and illustrated.

  3. How to Choose Your Next Top Salesperson: Multiple-Criteria Approach

    Directory of Open Access Journals (Sweden)

    Cvetkoska Violeta

    2017-03-01

    Full Text Available Background: Choosing the most suitable candidate for the position of salesperson is indeed a complex task for managers because several criteria important for the position should be taken into consideration. Such a choice should be considered as a multiple-criteria problem, which can be solved by using the AHP method. Objectives: The main goal is to investigate which criteria are the most important for the managers in the process of selecting a candidate for the position of salesperson, and on that basis to develop an AHP model for ranking of applicant candidates for this position. Methods/Approach: A questionnaire was created, which was sent to 100 sales managers in companies of different industries in Macedonia, in order to grade the importance of the given criteria. Out of the criteria graded, nine that have the highest average grade of importance comprise one of the levels of the AHP model. Results: An average grade of importance for the criteria for choosing a candidate for the position of salesperson is gained, and an AHP model is developed. Conclusions: The developed AHP model is illustrated through a hypothetical example, and its solution serves as a recommendation for who is the best candidate.

  4. An algebraic approach to detect logical inconsistencies in medical appropriateness criteria.

    Science.gov (United States)

    García-Remesal, Miguel; Maojo, Victor; Laita, Luis; Roanes-Lozano, Eugenio; Crespo, José

    2007-01-01

    In this paper, we present a computerized approach to detect inconsistencies in medical knowledge bases. The method has been applied to a set of medical appropriateness criteria developed for the review of coronary artery disease management. One of the main problems associated to medical appropriateness criteria is to detect logical inconsistencies in the criteria set, a process often manually carried out by health services specialists. In our approach, appropriateness criteria are automatically translated to rules containing propositional variables, using three-valued Łukasiewicz's logic augmented with modal operators to manage uncertainty. The method assigns a polynomial to each of the rules, integrity constraints, and facts from the rule-based set. This rule set is then checked for inconsistencies. The problem of determining if a formula is a tautological consequence of a set of formulae is reduced by our method into an ideal membership problem in computer algebra. Finally, the set of medical appropriateness criteria is represented in a flowchart format that can be disseminated and remotely accessed over Internet, and can be prospectively used for patient care and management. The method reported in this paper can be applied to other knowledge bases represented by means of IF-THEN rules.

  5. [Changes in vocabulary in a psychoanalytic process].

    Science.gov (United States)

    Kächele, H; Thomä, H; Schaumburg, C

    1975-01-01

    This paper at first deals with some aspects of the relationship between psychoanalysis and linguistics. Freuds theory of parapraxis is interpreted in terms of Bühlers model of speech, whereby the entire verbal output of a speaker can be understood as an act of symptomatic behavior. The investigation of the vocabulary of nouns of a patient suffering from anxiety neurosis illustrates the fertility of this model. The frequency dispersion of all nouns taken from a specific sample of the patient's and analyst's speaking shows the stability of statistical properties of speech behavior. Following, the role of content-analytic techniques for the specific demands of research in pstchotherapy is discussed. A large part of content-analytic measures is rather far removed from the clinical description of the psychotherapeutic process, thus diminishing the validating relevance of these studies for psychoanalytic concepts. The final chapter describes the process of a psychoanalytic treatment by means of the content-analytic technique. The changes of the patient's verbal content show highly specific correlation to the clinical ratings of psychoanalytic concepts like transference and anxiety. As an initial study, these results are qualified to stimulate the development of content-analytic categories for research in psychotherapy.

  6. Multi-Criteria Decision Matrix Approach for Suppliers Evaluation in Micro and Small Organisations

    Directory of Open Access Journals (Sweden)

    Maria Madoranova

    2013-07-01

    Full Text Available The purpose of this paper is to present an approach for supplier evaluation based on Multi-Criteria Decision Matrix adopted for specific requirements of micro and small sized organizations. Quality management system and its supply chain management are based on maintaining long-term partnerships with suppliers with a focus on their reliability. The paper contains a case study of the presented approach application in a small sized organization and a description of the software tool for supporting the process of supplier evaluation in organisations. Presented case study validated used approach in real conditions of a small sized organisation. Based on experience from the application of the approach, possible extensions of the approach for more accurate supplier evaluation are presented in the paper. Offered approach is designed for micro and small sized organization and therefore as cost and time saving. Presented approach is not suitable for larger organization or critical industries as power engineering or aviation.

  7. Applications of multi-criteria and game theory approaches manufacturing and logistics

    CERN Document Server

    Hennet, Jean-Claude; Tiwari, Manoj

    2014-01-01

    Aligning the latest practices, innovations and case studies with academic frameworks and theories, the broad area of multi-criteria and game theory applications in manufacturing and logistics is covered in comprehensive details. Part 1 presents ‘multi-criteria applications’ and includes chapters on  logistics with a focus on vehicle routing problems, a multi-objective decision making approach to select the best storage policy and an exploratory study to predict the most important factors that can lead to successful mobile supply chain management adoption for manufacturing firms. Part 2 covers ‘game theory applications’ and encompasses the process of forming a coalition within a corporate network to the problem of integrating inventory and distribution optimization together with game theory to effectively manage supply networks. Providing a forum to investigate, exchange novel ideas and disseminate knowledge covering the broad area of multi-criteria and game theory applications in manufacturing and l...

  8. Multi-criteria decision making approaches for quality control of genome-wide association studies.

    Science.gov (United States)

    Malovini, Alberto; Rognoni, Carla; Puca, Annibale; Bellazzi, Riccardo

    2009-03-01

    Experimental errors in the genotyping phases of a Genome-Wide Association Study (GWAS) can lead to false positive findings and to spurious associations. An appropriate quality control phase could minimize the effects of this kind of errors. Several filtering criteria can be used to perform quality control. Currently, no formal methods have been proposed for taking into account at the same time these criteria and the experimenter's preferences. In this paper we propose two strategies for setting appropriate genotyping rate thresholds for GWAS quality control. These two approaches are based on the Multi-Criteria Decision Making theory. We have applied our method on a real dataset composed by 734 individuals affected by Arterial Hypertension (AH) and 486 nonagenarians without history of AH. The proposed strategies appear to deal with GWAS quality control in a sound way, as they lead to rationalize and make explicit the experimenter's choices thus providing more reproducible results.

  9. A grey DEMATEL approach to develop third-party logistics provider selection criteria

    DEFF Research Database (Denmark)

    Govindan, Kannan; Khodaverdi, Roohollah; Vafadarnikjoo, Amin

    2016-01-01

    criteria and identified the main criteria for 3PL provider selection. The most important criteria for 3PL provider selection are on time delivery performance, technological capability, financial stability, human resource policies, service quality, and customer service, respectively. Practical implications......Purpose - Third-party logistics (3PL) plays a main role in supply chain management and, as a result, has experienced remarkable growth. The demand for 3PL providers has become a main approach for companies to offer better customer service, reduce costs, and gain competitive advantage. This paper...... - The paper's results help managers of automotive industries, particularly in developing countries, to outsource logistics activities to 3PL providers effectively and to create a significant competitive advantage. Originality/value - The main contributions of this paper are twofold. First, this paper proposes...

  10. Psychoanalytic/psychodynamic psychotherapy for children and adolescents who have been sexually abused.

    Science.gov (United States)

    Parker, Ben; Turner, William

    2013-07-31

    The sexual abuse of children and adolescents is a significant worldwide problem. It is associated with a wide variety of negative psychological, social and physical consequences for the victims. These effects can often be seen immediately following sexual abuse, but they may manifest later on and sometimes only in adult life. There are a number of different interventions aimed at helping children and adolescents who have been sexually abused, and psychoanalytic/psychodynamic psychotherapy has a long-established tradition of being used for such victims. In this review, we set out to find the evidence for its effectiveness specifically in children and adolescents who have been sexually abused. To assess the effectiveness of psychoanalytic/psychodynamic psychotherapy for children and adolescents who have been sexually abused. We searched the following databases in May 2013: CENTRAL, Ovid MEDLINE, Embase, PsycINFO, CINAHL, Sociological Abstracts, Social Science Citation Index, Conference Proceedings Citation Index - Social Science and Humanities, LILACS and WorldCat. We also searched three trials registers, checked the reference lists of relevant studies and contacted known experts. Randomised and quasi-randomised trials comparing psychoanalytic/psychodynamic psychotherapy with treatment as usual or no treatment/waiting list control for children and adolescents up to age of 18 who had experienced sexual abuse at any time prior to the intervention. The review authors (BP and WT) independently screened search results to identify studies that met eligibility criteria. No studies were identified that met the inclusion criteria for this review. There are no randomised and quasi-randomised trials that compare psychoanalytic/psychodynamic therapy with treatment as usual, no treatment or waiting list control for children and adolescents who have been sexually abused. As a result, we cannot draw any conclusions as to the effectiveness of psychoanalytic

  11. A multi-criteria decision-making approach that combines fuzzy TOPSIS and DEA methodologies

    Directory of Open Access Journals (Sweden)

    Taylan, Osman

    2014-11-01

    Full Text Available Employee selection is a multi-criteria decision-making (MCDM problem for selecting suitable applicants from a ready pool. The selection aims to make use of their knowledge, relevant skills, and other characteristics to perform a specific job. The aim of this study is to develop a systematic approach for selecting the best candidates among the air traffic controllers (ATCs for aviation in Saudi Arabia. Three integrated methods were employed for decision-making in this study. First, a fuzzy decision tree was applied to determine the criteria weights, then the fuzzy Technique for Order Preference by Similarity to Ideal Solution (TOPSIS was employed to rank the attributes. In the last step, the Data Envelopment Analysis (DEA was used to transform the qualitative variables into quantitative equivalences. A survey was conducted by national and international decision- makers to elicit the necessary information on the criteria and sub-criteria of the air traffic control system. The decision problem was formulated by employing five criteria and ten applicants. The relationship between the fuzzy TOPSIS and fuzzy-weighted average was very positive for decision-making. The outcomes of the fuzzy TOPSIS and DEA encouraged the development of a decision support system for the selection of ATCs.

  12. Model selection in spectroscopic ellipsometry data analysis: Combining an information criteria approach with screening sensitivity analysis

    Science.gov (United States)

    Likhachev, D. V.

    2017-11-01

    In the field of optical metrology, the selection of the best model to fit experimental data is absolutely nontrivial problem. In practice, this is a very subjective and formidable task which highly depends on metrology expert opinion. In this paper, we propose a systematic approach to model selection in ellipsometric data analysis. We apply two well-established statistical methods for model selection, namely, the Akaike (AIC) and Bayesian (BIC) Information Criteria, to compare different dispersion models with various complexities and objectively determine the "best" one from a set of candidate models. The information criteria suggest the most optimal way to quantify the balance between goodness of fit and model complexity. In combination with screening-type parametric sensitivity analysis based on so-called "elementary effects" (the Morris method) this approach allows to compare and rate various models, identify key model parameters and significantly enhance process of ellipsometric measurements evaluation.

  13. Near-Earth object hazardous impact: A Multi-Criteria Decision Making approach

    Science.gov (United States)

    Sánchez-Lozano, J. M.; Fernández-Martínez, M.

    2016-11-01

    The impact of a near-Earth object (NEO) may release large amounts of energy and cause serious damage. Several NEO hazard studies conducted over the past few years provide forecasts, impact probabilities and assessment ratings, such as the Torino and Palermo scales. These high-risk NEO assessments involve several criteria, including impact energy, mass, and absolute magnitude. The main objective of this paper is to provide the first Multi-Criteria Decision Making (MCDM) approach to classify hazardous NEOs. Our approach applies a combination of two methods from a widely utilized decision making theory. Specifically, the Analytic Hierarchy Process (AHP) methodology is employed to determine the criteria weights, which influence the decision making, and the Technique for Order Performance by Similarity to Ideal Solution (TOPSIS) is used to obtain a ranking of alternatives (potentially hazardous NEOs). In addition, NEO datasets provided by the NASA Near-Earth Object Program are utilized. This approach allows the classification of NEOs by descending order of their TOPSIS ratio, a single quantity that contains all of the relevant information for each object.

  14. An Investment Evaluation of a RFID-Enabled Meat Supply Chain: A Multi-Criteria Approach

    Directory of Open Access Journals (Sweden)

    Mohammed Ahmed

    2016-01-01

    Full Text Available In recent years, consumers have become increasingly concerned about the safety and quality of meat they purchase from supermarkets. A study by Mohammed [1] proposed a RFID (Radio Frequency Identification-enabled monitoring system for meat supply chains to improve the traceability of meat products throughout their entire supply chain with the aim of maintaining product safety. This paper extends that work to examine the economic feasibility for the proposed RFID-enabled monitoring system. To this aim, a multi-criteria optimization model was developed. The considered criteria were minimizing the total cost, maximizing consumer satisfaction, maximizing product freshness and maximizing profits. In order to obtain Pareto solutions from the developed model, a new solution approach was developed and its results were compared to two traditional solution approaches. A case study was applied conducive to an examination for the applicability of the developed model and the performance of the proposed solution approaches. Results have proved the feasibility of the proposed RFID-enabled monitoring system in terms of economic costs in addition to the capability of the developed optimization model in obtaining a trade-off among the considered criteria.

  15. [Are there selection criteria between abdominal approach and vaginal route for genital prolapse surgical management?].

    Science.gov (United States)

    Cour, F; Vidart, A

    2016-07-01

    The never ending debate over the surgical approach of genital prolapse repair (abdominal versus vaginal route) is as passionate as ever. The available literature may support a multidisciplinary analysis of our expert daily practice. Our purpose was to define selection criteria for surgical approach between abdominal and vaginal route in the management of genital prolapse by reviewing the literature. Systematically review of the literature concerning comparative anatomical and functionnal results of surgery of pelvic organ prolaps by vaginal or abdominal route. We were confronted to the lack of data in the literature, with few prospective randomized comparative studies. Many limitations were identified such as small populations in the studies, no description of sub-population, multiplicity of surgical procedures. Moreover, vaginal route was compared to sacral colpopexy by open abdominal approach, whereas laparoscopic sacrocolpopexy is now recommended. Only one prospective randomized comparative trial assessed laparoscopic sacrocolpopexy and vaginal approach, in which was used a mesh withdrawn from the market. The lack of available randomized trials makes it impossible to define HAS compliant guidelines on this topic. However, selection criteria for each surgical approach and technique were drawn from experts' advices. © 2016 Published by Elsevier Masson SAS. © 2016 Elsevier Masson SAS. Tous droits réservés.

  16. Home, bitter sweet home. A psychoanalytic reading.

    Science.gov (United States)

    Tylim, Isaac

    2014-06-01

    The paper offers a psychoanalytic reading of the popular TV series "Homeland." The series' manifest content centers on terrorism and counterterrorism. From a dynamic perspective, the viewer is invited to mistrust what is represented, and focus on the tension between what is projected on the screen and what remains hidden in the narrative's intriguing subtexts. These are: the choreography of internal and external reality, a recurrent theme of longing for the absent, idealized pre-Oedipal father, and attempts to transform memories of horror.

  17. A psychoanalytic consideration of Pasolini's Salo.

    Science.gov (United States)

    Salvage, David

    2005-01-01

    Salo represented the culmination of Pier Paolo Pasolini's career as a filmmaker and engages several questions concerning the nature of perversion and the excitement with the negative. Through exploration of Pasolini's motives and techniques for creating this film, an analysis is offered of the creative process that does not seek to create an aesthetically pleasing compromise formation of psychic conflict, nor a form of erotizing sadomasochism. Rather, this film is explored as an example of a lucid and psychoanalytically informed artwork that speaks to the psychic fascination with what is purely negative--thanatos--which is not mediated by libido.

  18. Finding Educational Insights in Psychoanalytic Theory with Marcuse and Adorno

    Science.gov (United States)

    Huhtala, Hanna-Maija

    2016-01-01

    This article seeks to clarify the potential that Herbert Marcuse's and Theodor W. Adorno's psychoanalytic accounts may have with respect to the philosophy of education today. Marcuse and Adorno both share the view that psychoanalytic theory enables a deeper understanding of the social and biological dynamics of consciousness. For both thinkers,…

  19. Psychoanalytic peregrinations I: Transference and transference neurosis revisited.

    Science.gov (United States)

    Chessick, Richard D

    2002-01-01

    The various meanings of transference and transference neurosis are reviewed with special attention to the various roles transference plays in the psychoanalytic process. A study of the provenance of transference is offered with some remarks on the crucial emphasis on understanding and interpreting the transference in psychoanalytic treatment. The danger of using other types of interventions as being manifestations of countertransference is suggested.

  20. A Monte-Carlo game theoretic approach for Multi-Criteria Decision Making under uncertainty

    Science.gov (United States)

    Madani, Kaveh; Lund, Jay R.

    2011-05-01

    Game theory provides a useful framework for studying Multi-Criteria Decision Making problems. This paper suggests modeling Multi-Criteria Decision Making problems as strategic games and solving them using non-cooperative game theory concepts. The suggested method can be used to prescribe non-dominated solutions and also can be used as a method to predict the outcome of a decision making problem. Non-cooperative stability definitions for solving the games allow consideration of non-cooperative behaviors, often neglected by other methods which assume perfect cooperation among decision makers. To deal with the uncertainty in input variables a Monte-Carlo Game Theory (MCGT) approach is suggested which maps the stochastic problem into many deterministic strategic games. The games are solved using non-cooperative stability definitions and the results include possible effects of uncertainty in input variables on outcomes. The method can handle multi-criteria multi-decision-maker problems with uncertainty. The suggested method does not require criteria weighting, developing a compound decision objective, and accurate quantitative (cardinal) information as it simplifies the decision analysis by solving problems based on qualitative (ordinal) information, reducing the computational burden substantially. The MCGT method is applied to analyze California's Sacramento-San Joaquin Delta problem. The suggested method provides insights, identifies non-dominated alternatives, and predicts likely decision outcomes.

  1. Essentials of psychoanalytic process and change: how can we investigate the neural effects of psychodynamic psychotherapy in individualized neuro-imaging?

    OpenAIRE

    Heinz eBoeker; André eRichter; Holger eHimmighoffen; Jutta eErnst; Laura eBohleber; Elena eHofmann; Johannes eVetter; Georg eNorthoff

    2013-01-01

    The paper focuses on the essentials of psychoanalytic process and change and the question of how the neural correlates and mechanisms of psychodynamic psychotherapy can be investigated. The psychoanalytic approach aims at enabling the patient to “remember, repeat, and work through” concerning explicit memory. Moreover, the relationship between analyst and patient establishes a new affective configuration which enables a reconstruction of the implicit memory. If psychic change can be achieved ...

  2. [METHODOLOGICAL APPROACHES TO DEFINING CRITERIA FOR ACCREDITATION OF SPECIALISTS (IN CASE OF MEDICAL PARASITOLOGISTS)].

    Science.gov (United States)

    Astanina, S Yu; Dovgalev, A S; Andreeva, N D

    2015-01-01

    In 2016, provision is made for the transition for an accreditation system for all health workers to have individual permits for specific kinds of medical activities. Regular accreditation of health workers is one of the constituents of medical education, which is being intensively elaborated by the Ministry of Health of Russia jointly with a professional community by the module principle of using an accumulation system of valid credits. Despite the fact that higher educational establishments belong to different agencies, educational programs for physicians, criteria and procedures for their accreditation must be uniform. In this connection, there is today's challenge of methodological and methodical approaches to defining criteria for the accreditation of specialists of healthcare facilities of the Ministry of Health of Russia, bodies and institutions of the Russian Federal Service for Supervision of Consumer Rights Protection and Human Welfare. In the context of systemic and functional methodological approaches, the paper shows a procedure for defining criteria for the accreditation of specialists (in case of medical parasitologists).

  3. A MOORA based fuzzy multi-criteria decision making approach for supply chain strategy selection

    Directory of Open Access Journals (Sweden)

    Bijan Sarkar

    2012-08-01

    Full Text Available To acquire the competitive advantages in order to survive in the global business scenario, modern companies are now facing the problems of selecting key supply chain strategies. Strategy selection becomes difficult as the number of alternatives and conflicting criteria increases. Multi criteria decision making (MCDM methodologies help the supply chain managers take a lead in a complex industrial set-up. The present investigation applies fuzzy MCDM technique entailing multi-objective optimization on the basis of ratio analysis (MOORA in selection of alternatives in a supply chain. The MOORA method is utilized to three suitable numerical examples for the selection of supply chain strategies (warehouse location selection and vendor/supplier selection. The results obtained by using current approach almost match with those of previous research works published in various open journals. The empirical study has demonstrated the simplicity and applicability of this method as a strategic decision making tool in a supply chain.

  4. Towards psychoanalytic contribution to linguistic metaphor theory.

    Science.gov (United States)

    Caspi, Tair

    2017-07-05

    This paper lays out a formulation of the psychoanalytical contribution to linguistic metaphor theory. The author's main argument is that psychoanalysis can help enrich and shed light on linguistic metaphor theories, since these have focused on the cognitive aspect, to the exclusion of the role played by affect. Based on the tight link between metaphor and symbol - both configurations of figurative language - the author shall apply ideas sourced from some of the key psychoanalytic symbolization theories, focusing in particular on Klein, Winnicott, and Ogden. The course of exploration will serve to trace the unconscious emotional aspects that participate in the metaphor's mechanism, just as they participate in the symbol's workings. The study leads to the main conclusion that the intersubjective transitional space is of substantial importance to metaphor's constitution, particularly in regard to novel metaphors. Expanding the understanding of metaphor's modus operandi has important implications in conceptual clarification and for an in-depth analytical work, and is of immense significance when it comes to analytical work with patients who suffer impairment of their metaphoric ability. Copyright © 2017 Institute of Psychoanalysis.

  5. Alienating identifications and the psychoanalytic process.

    Science.gov (United States)

    Scariati, Giuseppe

    2009-10-01

    The transmission of psychic life from one generation to the next can result in unconscious, alienating identifications when the parents have not been able to elaborate a process of mourning for their own childhoods. In this article, the author describes the nature of these identifications, constructed around insufficiently symbolized experiences, as revealed during the psychoanalytic process. These unconscious, alienating identifications raise some arduous technical problems for the psychoanalyst as they lead the patient to carry out complex enactments that erase the normal transference markers. The psychoanalyst may then be tempted to resort to pejorative theoretical concepts, such as the death drive. And yet, unknown to the analysand, the insufficiently symbolized psychic elements contain a potential for transformation that may lead to reconstructions and dis-alienating interpretations. The author distinguishes between alienating identifications and fantasies of identification when the latter transiently appear during the psychoanalytic process. These identification fantasies symbolically register the emotional experience undergone during the analytic sessions and contribute to the integration of insufficiently symbolized psychic elements. These theoretical considerations are fully illustrated by the clinical report of some analytic sessions.

  6. Ethics education in psychoanalytic training: a survey.

    Science.gov (United States)

    Ransohoff, Paul M

    2010-02-01

    Didactic education in psychoanalytic ethics is a relatively new phenomenon. Ethics courses were offered by few institutes before they were mandated and before publication of the first Ethics Case Book in 2001. As institutes have developed ethics training, the solutions they have arrived at-formats, length and placement of courses, and preferred readings- remain unknown to other educators and analysts. This survey was undertaken to gain an overview of the current state of ethics education. Twenty-nine of the thirty-one training institutes of the American Psychoanalytic Association (93%) responded to inquiries. Most institutes (79%) offered one course, and the average number of class sessions was 6.3. Of 258 different readings used, 61 (23.6%) were used by more than one institute and 37 (14.3%) by more than two. The most frequent topics were boundaries, confidentiality, and illness, and Dewald and Clark's Case Book (2008) and Gabbard and Lester (1995) were the most common readings. These findings should be useful to instructors, curriculum committees, and ethics committees in their ethics education planning, as well as to practicing analysts in their ethical self-education. This study may also serve as a model for analogous investigations into other areas of analytic education and as an impetus to further research and educational innovation.

  7. Repression and splitting in the psychoanalytic process.

    Science.gov (United States)

    Savvopoulos, Savvas; Manolopoulos, Sotiris; Beratis, Stavroula

    2011-02-01

    The authors examine the concepts of repression and splitting and their interplay during the psychoanalytic process. Initially, repression was introduced by the clinical phenomenon of resistance, leading to the formulation of the association between intrapsychic conflicts and neurotic symptoms. Later, repression was linked to normal development and to personality organization. Splitting, on the other hand, has been defined in quite diverse ways. The two main definitions are of splitting within the ego, and splitting of representations of the self, and of internal and external objects. Repression and splitting are compared developmentally, dynamically, and with respect to their relationship to psychic functioning and energic conditions. Clinical material is presented from the analysis of a patient who presented with borderline personality organization and narcissistic features. During the initial phase of analysis, splitting associated with projection, projective identification and idealization were the main defence mechanisms. As the analysis progressed and the themes of omnipotence and mourning were explored with the simultaneous working through of drive derivatives expressed in the transference, repression gained ground over the more primitive defence mechanisms. The evolution of the case showed a gradual shift from splitting to repression and the association of repression with a more advanced psychic organization. This development reflected the dynamic movement from borderline to hysterical organization in psychoanalytic nosology. Copyright © 2010 Institute of Psychoanalysis.

  8. A Quality Function Deployment (QFD Approach in Determining the Employer’s Selection Criteria

    Directory of Open Access Journals (Sweden)

    Nora Muda

    2015-01-01

    Full Text Available The industrial training program is part of the academic curriculum at the tertiary level. It plays an important role in providing students with the exposure to a real working environment in the industry. Through this program, the higher education institutions (HEI could identify the gaps in the curriculum based on the requirements from the industry. In addition, the feedback from the industry will help the HEI to equip students with relevant skills according to the demands from the industry. Indirectly, it can help to address the issue of unemployed graduates of which the number seems to increase from time to time. Therefore, this study aims to obtain the feedback from the employers out there in order to determine the most preferred criteria in selecting students for the industrial training placement by using Quality Function Deployment (QFD approach. The findings, through the development of house of quality based on the QFD approach, show that communication skills and students’ participation in sports and cocurricular activities at their university are the most preferred selection criteria. Therefore, the QFD approach can be used to translate the employers’ feedback in improving the marketability of the students in the industry.

  9. A multi-criteria inference approach for anti-desertification management.

    Science.gov (United States)

    Tervonen, Tommi; Sepehr, Adel; Kadziński, Miłosz

    2015-10-01

    We propose an approach for classifying land zones into categories indicating their resilience against desertification. Environmental management support is provided by a multi-criteria inference method that derives a set of value functions compatible with the given classification examples, and applies them to define, for the rest of the zones, their possible classes. In addition, a representative value function is inferred to explain the relative importance of the criteria to the stakeholders. We use the approach for classifying 28 administrative regions of the Khorasan Razavi province in Iran into three equilibrium classes: collapsed, transition, and sustainable zones. The model is parameterized with enhanced vegetation index measurements from 2005 to 2012, and 7 other natural and anthropogenic indicators for the status of the region in 2012. Results indicate that grazing density and land use changes are the main anthropogenic factors affecting desertification in Khorasan Razavi. The inference procedure suggests that the classification model is underdetermined in terms of attributes, but the approach itself is promising for supporting the management of anti-desertification efforts. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. A Geographical-Based Multi-Criteria Approach for Marine Energy Farm Planning

    Directory of Open Access Journals (Sweden)

    Nicolas Maslov

    2014-05-01

    Full Text Available The objective of this paper is to devise a strategy for developing a flexible tool to efficiently install a marine energy farm in a suitable area. The current methodology is applied to marine tidal current, although it can be extended to other energy contexts with some adaptations. We introduce a three-step approach that searches for marine farm sites and technological solutions. The methodology applied is based on a combination of Geographic Information Systems (GIS, multi-criteria analysis (MCA and an optimization algorithm. The integration of GIS and MCA is at the core of the search process for the best-suited marine areas, taking into account geographical constraints, such as human activity, pressure on the environment and technological opportunities. The optimization step of the approach evaluates the most appropriate technologies and farm configurations in order to maximize the quantity of energy produced while minimizing the cost of the farm. Three main criteria are applied to finally characterize a location for a marine energy farm: the global cost of the project, the quantity of energy produced and social acceptance. The social acceptance criterion is evaluated by the MCA method, Electre III, while the optimization of the energy cost is approximated by a genetic algorithm. The whole approach is illustrated by a case study applied to a maritime area in North-West France.

  11. A GIS approach to prioritizing habitat for restoration using neotropical migrant songbird criteria.

    Science.gov (United States)

    Holzmueller, Eric J; Gaskins, Michael D; Mangun, Jean C

    2011-07-01

    Restoration efforts to increase wildlife habitat quality in agricultural landscapes have limited funding and are typically done on a first come, first serve basis. In order to increase the efficiency of these restoration efforts, a prioritized ranking system is needed to obtain the greatest increase in habitat quality possible for the fewest amount of hectares restored. This project examines the use of a GIS based multi-criteria approach to prioritize lands for reforestation along the Kaskaskia River in Illinois. Loss of forested area and corresponding increase in forest fragmentation has decreased songbird habitat quality across the Midwestern United States. We prioritized areas for reforestation based on nine landscape metrics: available agricultural land, forest cover gaps, edge density, proximity to river, 200 m corridor area, total forest core area, fringe core area, distance to primary core value, and primary core area. The multi-criteria analysis revealed that high priority areas for reforestation were most likely to be close to the riparian corridor and existing large blocks of forest. Analysis of simulated reforestation (0, 0.5, 1.0, 5.0 10.0, 25.0, and 50.0% of highest priority parcels reforested) revealed different responses for multiple landscape metrics used to quantify forest fragmentation following reforestation, but indicated that the study area would get the greatest rate of return on reforestation efforts by reforesting 10.0% of the highest priority areas. This project demonstrates how GIS and a multi-criteria analysis approach can be used to increase the efficiency of restoration projects. This approach should be considered by land managers when attempting to identify the location and quantity of area for restoration within a landscape.

  12. A multi-criteria decision making approach to identify a vaccine formulation.

    Science.gov (United States)

    Dewé, Walthère; Durand, Christelle; Marion, Sandie; Oostvogels, Lidia; Devaster, Jeanne-Marie; Fourneau, Marc

    2016-01-01

    This article illustrates the use of a multi-criteria decision making approach, based on desirability functions, to identify an appropriate adjuvant composition for an influenza vaccine to be used in elderly. The proposed adjuvant system contained two main elements: monophosphoryl lipid and α-tocopherol with squalene in an oil/water emulsion. The objective was to elicit a stronger immune response while maintaining an acceptable reactogenicity and safety profile. The study design, the statistical models, the choice of the desirability functions, the computation of the overall desirability index, and the assessment of the robustness of the ranking are all detailed in this manuscript.

  13. [Priority setting of health interventions. Review of criteria, approaches and role of assessment agencies].

    Science.gov (United States)

    Varela-Lema, Leonor; Atienza-Merino, Gerardo; López-García, Marisa

    This study was carried out to develop an explicit health priority setting methodology to support decision-making regarding the technologies to be assessed for inclusion in the National Health Service service portfolio. The primary objective is to identify and analyse the criteria, approaches and conceptual frameworks used for national/international priority setting. An exhaustive review of the literature was carried out. For this purpose, a search of the main biomedical databases was performed and assessment agency websites were reviewed, among other sources. In general terms, it was found that there are no standardised criteria for priority setting, although some consensus and common trends have been identified regarding key elements (criteria, models and strategies, key actors, etc.). Globally, 8 key domains were identified: 1) need for intervention; 2) health outcomes; 3) type of benefit of the intervention; 4) economic consequences; 5) existing knowledge on the intervention/quality of and uncertainties regarding the evidence; 6) implementation and complexity of the intervention/feasibility; 7) priority, justice and ethics; and 8) overall context. The review provides a thorough analysis of the relevant issues and offers key recommendations regarding considerations for developing a national prioritisation framework. Findings are envisioned to be useful for different public organisations that are aiming to establish healthcare priorities. Copyright © 2016 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  14. Liver Transplantation for Hepatocellular Carcinoma beyond Milan Criteria: Multidisciplinary Approach to Improve Outcome

    Science.gov (United States)

    Kornberg, A.

    2014-01-01

    The implementation of the Milan criteria (MC) in 1996 has dramatically improved prognosis after liver transplantation (LT) in patients with hepatocellular carcinoma (HCC). Liver transplantation has, thereby, become the standard therapy for patients with “early-stage” HCC on liver cirrhosis. The MC were consequently adopted by United Network of Organ Sharing (UNOS) and Eurotransplant for prioritization of patients with HCC. Recent advancements in the knowledge about tumor biology, radiographic imaging techniques, locoregional interventional treatments, and immunosuppressive medications have raised a critical discussion, if the MC might be too restrictive and unjustified keeping away many patients from potentially curative LT. Numerous transplant groups have, therefore, increasingly focussed on a stepwise expansion of selection criteria, mainly based on tumor macromorphology, such as size and number of HCC nodules. Against the background of a dramatic shortage of donor organs, however, simple expansion of tumor macromorphology may not be appropriate to create a safe extended criteria system. In contrast, rather the implementation of reliable prognostic parameters of tumor biology into selection process prior to LT is mandatory. Furthermore, a multidisciplinary approach of pre-, peri-, and posttransplant modulating of the tumor and/or the patient has to be established for improving prognosis in this special subset of patients. PMID:27335840

  15. A two-phased multi-criteria decision-making approach for selecting the best smartphone

    Directory of Open Access Journals (Sweden)

    Yildiz, Aytac

    2015-11-01

    Full Text Available In the last 20 years, rapid and significant developments have occurred in communication and information technologies. In parallel with these developments, the importance of smartphones has increased. In addition, many smartphone manufacturers have launched and continue to launch a number of new models with many features. People who want to buy a new smartphone have difficulties selecting the best smartphone among the numerous models available on the technology markets. Therefore, smartphone selection has become a complex multi-criteria decision-making (MCDM problem for people. Hence, decision-making processes will be facilitated by using MCDM methods, and these will provide the most appropriate decision. In this paper, the best smartphone among the 28 alternatives determined by the person who will buy them are selected by using three main criteria and 17 sub-criteria with the help of a two-phased MCDM approach. In the first phase, 28 smartphone alternatives are ranked using the analytic network process (ANP. In the second phase, a model that includes the best four alternatives of ANP is created. Afterwards, the best smartphone is selected using the generalised Choquet integral (GCI method according to this model. Finally, the findings and the results are given.

  16. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy.

    Science.gov (United States)

    Berghout, Caspar C; Zevalkink, Jolien; Hakkaart-van Roijen, Leona

    2010-01-01

    Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility study, we examined the incremental cost-effectiveness ratio (ICER) of psychoanalysis versus psychoanalytic psychotherapy. Incremental costs and effects were estimated by means of cross-sectional measurements in a cohort design (psychoanalysis, n = 78; psychoanalytic psychotherapy, n = 104). Quality-adjusted life-years (QALYs) were estimated for each treatment strategy using the SF-6D. Total costs were calculated from a societal perspective (treatment costs plus other societal costs) and discounted at 4 percent. Psychoanalysis was more costly than psychoanalytic psychotherapy, but also more effective from a health-related quality of life perspective. The ICER--that is, the extra costs to gain one additional QALY by delivering psychoanalysis instead of psychoanalytic psychotherapy--was estimated at 52,384 euros per QALY gained. Our findings show that the cost-utility ratio of psychoanalysis relative to psychoanalytic psychotherapy is within an acceptable range. More research is needed to find out whether cost-utility ratios vary with different types of patients. We also encourage cost-utility analyses comparing psychoanalytic treatment to other forms of (long-term) treatment.

  17. [Lou Andreas-Salome (1861-1937)--psychoanalytical and feministic contribution to understanding her biography].

    Science.gov (United States)

    Bramness, J G

    2001-06-30

    Lou (Louise) Andreas-Salomé's life and work has preoccupied many biographers. The interest may have be sparked by her liaisons with many of the greatest men of her time. She had an intimate relationship with Friedrich Nietzsche in a period of great change for him. She was Rainer Marie Rilke's mistress for several years. And she pursued a close friendship and working relationship with Sigmund Freud in the latter part of her life. But her significance goes beyond these associations. She was a celebrated novelist and essayist in her own right, with ten novels and more than 50 essays, also on psychoanalytical subjects. She has been viewed as femme fatale, opportunist, feminist, radical, liberal, but also as a significant contributor to psychoanalytical thought. There have been two biographical approaches: a psychoanalytical approach focusing on her loss of father-figures and later difficult relationships with famous men, and a feministic approach accusing psychoanalysts of not contributing to insight, but belittling Salomé's legitimate position. A fuller understanding may be obtained by integrating these two views.

  18. Development of policies for Natura 2000 sites: a multi-criteria approach to support decision makers.

    Science.gov (United States)

    Cortina, Carla; Boggia, Antonio

    2014-08-01

    The aim of this study is to present a methodology to support decision makers in the choice of Natura 2000 sites needing an appropriate management plan to ensure a sustainable socio-economic development. In order to promote sustainable development in the Natura 2000 sites compatible with nature preservation, conservation measures or management plans are necessary. The main issue is to decide when only conservation measures can be applied and when the sites need an appropriate management plan. We present a case study for the Italian Region of Umbria. The methodology is based on a multi-criteria approach to identify the biodiversity index (BI), and on the development of a human activities index (HAI). By crossing the two indexes for each site on a Cartesian plane, four groups of sites were identified. Each group corresponds to a specific need for an appropriate management plan. Sites in the first group with a high level both of biodiversity and human activities have the most urgent need of an appropriate management plan to ensure sustainable development. The proposed methodology and analysis is replicable in other regions or countries by using the data available for each site in the Natura 2000 standard data form. A multi-criteria analysis is especially suitable for supporting decision makers when they deal with a multidimensional decision process. We found the multi-criteria approach particularly sound in this case, due to the concept of biodiversity itself, which is complex and multidimensional, and to the high number of alternatives (Natura 2000 sites) to be assessed. Copyright © 2014 Elsevier Ltd. All rights reserved.

  19. Developing a multi-criteria approach for drug reimbursement decision making: an initial step forward.

    Science.gov (United States)

    Dionne, Francois; Mitton, Craig; Dempster, Bill; Lynd, Larry D

    2015-01-01

    Coverage decisions for a new drug revolve around the balance between perceived value and price. But what is the perceived value of a new drug? Traditionally, the assessment of such value has largely revolved around the estimation of cost-effectiveness. However, very few will argue that the cost-effectiveness ratio presents a fulsome picture of 'value'. Multi-criteria decision analysis (MCDA) has been advocated as an alternative to cost-effectiveness analysis and it has been argued that it better reflects real world decision-making. The objective of this project was to address the issue of the lack of a satisfactory methodology to measure value for drugs by developing a framework to operationalize an MCDA approach incorporating societal values as they pertain to the value of drugs. Two workshops were held, one in Toronto in conjunction with the CAPT annual conference, and one in Ottawa, as part of the annual CADTH Symposium. Notes were taken at both workshops and the data collected was analyzed using a grounded theory approach. The intent was to reflect, as accurately as possible, what was said at the workshops, without normative judgement. Results to date are a set of guiding principles and criteria. There are currently ten criteria: Comparative effectiveness, Adoption feasibility, Risks of adverse events, Patient autonomy, Societal benefit, Equity, Strength of evidence, Incidence/prevalence/severity of condition, Innovation, and Disease prevention/ health promotion. Much progress has been made and it is now time to share the results. Feedback will determine the final shape of the framework proposed.

  20. A multi-criteria approach to camera motion design for volume data animation.

    Science.gov (United States)

    Hsu, Wei-Hsien; Zhang, Yubo; Ma, Kwan-Liu

    2013-12-01

    We present an integrated camera motion design and path generation system for building volume data animations. Creating animations is an essential task in presenting complex scientific visualizations. Existing visualization systems use an established animation function based on keyframes selected by the user. This approach is limited in providing the optimal in-between views of the data. Alternatively, computer graphics and virtual reality camera motion planning is frequently focused on collision free movement in a virtual walkthrough. For semi-transparent, fuzzy, or blobby volume data the collision free objective becomes insufficient. Here, we provide a set of essential criteria focused on computing camera paths to establish effective animations of volume data. Our dynamic multi-criteria solver coupled with a force-directed routing algorithm enables rapid generation of camera paths. Once users review the resulting animation and evaluate the camera motion, they are able to determine how each criterion impacts path generation. In this paper, we demonstrate how incorporating this animation approach with an interactive volume visualization system reduces the effort in creating context-aware and coherent animations. This frees the user to focus on visualization tasks with the objective of gaining additional insight from the volume data.

  1. Multi-criteria decision making approach for the selection of software effort estimation model

    Directory of Open Access Journals (Sweden)

    Ashu Bansal

    2017-06-01

    Full Text Available Software development with minimum effort has become a challenging task for the software de-velopers. Software effort may be defined as the prediction process of the effort required to de-velop any software. Many software effort estimation models have been developed in the past, but it is observed that none of them can be applied successfully in all kinds of projects in differ-ent environments that raise the problem of the software effort estimation model selection. To se-lect the suitable software effort estimation model, many conflicting selection criteria must be con-sidered in the decision process. The present study emphasizes on the development of a fuzzy multi-criteria decision making approach by integrating Fuzzy Set Theory and Weighted Distance Based Approximation. To show the consistency of the proposed approach, methodology valida-tion is also performed by making comparison with existing methodologies and to check the criti-cality of the selection criterion, sensitivity analysis is also performed.

  2. Perversion and pathology: a critique of psychoanalytic criticism in art

    Directory of Open Access Journals (Sweden)

    Lucille Holmes

    2012-10-01

    Full Text Available For over three decades, Jacques Lacan denounced ego psychology for its emphasis on a strong and well-adapted ego. This article recruits the principle of that critique to examine the use of psychoanalytic theories in contemporary art criticism, with specific focus on the subject of perversion, Freudo-Lacanian psychoanalysis, and the work of art critic Donald Kuspit. The discussion examines the main influences and concepts in Kuspit's psychoanalytic criticism, analyses specific differences between this psychoanalytic model and a Lacanian theory of perversion and desire, and considers the effect of these differences in the interpretation of art.

  3. Psychoanalytical Culture in the American Film Noir

    Directory of Open Access Journals (Sweden)

    Jose Luis Sánchez Noriega

    2008-10-01

    Full Text Available In the American Film Noir from the classic period (1930-1960, it is possible to perceive the influence of psychoanalytical culture and of Freud’s most widely read works. The theory of drives involves the consideration of the perpetrator of criminal activity as a sick person. This is reflected in the films, where morals are relegated to a secondary plane. The importance of sexuality is reflected in the figure of the “femme fatale” and in behaviours in which the principle of pleasure overarches that of reality. The conscious/unconscious duality and the place of dreams in psychoanalysis are the cornerstones of films addressing the split personality and nightmares that plague essentially decent people. The solution to certain criminal conflicts is not found through police work but through medicine: in such situations the therapist manages to solve the problem of the delinquent behaviour born of sick minds.

  4. A psychoanalytical perspective on nowadays depression

    Directory of Open Access Journals (Sweden)

    Érico Bruno Viana Campos

    2016-10-01

    Full Text Available The paper analyzes the phenomenon of epidemic depression nowadays as a symptom of the socio-cultural setting of contemporary subjectivity, through a critique to the framework of psychiatric psychopathology from psychoanalysis. It shows the importance of taking depression as an expression of collusion in the removal of the subject in contemporary times, as the result of a movement of social medicalization. It also presents an overview of the understanding of depression in psychoanalytic psychopathology, highlighting its structural unspecificity and pointing out different trends about their fundamental position in the Lacanian and object relations traditions. It argues that the depressive problems must be taken in their different structural arrangements, as an expression of failure and fixings along the narcissistic-melancholy axis of subjectivity constitution as a relevant and comprising model for understanding the problem of depression in psychoanalysis.

  5. Psychoanalytical interpretations of prejudices with emphasis on prejudices towards persons with disabilities

    Directory of Open Access Journals (Sweden)

    Dimoski Sanja

    2012-01-01

    Full Text Available This paper deals with interpretations of prejudices and specifically, prejudices towards people with disabilities, from the perspective of one of the many theoretical approaches. Psychoanalytic theoretical point of view interpret prejudices through the personality of the individual. The study and interpretation of prejudices towards people with disabilities is one of the major themes of modern social model of disability. Psychoanalytic interpretations determine prejudices, as well as prejudices towards people with disabilities, as a result of defense mechanisms, especially projection. This paper discusses the emotional component of attitude, based on its predominance in prejudices, as a extreme attitudes. In this analysis we have taken into account the emotional and unconscious reactions that can compose an emotional ambivalence in relation to the object of an attitude. Prejudice towards people with disabilities were brought in connection with the irrational and emotional reactions and unconscious fantasies related to the object of an attitude.

  6. Combination of a Stressor-Response Model with a Conditional Probability Analysis Approach for Developing Candidate Criteria from MBSS

    Science.gov (United States)

    I show that a conditional probability analysis using a stressor-response model based on a logistic regression provides a useful approach for developing candidate water quality criteria from empirical data, such as the Maryland Biological Streams Survey (MBSS) data.

  7. Criteria for preferring anterior approach in surgical treatment of cervical spondylotic myeloradiculopathy

    Directory of Open Access Journals (Sweden)

    Yurdal Gezercan

    2014-08-01

    Full Text Available Cervical spondylosis is a progressive, chronic and insidious degenerative disease, which origins from the cervical intervertebral disc and then diffuses to surrounding bony and soft tissues. If the spine and nerve roots are involved due to degenerative changes, this is called as cervical spondylotic myeloradiculopathy (CSMR and it is the most frequent cause of myelopathy over age of 50. Cases with progressive character and functional neurological deficits and cases with a prolonged course refractory to conservative therapy shall be treated surgically. The aim of the surgical treatment is to relieve the pressure on the spinal cord and nerve roots, to preserve the proper anatomical alignment of the cervical vertebrae or to reestablish correct anatomical positioning if it is distorted and lastly to increase the life quality by relieving patients neurological signs and complaints. While achieving these goals, complications shall be avoided as much as possible. These goals can be accomplished by anterior or posterior surgical approaches to the cervical vertebrae. The style of the surgical approach can only be decided by a detailed evaluation of the patient's clinical and radiological features. The utmost aim of the surgical procedure, which is to achieve sufficient neurological decompression and to preserve/establish proper cervical vertebral alignment, can be provided best by anterior approaches. In our current study, the criteria to prefer anterior approach in surgical treatment of CSMR will be reviewed. [Cukurova Med J 2014; 39(4.000: 669-678

  8. Psychosexual Pursuit: Enhancing Learning of Theoretical Psychoanalytic Constructs.

    Science.gov (United States)

    Carlson, Janet F.

    1989-01-01

    Describes a board game used to facilitate the learning of theoretical principles associated with the psychoanalytic perspective on personality. Covers rules governing play and special advantages of this learning experience. Game board is reproduced. (Author/LS)

  9. Hamlet in Freud's Thoughts: Reinterpretations in the Psychoanalytic Literature.

    Science.gov (United States)

    Diaz de Chumaceiro, Cora L.

    1998-01-01

    Presents a selection of interpretations in the psychoanalytic literature of "Hamlet," by William Shakespeare, beginning with an extensive look at the role this literature played in Sigmund Freud's mind at the origins of psychoanalysis. Also examines later interpretations. (SR)

  10. Fuzzy multiple-criteria decision-making approach for industrial green engineering.

    Science.gov (United States)

    Chiou, Hua-kai; Tzeng, Gwo-hshiung

    2002-12-01

    This paper describes a fuzzy hierarchical analytic approach to determine the weighting of subjective judgments. In addition, it presents a nonadditive fuzzy integral technique to evaluate a green engineering industry case as a fuzzy multicriteria decision-making (FMCDM) problem. When the investment strategies are evaluated from various aspects, such as economic effectiveness, technical feasibility, and environmental regulation, it can be regarded as an FMCDM problem. Since stakeholders cannot clearly estimate each considered criterion in terms of numerical values for the anticipated alternatives/strategies, fuzziness is considered to be applicable. Consequently, this paper uses triangular fuzzy numbers to establish weights and anticipated achievement values. By ranking fuzzy weights and fuzzy synthetic utility values, we can determine the relative importance of criteria and decide the best strategies. This paper applies what is called a lambda fuzzy measure and nonadditive fuzzy integral technique to evaluate the synthetic performance of green engineering strategies for aquatic products processors in Taiwan. In addition, we demonstrate that the nonadditive fuzzy integral is an effective evaluation and appears to be appropriate, especially when the criteria are not independent.

  11. A Multi-Criteria Approach to Assessing PDOs/PGIs: An Italian Pilot Study

    Directory of Open Access Journals (Sweden)

    Francesca Galli

    2011-12-01

    Full Text Available  The paper contribute to the assessment of PDO/PGI schemes by building an approach to measuring the actual performance of the PDO/PGI products in relation to the objectives of the European Regulation 510/2006. This is done through a multi-criteria ex-post analysis that compares the performance of different PDO/PGI products with respect to multiple criteria. The research presented, based on a small sample of Pdo cheese products in Italy, can be considered a pilot study that develops a comparative evaluation of the performance of PDO cheeses: i relative to the different objectives of the schemes, ii by using a set of suitable and informative indicators that can help to evaluate the effectiveness of a wide number of PDOs/PGIs with respect to the regulation’s objectives, and iii by considering that different actors involved in PDO/PGI schemes may have different priorities with regard to the importance of different objectives in evaluating the performance of schemes.

  12. A stakeholder-informed approach to the identification of criteria for the prioritization of zoonoses in Canada.

    Directory of Open Access Journals (Sweden)

    Victoria Ng

    Full Text Available Zoonotic diseases account for over 60% of all communicable diseases causing illness in humans and 75% of recently emerging infectious diseases. As limited resources are available for the control and prevention of zoonotic diseases, it is necessary to prioritize diseases in order to direct resources into those with the greatest needs. The selection of criteria for prioritization has traditionally been on the basis of expert opinion; however, details of the methods used to identify criteria from expert opinion often are not published and a full range of criteria may not be captured by expert opinion.This study used six focus groups to identify criteria for the prioritization of zoonotic diseases in Canada. Focus groups included people from the public, animal health professionals and human health professionals. A total of 59 criteria were identified for prioritizing zoonotic diseases. Human-related criteria accounted for the highest proportion of criteria identified (55%, followed by animal-related criteria (26% then pathogen/disease-related criteria (19%. Similarities and differences were observed in the identification and scoring of criteria for disease prioritization between groups; the public groups were strongly influenced by the individual-level of disease burden, the responsibility of the scientific community in disease prioritization and the experiences of recent events while the professional groups were influenced by the societal- and population-level of disease burden and political and public pressure.This was the first study to describe a mixed semi-quantitative and qualitative approach to deriving criteria for disease prioritization. This was also the first study to involve the opinion of the general public regarding disease prioritization. The number of criteria identified highlights the difficulty in prioritizing zoonotic diseases. The method presented in this paper has formulated a comprehensive list of criteria that can be used to

  13. A Hybrid Approach Using ISM For Leveling Agile Criteria And Fuzzy AHP To Determine The Relative Weights Of Evaluation Criteria And Fuzzy TOPSIS To Rank The Alternatives

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    Mahdi Karbasian1

    2012-02-01

    Full Text Available In today’s organizations, performance measurement comes more to the foreground with the advancement in the high technology. Supplier selection is an important issue in supply chain management. In recent years, determining the best supplier in the supply chain has become a key strategic consideration. However, these decisions usually involve several objectives or criteria, and it is often necessary to compromise among possibly conflicting factors. Thus, the multiple criteria decision making (MCDM becomes a useful approach to solve this kind of problem. In order to use the conceptual framework for measuring performance supplier, a methodology that takes into account both quantitative and qualitative factors and the interrelations between them should be utilized. for leveling an integrated approach of analytic hierarchy process AHP and fuzzy TOPSIS method is proposed to obtain final ranking. The interactions among the criteria are also analyzed before arriving at a decision for the selection of supplier from among six alternatives. Linguistic values are used to assess the ratings and weights for criterion. These linguistic ratings can be expressed in triangular fuzzy numbers. Then, a hierarchy multiple criteria decision-making (MCDM model based on fuzzy-sets theory including FAHP and FTOPSIS are applied. There are two approaches for aggregating values including relative importance of evaluation criteria with respect to the overall objective and rating of alternatives with respect to each criterion in fuzzy group TOPSIS: First aggregation and Last aggregation. In first aggregation approach weight of each criterion and rating of alternatives with respect to each criterion gained from decision makers are aggregated at first and TOPSIS method then apply to these aggregate values. In last aggregation approach weight of each criterion and rating of alternatives with respect to each criterion gained from decision makers are used in TOPSIS method

  14. A multi-criteria decision-making approach to rank supplier selection criteria for hospital waste management: A case from Pakistan.

    Science.gov (United States)

    Ishtiaq, Palvisha; Khan, Sharfuddin Ahmed; Haq, Moiz-Ul

    2018-02-01

    To address environmental issues and cost effectiveness, waste management is necessary for healthcare facilities. Most importantly, segregation of hazardous and non-hazardous waste must be done as in many developing countries; disposal of both types of healthcare waste is done together, which is an unsafe practice. Waste generated in hospitals needs proper management to minimise hazards for patient and healthcare workers. At the same time, it is quite difficult for hospitals to find a systematic way to select appropriate suppliers for hospital waste management. Therefore, the purpose of this article is to identify, validate, and rank criteria that are essential for hospital waste management suppliers' selection. The analytical hierarchal process approach has been used and a survey from Pakistan's largest city (Karachi) has been considered to rank the most appropriate criteria that is necessary to select the supplier, especially in a developing country like Pakistan. Results show that waste management cost (45.5%) and suppliers' details (31.5%) are the top two main criteria for supplier selection; and storage cost (15.7%), waste handling cost (14.7%), and qualification of the suppliers (10.9%) are the top three most important overall sub-criteria for supplier selection for hospital waste management.

  15. Rational approach, technique and selection criteria treating lumbar disk herniations by oxygen-ozone therapy.

    Science.gov (United States)

    Muto, Mario; Giurazza, Francesco; Silva, Ricardo Pimentel; Guarnieri, Gianluigi

    2016-12-01

    Radicular lumbar back pain is an important public health problem not yet benefiting from a unequivocal treatment approach. Medical and physical therapies represent the first solution; however, when these fail, the second therapeutic step is still controversial and mini-invasive treatments may play an important role. In these cases oxygen-ozone therapy has been proved to be a very safe and effective option that is widely used with different modalities. This paper, by reviewing oxygen-ozone therapy literature data, aims to describe the rationale of oxygen-ozone therapy for the treatment of lumbar disk herniations, propose an effective procedural technique and clarify patient selection criteria; furthermore, complications and follow-up management are also considered. © The Author(s) 2016.

  16. C/SCSC overview: approach, implementation, use. [Cost/Schedule Control Systems Criteria

    Energy Technology Data Exchange (ETDEWEB)

    Turf, Larry

    1979-01-01

    An overview of the Cost/Schedule Control System Criteria, known as C/SCS or C/S Squared is pesented. In the mid-1960s, several DOD service agencies embarked on a new performance measurement concept to track cost and schedule performance on major DOD programs. The performance measurement concept of C/SCS has expanded from DOD use to the Department of Energy (PMS), NASA (533 reports), and private industry such as shipbuilding, utilities, and construction. This paper describes the C/SCSC with the events leading to the C/SCS requirement, how to approach the requirement, and discusses implementing and using the system. Many government publications, directives, and instructions on the subject are listed in the publication.

  17. Multi-criteria approach for strategic planning of reverse supply chain

    Directory of Open Access Journals (Sweden)

    Abdelkader Benzohra

    2017-04-01

    Full Text Available A reverse supply chain is viewed as a process from consumption point to recovery point and the management of domestic waste is considered as a specific and complex reverse supply chain. This important sector represents a high challenging problem for our cities, constrained by financial, social, health and environmental considerations. This paper proposes multicriteria decision aid to help choose an efficient domestic waste management strategy. In fact, Multicriteria decision making techniques are considered as a key option to solve this type of problems, giving a solution that represents a good compromise between different preferences. The adopted approach consists in outranking a set of candidate management plans using a method based on partial aggregation criteria. This model is applied on a real case study of an Algerian city and to validate the obtained results, a deep sensitivity analysis is carried out, giving the most appropriate plans.

  18. A heuristic approach using multiple criteria for environmentally benign 3PLs selection

    Science.gov (United States)

    Kongar, Elif

    2005-11-01

    Maintaining competitiveness in an environment where price and quality differences between competing products are disappearing depends on the company's ability to reduce costs and supply time. Timely responses to rapidly changing market conditions require an efficient Supply Chain Management (SCM). Outsourcing logistics to third-party logistics service providers (3PLs) is one commonly used way of increasing the efficiency of logistics operations, while creating a more "core competency focused" business environment. However, this alone may not be sufficient. Due to recent environmental regulations and growing public awareness regarding environmental issues, 3PLs need to be not only efficient but also environmentally benign to maintain companies' competitiveness. Even though an efficient and environmentally benign combination of 3PLs can theoretically be obtained using exhaustive search algorithms, heuristics approaches to the selection process may be superior in terms of the computational complexity. In this paper, a hybrid approach that combines a multiple criteria Genetic Algorithm (GA) with Linear Physical Weighting Algorithm (LPPW) to be used in efficient and environmentally benign 3PLs is proposed. A numerical example is also provided to illustrate the method and the analyses.

  19. A multi-criteria weight of evidence approach for deriving ecological benchmarks for radioactive substances

    Energy Technology Data Exchange (ETDEWEB)

    Garnier-Laplace, J [Institut de Radioprotection et de Surete Nucleaire DEI/SECRE, CEN Cadarache-Batiment 159, BP 3, 13115 Saint-Paul-lez-Durance (France); Della-Vedova, C [Magelis, 6 rue Frederic Mistral, 84160 Cadenet (France); Andersson, P [Swedish Radiation Safety Authority, 17116 Stockholm (Sweden); Copplestone, D; Cailes, C; Whitehouse, P [Environment Agency, PO Box 12, Richard Fairclough House, Knutsford Road, Warrington WA4 1HG (United Kingdom); Beresford, N A; Howard, B J; Howe, P, E-mail: jacqueline.garnier-laplace@irsn.f [Centre for Ecology and Hydrology, Lancaster Environment Centre, Library Avenue, Bailrigg, Lancaster LA1 4AP (United Kingdom)

    2010-06-15

    Dose rate benchmarks are required in the tiered approaches used to screen out benign exposure scenarios in radiological ecological risk assessment. Such screening benchmarks, namely the predicted no-effect dose rates (PNEDR), have been derived by applying, as far as possible, the European guidance developed for chemicals. To derive the ecosystem level (or generic) PNEDR, radiotoxicity EDR{sub 10} data (dose rates giving a 10% effect in comparison with the control) were used to fit a species sensitivity distribution (SSD) and estimate the HDR{sub 5} (the hazardous dose rate affecting 5% of species with a 10% effect). Then, a multi-criteria approach was developed to justify using an assessment factor (AF) to apply to the HDR{sub 5} for estimating a PNEDR value. Several different statistical data treatments were considered which all gave reasonably similar results. The suggested generic screening value of 10 {mu}Gy h{sup -1} (incremental dose rate) was derived using the lowest available EDR{sub 10} value per species, an unweighted SSD, and an AF of 2 applied to the estimated HDR{sub 5}. Consideration was also given to deriving screening benchmark values for organism groups but this was not thought to be currently appropriate due to few relevant data being currently available.

  20. Psychoanalytic Interpretation of Blueberries by Susan Gibb

    Directory of Open Access Journals (Sweden)

    Maya Zalbidea Paniagua

    2014-06-01

    Full Text Available Blueberries (2009 by Susan Gibb, published in the ELO (Electronic Literature Organization, invites the reader to travel inside the protagonist’s mind to discover real and imaginary experiences examining notions of gender, sex, body and identity of a traumatised woman. This article explores the verbal and visual modes in this digital short fiction following semiotic patterns as well as interpreting the psychological states that are expressed through poetical and technological components. A comparative study of the consequences of trauma in the protagonist will be developed including psychoanalytic theories by Sigmund Freud, Jacques Lacan and the feminist psychoanalysts: Melanie Klein and Bracha Ettinger. The reactions of the protagonist will be studied: loss of reality, hallucinations and Electra Complex, as well as the rise of defence mechanisms and her use of the artistic creativity as a healing therapy. The interactivity of the hypermedia, multiple paths and endings will be analyzed as a literary strategy that increases the reader’s capacity of empathizing with the speaker.

  1. Transferences in parent-infant psychoanalytic treatments.

    Science.gov (United States)

    Salomonsson, Bjorn

    2013-08-01

    In parent-infant treatments, babies sometimes exhibit symptoms such as screaming, clinging, and fearful gaze avoidance of the analyst. The paper investigates if such phenomena may be regarded as transference manifestations, and if so, if they appear both in younger and older infants. Based on three case presentations, it is concluded that some babies are capable of forming both brief and enduring transferences. The term "indirect infant transference" refers to when a baby reacts emotionally to the analyst as long as the parent's transference remains unresolved. "Direct transference" refers to when a baby reacts in a non-mediated way to the analyst. The necessary tool of investigation for discovering these phenomena is a psychoanalytic method with an explicit, though not exclusive, focus on the baby. Discerning them in the clinical encounter may help us understand the baby's predicament and when and how to address the baby or the parent. These treatments constitute an empirical field awaiting more extensive clinical and theoretical investigation. Already now, they suggest that transference may be rooted in, and may appear during, very early developmental stages. The paper's positions are compared with those put forward by other parent-infant clinicians. Copyright © 2013 Institute of Psychoanalysis.

  2. Use of extratransference interpretation in psychoanalytic psychotherapy

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    Jojić Boris R.

    2005-01-01

    Full Text Available Background. In psychoanalytic psychotherapy, the transference analysis takes the central position of the work. The work in the extratransference sphere and experience in a professional practice with extratransference interventions have not been reported much in the literature. Extratransference sphere includes less transferring relation to a psychotherapist, transference to other objects, or may refer to the external reality rather than the psychic reality or fantasy. Case report. We pointed out extratransference interventions. We demonstrated an application of a genetic interpretation and reconstruction, too, which could restore and establish the connections between the past and the present, in order to understand the influences of the current reality and the past, and helping us, further, to resolve the infantile conflicts. Conclusion. Interpretation of extratransference situations takes an important part of an analytical work and it is an essential category of the interpretation. Analytic understanding should include transference and extratransference spheres, fantasy and reality, past and present. Working with neurotic patterns and character resistance needs an optimal choice of intervention in the given moment of the analytic process. Extratransference interventions are an essential category of intervention, irreplaceable for its effectiveness in the analytic process.

  3. [Asomatognosia and oral drive: a psychoanalytical perspective].

    Science.gov (United States)

    Morin, C; Durand, E; Marchal, F; Timsit, S; Manai, R; Pradat-Diehl, P; Rancurel, G

    2003-02-01

    The psychoanalytic concept of specular image refers to the complex construction that associates the body image with the language coordinates of the individual, thus making him/her a human subject. The acquisition of this specular image implies the loss of corporeal exchanges between mother and child, i.e., the "neutralization" of those body parts or extensions where these exchanges take place. These conceptions of body image and subjectivity lead to the hypothesis that neurological disturbances of body schema may alter the patients' subjectivity and their relation to the lost "object" insofar as they alter body image. In the present paper, we present two patients aged under 50, with a unique first ever stroke due to ischemia in the right middle cerebral artery territory and asomatognosia. On one hand, Bisiach's protocol was used to assess hemiplegia, sensory troubles, visual troubles, hemineglect and anosognosia, and adapted to assess asomatognosia. On the other hand, subjective data were gathered during a semistructured interview and a self-portrait test. This showed that asomatognosia was accompanied by a destructuration of body image and aberrant oral manifestations involving the paralyzed hand. The psychological positive phenomena accompanying asomatognosia might correspond to the intrusion of the lost object in the patients' psychic reality, due to the alteration of body schema and body image.

  4. Evaluation of a novel waste heat recovery system for the cement industry using multi-criteria analysis (MCA) approach

    Science.gov (United States)

    Han, Yue; Guo, Junshan; Zheng, Wei; Ding, Junqi; Zhu, Lingkai; Che, Yongqiang; Zhang, Yanpeng

    2017-12-01

    Based on a novel waste heat recovery project established in a cement plant, this paper aims to evaluate the performance of the project using multi-criteria analysis (MCA) approach. Economic, environmental, social, and technical perspectives were concerned and analyzed. Different sustainability criteria and indicators related with the project were evaluated through ranking/rating process and pairwise comparison. Results have shown similar outcomes, that ten out of eleven criteria are favorable at a high standard, which reveals the project’s success. Although the project has performed so well in economic, environmental and technical terms, social aspects have some weak points, and measures should be taken to improve social benefit.

  5. Freedom and the psychoanalytic ontology of quantum physics.

    Science.gov (United States)

    Gullatz, Stefan; Gildersleeve, Matthew

    2018-02-01

    Jung's paper 'Synchronicity - an acausal connecting principle', defining the phenomenon as a 'meaningful' coincidence depending on archetypal activation, was published in 1952, together with a conceptually related piece by physicist and Nobel Laureate Wolfgang Pauli entitled, 'The influence of archetypal ideas on the scientific theories of Kepler'. Slavoj Žižek, in The Indivisible Remainder: On Schelling and Related Matters, suggests that, in contrast to any notion of a 'pre-modern Jungian harmony', the main lesson of quantum physics was that not only was the psychoanalytic, empty subject of the signifier constitutively out-of-joint with respect to the world, but that the Real in itself was already incomplete, out-of-joint, 'not-all'. Yet while Žižek frequently tries to separate Jung from his own ontology, this paper shows that his ontology is not as different as he suggests. Consistent with our earlier publications on Jung and Zizek, a closer investigation reveals an underlying congruence of both of their approaches. In this paper we show that this affinity lies in the rejection by both Jung and Žižek of the ideology of reductive materialism, a rejection that demonstrably draws on quantum physics in similar ways. While Jung posits an inherently meaningful universe, Žižek attempts to salvage the freedom of human subjectivity by opposing his Lacanian 'dialectical materialism' to reductive materialism. © 2018, The Society of Analytical Psychology.

  6. The sense of solitude in the psychoanalytic encounter.

    Science.gov (United States)

    Quinodoz, J M

    1996-06-01

    The author emphasises the importance of the sense of solitude for the integration of psychic life in both analysand and analyst. This complex affect is stated to accompany different levels of anxiety that can be worked through in the transference. While the normal sense of solitude is a manifestation of relative maturity, the author shows that it is not readily tolerated by some analysands when, in the form of a painful sense of loneliness, it signals the approach of the depressive position and of psychic integration. A discussion of the concept in the work of Freud, Klein and Winnicott is followed by a clinical sequence showing how a female patient uses projective identification to transfer intolerable transference separation feelings on to the analyst, who then experiences them as his own. When the analyst succeeds in distinguishing between the pathological aspect (depression) and the healthy side (psychic pain due to the prospect of integration) of these affects, he is able to interpret. The author draws attention to the dangers of acting out by both partners in the analysis if this is not possible. The author deems it important for the psychoanalyst to have acquired a well-developed sense of solitude and insists that particular consideration be devoted to its presence in prospective candidates for psychoanalytic training.

  7. The Berlin Poliklinik: psychoanalytic innovation in Weimar Germany.

    Science.gov (United States)

    Danto, E A

    1999-01-01

    After Freud proposed in 1918 the creation of "institutions or out-patient clinics [where] treatment will be free," Max Eitingon, Ernst Simmel, and other progressive psychoanalysts founded the Berlin Poliklinik, a free outpatient clinic. Guided by Weimar Republic principles of "radical functionalism," the Poliklinik and its companion inpatient service, the Schloss Tegel Sanatorium, pioneered treatment and training methodologies still used--and still debated--today. Their funding strategies, statistics, and approaches to clinical problems like length of treatment tell the history of an innovative psychoanalytic institute where men and women were generally treated in equal numbers and patients (ranging in occupational status from unemployed to professional) of all ages were treated free. Franz Alexander, Karl Abraham, Theresa Benedek, Paul Federn, Otto Fenichel, Edith Jacobson, Karen Horney, Erich Fromm, Helene Deutsch, Hanns Sachs, Sándor Radó, Hermine von Hug-Hellmuth, Wilhelm Reich, Annie Reich, and Melanie Klein all worked at the Poliklinik, and from there initiated decades of original clinical theory, practice, and education.

  8. Investigation of Multi-Criteria Decision Consistency: A Triplex Approach to Optimal Oilfield Portfolio Investment Decisions

    Science.gov (United States)

    Qaradaghi, Mohammed

    Complexity of the capital intensive oil and gas portfolio investments is continuously growing. It is manifested in the constant increase in the type, number and degree of risks and uncertainties, which consequently lead to more challenging decision making problems. A typical complex decision making problem in petroleum exploration and production (E&P) is the selection and prioritization of oilfields/projects in a portfolio investment. Prioritizing oilfields maybe required for different purposes, including the achievement of a targeted production and allocation of limited available development resources. These resources cannot be distributed evenly nor can they be allocated based on the oilfield size or production capacity alone since various other factors need to be considered simultaneously. These factors may include subsurface complexity, size of reservoir, plateau production and needed infrastructure in addition to other issues of strategic concern, such as socio-economic, environmental and fiscal policies, particularly when the decision making involves governments or national oil companies. Therefore, it would be imperative to employ decision aiding tools that not only address these factors, but also incorporate the decision makers' preferences clearly and accurately. However, the tools commonly used in project portfolio selection and optimization, including intuitive approaches, vary in their focus and strength in addressing the different criteria involved in such decision problems. They are also disadvantaged by a number of drawbacks, which may include lacking the capacity to address multiple and interrelated criteria, uncertainty and risk, project relationship with regard to value contribution and optimum resource utilization, non-monetary attributes, decision maker's knowledge and expertise, in addition to varying levels of ease of use and other practical and theoretical drawbacks. These drawbacks have motivated researchers to investigate other tools and

  9. Explaining the Criteria of Designing Urban Furniture and Landscape, with a Cultural-social Design Approach

    Directory of Open Access Journals (Sweden)

    Marzieh Allahdadi

    2017-09-01

    Full Text Available Attention to the deep relationship between human personality and the place in which he lives causes the place to play a crucial role in cultural transformations and prevalence of human life style and formation of values, connections and human activities. Cities are not just a place of transit, but they are also environments that must have mutual communications with the inhabitants in order to realize the meaning of citizen, as there is a distinction between the status of citizenship and urbanization. Urban furniture is one of the elements of urban space that its quantity, beauty and durability play a major role in achieving a healthy and favorable city and satisfies the needs of citizens in terms of performance and beauty. Accordingly, the present study, using descriptive-analytical method and with data collection tools including library and documentary studies, examines the concept of product ecology and answers to the questions whether urban furniture can start or support social interaction or positively affect the roles of citizens? In this paper, the relationship between social-cultural design in urban furniture and the disturbances regarding uneven distribution of elements are identified, and finally the criteria of designing urban furniture and landscape are expressed with a social-design approach.

  10. Multi-criteria approach with linear combination technique and analytical hierarchy process in land evaluation studies

    Directory of Open Access Journals (Sweden)

    Orhan Dengiz

    2018-01-01

    Full Text Available Land evaluation analysis is a prerequisite to achieving optimum utilization of the available land resources. Lack of knowledge on best combination of factors that suit production of yields has contributed to the low production. The aim of this study was to determine the most suitable areas for agricultural uses. For that reasons, in order to determine land suitability classes of the study area, multi-criteria approach was used with linear combination technique and analytical hierarchy process by taking into consideration of some land and soil physico-chemical characteristic such as slope, texture, depth, derange, stoniness, erosion, pH, EC, CaCO3 and organic matter. These data and land mapping unites were taken from digital detailed soil map scaled as 1:5.000. In addition, in order to was produce land suitability map GIS was program used for the study area. This study was carried out at Mahmudiye, Karaamca, Yazılı, Çiçeközü, Orhaniye and Akbıyık villages in Yenişehir district of Bursa province. Total study area is 7059 ha. 6890 ha of total study area has been used as irrigated agriculture, dry farming agriculture, pasture while, 169 ha has been used for non-agricultural activities such as settlement, road water body etc. Average annual temperature and precipitation of the study area are 16.1oC and 1039.5 mm, respectively. Finally after determination of land suitability distribution classes for the study area, it was found that 15.0% of the study area has highly (S1 and moderately (S2 while, 85% of the study area has marginally suitable and unsuitable coded as S3 and N. It was also determined some relation as compared results of linear combination technique with other hierarchy approaches such as Land Use Capability Classification and Suitability Class for Agricultural Use methods.

  11. ON THE BIRTH AND DEVELOPMENT OF PSYCHOANALYTIC FIELD THEORY, PART 2.

    Science.gov (United States)

    Silverman, Martin A

    2017-10-01

    Advances in Contemporary Psychoanalytic Field Theory: Concept and Further Development. Edited by S. Montana Katz, Roosevelt Cassorla, and Giuseppe Civitarese. London/New York: Routledge, 2017. 212 pp. © 2017 The Psychoanalytic Quarterly, Inc.

  12. Enforsing a system approach to composite failure criteria for reliability analysis

    DEFF Research Database (Denmark)

    Dimitrov, Nikolay Krasimirov; Friis-Hansen, Peter; Berggreen, Christian

    2011-01-01

    Composite failure criteria have found widespread use in research and industry. In the vast majority of applications the material properties and the stresses, which serve as inputs to the criteria, are defined deterministically. However, when the reliability of composite structures is sought the i...

  13. Psychoanalytic peregrinations. II: Psychoanalysis as science and art.

    Science.gov (United States)

    Chessick, Richard D

    2002-01-01

    The foundations of psychoanalytic clinical practice involve the role of fantasy, creativity, and imagination as well as the natural science aspects of psychoanalysis. There is a common ground for psychoanalytic technique and we should not in a "politically correct" manner, as is so popular today, abandon the philosophical or Platonic foundationalism that lies at the basis of Freud's psychoanalytic practices. Although it is a "politically incorrect" view, a reasonable degree of objectivity and scientific validity is attainable by the relatively neutral psychoanalyst, using both natural science observations as well as introspection and hermeneutics. Furthermore, since psychoanalysis is fundamentally a creative activity, the roots of creativity require exploration and careful study. Subjective and first person methodologies such as Freud's psychoanalysis and phenomenology cannot be ignored in our search for the core of the self of each of our patients.

  14. The ambiguity of confidentiality in a psychoanalytic institute.

    Science.gov (United States)

    Dulchin, J; Segal, A J

    1982-02-01

    Traditionally, psychoanalytic training institutes have used the knowledge which faculty gained in the psychoanalyses of their student patients to evaluate the progress of those students. The training institute that we shall call Eastern Institute regarded such a practice as unacceptable, and organized its program with the intention that analysis would exercise no power over their student patients' careers. The institute's commitment to the confidentiality of psychoanalytic relationships led to an ambiguous definition of confidentiality. This ambiguity meant that some faculty members violated the confidentiality of the analytic relationship even though they believed thye were sustaining it. This paper examines the ways in which confidential information was managed, the conditions under which it was compromised, and the significance of this paradoxical situation in the life of the Institute and in the wider psychoanalytic world.

  15. Dialectical thinking and therapeutic action in the psychoanalytic process.

    Science.gov (United States)

    Hoffman, I Z

    1994-04-01

    The therapeutic action of the psychoanalytic process depends upon a special kind of power with which the analyst is invested by the patient and by society, a power that is enhanced by adherence to psychoanalytic rituals, including the asymmetrical aspects of the arrangement. It is important, however, that the analyst also engage with the patient in a way that is sufficiently self-expressive and spontaneous so that a bond of mutual identification can develop between the participants. At the core of the generic "good object" is an element of uncertainty as the analyst struggles to find an optimal position relative to this dialetic between formal psychoanalytic authority and personal responsivity and self-expression. At the core of the generic "bad object" is an uncritical commitment to one side of the dialetic at the expense of the other. An extended clinical vignette illustrates how the analyst's struggle with this dialetic has great therapeutic potential.

  16. [Psychoanalysis and psychoanalytic oriented psychotherapy: differences and similarities].

    Science.gov (United States)

    Rössler-Schülein, Hemma; Löffler-Stastka, Henriette

    2013-01-01

    Psychoanalysis as well as Psychoanalytic Psychotherapy derived from Psychoanalysis are efficient methods offered by the Austrian health care system in the treatment for anxiety, depression, personality disorders, neurotic and somatoform disorders. In both methods similar basic treatment techniques are applied. Therefore differentiation between both treatment options often is made pragmatically by the frequency of sessions or the use of the couch and seems to be vague in the light of empirical studies. This overview focuses a potential differentiation-the objective and subjective dimensions of the indication process. Concerning the latter it is to investigate, if reflective functioning and ego-integration can be enhanced in the patient during the interaction process between patient and psychoanalyst. Empirical data underline the necessity to investigate to which extent externalizing defence processes are used and to integrate such factors into the decision and indication process. Differing treatment aims display another possibility to differentiate psychoanalysis and psychoanalytic psychotherapy. Psychoanalytic psychotherapy aims for example more at circumscribed problem-foci, the capability for self-reflexion is one of the most prominent treatment effects in psychoanalysis that results in on-going symptom reduction and resilience. The most prominent differentiation lies in the utilization of technical neutrality. Within Psychoanalytic Psychotherapy neutrality has sometimes to be suspended in order to stop severe acting out. Empirical evidence is given concerning the differentiation between psychoanalysis and psychoanalytic psychotherapy, that treatment efficacy is not correlated with the duration of the treatment, but with the frequency of sessions. Results give support to the assumption that the dosage of specific and appropriate psychoanalytic techniques facilitates sustained therapeutic change.

  17. A dimensional approach to assessing personality functioning: examining personality trait domains utilizing DSM-IV personality disorder criteria.

    Science.gov (United States)

    Christopher Fowler, J; Sharp, Carla; Kalpakci, Allison; Madan, Alok; Clapp, Joshua; Allen, Jon G; Christopher Frueh, B; Oldham, John M

    2015-01-01

    This study compared a dimensional, trait domain approach to characterizing personality pathology with the traditional polythetic approach with respect to their associations with interpersonal functioning and personality traits from the five factor model. Psychiatric inpatients (N=1476) were administered the Structured Clinical Interview for DSM-IV Axis II personality disorders. Dimensional representations of trait domains were derived from reorganizing DSM-IV criteria into personality trait domains from DSM-5 Alternative Model. Dimensional scores and personality disorder (PD) total criterion scores served as independent variables in predicting interpersonal profile clusters, as well as extraversion, agreeableness conscientiousness, neuroticism and openness from the five factor model traits. Trait domain scores and PD criteria totals were significantly correlated with submissive interpersonal style yet none proved significant in regression analyses. Avoidant and borderline PD total criteria were negatively associated with a normative interpersonal style. Combined trait domain of detachment and avoidant PD total criteria predicted a hostile/withdrawn interpersonal style. The trait domain of detachment was negatively associated with five factor traits of extroversion, whereas borderline PD total criteria were negatively associated with conscientiousness. Avoidant and borderline PD total criteria were positively associated with neuroticism. The cross-cutting dimensional approach provided useful information in predicting a hostile/withdrawn interpersonal style as well as extroversion. Importantly, PD criterion scores and dimensional trait scores combined to predict this interpersonal style providing support to the alternative model of personality diagnosis in DSM-5. Clinicians are encouraged to assess dimensions of personality traits as these are related to interpersonal problems frequently encountered in psychiatric settings. While potentially useful, the dimensional

  18. Psychoanalytic Thoughts on the European Refugee Crisis and the Other.

    Science.gov (United States)

    Volkan, Vamık D

    2017-12-01

    There are many aspects-political, economic, legal, medical, cultural, religious-of the present refugee crisis in Europe. Difficulties at border crossings, settlement programs, life-saving issues, and security measures come to mind immediately, but the refugee crisis also needs to be examined from a psychological angle. This paper outlines psychoanalytic findings on voluntary and forced immigration and human responses to the Other. Change in the twenty-first century is occurring at an unprecedented pace and scale. Globalization, incredible advances in communication technology, fast travel, recourse limitations, terrorist activities, and now the refugee crisis in Europe make psychoanalytic investigation of the Other a necessity.

  19. Diagnostic criteria for depression in type 2 diabetes: a data-driven approach.

    Directory of Open Access Journals (Sweden)

    Sergio E Starkstein

    Full Text Available BACKGROUND: While depression is a frequent psychiatric comorbid condition in diabetes and has significant clinical impact, the syndromal profile of depression and anxiety symptoms has not been examined in detail. AIMS: To determine the syndromal pattern of the depression and anxiety spectrum in a large series of patients with type 2 diabetes, as determined using a data-driven approach based on latent class analysis (LCA. METHOD: Type 2 diabetes participants from the observational community-based Fremantle Diabetes Study Phase II underwent assessment of lifetime depression using the Brief Lifetime Depression Scale, the Patient Health Questionnaire 9-item version (PHQ-9 for current depression symptoms, and the Generalized Anxiety Disorder Scale that was specifically developed and validated for this study. The main outcome measure was classes of patients with a specific syndromal profile of depression and anxiety symptoms based on LCA. RESULTS: LCA identified four classes that were interpreted as "major anxious depression", "minor anxious depression", "subclinical anxiety", and "no anxious depression". All nine DSM-IV/5 diagnostic criteria for major depression identified a class with a high frequency of major depression. All symptoms of anxiety had similar high probabilities as symptoms of depression for the "major depression-anxiety" class. There were significant differences between classes in terms of history of depression and anxiety, use of psychoactive medication, and diabetes-related variables. CONCLUSIONS: Patients with type 2 diabetes show specific profiles of depression and anxiety. Anxiety symptoms are an integral part of major depression in type 2 diabetes. The different classes identified here provide empirically validated phenotypes for future research.

  20. Multi-criteria multi-stakeholder decision analysis using a fuzzy-stochastic approach for hydrosystem management

    Science.gov (United States)

    Subagadis, Y. H.; Schütze, N.; Grundmann, J.

    2014-09-01

    The conventional methods used to solve multi-criteria multi-stakeholder problems are less strongly formulated, as they normally incorporate only homogeneous information at a time and suggest aggregating objectives of different decision-makers avoiding water-society interactions. In this contribution, Multi-Criteria Group Decision Analysis (MCGDA) using a fuzzy-stochastic approach has been proposed to rank a set of alternatives in water management decisions incorporating heterogeneous information under uncertainty. The decision making framework takes hydrologically, environmentally, and socio-economically motivated conflicting objectives into consideration. The criteria related to the performance of the physical system are optimized using multi-criteria simulation-based optimization, and fuzzy linguistic quantifiers have been used to evaluate subjective criteria and to assess stakeholders' degree of optimism. The proposed methodology is applied to find effective and robust intervention strategies for the management of a coastal hydrosystem affected by saltwater intrusion due to excessive groundwater extraction for irrigated agriculture and municipal use. Preliminary results show that the MCGDA based on a fuzzy-stochastic approach gives useful support for robust decision-making and is sensitive to the decision makers' degree of optimism.

  1. Multi-criteria multi-stakeholder decision analysis using a fuzzy-stochastic approach for hydrosystem management

    Directory of Open Access Journals (Sweden)

    Y. H. Subagadis

    2014-09-01

    Full Text Available The conventional methods used to solve multi-criteria multi-stakeholder problems are less strongly formulated, as they normally incorporate only homogeneous information at a time and suggest aggregating objectives of different decision-makers avoiding water–society interactions. In this contribution, Multi-Criteria Group Decision Analysis (MCGDA using a fuzzy-stochastic approach has been proposed to rank a set of alternatives in water management decisions incorporating heterogeneous information under uncertainty. The decision making framework takes hydrologically, environmentally, and socio-economically motivated conflicting objectives into consideration. The criteria related to the performance of the physical system are optimized using multi-criteria simulation-based optimization, and fuzzy linguistic quantifiers have been used to evaluate subjective criteria and to assess stakeholders' degree of optimism. The proposed methodology is applied to find effective and robust intervention strategies for the management of a coastal hydrosystem affected by saltwater intrusion due to excessive groundwater extraction for irrigated agriculture and municipal use. Preliminary results show that the MCGDA based on a fuzzy-stochastic approach gives useful support for robust decision-making and is sensitive to the decision makers' degree of optimism.

  2. Frequency Domain Criteria for Absolute Stability A Delay-integral-quadratic Constraints Approach

    CERN Document Server

    Altshuller, Dmitry

    2013-01-01

    Frequency Domain Criteria for Absolute Stability focuses on recently-developed methods of delay-integral-quadratic constraints to provide criteria for absolute stability of nonlinear control systems. The known or assumed properties of the system are the basis from which stability criteria are developed. Through these methods, many classical results are naturally extended, particularly to time-periodic but also to nonstationary systems. Mathematical prerequisites including Lebesgue-Stieltjes measures and integration are first explained in an informal style with technically more difficult proofs presented in separate sections that can be omitted without loss of continuity. The results are presented in the frequency domain – the form in which they naturally tend to arise. In some cases, the frequency-domain criteria can be converted into computationally tractable linear matrix inequalities but in others, especially those with a certain geometric interpretation, inferences concerning stability can be made direc...

  3. How to Choose Your Next Top Salesperson: Multiple-Criteria Approach

    National Research Council Canada - National Science Library

    Violeta Cvetkoska; Filip Iliev

    2017-01-01

    Background: Choosing the most suitable candidate for the position of salesperson is indeed a complex task for managers because several criteria important for the position should be taken into consideration...

  4. EVALUATION OF MULTI CRITERIA ASSEMBLY LINE BALANCING BY MCDM APPROACHES: A CONCEPTUAL REVIEW

    OpenAIRE

    Pallavi Sharma; G. Thakar; R.C. Gupta

    2014-01-01

    This research paper gives an up-to-date review and discusses the development of the multi criteria assembly line balancing (ALB) and also gives a detailed list of different criteria for the purpose of comparing different assembly line balancing techniques. This paper is structured in six ections. Section one is introduction which gives the details of basic contributions of different researchers. Section two gives basic problem of assembly line balancing and its detailed classifications. In Se...

  5. Psychoanalytical Theories about Dance and Art | Akunna | Journal ...

    African Journals Online (AJOL)

    With the recent trend of crossing academic boundaries and integrating the humanities with social and abstract sciences in contemporary times, this article focuses on the role of art in the school of psychoanalytical thought and by extension, modern medicine. In the process, it explores the relationship between Aristotle's ...

  6. The development of psychoanalytic parent–infant/child ...

    African Journals Online (AJOL)

    Interviewees also described adaptive responses to these contextual challenges. These responses are discussed as evidence of the usefulness of theoretical and technical eclecticism, when applied with psychoanalytic mindfulness, in developing the South African parent–infant/child psychotherapy field. Journal of Child ...

  7. Effectiveness of Child Psychoanalytic Psychotherapy in a Clinical Outpatient Setting

    Science.gov (United States)

    Deakin, Elisabeth Kuhn; Tiellet Nunes, Maria Lucia

    2009-01-01

    The objective of this study was to evaluate the outcome of child psychoanalytic psychotherapy in a clinical outpatient setting in a city in southern Brazil. Three psychological tests (Rorschach, Bender and WISC III) were administered to 23 children, aged 6-11 years old, and the Child Behaviour Check List (CBCL) was completed by the parents. All…

  8. The Psychoanalytic Study of the Child. Volume XXIII.

    Science.gov (United States)

    Eissler, Ruth S., Ed.; And Others

    Twenty-seven papers treat aspects of the psychoanalytic study of the child. Problems of psychopathology and therapy considered are the fantasy of the phallic woman, the use of child analysis, the background of perversions, variables in the production of neurotic disturbances, treatment of narcissistic personality disorders, and problems of the…

  9. What Is the Use of Theory? A Psychoanalytic Discussion

    Science.gov (United States)

    Britzman, Deborah P.

    2012-01-01

    Freud asking whether psychoanalysis could be taught in the university, and then whether it could be learned, provides an occasion for asking about the emotional uses of theory. The paper draws from literature, clinical writing and pedagogy to build a psychoanalytic discussion of teaching and learning that takes seriously phantasies of knowledge…

  10. Minding the gap between positivism and hermeneutics in psychoanalytic research.

    Science.gov (United States)

    Luyten, Patrick; Blatt, Sidney J; Corveleyn, Jozef

    2006-01-01

    Two quite different cultures are to be found within psychoanalysis, one more clinical in orientation, more focused on meaning and interpretation, and relying primarily on the traditional case study method, the other more research-oriented, focused on cause-and-effect relationships, and relying primarily on methods borrowed from the natural and social sciences. The history of this divide is reviewed and arguments, pro and con, about the potential contributions of specific types of empirical investigation are discussed. Increasingly, it seems, criticisms concerning the scientific status of psychoanalysis are being responded to by empirical research. This has contributed to a growing recognition within the scientific community of the credibility of aspects of psychoanalytic theories and of the effectiveness of psychodynamic treatment. However, some segments of the psychoanalytic community are concerned that this increase in the quantity and quality of empirical research on psychoanalytic concepts risks creating an empirical one-sidedness, while other segments are concerned that not engaging in systematic empirical research can lead to intellectual isolation, fragmentation, stagnation, and orthodoxy. To counter this polarizing tendency, a recommendation is made for methodological pluralism. Adopting this stance could contribute to an enriched understanding of the clinical process and to the development of new research methodologies to investigate complex psychodynamic hypotheses, thus bridging the gap between the two psychoanalytic cultures, as well as the gap between research and clinical practice.

  11. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy

    NARCIS (Netherlands)

    Berghout, C.C.; Zevalkink, D.J.; Hakkaart-van Roijen, L.

    2010-01-01

    Objectives: Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility

  12. A cost-utility analysis of psychoanalysis versus psychoanalytic psychotherapy

    NARCIS (Netherlands)

    Berghout, Caspar C; Zevalkink, D.J.; Hakkaart-Van Roijen, Leona

    OBJECTIVES: Despite the considerable and growing body of research about the clinical effectiveness of long-term psychoanalytic treatment, relatively little attention has been paid to economic evaluations, particularly with reference to the broader range of societal effects. In this cost-utility

  13. A multi-criteria decision making approach for supplier selection in the flexible packaging industry

    Directory of Open Access Journals (Sweden)

    Cristea Ciprian

    2017-01-01

    Full Text Available The supplier selection problem represents one of the most important components of the supply chain management. This article presents a multiple criteria decision making analysis contributing to the selection of the most convenient supplier in the flexible packaging industry. Due to the fact that in today's supply chain management, the performance of potential suppliers is evaluated against multiple criteria rather than taking into account only the cost factor, the appropriate criteria in the supplier selection have been identified, and the considered variants are assessed, considering the decision maker’s preferences and existing constraints. The variants are ranked in terms of their suitability for selecting a supplier with the use of Electre III method. The results obtained from the simulation experiment suggest that this methodology is a feasible decision support model.

  14. EVALUATION OF MULTI CRITERIA ASSEMBLY LINE BALANCING BY MCDM APPROACHES: A CONCEPTUAL REVIEW

    Directory of Open Access Journals (Sweden)

    Pallavi Sharma

    2014-03-01

    Full Text Available This research paper gives an up-to-date review and discusses the development of the multi criteria assembly line balancing (ALB and also gives a detailed list of different criteria for the purpose of comparing different assembly line balancing techniques. This paper is structured in six ections. Section one is introduction which gives the details of basic contributions of different researchers. Section two gives basic problem of assembly line balancing and its detailed classifications. In Section three objectives (criteria's are shown in tabulated manner with reference as a result of extensive literature survey. Section four portrays assembly line balancing techniques for the solution of ALB Problems. Section five gives the information about the gaps in the literature for prioritizing different assembly line balancing techniques. Finally Section six, concludes the research work and gives information about possible future implications.

  15. Fuzzy multi-criteria approach to ordering policy ranking in a supply chain

    Directory of Open Access Journals (Sweden)

    Tadić Danijela

    2005-01-01

    Full Text Available In this paper, a new fuzzy multi-criteria mathematical model for the selection of the best among a finite number of ordering policy of raw material in a supply chain is developed. The problem treated is a part of the purchasing plan of a company in an uncertain environment and it is very common in business practice. Optimization criteria selected describe the performance measures of ordering policies and generally their relative importance is different. It is assumed that the values of the optimization criteria are vague and imprecise. They are described by discrete fuzzy numbers and by linguistic expressions. The linguistic expressions are modeled by discrete fuzzy sets. The measures of belief that one ordering policy is better than another are defined by comparing fuzzy numbers. An illustrative example is given.

  16. Observation of agoraphobic syndrome through the prism of psychoanalytic epistemology

    Directory of Open Access Journals (Sweden)

    Sandić Aneta

    2014-01-01

    Full Text Available Focus of the text is on psychoanalytic epistemology of agoraphobic syndrome which is still not sufficiently clarified in psychodynamic parameters. Detailed theorethic study starts from the very origins, theoretical and practical suggestions of Sigmund Freud. Early psychoanalytic formulations include psychodynamic models of Karl Abraham, Helene Deutsch and Edoardo Weiss, as well as a number of other significant analysts who gave significant insight to the metapsychological formulations of agoraphobia in the beginning of XX century. After portraying crucial theoretic frames of dynamics of agoraphobia originating from French psychoanalysis, illustrated through the work of Maurice Bouvet and Jannine Chasseguet - Smirgle, author moves towards psychoanalytic models presented to the psychoanalytic community during the first and second decade of XXI century. This segment incorporates autistic objects of agoraphobic neurotic according to Donald Cartwright and synthesis of crucial traits of representations of self and representations of object according to Barbara Milrod. Leading us towards the conclusion author makes a resume of the actual psychoanalytic epistemology of the agoraphoic syndrome pointing out at the centrality of non adequately solved separation - individuation stage, as well as ego defects associated to he agoraphobic syndrome. Specificity of object relations of agoraphobic neurotic she illustrates pointing out at the nature of his relationship with the follower, that psychic fusion which provides the feeling of certainty outside the safety of ones own home. This detailed overview of severely insufficient published literature devoted to agoraphobia is resumed accenting the necessity for its further research, as well as clear notion that although neurotic disorder, agoraphobic syndrome by at least one of its pole gravitates towards nozologycal unit marking personality disorders.

  17. Evaluation criteria on the design for assimilating remote sensing data using variational approaches

    Science.gov (United States)

    Lu, Sha; Heemink, Arnold; Lin, Hai Xiang; Segers, Arjo; Fu, Guangliang

    2017-04-01

    Remote sensing, as a powerful tool for monitoring atmospheric phenomena, has been playing an increasingly important role in inverse modeling. Remote sensing instruments measure quantities that combine several state variables. This creates correlations between the state variables which share the same observation variable. Sometimes strong Sensor-Induced Artificial (SIA) correlations are introduced between physically unrelated states or parameters. This may cause numerical problems resulting in a low convergence rate or inaccurate estimates in gradient-based variational assimilation. In this work, two criteria or scoring rules are proposed to quantify the effectiveness of assimilating a specific set of remote sensing observations and to quantify the reliability of the estimates of the parameters. The criteria are derived by analyzing how the SIA correlations are created via shared observation data and how they influence the process of variational data assimilation. Experimental tests are conducted and show a good agreement with theory. The results illustrate the capability of the criteria to indicate the reliability of the assimilation process. Both criteria can be used as prejudge before the assimilation methodology is implemented.

  18. A Particle Swarm Optimization Approach to Composing Serial Test Sheets for Multiple Assessment Criteria

    Science.gov (United States)

    Yin, Peng-Yeng; Chang, Kuang-Cheng; Hwang, Gwo-Jen; Hwang, Gwo-Haur; Chan, Ying

    2006-01-01

    To accurately analyze the problems of students in learning, the composed test sheets must meet multiple assessment criteria, such as the ratio of relevant concepts to be evaluated, the average discrimination degree, difficulty degree and estimated testing time. Furthermore, to precisely evaluate the improvement of student's learning performance…

  19. Food chain design using multi criteria decision making, an approach to complex design issues

    NARCIS (Netherlands)

    Linnemann, A.R.; Hendrix, E.M.T.; Apaiah, R.K.; Boekel, van M.A.J.S.

    2015-01-01

    Designing a food supply chain for a completely new product involves many stakeholders and knowledge from disciplines in natural and social sciences. This paper describes how Multi Criteria Decision Making (MCDM) facilitated designing a food supply chain in a case of Novel Protein Foods. It made the

  20. A review and classification of approaches for dealing with uncertainty in multi-criteria decision analysis for healthcare decisions.

    Science.gov (United States)

    Broekhuizen, Henk; Groothuis-Oudshoorn, Catharina G M; van Til, Janine A; Hummel, J Marjan; IJzerman, Maarten J

    2015-05-01

    Multi-criteria decision analysis (MCDA) is increasingly used to support decisions in healthcare involving multiple and conflicting criteria. Although uncertainty is usually carefully addressed in health economic evaluations, whether and how the different sources of uncertainty are dealt with and with what methods in MCDA is less known. The objective of this study is to review how uncertainty can be explicitly taken into account in MCDA and to discuss which approach may be appropriate for healthcare decision makers. A literature review was conducted in the Scopus and PubMed databases. Two reviewers independently categorized studies according to research areas, the type of MCDA used, and the approach used to quantify uncertainty. Selected full text articles were read for methodological details. The search strategy identified 569 studies. The five approaches most identified were fuzzy set theory (45% of studies), probabilistic sensitivity analysis (15%), deterministic sensitivity analysis (31%), Bayesian framework (6%), and grey theory (3%). A large number of papers considered the analytic hierarchy process in combination with fuzzy set theory (31%). Only 3% of studies were published in healthcare-related journals. In conclusion, our review identified five different approaches to take uncertainty into account in MCDA. The deterministic approach is most likely sufficient for most healthcare policy decisions because of its low complexity and straightforward implementation. However, more complex approaches may be needed when multiple sources of uncertainty must be considered simultaneously.

  1. Multi-criteria analysis and systemic planning: Towards a tetra-logical approach to planning and assessment

    DEFF Research Database (Denmark)

    Leleur, Steen

    This paper presents systemic planning (SP) with emphasis on multi-criteria decision analysis (MCDA). Specifically, SP is presented as a “tetra-logical” methodology approach with MCDA as one out of four major method orientations. The Danish-Swedish Øresund Fixed Link is used as application example....... It is concluded that the combination of SP and MCDA better than ordinary cost-benefit analysis can provide the necessary decision support for major, long-range investment decisions....

  2. A STUDY DEMONSTRATING EFFICACY OF A PSYCHOANALYTIC PSYCHOTHERAPY FOR PANIC DISORDER: IMPLICATIONS FOR PSYCHOANALYTIC RESEARCH, THEORY, AND PRACTICE

    Science.gov (United States)

    Busch, Fredric N.; Milrod, Barbara L.; Sandberg, Larry S.

    2013-01-01

    Systematic research on psychoanalytic treatments has been limited by several factors, including a belief that clinical experience can demonstrate the effectiveness of psychoanalysis, rendering systematic research unnecessary, the view that psychoanalytic research would be difficult or impossible to accomplish, and a concern that research would distort the treatment being delivered. In recent years, however, many psychoanalysts have recognized the necessity of research in order to obtain a more balanced assessment of the role of psychodynamic psychotherapy and psychoanalysis in a contemporary treatment armamentarium, as well as to allow appropriate evaluation and potentially greater acceptance by the broader mental health and medical communities. In this context, studies were conducted of a psychodynamic treatment, Panic-Focused Psycho-dynamic Psychotherapy (PFPP), initially in an open trial and then in a randomized controlled trial (RCT) in comparison with a less active treatment, Applied Relaxation Training (ART; Cerny et al. 1984), for adults with primary DSM-IV panic disorder. The results of the RCT demonstrated the efficacy of PFPP in treating panic disorder, and also demonstrated that a psychoanalytic treatment can be systematically evaluated in a mode consistent with the principles of evidence-based medicine. Two specific features of the methodology, the development of the treatment manual and the operationalization of the adherence instrument, both core building blocks of contemporary psychotherapy outcome research, and their implications for psychoanalytic research are discussed in greater depth. The theoretical, clinical, and educational implications of the PFPP studies are elaborated, and suggestions are made for pursuing further outcome research of psychoanalytic treatments. PMID:19270248

  3. SCORE: a novel multi-criteria decision analysis approach to assessing the sustainability of contaminated land remediation.

    Science.gov (United States)

    Rosén, Lars; Back, Pär-Erik; Söderqvist, Tore; Norrman, Jenny; Brinkhoff, Petra; Norberg, Tommy; Volchko, Yevheniya; Norin, Malin; Bergknut, Magnus; Döberl, Gernot

    2015-04-01

    The multi-criteria decision analysis (MCDA) method provides for a comprehensive and transparent basis for performing sustainability assessments. Development of a relevant MCDA-method requires consideration of a number of key issues, e.g. (a) definition of assessment boundaries, (b) definition of performance scales, both temporal and spatial, (c) selection of relevant criteria (indicators) that facilitate a comprehensive sustainability assessment while avoiding double-counting of effects, and (d) handling of uncertainties. Adding to the complexity is the typically wide variety of inputs, including quantifications based on existing data, expert judgements, and opinions expressed in interviews. The SCORE (Sustainable Choice Of REmediation) MCDA-method was developed to provide a transparent assessment of the sustainability of possible remediation alternatives for contaminated sites relative to a reference alternative, considering key criteria in the economic, environmental, and social sustainability domains. The criteria were identified based on literature studies, interviews and focus-group meetings. SCORE combines a linear additive model to rank the alternatives with a non-compensatory approach to identify alternatives regarded as non-sustainable. The key strengths of the SCORE method are as follows: a framework that at its core is designed to be flexible and transparent; the possibility to integrate both quantitative and qualitative estimations on criteria; its ability, unlike other sustainability assessment tools used in industry and academia, to allow for the alteration of boundary conditions where necessary; the inclusion of a full uncertainty analysis of the results, using Monte Carlo simulation; and a structure that allows preferences and opinions of involved stakeholders to be openly integrated into the analysis. A major insight from practical application of SCORE is that its most important contribution may be that it initiates a process where criteria

  4. The splitting of the New York Psychoanalytic Society and the construction of psychoanalytic authority.

    Science.gov (United States)

    Eisold, K

    1998-10-01

    The splitting apart of the New York Psychoanalytic Society, which began in 1941 with the expulsion of Karen Horney, is seen in the context of a concerted effort to establish the professional authority of psychoanalysis on unimpeachable foundations. On the one hand, a core group of young psychiatrists trained abroad, led by Kubie, sought to establish strict standards of training along orthodox lines; following in the footsteps of medical reformers who had established the professional authority of medicine with strict standards for training and credentialling, they opposed their more 'lax' elders as well as revisionists such as Horney and Rado. On the other hand, the refugee analysts fleeing Hitler sought to establish the security and conditions of orthodoxy they had enjoyed abroad, though they were forced to compromise on the issue of lay analysis. Together they expelled the deviants and sought to establish the professional authority of psychoanalysis on the twin foundations of medical standards and Freudian orthodoxy. Anxieties following the death of Freud contributed to this dynamic process. But contradictions between the conflicting demands of these two sources of authority undermined the stability of this alliance and, eventually, contributed to its collapse.

  5. Bipolar and bivariate models in multi-criteria decision analysis: descriptive and constructive approaches

    OpenAIRE

    Grabisch, Michel; Greco,Salvatore; Pirlot, Marc

    2008-01-01

    International audience; Multi-criteria decision analysis studies decision problems in which the alternatives are evaluated on several dimensions or viewpoints. In the problems we consider in this paper, the scales used for assessing the alternatives with respect to a viewpoint are bipolar and univariate or unipolar and bivariate. In the former case, the scale is divided in two zones by a neutral point; a positive feeling is associated to the zone above the neutral point and a negative feeling...

  6. A quasi-experimental approach to determining success criteria for ICT projects

    OpenAIRE

    MILIS, Koen; Meulder, M.; MERCKEN, Roger

    2003-01-01

    Since the 1960's many authors accepted the triple constraints (time, cost, specification) as a standard measure of success and this still appears to be extremely important in evaluating the success of ICT projects. However, a project cannot always be seen as a complete success or a complete failure. Moreover, the parties involved may perceive the terms "success" or "failure" differently. The authors have set up a quasiexperiment (gaming) in order to determine the criteria used by the differen...

  7. A survey-based benchmarking approach for health care using the Baldrige quality criteria.

    Science.gov (United States)

    Jennings, K; Westfall, F

    1994-09-01

    Since 1988, manufacturing and service industries have been using the Malcolm Baldrige National Quality Award to assess their management processes (for example, leadership, information, and analysis) against critical performance criteria. Recognizing that the typical Baldrige assessment is time intensive and dependent on intensive training, The Pacer Group, a consulting firm in Dayton, Ohio, developed a self-assessment tool based on the Baldrige criteria which provides a snapshot assessment of an organization's management practices. The survey was administered at 25 hospitals within a health care system. Hospitals were able to compare their scores with other hospitals in the system, as well as the scores of a Baldrige award winner. Results were also analyzed on a systemwide basis to identify strengths and weaknesses across the system. For all 25 hospitals, the following areas were identified as strengths: management of process quality, leadership, and customer focus and satisfaction. Weaknesses included lack of employee involvement in the quality planning process, poor design of quality systems, and lack of cross-departmental cooperation. One of the surveyed hospitals launched improvement initiatives in knowledge of improvement tools and methods and in a patient satisfaction focus. A team was formed to improve the human resource management system. Also, a new unit was designed using patient-centered care principles. A team re-evaluated every operation that affected patients on the unit. A survey modeled after the Baldrige Award criteria can be useful in benchmarking an organization's quality improvement practices.

  8. A machine learning approach to create blocking criteria for record linkage.

    Science.gov (United States)

    Giang, Phan H

    2015-03-01

    Record linkage, a part of data cleaning, is recognized as one of most expensive steps in data warehousing. Most record linkage (RL) systems employ a strategy of using blocking filters to reduce the number of pairs to be matched. A blocking filter consists of a number of blocking criteria. Until recently, blocking criteria are selected manually by domain experts. This paper proposes a new method to automatically learn efficient blocking criteria for record linkage. Our method addresses the lack of sufficient labeled data for training. Unlike previous works, we do not consider a blocking filter in isolation but in the context of an accompanying matcher which is employed after the blocking filter. We show that given such a matcher, the labels (assigned to record pairs) that are relevant for learning are the labels assigned by the matcher (link/nonlink), not the labels assigned objectively (match/unmatch). This conclusion allows us to generate an unlimited amount of labeled data for training. We formulate the problem of learning a blocking filter as a Disjunctive Normal Form (DNF) learning problem and use the Probably Approximately Correct (PAC) learning theory to guide the development of algorithm to search for blocking filters. We test the algorithm on a real patient master file of 2.18 million records. The experimental results show that compared with filters obtained by educated guess, the optimal learned filters have comparable recall but reduce throughput (runtime) by an order-of-magnitude factor.

  9. Two approaches to incorporate clinical data uncertainty into multiple criteria decision analysis for benefit-risk assessment of medicinal products.

    Science.gov (United States)

    Wen, Shihua; Zhang, Lanju; Yang, Bo

    2014-07-01

    The Problem formulation, Objectives, Alternatives, Consequences, Trade-offs, Uncertainties, Risk attitude, and Linked decisions (PrOACT-URL) framework and multiple criteria decision analysis (MCDA) have been recommended by the European Medicines Agency for structured benefit-risk assessment of medicinal products undergoing regulatory review. The objective of this article was to provide solutions to incorporate the uncertainty from clinical data into the MCDA model when evaluating the overall benefit-risk profiles among different treatment options. Two statistical approaches, the δ-method approach and the Monte-Carlo approach, were proposed to construct the confidence interval of the overall benefit-risk score from the MCDA model as well as other probabilistic measures for comparing the benefit-risk profiles between treatment options. Both approaches can incorporate the correlation structure between clinical parameters (criteria) in the MCDA model and are straightforward to implement. The two proposed approaches were applied to a case study to evaluate the benefit-risk profile of an add-on therapy for rheumatoid arthritis (drug X) relative to placebo. It demonstrated a straightforward way to quantify the impact of the uncertainty from clinical data to the benefit-risk assessment and enabled statistical inference on evaluating the overall benefit-risk profiles among different treatment options. The δ-method approach provides a closed form to quantify the variability of the overall benefit-risk score in the MCDA model, whereas the Monte-Carlo approach is more computationally intensive but can yield its true sampling distribution for statistical inference. The obtained confidence intervals and other probabilistic measures from the two approaches enhance the benefit-risk decision making of medicinal products. Copyright © 2014 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  10. Abandono de tratamento na psicoterapia psicanalítica: em busca de definição Treatment dropout in psychoanalytical psychotherapy: searching for definition

    Directory of Open Access Journals (Sweden)

    Marina Bento Gastaud

    2010-01-01

    Full Text Available OBJETIVOS: Este artigo tem por objetivo revisar as definições de abandono de tratamento encontradas na literatura sobre psicoterapia, problematizar a dificuldade de definir abandono nas diversas abordagens psicoterapêuticas, refletir sobre os critérios utilizados nas diferentes definições e propor uma definição de abandono para a psicoterapia psicanalítica. MÉTODO: Realizou-se revisão de artigos sobre abandono de tratamento envolvendo diferentes modalidades psicoterapêuticas, encontrados nas seguintes bases de dados: SciELO, Lilacs, Medline e PsycINFO. RESULTADOS E DISCUSSÃO: Definições de abandono de tratamento são apresentadas em três quadros, divididos pelo referencial teórico do processo psicoterapêutico. Os critérios utilizados nas definições são discutidos. CONCLUSÃO: A fim de construir uma definição padronizada de abandono para psicoterapia psicanalítica, propõe-se três categorias de definição para término de psicoterapia, com base na discussão crítica da literatura revisada.OBJECTIVES: This article aims to review the definitions of treatment dropout in psychotherapy literature, discuss the difficulty of defining dropout in various psychotherapeutic approaches, reflect on the criteria used in different definitions and propose a dropout definition for psychoanalytical psychotherapy. METHOD: A review of articles on treatment dropout involving different psychotherapeutic modalities was conducted in the following databases: SciELO, Lilacs, Medline and PsycINFO. RESULTS AND DISCUSS: Definitions of treatment dropout are presented in three figures and divided by the theoretical framework of the psychotherapeutic process. Criteria used in definitions are discussed. CONCLUSION: In order to build a standardized definition of psychoanalytical psychotherapy dropout, three definition categories for termination of psychotherapy are proposed, based on the critical discussion of the reviewed literature.

  11. Methodological problems in the psychoanalytic interpretation of literature: a review of studies on Sophocles' Antigone.

    Science.gov (United States)

    Werman, D

    1979-01-01

    Through a critical review of several studies dealing with Sophocles' drama, the Antigone, I have explored some of the prominent methodological problems encountered in the psychoanalytic interpretation of literature. Foremost among these is the inherent difficulty that the interpretation of literature is unable to benefit from the process of the analytic situation. Divorced from the realities of the therapeutic process, the drama itself is often used to corroborate an author's theoretical bias or to advance some special interest, with consequent distortion or blurring of the text. Although data about the artist's life and sociocultural environment may be of crucial significance, it is the text itself that must be the ultimate object of study. Through a re-examination of the Antigone as an aesthetic totality I have sketched out what appears to be an alternative manner of approaching the drama, and suggested that works of art reach us on both unconscious and conscious levels. I have stressed the need to analyze our emotional response to a work as affording a valuable source of insight into the work itself. Throughout, I have drawn attention to the need for greater scholarly rigor and the value of interdisciplinary collaboration. An open recognition of the problems in the psychoanalytic study of literature should serve to minimize dilettantism and raise the level of scholarship.

  12. Path analysis and multi-criteria decision making: an approach for multivariate model selection and analysis in health.

    Science.gov (United States)

    Vasconcelos, A G; Almeida, R M; Nobre, F F

    2001-08-01

    This paper introduces an approach that includes non-quantitative factors for the selection and assessment of multivariate complex models in health. A goodness-of-fit based methodology combined with fuzzy multi-criteria decision-making approach is proposed for model selection. Models were obtained using the Path Analysis (PA) methodology in order to explain the interrelationship between health determinants and the post-neonatal component of infant mortality in 59 municipalities of Brazil in the year 1991. Socioeconomic and demographic factors were used as exogenous variables, and environmental, health service and agglomeration as endogenous variables. Five PA models were developed and accepted by statistical criteria of goodness-of fit. These models were then submitted to a group of experts, seeking to characterize their preferences, according to predefined criteria that tried to evaluate model relevance and plausibility. Fuzzy set techniques were used to rank the alternative models according to the number of times a model was superior to ("dominated") the others. The best-ranked model explained above 90% of the endogenous variables variation, and showed the favorable influences of income and education levels on post-neonatal mortality. It also showed the unfavorable effect on mortality of fast population growth, through precarious dwelling conditions and decreased access to sanitation. It was possible to aggregate expert opinions in model evaluation. The proposed procedure for model selection allowed the inclusion of subjective information in a clear and systematic manner.

  13. Deepening psychoanalytic listening: the marriage of Buddha and Freud.

    Science.gov (United States)

    Rubin, Jeffrey B

    2009-06-01

    Freud (1912) delineated the ideal state of mind for therapists to listen, what he called "evenly hovering" or "evenly suspended attention." No one has ever offered positive recommendations for how to cultivate this elusive yet eminently trainable state of mind. This leaves an important gap in training and technique. What Buddhism terms meditation-non-judgmental attention to what is happening moment-to-moment-cultivates exactly the extraordinary, yet accessible, state of mind Freud was depicting. But genuine analytic listening requires one other quality: the capacity to decode or translate what we hear on the latent and metaphoric level-which meditation does not do. This is a crucial weakness of meditation. In this chapter I will draw on the best of the Western psychoanalytic and Eastern meditative traditions to illuminate how therapists could use meditation to cultivate "evenly hovering attention" and how a psychoanalytic understanding of the language and logic of the unconscious complements and enriches meditative attention.

  14. PSYCHOANALYTIC CLINIC IMPLICATED: CONNECTIONS WITH CULTURE, SOCIETY AND POLITICS

    Directory of Open Access Journals (Sweden)

    Miriam Debieux Rosa

    2017-09-01

    Full Text Available This article addresses the dilemmas of the advancement of psychoanalysis when taking into account certain problems, such as social exclusion, racism and others. These issues emerge when the psychoanalyst offers his or her listening in the pólis: in health care, assistance or education institutions, in communities. Such clinical-political psychoanalytic practices find the limits of its field and encourage the necessary dialogue with other fields of knowledge. On the other hand, they encourage the deepening of concepts and the creation of clinical devices compatible with the sociopolitical dimension of suffering. In the first part of the article, we discuss present the way that Freud articulates clinical practice, theory and social issues. Since then, however, the theoretical advance of psychoanalysis in its interface with culture has privileged artistic and religious facts, at the expense of the political, economic and social dimension. In the second part, we present our conception of clinical-political psychoanalytic or implicated psychoanalysis.

  15. Multi-criteria Group Decision Making Approach for Teacher Recruitment in Higher Education under Simplified Neutrosophic Environment

    Directory of Open Access Journals (Sweden)

    Kalyan Mondal

    2014-12-01

    Full Text Available Teacher recruitment is a multi-criteria group decisionmaking process involving subjectivity, imprecision, and fuzziness that can be suitably represented by neutrosophic sets. Neutrosophic set, a generalization of fuzzy sets is characterized by a truth-membership function, falsity-membership function and an indeterminacy-membership function. These functions are real standard or non-standard subsets of ] 0-, 1+[ .There is no restriction on the sum of the functions, so the sum lies between ]0-, 3+[. A neutrosophic approach is a more general and suitable way to deal with imprecise information, when compared to a fuzzy set. The purpose of this study is to develop a neutrosophic multi-criteria group decision-making model based on hybrid scoreaccuracy functions for teacher recruitment in higher education. Eight criteria obtained from expert opinions are considered for recruitment process. The criteria are namely academic performance index, teaching aptitude, subject knowledge, research experience, leadership quality, personality, management capacity, and personal values. In this paper we use the score and accuracy functions and the hybrid score-accuracy functions of single valued neutrosophic numbers (SVNNs and ranking method for SVNNs. Then, multi-criteria group decision-making method with unknown weights for attributes and incompletely known weights for decision makers is used based on the hybrid score-accuracy functions under single valued neutrosophic environments. We use weight model for attributes based on the hybrid score-accuracy functions to derive the weights of decision makers and attributes from the decision matrices represented by the form of SVNNs to decrease the effect of some unreasonable evaluations. Moreover, we use the overall evaluation formulae of the weighted hybrid scoreaccuracy functions for each alternative to rank the alternatives and recruit the most desirable teachers. Finally, an educational problem for teacher selection is

  16. [Transdisciplinary Approach for Sarcopenia. Sarcopenia : definition and the criteria for Asian elderly people].

    Science.gov (United States)

    Yuki, Atsumu; Ando, Fujiko; Shimokata, Hiroshi

    2014-10-01

    Sarcopenia is a syndrome characterized by loss of skeletal muscle mass and function (strength and physical performance) with a risk of adverse outcomes. Asian criteria have been decided recently by the Asia Working Group for Sarcopenia (AWGS) . AWGS defined sarcopenia as low skeletal muscle mass plus low muscle strength and/or low physical performance based on the previous reports. AWGS recommend cutoff values for muscle mass (7.0 kg/m(2) for men and 5.4 kg/m(2) for women by using dual X-ray absorptiometry, and 7.0 kg/m(2) for men and 5.7 kg/m(2) for women by using bioelectrical impedance analysis) , handgrip strength (<26 kg for men and <18 kg for women) , and usual gait speed (<0.8 m/s) . The prevalence of sarcopenia in Japanese elderly men and women diagnosed using Asian criteria was 9.6% and 7.7%, respectively. The estimated number of prevalent cases of sarcopenia in Japanese elderly men and women was approximately 1.3 million and 1.4 million, respectively.

  17. Identification of foot and mouth disease risk areas using a multi-criteria analysis approach.

    Science.gov (United States)

    Santos, Diego Viali Dos; Silva, Gustavo Sousa E; Weber, Eliseu José; Hasenack, Heinrich; Groff, Fernando Henrique Sautter; Todeschini, Bernardo; Borba, Mauro Riegert; Medeiros, Antonio Augusto Rosa; Leotti, Vanessa Bielefeldt; Canal, Cláudio Wageck; Corbellini, Luis Gustavo

    2017-01-01

    Foot and mouth disease (FMD) is a highly infectious disease that affects cloven-hoofed livestock and wildlife. FMD has been a problem for decades, which has led to various measures to control, eradicate and prevent FMD by National Veterinary Services worldwide. Currently, the identification of areas that are at risk of FMD virus incursion and spread is a priority for FMD target surveillance after FMD is eradicated from a given country or region. In our study, a knowledge-driven spatial model was built to identify risk areas for FMD occurrence and to evaluate FMD surveillance performance in Rio Grande do Sul state, Brazil. For this purpose, multi-criteria decision analysis was used as a tool to seek multiple and conflicting criteria to determine a preferred course of action. Thirteen South American experts analyzed 18 variables associated with FMD introduction and dissemination pathways in Rio Grande do Sul. As a result, FMD higher risk areas were identified at international borders and in the central region of the state. The final model was expressed as a raster surface. The predictive ability of the model assessed by comparing, for each cell of the raster surface, the computed model risk scores with a binary variable representing the presence or absence of an FMD outbreak in that cell during the period 1985 to 2015. Current FMD surveillance performance was assessed, and recommendations were made to improve surveillance activities in critical areas.

  18. The reception of classical psychoanalysis in the Russian religious thought and the modern psychoanalytic theories of religion

    Directory of Open Access Journals (Sweden)

    Konstantin Antonov

    2014-10-01

    Full Text Available The author considers the principal moments of the understanding of religion in psychoanalysis as perceived by Russian thinkers of the first half and the middle of the 20th century. The author indicates the conditions and context of the perception of psychoanalysis in Russia in the late 19th and early 20th centuries, the main contiguity points shared by the psychoanalytic understanding of religion and its treatment by the Russian symbolists, mainly by Vyacheslav Ivanov. He proceeds to consider the perception and criticism of psychoanalysis off ered by Russian thinkers of the fi rst half and the middle of the 20th century: Father P. Florensky, N. A. Berdyayev, S. L. Frank, B. P. Vysheslavtsev and S. A. Levitsky. The final part of the article contains conclusions bearing on the general meaning of this perception and its potential signifi cance for the Russian psychology of religion. Beyond any doubt, Russian philosophers have managed to enrich their understanding of religion by making use of the attainments of psychoanalysis. They have productively used even such ideas as had been conceived by the founder of psychoanalysis as instrumental in criticizing religion. Alongside repetition of the ideas common in the criticism of psychoanalysis, they have put forward a number of original arguments proceeding from an immanent analysis of psychoanalytical ideas indicative of the internal problems that exist in the psychoanalytical approach to religion. They have also outlined ways of overcoming them within the framework of Christian thought. In a number of cases they have evidently foreshadowed the interpretation of psychoanalytical doctrines in Western Christian thought.

  19. Criteria to assess the quality of the Dutch Informal Pro-active Approach Model

    NARCIS (Netherlands)

    Marseille, A.T.; de Graaf, K.J.; Dragos, D.C.; Lafarge, F.

    2012-01-01

    If citizens in the Netherlands do not agree with a decision of a public authority, they can submit a written objection. The Informal Pro-active Approach Model (or “informal approach”) provides an alternative for the traditional conflict resolution procedures. This informal approach has led to a

  20. Potential of an outranking multi-criteria approach to support the participatory assessment of land management actions.

    Science.gov (United States)

    Ocampo-Melgar, Anahí; Bautista, Susana; Edward deSteiguer, J; Orr, Barron J

    2017-06-15

    We evaluated the potential of an outranking Multi-Criteria Decision Analysis approach for assisting in the participatory assessment of dryland management actions implemented in the San Simon watershed, in southeastern Arizona, USA. We compared an outranking-facilitated assessment of actions with a simple and direct (baseline) ranking of the same actions by the participating stakeholders in terms of: 1) internal homogeneity of each assessment approach, (2) similarity of individual assessments between methods, and (3) effects of the use of implicit/explicit assessment criteria. The actions assessed combined various management approaches, including livestock management (rotation, resting), vegetation management (grass seeding, brush control), and hydraulic structures (dams, dykes). The outranking-facilitated assessment discriminated better between actions and reduced the variability of results between individual stakeholders as compared with the direct ranking of actions. In general, the two assessments significantly differed in the relative preference of the five management actions assessed, yet both assessments identified rotational grazing combined with vegetation management (grass seeding and brush control) as the most preferred management action in the study area. The comparative analysis revealed inconsistencies between the use of implicit and explicit assessment criteria. Our findings highlight the opportunities offered by outranking approaches to help capture, structure, and make explicit stakeholder perspectives in the framework of a participatory environmental assessment process, which may facilitate the understanding of the multiple preferences involved. The outranking integration process, which resembles a voting procedure, proved simple and transparent, with potential for contributing to stakeholder engagement and trust in participatory assessment. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient.

    Science.gov (United States)

    Moore, Paul A; Salas, Christian E; Dockree, Suvi; Turnbull, Oliver H

    2017-01-01

    Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature - a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions) with an individual (JL) who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL's impairment in connecting elements that belong to distant (and even relatively close) moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i) rejecting; (ii) starting to take in; and (iii) full use of the analytic space - where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general - and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change.

  2. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

    Science.gov (United States)

    Moore, Paul A.; Salas, Christian E.; Dockree, Suvi; Turnbull, Oliver H.

    2017-01-01

    Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature – a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions) with an individual (JL) who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL’s impairment in connecting elements that belong to distant (and even relatively close) moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i) rejecting; (ii) starting to take in; and (iii) full use of the analytic space – where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general – and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change. PMID:28890703

  3. Observations on Working Psychoanalytically with a Profoundly Amnesic Patient

    Directory of Open Access Journals (Sweden)

    Paul A. Moore

    2017-08-01

    Full Text Available Individuals with profound amnesia are markedly impaired in explicitly recalling new episodic events, but appear to preserve the capacity to use information from other sources. Amongst these preserved capacities is the ability to form new memories of an emotional nature – a skill at the heart of developing and sustaining interpersonal relationships. The psychoanalytic study of individuals with profound amnesia might contribute to the understanding the importance of each memory system, including effects on key analytic processes such as transference and countertransference. However, psychoanalytic work in the presence of profound amnesia might also require important technical modifications. In the first report of its kind, we describe observations from a long term psychoanalytic process (72 sessions with an individual (JL who has profound amnesia after an anoxic episode. The nature of therapy was shaped by JL’s impairment in connecting elements that belong to distant (and even relatively close moments in the therapeutic process. However, we were also able to document areas of preservation, in what appears to be a functioning therapeutic alliance. As regards transference, the relationship between JL and his analyst can be viewed as the evolution of a narcissistic transference, and case material is provided that maps this into three phases: (i rejecting; (ii starting to take in; and (iii full use of the analytic space – where each phase exhibits differing degrees of permeability between JL and the analyst. This investigation appears to have important theoretical implications for psychoanalytic practice, and for psychotherapy in general – and not only with regard to brain injured populations. We especially note that it raises questions concerning the mechanism of therapeutic action in psychoanalysis and psychotherapy, and the apparent unimportance of episodic memory for many elements of therapeutic change.

  4. Psychoanalytic and musical ambiguity: the tritone in gee, officer krupke.

    Science.gov (United States)

    Jaffee Nagel, Julie

    2010-02-01

    The poignant and timeless Broadway musical West Side Story is viewed from the standpoint of taking musical forms as psychoanalytic data. The musical configuration of notes called the tritone (or diabolus in musica) is taken as a sonic metaphor expressing ambiguity both in musical vocabulary and in mental life. The tritone, which historically and harmonically represents instability, is heard throughout the score and emphasizes the intrapsychic, interpersonal, and social dramas that unfold within and between the two gangs in West Side Story. Particular emphasis is given to the comic but exceedingly sober song Gee, Officer Krupke. Bernstein's sensitivity to the ambiguity and tension inherent in the tritone in West Side Story is conceptualized as an intersection of music theory and theories of mind; this perspective holds implications for clinical practice and transports psychoanalytic concepts from the couch to the Broadway stage and into the community to address the complexities of love, hate, aggression, prejudice, and violence. Ultimately, West Side Story cross-pollinates music and theater, as well as music and psychoanalytic concepts.

  5. [Loss of identity in Alzheimer's disease: a psychoanalytic approach].

    Science.gov (United States)

    Charazac, Pierre-Marie

    2009-09-01

    Loss of identity in Alzheimer's disease concerns successively mind and body. The disturbance of the body image is emphasized from the first stage of the disease to that of physical dependency. Identity disorder is also implicated in the caring relationship through the attack of identity of the formal and informal caregivers.

  6. Psychoanalytic supervision : a review and an approach to systematize

    OpenAIRE

    Jacó Zaslavsky; Maria Lúcia Tiellet Nunes; Cláudio Laks Eizirik

    2003-01-01

    A formação psicanalítica está alicerçada sobre três pilares básicos: a análise didática, os seminários teóricos e a supervisão clínica de análises. O modelo de supervisão psicanalítica, como um todo ou parte dele, é utilizado em diversas áreas do ensino da medicina, da psiquiatria e da psicologia, principalmente na psicanálise e na psicoterapia de orientação analítica, o que motiva um permanente estudo e aperfeiçoamento da sua aplicação prática. A presente revisão tem como finalidade tentar s...

  7. TYPES OF DECISIONS BASED ON MULTI-CRITERIA ANALYSIS APPLICABLE TO EXTRACTIVE INDUSTRY. THEORETICAL APPROACHES

    Directory of Open Access Journals (Sweden)

    EMILIA VASILE

    2011-01-01

    Full Text Available In order to ensure the competitiveness, the innovation and the jobs in the industrial sector it is crucial to solve the problems concerning the secure, reliable and constant access to raw materials. In a world characterized by an able legislation, the resources’ efficiency on the global economy might motivate the industrial competitiveness and reach the environment objectives of every country. Access and sustainable management of raw materials, requires the adoption/optimization of some decisions based on multicriteria analysis of situations considered. Due to the diversity and complexity of decision problems that are going to solve by the managers in the extraction, preparation, storage and transportation unit of extractive industry, the paper presents a systematization of them according to certain criteria or elements.

  8. Current Approaches and Future Trends in Compost Quality Criteria for Agronomic, Environmental, and Human Health Benefits

    DEFF Research Database (Denmark)

    Bernal, Maria Pilar; Sommer, Sven G.; Chadwick, Dave

    2017-01-01

    Organic wastes are composted to stabilize organic matter, reduce the moisture content, increase the concentrations of plant nutrients, eliminate pathogens and weed seeds, develop disease suppressiveness, and reduce greenhouse gas emissions. The requirements for compost quality depend on its final...... destination, which includes agriculture, horticulture, and urban landscaping. The development of a market for compost greatly depends on the definition and adoption of quality standards. Several countries and public and private organizations have established quality standards for compost, where certain...... properties are prioritized and different limits are established according to the end use. However, there is a need to harmonize such criteria at the international level. Also, if the process of composting is not managed properly, then it can result in excessive emissions of ammonia (NH3), nitrous oxide (N2O...

  9. Readiness of Future Music Teachers on the Basis of the Praxeology Approach: Essence, Structure, Development Criteria

    Directory of Open Access Journals (Sweden)

    Ievgeniia Provorova

    2017-06-01

    Full Text Available The article analyzes the essence of the concept “methodical readiness of future music teacher on the basis of praxeology approach”. The paper shows the result of methodical preparation in higher pedagogical educational institution that reflects the system of needs, motivations, imagination, values, the ability to broadcast or create innovations for improvisation, to forecast the results of own activities; high level of informative knowledge in the field of music art and techniques, skills of use own voice, facial expressions, gestures, techniques and methods for generating and analyzing ideas, successfully apply praxeology educational technologies that maintain the success of musical and pedagogical (singing activity. The researcher outlined motivationally-valuable, emotional and volitional, cognitive-reflective, creative-projective, behavioral, personally-resulted, organizationally-communicative components, criteria and indicators of analyzed phenomenon.

  10. Multi criteria decision making approaches for green supplier evaluation and selection

    DEFF Research Database (Denmark)

    Govindan, Kannan; Rajendran, S.; Sarkis, J.

    2015-01-01

    A large and growing body of literature to supplier evaluation and selection exists. Literature on green supplier evaluation that considers environmental factors are relatively limited. Recently, in supply chain management decision making, approaches for evaluating green supplier performance have...

  11. A multi-criteria decision analysis approach to assessing malaria risk in northern South America.

    Science.gov (United States)

    Alimi, Temitope O; Fuller, Douglas O; Herrera, Socrates V; Arevalo-Herrera, Myriam; Quinones, Martha L; Stoler, Justin B; Beier, John C

    2016-03-03

    Malaria control in South America has vastly improved in the past decade, leading to a decrease in the malaria burden. Despite the progress, large parts of the continent continue to be at risk of malaria transmission, especially in northern South America. The objectives of this study were to assess the risk of malaria transmission and vector exposure in northern South America using multi-criteria decision analysis. The risk of malaria transmission and vector exposure in northern South America was assessed using multi-criteria decision analysis, in which expert opinions were taken on the key environmental and population risk factors. Results from our risk maps indicated areas of moderate-to-high risk along rivers in the Amazon basin, along the coasts of the Guianas, the Pacific coast of Colombia and northern Colombia, in parts of Peru and Bolivia and within the Brazilian Amazon. When validated with occurrence records for malaria, An. darlingi, An. albimanus and An. nuneztovari s.l., t-test results indicated that risk scores at occurrence locations were significantly higher (p group of geographically random points. In this study, we produced risk maps based on expert opinion on the spatial representation of risk of potential vector exposure and malaria transmission. The findings provide information to the public health decision maker/policy makers to give additional attention to the spatial planning of effective vector control measures. Therefore, as the region tackles the challenge of malaria elimination, prioritizing areas for interventions by using spatially accurate, high-resolution (1 km or less) risk maps may guide targeted control and help reduce the disease burden in the region.

  12. A multi-criteria decision analysis approach to assessing malaria risk in northern South America

    Directory of Open Access Journals (Sweden)

    Temitope O. Alimi

    2016-03-01

    Full Text Available Abstract Background Malaria control in South America has vastly improved in the past decade, leading to a decrease in the malaria burden. Despite the progress, large parts of the continent continue to be at risk of malaria transmission, especially in northern South America. The objectives of this study were to assess the risk of malaria transmission and vector exposure in northern South America using multi-criteria decision analysis. Methods The risk of malaria transmission and vector exposure in northern South America was assessed using multi-criteria decision analysis, in which expert opinions were taken on the key environmental and population risk factors. Results Results from our risk maps indicated areas of moderate-to-high risk along rivers in the Amazon basin, along the coasts of the Guianas, the Pacific coast of Colombia and northern Colombia, in parts of Peru and Bolivia and within the Brazilian Amazon. When validated with occurrence records for malaria, An. darlingi, An. albimanus and An. nuneztovari s.l., t-test results indicated that risk scores at occurrence locations were significantly higher (p < 0.0001 than a control group of geographically random points. Conclusion In this study, we produced risk maps based on expert opinion on the spatial representation of risk of potential vector exposure and malaria transmission. The findings provide information to the public health decision maker/policy makers to give additional attention to the spatial planning of effective vector control measures. Therefore, as the region tackles the challenge of malaria elimination, prioritizing areas for interventions by using spatially accurate, high-resolution (1 km or less risk maps may guide targeted control and help reduce the disease burden in the region.

  13. A GIS based spatially-explicit sensitivity and uncertainty analysis approach for multi-criteria decision analysis☆

    Science.gov (United States)

    Feizizadeh, Bakhtiar; Jankowski, Piotr; Blaschke, Thomas

    2014-01-01

    GIS multicriteria decision analysis (MCDA) techniques are increasingly used in landslide susceptibility mapping for the prediction of future hazards, land use planning, as well as for hazard preparedness. However, the uncertainties associated with MCDA techniques are inevitable and model outcomes are open to multiple types of uncertainty. In this paper, we present a systematic approach to uncertainty and sensitivity analysis. We access the uncertainty of landslide susceptibility maps produced with GIS-MCDA techniques. A new spatially-explicit approach and Dempster–Shafer Theory (DST) are employed to assess the uncertainties associated with two MCDA techniques, namely Analytical Hierarchical Process (AHP) and Ordered Weighted Averaging (OWA) implemented in GIS. The methodology is composed of three different phases. First, weights are computed to express the relative importance of factors (criteria) for landslide susceptibility. Next, the uncertainty and sensitivity of landslide susceptibility is analyzed as a function of weights using Monte Carlo Simulation and Global Sensitivity Analysis. Finally, the results are validated using a landslide inventory database and by applying DST. The comparisons of the obtained landslide susceptibility maps of both MCDA techniques with known landslides show that the AHP outperforms OWA. However, the OWA-generated landslide susceptibility map shows lower uncertainty than the AHP-generated map. The results demonstrate that further improvement in the accuracy of GIS-based MCDA can be achieved by employing an integrated uncertainty–sensitivity analysis approach, in which the uncertainty of landslide susceptibility model is decomposed and attributed to model's criteria weights. PMID:25843987

  14. A GIS based spatially-explicit sensitivity and uncertainty analysis approach for multi-criteria decision analysis.

    Science.gov (United States)

    Feizizadeh, Bakhtiar; Jankowski, Piotr; Blaschke, Thomas

    2014-03-01

    GIS multicriteria decision analysis (MCDA) techniques are increasingly used in landslide susceptibility mapping for the prediction of future hazards, land use planning, as well as for hazard preparedness. However, the uncertainties associated with MCDA techniques are inevitable and model outcomes are open to multiple types of uncertainty. In this paper, we present a systematic approach to uncertainty and sensitivity analysis. We access the uncertainty of landslide susceptibility maps produced with GIS-MCDA techniques. A new spatially-explicit approach and Dempster-Shafer Theory (DST) are employed to assess the uncertainties associated with two MCDA techniques, namely Analytical Hierarchical Process (AHP) and Ordered Weighted Averaging (OWA) implemented in GIS. The methodology is composed of three different phases. First, weights are computed to express the relative importance of factors (criteria) for landslide susceptibility. Next, the uncertainty and sensitivity of landslide susceptibility is analyzed as a function of weights using Monte Carlo Simulation and Global Sensitivity Analysis. Finally, the results are validated using a landslide inventory database and by applying DST. The comparisons of the obtained landslide susceptibility maps of both MCDA techniques with known landslides show that the AHP outperforms OWA. However, the OWA-generated landslide susceptibility map shows lower uncertainty than the AHP-generated map. The results demonstrate that further improvement in the accuracy of GIS-based MCDA can be achieved by employing an integrated uncertainty-sensitivity analysis approach, in which the uncertainty of landslide susceptibility model is decomposed and attributed to model's criteria weights.

  15. A GIS based spatially-explicit sensitivity and uncertainty analysis approach for multi-criteria decision analysis

    Science.gov (United States)

    Feizizadeh, Bakhtiar; Jankowski, Piotr; Blaschke, Thomas

    2014-03-01

    GIS multicriteria decision analysis (MCDA) techniques are increasingly used in landslide susceptibility mapping for the prediction of future hazards, land use planning, as well as for hazard preparedness. However, the uncertainties associated with MCDA techniques are inevitable and model outcomes are open to multiple types of uncertainty. In this paper, we present a systematic approach to uncertainty and sensitivity analysis. We access the uncertainty of landslide susceptibility maps produced with GIS-MCDA techniques. A new spatially-explicit approach and Dempster-Shafer Theory (DST) are employed to assess the uncertainties associated with two MCDA techniques, namely Analytical Hierarchical Process (AHP) and Ordered Weighted Averaging (OWA) implemented in GIS. The methodology is composed of three different phases. First, weights are computed to express the relative importance of factors (criteria) for landslide susceptibility. Next, the uncertainty and sensitivity of landslide susceptibility is analyzed as a function of weights using Monte Carlo Simulation and Global Sensitivity Analysis. Finally, the results are validated using a landslide inventory database and by applying DST. The comparisons of the obtained landslide susceptibility maps of both MCDA techniques with known landslides show that the AHP outperforms OWA. However, the OWA-generated landslide susceptibility map shows lower uncertainty than the AHP-generated map. The results demonstrate that further improvement in the accuracy of GIS-based MCDA can be achieved by employing an integrated uncertainty-sensitivity analysis approach, in which the uncertainty of landslide susceptibility model is decomposed and attributed to model's criteria weights.

  16. Memory, Identity and Desire: A Psychoanalytic Reading of David Lynch’s Mulholland Drive

    Directory of Open Access Journals (Sweden)

    Murat Akser

    2012-12-01

    Full Text Available This is a reading of David Mulholland Drive through psychoanalytic approach of Lacan from the perspective of formation of fantasy and shifting identities. Lynch constructs his films consciously choosing his themes from the sub(versive/conscious side of human mind. Previous attempts to read Lynch's films are fixed around the idea that Lynch is using film genres to create postmodern pastiches. Mulholland Drive has been analyzed several times from different approaches ranging from gender (Love, 2004, narratology (Lentzner, 2005; McGowan, 2004; Cook, 2011. Elements of film noir, musical, caper films can be identified in Lynch’s films. This detailed textual analysis intends to rationalize Lynch’s narrative structure through Lacanian terms in reference to Zizekian terminology.

  17. Approaches for derivation of environmental quality criteria for substances applied in risk assessment of discharges from offshore drilling operations.

    Science.gov (United States)

    Altin, Dag; Frost, Tone Karin; Nilssen, Ingunn

    2008-04-01

    In order to achieve the offshore petroleum industries "zero harm" goal to the environment, the environmental impact factor for drilling discharges was developed as a tool to identify and quantify the environmental risks associated with disposal of drilling discharges to the marine environment. As an initial step in this work the main categories of substances associated with drilling discharges and assumed to contribute to toxic or nontoxic stress were identified and evaluated for inclusion in the risk assessment. The selection were based on the known toxicological properties of the substances, or the total amount discharged together with their potential for accumulation in the water column or sediments to levels that could be expected to cause toxic or nontoxic stress to the biota. Based on these criteria 3 categories of chemicals were identified for risk assessment the water column and sediments: Natural organic substances, metals, and drilling fluid chemicals. Several approaches for deriving the environmentally safe threshold concentrations as predicted no effect concentrations were evaluated in the process. For the water column consensus were reached for using the species sensitivity distribution approach for metals and the assessment factor approach for natural organic substances and added drilling chemicals. For the sediments the equilibrium partitioning approach was selected for all three categories of chemicals. The theoretically derived sediment quality criteria were compared to field-derived threshold effect values based on statistical approaches applied on sediment monitoring data from the Norwegian Continental Shelf. The basis for derivation of predicted no effect concentration values for drilling discharges should be consistent with the principles of environmental risk assessment as described in the Technical Guidance Document on Risk Assessment issued by the European Union.

  18. Selection of a suitable method for the preparation of polymeric nanoparticles: multi-criteria decision making approach.

    Science.gov (United States)

    Krishnamoorthy, Kannan; Mahalingam, Manikandan

    2015-03-01

    The present study is aimed to select the suitable method for preparation of camptothecin loaded polymeric nanoparticles by utilizing the multi-criteria decision making method. Novel approaches of drug delivery by formulation using nanotechnology are revolutionizing the future of medicine. Recent years have witnessed unprecedented growth of research and application in the area of nanotechnology. Nanoparticles have become an important area of research in the field of drug delivery because they have the ability to deliver a wide range of drug to varying areas of body. Despite of extensive research and development, polymeric nanoparticles are frequently used to improve the therapeutic effect of drugs. A number of techniques are available for the preparation of polymeric nanoparticles. The Analytical Hierarchy Process (AHP) is a method for decision making, which are derived from individual judgements for qualitative factors, using the pair-wise comparison matrix. In AHP, a decision hierarchy is constructed with a goal, criteria and alternatives. The model uses three main criteria 1) Instrument, 2) Process and Output and 3) Cost. In addition, there are eight sub-criteria's as well as eight alternatives. Pair-wise comparison matrixes are used to obtain the overall priority weight and ranking for the selection of suitable method. Nanoprecipitation technique is the most suitable method for the preparation of camptothecin loaded polymeric nanoparticles with the highest overall priority weight of 0.297 CONCLUSION: In particular, the result indicates that the priority weights obtained from AHP could be defined as a multiple output for finding out the most suitable method for preparation of camptothecin loaded polymeric nanoparticles.

  19. Methodological Proposal for Optimal Location of Emergency Operation Centers through Multi-Criteria Approach

    Directory of Open Access Journals (Sweden)

    Umberto Di Matteo

    2016-01-01

    Full Text Available Territorial vulnerability and risk analysis play a fundamental role in urban planning and emergency management. Requirements analysis of such aspects are possible to define more and more effective risk mitigation strategies providing efficient response plans to events. Many mitigation strategies as well as many response plans have in common the purpose of minimizing response time in order to decrease the level of vulnerability of the concerning area. The response time to a perturbing event is in fact an essential parameter to define the hazard of the considered site and literature is unanimous in considering it. In this context, the article proposes a methodology for the optimization of the location on the territory of emergency operation centers (EOCs, reducing response times and mitigating in this way the vulnerability of the area. The proposed methodology is based on a multi-criteria decision making (MCDM hybrid type AHP (Analytic Hierarchy Process-Electre. This method has been applied in the territory of Bressanone and Vipiteno (Bolzano-Italy, simulating the need to build a new barrack of Fire Department. A campaign of interviews with operators and industry experts and the collection of spatial data from the portals of the concerned authorities has been carried out in order to get the number of necessary data for the implementation of the proposed methodology.

  20. Teachers' approaches to digital stories - tensions between new genres and established assessment criteria

    OpenAIRE

    Toril Aagaard

    2014-01-01

    New practices in technology-rich schools call for teachers who can be responsive to change. This article explores a group of Norwegian upper-secondary school teachers’ approach to students’ digital stories – a multimodal genre recently introduced to many classrooms. The concept of inscription (Latour, 1992) is used in an abductive analysis to show teachers’ struggle with identifying the premises of digital stories and, consequently, how to assess such texts. The analysis demonstrates that est...

  1. Elimination Method of Multi-Criteria Decision Analysis (MCDA: A Simple Methodological Approach for Assessing Agricultural Sustainability

    Directory of Open Access Journals (Sweden)

    Byomkesh Talukder

    2017-02-01

    Full Text Available In the present world context, there is a need to assess the sustainability of agricultural systems. Various methods have been proposed to assess agricultural sustainability. Like in many other fields, Multi-Criteria Decision Analysis (MCDA has recently been used as a methodological approach for the assessment of agricultural sustainability. In this paper, an attempt is made to apply Elimination, a MCDA method, to an agricultural sustainability assessment, and to investigate its benefits and drawbacks. This article starts by explaining the importance of agricultural sustainability. Common MCDA types are discussed, with a description of the state-of-the-art method for incorporating multi-criteria and reference values for agricultural sustainability assessment. Then, a generic description of the Elimination Method is provided, and its modeling approach is applied to a case study in coastal Bangladesh. An assessment of the results is provided, and the issues that need consideration before applying Elimination to agricultural sustainability, are examined. Whilst having some limitations, the case study shows that it is applicable for agricultural sustainability assessments and for ranking the sustainability of agricultural systems. The assessment is quick compared to other assessment methods and is shown to be helpful for agricultural sustainability assessment. It is a relatively simple and straightforward analytical tool that could be widely and easily applied. However, it is suggested that appropriate care must be taken to ensure the successful use of the Elimination Method during the assessment process.

  2. Evaluating lung cancer screening in China: Implications for eligibility criteria design from a microsimulation modeling approach.

    Directory of Open Access Journals (Sweden)

    Deirdre F Sheehan

    Full Text Available More than half of males in China are current smokers and evidence from western countries tells us that an unprecedented number of smoking-attributable deaths will occur as the Chinese population ages. We used the China Lung Cancer Policy Model (LCPM to simulate effects of computed tomography (CT-based lung cancer screening in China, comparing the impact of a screening guideline published in 2015 by a Chinese expert group to a version developed for the United States by the U.S. Centers for Medicare & Medicaid Services (CMS. The China LCPM, built using an existing lung cancer microsimulation model, can project population outcomes associated with interventions for smoking-related diseases. After calibrating the model to published Chinese smoking prevalence and lung cancer mortality rates, we simulated screening from 2016 to 2050 based on eligibility criteria from the CMS and Chinese guidelines, which differ by age to begin and end screening, pack-years smoked, and years since quitting. Outcomes included number of screens, mortality reduction, and life-years saved for each strategy. We projected that in the absence of screening, 14.98 million lung cancer deaths would occur between 2016 and 2050. Screening with the CMS guideline would prevent 0.72 million deaths and 5.8 million life-years lost, resulting in 6.58% and 1.97% mortality reduction in males and females, respectively. Screening with the Chinese guideline would prevent 0.74 million deaths and 6.6 million life-years lost, resulting in 6.30% and 2.79% mortality reduction in males and females, respectively. Through 2050, 1.43 billion screens would be required using the Chinese screening strategy, compared to 988 million screens using the CMS guideline. In conclusion, CT-based lung cancer screening implemented in 2016 and based on the Chinese screening guideline would prevent about 20,000 (2.9% more lung cancer deaths through 2050, but would require about 445 million (44.7% more screens than the

  3. Evaluating lung cancer screening in China: Implications for eligibility criteria design from a microsimulation modeling approach

    Science.gov (United States)

    Sheehan, Deirdre F.; Criss, Steven D.; Gazelle, G. Scott; Pandharipande, Pari V.

    2017-01-01

    More than half of males in China are current smokers and evidence from western countries tells us that an unprecedented number of smoking-attributable deaths will occur as the Chinese population ages. We used the China Lung Cancer Policy Model (LCPM) to simulate effects of computed tomography (CT)-based lung cancer screening in China, comparing the impact of a screening guideline published in 2015 by a Chinese expert group to a version developed for the United States by the U.S. Centers for Medicare & Medicaid Services (CMS). The China LCPM, built using an existing lung cancer microsimulation model, can project population outcomes associated with interventions for smoking-related diseases. After calibrating the model to published Chinese smoking prevalence and lung cancer mortality rates, we simulated screening from 2016 to 2050 based on eligibility criteria from the CMS and Chinese guidelines, which differ by age to begin and end screening, pack-years smoked, and years since quitting. Outcomes included number of screens, mortality reduction, and life-years saved for each strategy. We projected that in the absence of screening, 14.98 million lung cancer deaths would occur between 2016 and 2050. Screening with the CMS guideline would prevent 0.72 million deaths and 5.8 million life-years lost, resulting in 6.58% and 1.97% mortality reduction in males and females, respectively. Screening with the Chinese guideline would prevent 0.74 million deaths and 6.6 million life-years lost, resulting in 6.30% and 2.79% mortality reduction in males and females, respectively. Through 2050, 1.43 billion screens would be required using the Chinese screening strategy, compared to 988 million screens using the CMS guideline. In conclusion, CT-based lung cancer screening implemented in 2016 and based on the Chinese screening guideline would prevent about 20,000 (2.9%) more lung cancer deaths through 2050, but would require about 445 million (44.7%) more screens than the CMS guideline

  4. Evaluation of services linked to the sustainability: a dynamic and multi-criteria approach

    OpenAIRE

    Hyytinen, Kirsi; Ruutur, Sampsa; Nieminen, Mika; Gallouj, Faïz; Toivonen, Marja

    2014-01-01

    International audience; The purpose of this paper is to study the challenge of the evaluation in the context of the services in the sector of environment and energy. Because of the specific nature of service innovation the traditional evaluation meth-ods and measures are not able to capture neither the diversity of the inno-vations nor the multifaceted dimensions of performance. This paper aims to contribute to the need for a more diverse evaluation approach. We study the use of multi-criteri...

  5. [The bell tolls for Ernest Hemingway. Somatic, psychiatric and psychoanalytical aspects of his life and work].

    Science.gov (United States)

    Bramness, J G

    1999-06-30

    This year, the centennial of Ernest Miller Hemingway's (1899-1961) birth is being celebrated. He committed suicide on July 2 1961, thus ending a crowded and turbulent life. He published seven novels and a number of short stories during his lifetime; four novels were published after his death. Millions of copies of his works have been sold and he is still one of the world most read authors. His simple, matter-of-fact and compressed style has had great influence on other authors. There has been enormous interest in the life and works of Hemingway. This paper addresses this interest and various aspects of Hemingway's life and tries to offer some explanations by looking at Hemingway's medical history, using some psychoanalytical approaches to his life and work.

  6. New Approaches to Systematics of Trypanosomatidae: Criteria for Taxonomic (Re)description.

    Science.gov (United States)

    Votýpka, Jan; d'Avila-Levy, Claudia M; Grellier, Philippe; Maslov, Dmitri A; Lukeš, Julius; Yurchenko, Vyacheslav

    2015-10-01

    While dixenous trypanosomatids represent one of the most dangerous pathogens for humans and domestic animals, their monoxenous relatives have frequently become model organisms for studies of diversity of parasitic protists and host-parasite associations. Yet, the classification of the family Trypanosomatidae is not finalized and often confusing. Here we attempt to make a blueprint for future studies in this field. We would like to elicit a discussion about an updated procedure, as traditional taxonomy was not primarily designed to be used for protists, nor can molecular phylogenetics solve all the problems alone. The current status, specific cases, and examples of generalized solutions are presented under conditions where practicality is openly favored over rigid taxonomic codes or blind phylogenetic approach. Copyright © 2015 Elsevier Ltd. All rights reserved.

  7. Assessment of yellow fever epidemic risk: an original multi-criteria modeling approach.

    Directory of Open Access Journals (Sweden)

    Sylvie Briand

    Full Text Available BACKGROUND: Yellow fever (YF virtually disappeared in francophone West African countries as a result of YF mass vaccination campaigns carried out between 1940 and 1953. However, because of the failure to continue mass vaccination campaigns, a resurgence of the deadly disease in many African countries began in the early 1980s. We developed an original modeling approach to assess YF epidemic risk (vulnerability and to prioritize the populations to be vaccinated. METHODS AND FINDINGS: We chose a two-step assessment of vulnerability at district level consisting of a quantitative and qualitative assessment per country. Quantitative assessment starts with data collection on six risk factors: five risk factors associated with "exposure" to virus/vector and one with "susceptibility" of a district to YF epidemics. The multiple correspondence analysis (MCA modeling method was specifically adapted to reduce the five exposure variables to one aggregated exposure indicator. Health districts were then projected onto a two-dimensional graph to define different levels of vulnerability. Districts are presented on risk maps for qualitative analysis in consensus groups, allowing the addition of factors, such as population migrations or vector density, that could not be included in MCA. The example of rural districts in Burkina Faso show five distinct clusters of risk profiles. Based on this assessment, 32 of 55 districts comprising over 7 million people were prioritized for preventive vaccination campaigns. CONCLUSION: This assessment of yellow fever epidemic risk at the district level includes MCA modeling and consensus group modification. MCA provides a standardized way to reduce complexity. It supports an informed public health decision-making process that empowers local stakeholders through the consensus group. This original approach can be applied to any disease with documented risk factors.

  8. Assessment of yellow fever epidemic risk: an original multi-criteria modeling approach.

    Science.gov (United States)

    Briand, Sylvie; Beresniak, Ariel; Nguyen, Tim; Yonli, Tajoua; Duru, Gerard; Kambire, Chantal; Perea, William

    2009-07-14

    Yellow fever (YF) virtually disappeared in francophone West African countries as a result of YF mass vaccination campaigns carried out between 1940 and 1953. However, because of the failure to continue mass vaccination campaigns, a resurgence of the deadly disease in many African countries began in the early 1980s. We developed an original modeling approach to assess YF epidemic risk (vulnerability) and to prioritize the populations to be vaccinated. We chose a two-step assessment of vulnerability at district level consisting of a quantitative and qualitative assessment per country. Quantitative assessment starts with data collection on six risk factors: five risk factors associated with "exposure" to virus/vector and one with "susceptibility" of a district to YF epidemics. The multiple correspondence analysis (MCA) modeling method was specifically adapted to reduce the five exposure variables to one aggregated exposure indicator. Health districts were then projected onto a two-dimensional graph to define different levels of vulnerability. Districts are presented on risk maps for qualitative analysis in consensus groups, allowing the addition of factors, such as population migrations or vector density, that could not be included in MCA. The example of rural districts in Burkina Faso show five distinct clusters of risk profiles. Based on this assessment, 32 of 55 districts comprising over 7 million people were prioritized for preventive vaccination campaigns. This assessment of yellow fever epidemic risk at the district level includes MCA modeling and consensus group modification. MCA provides a standardized way to reduce complexity. It supports an informed public health decision-making process that empowers local stakeholders through the consensus group. This original approach can be applied to any disease with documented risk factors.

  9. Harnessing Psychoanalytical Methods for a Phenomenological Neuroscience

    Directory of Open Access Journals (Sweden)

    Amir eRaz

    2014-04-01

    Full Text Available Analysis may offer valuable methods for bridging the gap between first-person and third-person accounts of the mind. Using both systematic observational approaches and unstructured narrative interactions, psychoanalysts help patients articulate their experience and bring unconscious mental contents into awareness. Similar to seasoned meditators or phenomenologists, individuals who have undergone analysis are experts in discerning and describing their subjective experience, making them ideal neurophenomenology participants. Moreover, analytic techniques may provide a means of guiding untrained experimental participants to greater awareness of their mental continuum, as well as gathering subjective reports about fundamental yet elusive aspects of experience including selfhood, temporality, and inter-subjectivity. Mining psychoanlysis for its methodological innovations would offer a fresh turn for neuropsychoanalysis and cognitive science as a whole – showcasing the integrity of analysis alongside the irreducibility of human experience.

  10. Selection of a Suitable Method for the Preparation of Polymeric Nanoparticles: Multi-Criteria Decision Making Approach

    Directory of Open Access Journals (Sweden)

    Manikandan Mahalingam

    2015-03-01

    Full Text Available Purpose: The present study is aimed to select the suitable method for preparation of camptothecin loaded polymeric nanoparticles by utilizing the multi-criteria decision making method. Novel approaches of drug delivery by formulation using nanotechnology are revolutionizing the future of medicine. Recent years have witnessed unprecedented growth of research and application in the area of nanotechnology. Nanoparticles have become an important area of research in the field of drug delivery because they have the ability to deliver a wide range of drug to varying areas of body. Methods: Despite of extensive research and development, polymeric nanoparticles are frequently used to improve the therapeutic effect of drugs. A number of techniques are available for the preparation of polymeric nanoparticles. The Analytical Hierarchy Process (AHP is a method for decision making, which are derived from individual judgements for qualitative factors, using the pair-wise comparison matrix. In AHP, a decision hierarchy is constructed with a goal, criteria and alternatives. Results: The model uses three main criteria 1 Instrument, 2 Process and Output and 3 Cost. In addition, there are eight sub-criteria’s as well as eight alternatives. Pair-wise comparison matrixes are used to obtain the overall priority weight and ranking for the selection of suitable method. Nanoprecipitation technique is the most suitable method for the preparation of camptothecin loaded polymeric nanoparticles with the highest overall priority weight of 0.297 Conclusion: In particular, the result indicates that the priority weights obtained from AHP could be defined as a multiple output for finding out the most suitable method for preparation of camptothecin loaded polymeric nanoparticles.

  11. Healing after Columbine: reflections of psychoanalytic responders to community trauma.

    Science.gov (United States)

    Levy, Mary Ann; Haglund, Pamela; Plaut, Linda; Emde, Robert; Stewart, Marguerite; Shaw, Ronnie; Ilvonen, Carol; Buirski, Cathy Krown; Singer, Mel; Hea, Rebecca; Edwards, William

    2004-01-01

    Following the shootings at Columbine High School on April 20, 1999, the Denver Psychoanalytic Society provided both immediate and long-term interventions to those closely impacted by the tragedy. In this effort, analytically trained volunteers faced many personal challenges and role adjustments. To address these issues a reflective study group was formed twenty months after the traumatic event. Group discussions revealed a surprising number of residual symptoms from secondary trauma, as well as opportunities for shared coping among analysts. Little has been written about the very human and subjective responses of analysts in such circumstances. These experiences may be helpful to others in today's world of terrorism and unexpected violent events.

  12. Transference regression and psychoanalytic technique with infantile personalities.

    Science.gov (United States)

    Kernberg, O F

    1991-01-01

    This paper describes a particular form of 'silent' regression during the psychoanalytic treatment of infantile personalities (a type of character pathology related to the hysterical personality). This regression is characterized by the development of rapid interchange in the roles enacted in the transference and projected on to the analyst, an apparent 'disconnexion' of the transference material from that dominant when the patient is in non-regressed states, and the intensification of the analyst's counter-transference reactions. The diagnosis and management of these regressive transferences requires a particular interpretive style and strategy outlined in this paper and illustrated with two case vignettes.

  13. Sanctioned social violence: A psychoanalytic view--part I.

    Science.gov (United States)

    Kernberg, Otto F

    2003-06-01

    This paper is the first of a series of two that present an effort to systematize the application of psychoanalytic theory of group processes to the outbreak of massive violence. It explores the origins and social amplification of primitive aggression by means of group psychology and mass psychology, and the combined influences of the regressive pull of ideologies, the personality features of social and political leadership, and the triggering impact of historical trauma and social crises. The paper describes a spectrum of narcissistic-paranoid mechanisms that provide a common matrix for the analysis of those aspects of social psychology that co-determine socially sanctioned violence.

  14. Human foibles and psychoanalytic technique: Freud, Ferenczi, and Gizella Palos.

    Science.gov (United States)

    Kilborne, Benjamin

    2008-03-01

    This paper explores relations between human conundrums and psychoanalytic technique and theory through the relationship between Freud and Ferenczi. Rather than vilify (or lionize) either figure, the paper seeks to see into their struggles and conflicts, and to draw from correspondence and writings a portrait of a relationship. The paper describes not two dusty figures drawn from the closet of history but rather two live, flawed, and struggling human beings whose rational ideas about what they were doing could never keep step with their emotions. There is therefore much to be learned from their relationship: about transference and countertransference, about boundaries and friendship, about rivalry and despair, and about shame.

  15. The Psychoanalytic Interpretation of the Organizational Environment as a Management Tool for Sustainable Development

    Directory of Open Access Journals (Sweden)

    Khripko Elena

    2016-01-01

    Full Text Available The article exposes contemporary materials and structures for sustainable development of organizational environment. Psychoanalytic modeling of organizational behavior makes it possible to identify out reflection, unconscious tendencies in individual, group and corporate behavior. This enables to significantly increase the effectiveness of measures for personnel management. Organizational Environment Researches base on psychoanalytic theory of object relations.

  16. James Baldwin's Go Tell it on the Mountain and the Psychoanalytic ...

    African Journals Online (AJOL)

    But how the psychoanalytic poetics features in the novel and the reason for its employment appears to be largely ignored. In this essay, I utilize some psychoanalytic concepts in the reading of the novel, and argue that Baldwin's characters' internal (psychological) and external (sociological) conflicts are inseparable since ...

  17. Sustainable diet policy development: implications of multi-criteria and other approaches, 2008-2017.

    Science.gov (United States)

    Lang, Tim; Mason, Pamela

    2017-12-04

    The objective of the present paper is to draw lessons from policy development on sustainable diets. It considers the emergence of sustainable diets as a policy issue and reviews the environmental challenge to nutrition science as to what a 'good' diet is for contemporary policy. It explores the variations in how sustainable diets have been approached by policy-makers. The paper considers how international United Nations and European Union (EU) policy engagement now centres on the 2015 Sustainable Development Goals and Paris Climate Change Accord, which require changes across food systems. The paper outlines national sustainable diet policy in various countries: Australia, Brazil, France, the Netherlands, Qatar, Sweden, UK and USA. While no overarching common framework for sustainable diets has appeared, a policy typology of lessons for sustainable diets is proposed, differentiating (a) orientation and focus, (b) engagement styles and (c) modes of leadership. The paper considers the particularly tortuous rise and fall of UK governmental interest in sustainable diet advice. Initial engagement in the 2000s turned to disengagement in the 2010s, yet some advice has emerged. The 2016 referendum to leave the EU has created a new period of policy uncertainty for the UK food system. This might marginalise attempts to generate sustainable diet advice, but could also be an opportunity for sustainable diets to be a goal for a sustainable UK food system. The role of nutritionists and other food science professions will be significant in this period of policy flux.

  18. The beginnings of psychoanalytic supervision: the crucial role of Max Eitingon.

    Science.gov (United States)

    Watkins, C Edward

    2013-09-01

    Psychoanalytic supervision is moving well into its 2nd century of theory, practice, and (to a limited extent) research. In this paper, I take a look at the pioneering first efforts to define psychoanalytic supervision and its importance to the psychoanalytic education process. Max Eitingon, the "almost forgotten man" of psychoanalysis, looms large in any such consideration. His writings or organizational reports were seemingly the first psychoanalytic published material to address the following supervision issues: rationale, screening, notes, responsibility, supervisee learning/personality issues, and the extent and length of supervision itself. Although Eitingon never wrote formally on supervision, his pioneering work in the area has continued to echo across the decades and can still be seen reflected in contemporary supervision practice. I also recognize the role of Karen Horney-one of the founders of the Berlin Institute and Poliklinik, friend of Eitingon, and active, vital participant in Eitingon's efforts-in contributing to and shaping the beginnings of psychoanalytic education.

  19. ANALYSIS OF BUSINESS ENVIRONMENT USING THE MULTI-CRITERIA APPROACH – CASE OF BALKAN’S TRANSITION ECONOMIES

    Directory of Open Access Journals (Sweden)

    Saša Obradović

    2012-02-01

    Full Text Available Due to the lack of their own financial resources, attracting the foreign direct investment (FDI isthe main prerequisite for transitional economies in order to increase production and employment, sothat they can ensure the long term sustainable economic growth. In addition, the foreign directinvestment is an important instrument for the economy restructuring, based on market principles.However, achieving this goal is not simple at all. In order to attract foreign investors, it is necessaryto create a favorable business environment in transition countries, which requires a number ofeconomic, institutional, political and other reforms. The aim of this paper is to point out the mainfactors attracting foreign direct investment and, by using the multi-criteria approach, to rank theBalkan’s transition economies depending on the preferences of investors taking into account certaincomponents of the business environment.

  20. Sustainable and Renewable Energy: An Overview of the Application of Multiple Criteria Decision Making Techniques and Approaches

    Directory of Open Access Journals (Sweden)

    Abbas Mardani

    2015-10-01

    Full Text Available The main purpose of this paper is to present a systematic review of MCDM techniques and approaches in sustainable and renewable energy systems problems. This study reviewed a total of 54 papers published from 2003–2015 in more than 20 high-ranking journals, most related to sustainable and renewable energies, and which were extracted from the Web of Science database. In the category of application areas, papers were classified into two main groups: (1 sustainable energy and (2 renewable energy. Furthermore, in the classification of techniques and approaches, the papers were categorized into six groups: (1 AHP and F-AHP; (2 ANP and VIKOR; (3 TOPSIS and F-TOPSIS; (4 PROMETHEE; (5 integrated methods and (6 other methods. In addition, papers were reviewed based on the authors’ nationalities, the publication date, techniques and approaches, the name of journal and studies criteria. The results of this study indicated that, in 2015, scholars have published more papers than in other years. Furthermore, AHP/fuzzy AHP and integrated methods were ranked as the first rank, with 14 papers. Additionally, Journal of Renewable Energy is the first journal, with 16 publications, and this was the most significant journal in this study. Findings of this review paper confirm that MCDM techniques can assist stakeholders and decision makers in unravelling some of the uncertainties inherent in environmental decision making, and these techniques demonstrate a growing interest of previous scholars to apply these techniques for solving different stages of sustainable and renewable energy systems.

  1. Evaluating psychoanalytic papers. Towards the development of common editorial standards.

    Science.gov (United States)

    Tuckett, D

    1998-06-01

    Psychoanalysis has insecure foundations. Many of its core theories and therapeutic principles are contested from both within and without the discipline. While it often has little difficulty embracing new ideas it has terrible trouble rejecting old ones. Typically those within the discipline have dealt with this situation by destructive rationalisation, denial, splitting and idealization. Foremost is the tendency to multiply schools and paradigms and to rely on rhetoric and argument by authority. It is argued that to counter such inevitably destructive processes we need to find a way of improving constructive engagement with each other and to achieve a discipline that can grow on the secure foundations of gradually accumulating knowledge. Giving examples, the author describes the ongoing development of a methodology for evaluating psychoanalytic papers according to a common standard. It is proposed that it is possible to conduct reasoned international and cross-cultural peer review. This means that we can in principle evaluate and reach agreement as to the merit of psychoanalytic papers even though their authors may have backgrounds in profoundly different local style and local traditions of argument. Moreover, it is suggested, this can be done without creating the monster of an internationally homogenised style that would numb creativity and original thought.

  2. Between paranoia and creativity: candidates' experience of psychoanalytic training.

    Science.gov (United States)

    Ward, Anne; Gibson, Walter; Miqueu-Baz, Christine

    2010-10-01

    There is widespread concern regarding various aspects of psychoanalytic education. A recent paper by Patrick Casement, drawn widely from his long experience as a supervisor both in the U.K. and abroad, implied that the British Psychoanalytical Society is not exempt from these concerns. To investigate this, a semistructured, anonymous questionnaire was devised and sent to all candidates and all recently qualified analysts at the society. Overall there was a 58% response rate, with 77% of candidates and 39% of recently qualified analysts responding. Concerns were expressed about aspects of the training, but on the whole these were balanced by appreciation. Although strong criticism was expressed by a minority, it seems that when something goes wrong for a candidate, this experience is felt keenly by the peer group as well. The results are discussed in the context of the current training and ethos of the British Society, as well as in relation to a more widespread move toward "competency-based" education. The maturational tasks facing both candidates and trainers are also addressed.

  3. The symbolic and concrete: Psychotic adolescents in psychoanalytic psychotherapy.

    Science.gov (United States)

    Pestalozzi, Julia

    2003-06-01

    Unique disturbances in symbolisation are characteristic of the pathology of schizophrenia. Drawing on the case vignette of a psychotic adolescent, the author discusses theoretical problems in the symbolisation process in general and then in psychosis, in particular the relation between 'concretism' as a thought disorder and other psychotic defences. The ability to symbolise on the one hand and to maintain sufficiently stable ego boundaries on the other hand are examined in their relation. The author's clinical experience supports her hypothesis that there is a close relationship between the impairment of the symbolisation process in the adolescent or adult psychotic patient and his/her inability to engage in symbolic play as a child. Special attention is paid to the role of early trauma and consequent pathology of object relations for disturbances of symbolic play in childhood. Regression to concrete thinking is understood as the chance of the psychotic patient to give some meaning to reality in an unreal, delusional world and as his/her last chance to communicate at all. Conclusions are drawn for psychoanalytic techniques in the treatment of patients who are deeply regressed in this respect. Special attention is given to the particular circumstances and challenges of adolescence and to providing psychoanalytic psychotherapy to adolescent psychotic patients.

  4. Primary Sjögren's syndrome: oral aspects on pathogenesis, diagnostic criteria, clinical features and approaches for therapy

    DEFF Research Database (Denmark)

    Pedersen, A.M.; Nauntofte, Birgitte

    2001-01-01

    diagnostic criteria, labial salivary gland histopathology, primary Sjögren's syndrome, salivary gland function, therapy, xerostomia......diagnostic criteria, labial salivary gland histopathology, primary Sjögren's syndrome, salivary gland function, therapy, xerostomia...

  5. Alignment of University Information Technology Resources with the Malcolm Baldrige Results Criteria for Performance Excellence in Education: A Balanced Scorecard Approach

    Science.gov (United States)

    Beard, Deborah F.; Humphrey, Roberta L.

    2014-01-01

    The authors suggest using a balanced scorecard (BSC) approach to evaluate information technology (IT) resources in higher education institutions. The BSC approach illustrated is based on the performance criteria of the Malcolm Baldrige National Quality Award in Education. This article suggests areas of potential impact of IT on BSC measures in…

  6. Development of fuzzy multi-criteria approach to prioritize locations of treated wastewater use considering climate change scenarios.

    Science.gov (United States)

    Chung, Eun-Sung; Kim, Yeonjoo

    2014-12-15

    This study proposed a robust prioritization framework to identify the priorities of treated wastewater (TWW) use locations with consideration of various uncertainties inherent in the climate change scenarios and the decision-making process. First, a fuzzy concept was applied because future forecast precipitation and their hydrological impact analysis results displayed significant variances when considering various climate change scenarios and long periods (e.g., 2010-2099). Second, various multi-criteria decision making (MCDM) techniques including weighted sum method (WSM), Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) and fuzzy TOPSIS were introduced to robust prioritization because different MCDM methods use different decision philosophies. Third, decision making method under complete uncertainty (DMCU) including maximin, maximax, minimax regret, Hurwicz, and equal likelihood were used to find robust final rankings. This framework is then applied to a Korean urban watershed. As a result, different rankings were obviously appeared between fuzzy TOPSIS and non-fuzzy MCDMs (e.g., WSM and TOPSIS) because the inter-annual variability in effectiveness was considered only with fuzzy TOPSIS. Then, robust prioritizations were derived based on 18 rankings from nine decadal periods of RCP4.5 and RCP8.5. For more robust rankings, five DMCU approaches using the rankings from fuzzy TOPSIS were derived. This framework combining fuzzy TOPSIS with DMCU approaches can be rendered less controversial among stakeholders under complete uncertainty of changing environments. Copyright © 2014 Elsevier Ltd. All rights reserved.

  7. Approach to autism spectrum disorder: Using the new DSM-V diagnostic criteria and the CanMEDS-FM framework.

    Science.gov (United States)

    Lee, Patrick F; Thomas, Roger E; Lee, Patricia A

    2015-05-01

    To review the diagnostic criteria for autism spectrum disorder (ASD) from the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V), and to develop an approach to managing ASD using the CanMEDS- Family Medicine (CanMEDS-FM) framework. The DSM-V from the American Psychiatric Association, published in May 2013, provides new diagnostic criteria for ASD. The College of Family Physicians of Canada's CanMEDS-FM framework provides a blueprint that can guide the complex management of ASD. We used data from the Centers for Disease Control and Prevention to determine the prevalence of ASD, and we used the comprehensive systematic review and meta-analysis completed by the UK National Institute for Health and Care Excellence for their guidelines on ASD to assess the evidence for more than 100 interventions. The prevalence of ASD was 1 in 88 in 2008 in the United States according to data from the Centers for Disease Control and Prevention. The ASD classification in the fourth edition of the DSM included autism, Asperger syndrome, pervasive developmental disorder, and childhood disintegrative disorder. The new DSM-V revision incorporates all these disorders into one ASD umbrella term with different severity levels. The management of ASD is complex and requires a multidisciplinary team effort and continuity of care. The CanMEDS-FM roles provide a framework for management. Family physicians are the key leaders of the multidisciplinary care team for ASD, and the CanMEDS-FM framework provides a comprehensive guide to help manage a child with ASD and to help the child's family. Copyright© the College of Family Physicians of Canada.

  8. A supervisão psicanalítica: revisão e uma proposta de sistematização La supervisión psicoanalítica: revisión y una propuesta de sistematización Psychoanalytic supervision: a review and an approach to systematize

    Directory of Open Access Journals (Sweden)

    Jacó Zaslavsky

    2003-08-01

    Full Text Available A formação psicanalítica está alicerçada sobre três pilares básicos: a análise didática, os seminários teóricos e a supervisão clínica de análises. O modelo de supervisão psicanalítica, como um todo ou parte dele, é utilizado em diversas áreas do ensino da medicina, da psiquiatria e da psicologia, principalmente na psicanálise e na psicoterapia de orientação analítica, o que motiva um permanente estudo e aperfeiçoamento da sua aplicação prática. A presente revisão tem como finalidade tentar sistematizar aspectos da supervisão psicanalítica, visando a contribuir para uma área ainda em desenvolvimento, e que conta com crescentes contribuições realizadas em nosso meio.La formación psicoanalítica está fundamentada sobre tres pilares básicos: la análisis didáctica, los seminarios teóricos y la supervisión clínica de análisis. El modelo de supervisión psicoanalítica, como un todo o parte de él, es utilizado en diversas áreas de la enseñanza de la medicina, de la psiquiatría y de la sicología, principalmente en el psicoanálisis y en la psicoterapia de orientación analítica, lo que motiva un permanente estudio y perfeccionamiento de su aplicación práctica. La presente revisión tiene como finalidad intentar sistematizar aspectos de la supervisión psicoanalítica, con el objetivo de contribuir para un área todavía en desarrollo, y que cuenta con crecientes contribuciones realizadas en nuestro medio.The psychoanalytic training is based on three basic pillars: the didactic analysis, the theoretical seminars and the clinical supervision of analyses. The psychoanalytic supervision model, has been used in several areas in medicine, in psychiatry and in psychology, mainly in the psychoanalysis and in the psychoanalytic psychotherapy. This fact motivates a permanent study and improvement of its practical application. The purpose of this review is to try to systematize aspects of the psychoanalytic

  9. Criteria definition and approaches in green supplier selection – a case study for raw material and packaging of food industry

    Directory of Open Access Journals (Sweden)

    Narges Banaeian

    2015-01-01

    Full Text Available This paper formulates an integrated framework for deciding about the green supplier selection criteria in food supply chain and also proposes different methods that account for single and multiple sourcing of supplier selection. Green supplier selection relies on green criteria, so determination of suitable set of criteria will affect decision-maker results directly. In this research, an operational model including combination of general and environmental criteria is introduced for green supplier selection criteria in raw material and packaging of food industry. This model reviewed a literature on general and environmental criteria that help us to know and make a set of common green criteria. Afterward, weighting criteria and collecting of sub-criteria are done by an expert team using the Analytic Hierarchy Process and Delphi method. The expert team tried to propose important and practical sub-criteria which are well fitted to food industry. Finally, in the section of supplier selection, two kinds of qualitative and quantitative data are discussed when single and multiple sourcing are required, respectively. Fuzzy Grey Relational Analysis is proposed to ranking suppliers in presence of qualitative and imprecise data. Also linear programming is used to present a model which can select the best suppliers and allocate the orders among them optimally.

  10. The relationship between formal operations cognition and suitability for psychoanalytic treatment.

    Science.gov (United States)

    Fielder, J F

    1993-01-01

    Psychoanalytic practice can benefit from a coherent theory of cognition that is more comprehensive than, but which includes the related concepts of primary/secondary processes. For reasons not yet understood, cognition has not received the continuing attention it deserves in psychoanalytic theory. As demonstrated, Piaget's empirical studies of cognition can potentially help the practicing psychoanalyst to clinically differentiate those patients suitable for psychoanalytic treatment. It appears that Piaget's theory may hold greater utility for psychoanalysis than has been evidenced to date and analysts may be able to eventually describe defensive operations as well as other ego functions in terms of the cognitive functions delineated by Piaget.

  11. Evaluating Emergency Response Solutions for Sustainable Community Development by Using Fuzzy Multi-Criteria Group Decision Making Approaches: IVDHF-TOPSIS and IVDHF-VIKOR

    Directory of Open Access Journals (Sweden)

    Junling Zhang

    2016-03-01

    Full Text Available Emergency management is vital in implementing sustainable community development, for which community planning must include emergency response solutions to potential natural and manmade hazards. To help maintain such solution repository, we investigate effective fuzzy multi-criteria group decision making (FMCGDM approaches for the complex problems of evaluating alternative emergency response solutions, where weights for decision makers and criteria are unknown due to problem complexity. We employ interval-valued dual hesitant fuzzy (IVDHF set to address decision hesitancy more effectively. Based on IVDHF assessments, we develop a deviation maximizing model to compute criteria weights and another compatibility maximizing model to calculate weights for decision makers. Then, two ideal-solution-based FMCGDM approaches are proposed: (i by introducing a synthesized IVDHF group decision matrix into TOPSIS, we develop an IVDHF-TOPSIS approach for fuzzy group settings; (ii when emphasizing both maximum group utility and minimum individual regret, we extend VIKOR to develop an IVDHF-VIKOR approach, where the derived decision makers’ weights are utilized to obtain group decision matrix and the determined criteria weights are integrated to reflect the relative importance of distances from the compromised ideal solution. Compared with aggregation-operators-based approach, IVDHF-TOPSIS and IVDHF-VIKOR can alleviate information loss and computational complexity. Numerical examples have validated the effectiveness of the proposed approaches.

  12. An integrated approach of AHP and DEMATEL methods in evaluating the criteria of auto spare parts industry

    Science.gov (United States)

    Wu, Hsin-Hung; Tsai, Ya-Ning

    2012-11-01

    This study uses both analytic hierarchy process (AHP) and decision-making trial and evaluation laboratory (DEMATEL) methods to evaluate the criteria in auto spare parts industry in Taiwan. Traditionally, AHP does not consider indirect effects for each criterion and assumes that criteria are independent without further addressing the interdependence between or among the criteria. Thus, the importance computed by AHP can be viewed as short-term improvement opportunity. On the contrary, DEMATEL method not only evaluates the importance of criteria but also depicts the causal relations of criteria. By observing the causal diagrams, the improvement based on cause-oriented criteria might improve the performance effectively and efficiently for the long-term perspective. As a result, the major advantage of integrating AHP and DEMATEL methods is that the decision maker can continuously improve suppliers' performance from both short-term and long-term viewpoints.

  13. The verbal portrait: Erik H. Erikson's contribution to psychoanalytic discourse.

    Science.gov (United States)

    Capps, Donald

    2011-12-01

    This article makes the case that Erik H. Erikson developed a form of psychoanalytic discourse-the verbal portrait-which, although not unprecedented, became a focal feature of his work, and the testing ground for the cogency of his major contribution to psychoanalysis (the concept of identity). It suggests that Erikson was inspired to develop the verbal portrait because he came to psychoanalysis from art and was, in fact, a portrait artist. Drawing especially on the work of Richard Brilliant, it presents the view that a portrait is a portrayal of the subject's identity and goes on to show how Erikson's memorial to the cultural anthropologist Ruth Benedict is representative of the verbal portrait.

  14. Qualitative methodology in a psychoanalytic single case study

    DEFF Research Database (Denmark)

    Grünbaum, Liselotte

    This study concerns the systematic integration of qualitative research strategies in a psychoanalytic single case study of a child who had suffered early abuse and neglect. A systematic exploration of core features of the therapeutic relationship was carried out, possible links between such core...... with Interpretational Phenomenological Analysis were applied on recorded session notes and other case-file material from a concluded child psychotherapy case as well as on transcripts from follow-up interviews with the child’s birth and foster parents. The case material analyzed in three steps; principles...... for transparent selection developed: 1) Inductive exploration highlighting core object relationship themes in the first 24 therapy sessions. 2) Predefined manifestations of these themes systematically studied in case file reports from various informants about the child’s infancy, daily life, at end of therapy...

  15. The usual intolerance and present one: a psychoanalytic view

    Directory of Open Access Journals (Sweden)

    Pedro Luiz Ribeiro de Santi

    2017-06-01

    Full Text Available In this article, I analyze the roots of intolerance from a psychoanalytic perspective, as well as the ways it has been taken in our politic life in the last years. At first, I expose a relation between intolerance and the Ego origin; in order to understand what changes in the measure of what is or isn’t tolerable in distinct contexts. After that, I analyze the psychosocial conditions for the tolerance of the Other, sustaining that a failure in the symbolic intermediation is an important issue in the contemporary forms of intolerance. From that failure, the relation with ideas and persons remains on an imaginary level, and the reflection ability in inhibited, as it is in a fetish. My conclusion is that a symbolic intermediation between the Ego and the other is a condition to a tolerant coexistence.

  16. Self-disclosure in psychoanalytic-existential therapy.

    Science.gov (United States)

    Geller, Jesse D

    2003-05-01

    This article is an effort to integrate contemporary psychoanalytic and existential perspectives on intentional therapist self-disclosure. It offers a two-stage decision-making model that considers self-disclosure from the vantage points of style and internalization. Clinical and research findings are presented to support the notion that the meanings a patient attributes to a particular self-disclosure, and its power to move him or her towards greater health, is the product of a fluctuating matrix of interpersonal and intrapsychic variables. Special consideration is given to the challenges that arise during the early and termination stages of treatment and to the psychotherapy of therapists. Copyright 2003 Wiley Periodicals, Inc.

  17. Training and disillusion in counselling psychology: a psychoanalytic perspective.

    Science.gov (United States)

    Rizq, Rosemary

    2006-12-01

    In this paper, I argue that Counselling Psychology's professional identification with pluralism poses significant emotional problems for trainees. An important factor in such problems may be the trainee's sense of disappointment and disillusion that the route to professional and personal self-transformation will not be achieved via a set of universal theoretical principles and established clinical 'rules'. I draw on recent psychoanalytic theory to suggest that the task facing trainees involves balancing pluralism, characterized as an 'external' third position, with an 'internal' third space indexing an awareness of subjectivity and intersubjectivity. Maintaining a dialogical-dialectical perspective on these two positions allows for a creative space in which the trainee may be transformed from lay helper into professional counselling psychologist via a personal engagement with theoretical, clinical and academic material presented during training.

  18. Clinical Case Studies in Psychoanalytic and Psychodynamic Treatment

    Science.gov (United States)

    Willemsen, Jochem; Della Rosa, Elena; Kegerreis, Sue

    2017-01-01

    This manuscript provides a review of the clinical case study within the field of psychoanalytic and psychodynamic treatment. The method has been contested for methodological reasons and because it would contribute to theoretical pluralism in the field. We summarize how the case study method is being applied in different schools of psychoanalysis, and we clarify the unique strengths of this method and areas for improvement. Finally, based on the literature and on our own experience with case study research, we come to formulate nine guidelines for future case study authors: (1) basic information to include, (2) clarification of the motivation to select a particular patient, (3) information about informed consent and disguise, (4) patient background and context of referral or self-referral, (5) patient's narrative, therapist's observations and interpretations, (6) interpretative heuristics, (7) reflexivity and counter-transference, (8) leaving room for interpretation, and (9) answering the research question, and comparison with other cases. PMID:28210235

  19. Special problems for the elderly psychoanalyst in the psychoanalytic process.

    Science.gov (United States)

    Chessick, Richard D

    2013-02-01

    The psychoanalytic process takes on a special ambience when the analyst is clearly elderly. The effects of this ambience on the the aging analyst's patients are discussed, and the sparse literature on the subject is reviewed. Clinical vignettes illustrate a number of these effects on the analytic process. Dealing with these special problems requires not only the analyst's awareness of their existence but a continual monitoring of the transference-countertransference in order to avoid a silent collusion of patient and analyst to pretend these problems do not exist. The dangerous consequences of being unaware of the situation, for both patient and analyst, are discussed. If the influence of the patient's perception of the analyst's aging is ignored, it may lead to destruction of the treatment either through massive acting out or by a hopeless stalemate with or without the development of an endless psychoanalysis.

  20. [Nationalism, hatred of foreigners and antisemitism. Psychoanalytic considerations].

    Science.gov (United States)

    Bohleber, W

    1992-08-01

    Widespread social crisis phenomena such as unemployment, shortage of housing or lack of prospects are not sufficient to explain aggressive nationalism and the revival of xenophobia in present-day Germany. While from a psychoanalytic viewpoint xenophobia and anti-Semitism have been extensively examined, the same can by no means be said of the phantasm of the "nation". With reference to a case study, the author demonstrates that the adoption of nationalist ideologies (which in Germany specifically are very much bound up with the traditional notion of the nation as a biological organism) can serve both to prevent the outbreak of neurosis at the individual level and to effect what Freud called the "spurious" healing of existing neuroses. Psychologically speaking, the phantasm of the "nation" provides scope for the realization of the desire for pre-ambivalent fusion with an object that has rid itself of everything heterogeneous, alien and autonomous.

  1. Being an adult: Psychoanalytic model and social model

    Directory of Open Access Journals (Sweden)

    Luigi Cappelli

    2013-06-01

    Full Text Available The author uses two psychoanalytic models, namely Kernberg’s and Kohut’s conceptualizations, to delineate a possible prototype of adult from the point of view of psychoanalysis. The author believes that this process of modulation of narcissism primitive, both in an evolutionary context and therapeutic, is crucial to achieving an adult level of integration.The author traces also, with the help of two political philosophers, a model of a democratic society, in which you can complete evolution of the mind. The concepts of negative freedom and pluralism of values of Berlin and that of Rawls' justice as fairness are used to identify some key aspects of a modern liberal society.

  2. [Bipolar disorder and psychoanalytical concepts of depression and mania].

    Science.gov (United States)

    Solimano, Alberto; Manfredi, Clelia

    2006-01-01

    The categorical diagnostic model of bipolar disorders (DSM IV) has brought about increasing questioning, since its use gains troubles related not only to clinical experience, but to epidemiological studies as well. Regarding this, other models have emerged, such as the bipolar spectrum by Akiskal that covers the classic bipolar disorder on one side to unipolar disorder on the other, including soft bipolar disorders as well. The authors start from this notion of bipolar spectrum to set out the relationship between bipolar disease and psychoanalytical concepts of depression and mania. They develop Freud's basic theories and those of the British School that constitute a strong and coherent theoretical structure. Psychoanalysis proposes a unitary psychopathological model that manifests itself as depression or maniac reaction as secondary defense, to account for both the clinical expression and the psychodynamic comprehension of mood disorders.

  3. Phantastic objects and the financial market's sense of reality: a psychoanalytic contribution to the understanding of stock market instability.

    Science.gov (United States)

    Tuckett, David; Taffler, Richard

    2008-04-01

    This paper sets out to explore if standard psychoanalytic thinking based on clinical experience can illuminate instability in financial markets and its widespread human consequences. Buying, holding or selling financial assets in conditions of inherent uncertainty and ambiguity, it is argued, necessarily implies an ambivalent emotional and phantasy relationship to them. Based on the evidence of historical accounts, supplemented by some interviewing, the authors suggest a psychoanalytic approach focusing on unconscious phantasy relationships, states of mind, and unconscious group functioning can explain some outstanding questions about financial bubbles which cannot be explained with mainstream economic theories. The authors also suggest some institutional features of financial markets which may ordinarily increase or decrease the likelihood that financial decisions result from splitting off those thoughts which give rise to painful emotions. Splitting would increase the future risk of financial instability and in this respect the theory with which economic agents in such markets approach their work is important. An interdisciplinary theory recognizing and making possible the integration of emotional experience may be more useful to economic agents than the present mainstream theories which contrast rational and irrational decision-making and model them as making consistent decisions on the basis of reasoning alone.

  4. Psychoanalytic Treatment of Psychological Addiction to Alcohol (Alcohol Abuse)

    Science.gov (United States)

    Johnson, Brian

    2011-01-01

    The DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (dsm5.org). The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson, 2003). In psychological addiction the brain can be assumed to function normally, and ordinary psychoanalytic technique can be followed. For the patient described, transference interpretation was the fundamental key to recovery. Alcoholic drinking functioned to prevent this man from remembering overwhelming childhood events; events that were also lived out in his current relationships. Murders that occurred when he was a child were hidden in a screen memory. The patient had an obsessional style of relating where almost all feeling was left out of his associations. After he stopped drinking compulsively, he continued to work compulsively. The maternal transference had to be enacted and then interpreted in order for overwhelming memories to be allowed into conscious thought. After psychoanalysis, the patient resumed drinking and worked a normal schedule that allowed more fulfilling relationships. He had no further symptoms of distress from drinking over a 9-year followup. This case illustrates that Alcohol Abuse is a purely psychological illness, that it does not have the brain changes typical of Alcohol Dependence. Combining epidemiological, neurobiological, longitudinal, and psychoanalytic observations would allow multiple sources of information to be used in creating diagnostic categories. Losing details of human behavior by relying only on epidemiological studies is likely to cause errors in categorization of disorders. In turn, having faulty categories as the basis of further research is likely to impair identification of specific effective treatments. PMID:22144975

  5. Psychoanalytic treatment of psychological addiction to alcohol (alcohol abuse).

    Science.gov (United States)

    Johnson, Brian

    2011-01-01

    The DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (dsm5.org). The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson, 2003). In psychological addiction the brain can be assumed to function normally, and ordinary psychoanalytic technique can be followed. For the patient described, transference interpretation was the fundamental key to recovery. Alcoholic drinking functioned to prevent this man from remembering overwhelming childhood events; events that were also lived out in his current relationships. Murders that occurred when he was a child were hidden in a screen memory. The patient had an obsessional style of relating where almost all feeling was left out of his associations. After he stopped drinking compulsively, he continued to work compulsively. The maternal transference had to be enacted and then interpreted in order for overwhelming memories to be allowed into conscious thought. After psychoanalysis, the patient resumed drinking and worked a normal schedule that allowed more fulfilling relationships. He had no further symptoms of distress from drinking over a 9-year followup. This case illustrates that Alcohol Abuse is a purely psychological illness, that it does not have the brain changes typical of Alcohol Dependence. Combining epidemiological, neurobiological, longitudinal, and psychoanalytic observations would allow multiple sources of information to be used in creating diagnostic categories. Losing details of human behavior by relying only on epidemiological studies is likely to cause errors in categorization of disorders. In turn, having faulty categories as the basis of further research is likely to impair identification of specific effective treatments.

  6. Flood Risk Analysis in Lower Part of Markham River Based on Multi-Criteria Decision Approach (MCDA

    Directory of Open Access Journals (Sweden)

    Sailesh Samanta

    2016-08-01

    Full Text Available Papua New Guinea is blessed with a plethora of enviable natural resources, but at the same time it is also cursed by quite a few natural disasters like volcanic eruptions, earthquakes, landslide, floods, droughts etc. Floods happen to be a natural process of maintaining the health of the rivers and depth of its thalweg; it saves the river from becoming morbid while toning up the fertility of the riverine landscape. At the same time, from human perspective, all these ecological goodies are nullified when flood is construed overwhelmingly as one of the most devastating events in respect to social and economic consequences. The present investigation was tailored to assess the use of multi-criteria decision approach (MCDA in inland flood risk analysis. Categorization of possible flood risk zones was accomplished using geospatial data sets, like elevation, slope, distance to river, and land use/land cover, which were derived from digital elevation model (DEM and satellite image, respectively. A pilot study area was selected in the lower part of Markham River in Morobe Province, Papua New Guinea. The study area is bounded by 146°31′ to 146°58′ east and 6°33′ to 6°46′ south; covers an area of 758.30 km2. The validation of a flood hazard risk map was carried out using past flood records in the study area. This result suggests that MCDA within GIS techniques is very useful in accurate and reliable flood risk analysis and mapping. This approach is convenient for the assessment of flood in any region, specifically in no-data regions, and can be useful for researchers and planners in flood mitigation strategies.

  7. Toward criteria for pragmatic measurement in implementation research and practice: a stakeholder-driven approach using concept mapping.

    Science.gov (United States)

    Powell, Byron J; Stanick, Cameo F; Halko, Heather M; Dorsey, Caitlin N; Weiner, Bryan J; Barwick, Melanie A; Damschroder, Laura J; Wensing, Michel; Wolfenden, Luke; Lewis, Cara C

    2017-10-03

    Advancing implementation research and practice requires valid and reliable measures of implementation determinants, mechanisms, processes, strategies, and outcomes. However, researchers and implementation stakeholders are unlikely to use measures if they are not also pragmatic. The purpose of this study was to establish a stakeholder-driven conceptualization of the domains that comprise the pragmatic measure construct. It built upon a systematic review of the literature and semi-structured stakeholder interviews that generated 47 criteria for pragmatic measures, and aimed to further refine that set of criteria by identifying conceptually distinct categories of the pragmatic measure construct and providing quantitative ratings of the criteria's clarity and importance. Twenty-four stakeholders with expertise in implementation practice completed a concept mapping activity wherein they organized the initial list of 47 criteria into conceptually distinct categories and rated their clarity and importance. Multidimensional scaling, hierarchical cluster analysis, and descriptive statistics were used to analyze the data. The 47 criteria were meaningfully grouped into four distinct categories: (1) acceptable, (2) compatible, (3) easy, and (4) useful. Average ratings of clarity and importance at the category and individual criteria level will be presented. This study advances the field of implementation science and practice by providing clear and conceptually distinct domains of the pragmatic measure construct. Next steps will include a Delphi process to develop consensus on the most important criteria and the development of quantifiable pragmatic rating criteria that can be used to assess measures.

  8. A Review and Classification of Approaches for Dealing with Uncertainty in Multi-Criteria Decision Analysis for Healthcare Decisions

    NARCIS (Netherlands)

    Broekhuizen, Hindrik; Groothuis-Oudshoorn, Catharina Gerarda Maria; van Til, Janine Astrid; Hummel, J. Marjan; IJzerman, Maarten Joost

    2015-01-01

    Multi-criteria decision analysis (MCDA) is increasingly used to support decisions in healthcare involving multiple and conflicting criteria. Although uncertainty is usually carefully addressed in health economic evaluations, whether and how the different sources of uncertainty are dealt with and

  9. Fuzzy bi-criteria decision making approach for supplier selection and distribution network planning in supply chain management

    DEFF Research Database (Denmark)

    Gandhi, Kanika; Govindan, Kannan; Jha, P. C.

    2016-01-01

    selection process is carried out on the bases of multi factors therefore it is considered as a multi criteria decision problem. The model presented in the paper is using the analytic network process (ANP), a multi criteria decision making technique for supplier selection. To obtain the best coordination...

  10. Development of Cultural Competence among Social Work Students: A Psychoanalytic Perspective.

    Science.gov (United States)

    Levin-Keini, Noga; Ben Shlomo, Shirley

    2017-10-01

    This article addresses the development of attitudes toward the other and otherness in light of the classical psychoanalytical approach of Freud. Through this approach, the authors attempt to surmount the criticism that was raised in the literature in connection with the difficulty faced by students and professionals in the field of social work in achieving cultural competence. Based on this approach the authors suggest that cultural competence can develop provided two conditions exist: (1) interpersonal contact between lecturer and student, and (2) using the bond to help the student connect with the inner stranger within himself or herself, or as Freud put it, connecting with the "unconscious parts of the mind." With the help of two examples presented, the authors demonstrate how every meeting with strangeness is first and foremost a meeting with a concrete stranger-in the first case the meeting of Jewish students with an Arab student, and in the second case the meeting of a secular student with an ultra-Orthodox boy. Implications for social work practice and education are discussed. © 2017 National Association of Social Workers.

  11. Antigone’s Legacy: A Feminist psychoanalytic of an Other Sexual Difference

    National Research Council Canada - National Science Library

    Sheila L. Cavanagh

    2017-01-01

    ...) in the Sophocles tragedy. In order to understand the magnitude of Antigone’s radical act in the play by the same name I engage the scholarship of Israeli feminist psychoanalytic scholar Bracha L. Ettinger...

  12. TRANSCENDING FAMILY/UNIVERSALITY: A PSYCHOANALYTIC STUDY OF ROHINTON MISTRY'S SUCH A LONG JOURNEY

    OpenAIRE

    Dr. Ram Lalit

    2017-01-01

    Tracing the origin of psychoanalytical interpretation of the literary texts M.A.R. Habib writes: Critics, rhetoricians, and philosophers since Aristotle have examined the psychological dimensions of literature, ranging from an author’s motivation and intentions to the effect of texts and performances on an audience. The application of psychoanalytic principles to the study of literature, however, is a relatively recent phenomenon, initiated primarily by Freud and in other directions by Alfred...

  13. Developing Derrida’s Psychoanalytic Graphology: Diametric and Concentric Spatial Movements

    OpenAIRE

    Downes, Paul

    2013-01-01

    Derrida’s work encompasses dynamic spatial dimensions to understanding as a pervasive theme, including the search for a ‘new psychoanalytic graphology’ in Writing and Difference. This preoccupation with a spatial text for repression also occurs later in Archive Fever. Building on Derrida, this paper seeks to develop key aspects of a new dynamic psychoanalytic graphology through diametric and concentric interactive spatial relation. These spatial movements emerge from a radical reconstruction ...

  14. A quantitative approach to benefit-risk assessment of medicines - part 1: the development of a new model using multi-criteria decision analysis.

    Science.gov (United States)

    Mussen, Filip; Salek, Sam; Walker, Stuart

    2007-07-01

    One of the most important uses of benefit-risk assessment pertains to approval of new medicines by regulatory authorities and the subsequent review of these products during their life-cycle when new safety and/or efficacy data becomes available. At present, there exist no validated, well-accepted models for benefit-risk assessment that have the appropriate degree of sophistication, and as a consequence no models are widely used by regulatory authorities or industry. The aim of the study was therefore to develop a new model for benefit-risk assessment of medicines using multi-criteria decision analysis (MCDA). The MCDA methodology was used for a systematic approach to assess the benefit risk ratio of medicines. The reasons for adopting this approach were (1) taking multiple benefit and risk criteria into account, (2) making a judgement on the evidence and potential uncertainty because of the incompleteness of evidence, and (3) making trade-offs of the benefits against risks. It was demonstrated through a seven-step approach how MCDA is used to construct the model. Ten benefit and ten risk criteria were identified to form a value tree. Then fixed scales were established for all criteria and options on the criteria were scored. Weights were assigned for each criteria using swing-weighting. Finally sensitivity analysis was carried. This novel approach based on MCDA has the potential for being applied as a new tool for judging and deciding on the benefits and risks, thereby helping regulators and industry in the development and approval of new medicines and their adequate use.

  15. Beyond Clinical Case Studies in Psychoanalysis: A Review of Psychoanalytic Empirical Single Case Studies Published in ISI-Ranked Journals

    Directory of Open Access Journals (Sweden)

    Reitske Meganck

    2017-10-01

    Full Text Available Single case studies are at the origin of both theory development and research in the field of psychoanalysis and psychotherapy. While clinical case studies are the hallmark of psychoanalytic theory and practice, their scientific value has been strongly criticized. To address problems with the subjective bias of retrospective therapist reports and uncontrollability of clinical case studies, systematic approaches to investigate psychotherapy process and outcome at the level of the single case have been developed. Such empirical case studies are also able to bridge the famous gap between academic research and clinical practice as they provide clinically relevant insights into how psychotherapy works. This study presents a review of psychoanalytic empirical case studies published in ISI-ranked journals and maps the characteristics of the study, therapist, patient en therapies that are investigated. Empirical case studies increased in quantity and quality (amount of information and systematization over time. While future studies could pay more attention to providing contextual information on therapist characteristics and informed consent considerations, the available literature provides a basis to conduct meta-studies of single cases and as such contribute to knowledge aggregation.

  16. Beyond Clinical Case Studies in Psychoanalysis: A Review of Psychoanalytic Empirical Single Case Studies Published in ISI-Ranked Journals

    Science.gov (United States)

    Meganck, Reitske; Inslegers, Ruth; Krivzov, Juri; Notaerts, Liza

    2017-01-01

    Single case studies are at the origin of both theory development and research in the field of psychoanalysis and psychotherapy. While clinical case studies are the hallmark of psychoanalytic theory and practice, their scientific value has been strongly criticized. To address problems with the subjective bias of retrospective therapist reports and uncontrollability of clinical case studies, systematic approaches to investigate psychotherapy process and outcome at the level of the single case have been developed. Such empirical case studies are also able to bridge the famous gap between academic research and clinical practice as they provide clinically relevant insights into how psychotherapy works. This study presents a review of psychoanalytic empirical case studies published in ISI-ranked journals and maps the characteristics of the study, therapist, patient en therapies that are investigated. Empirical case studies increased in quantity and quality (amount of information and systematization) over time. While future studies could pay more attention to providing contextual information on therapist characteristics and informed consent considerations, the available literature provides a basis to conduct meta-studies of single cases and as such contribute to knowledge aggregation. PMID:29046660

  17. Cognitive development, memory, trauma, treatment: An integration of psychoanalytic and behavioral concepts in light of current neuroscience research.

    Science.gov (United States)

    Hutterer, Jeffrey; Liss, Miriam

    2006-01-01

    The goal of Freud's Project was to place all psychological functioning on a neurological foundation; however, the resources of his time were inadequate for the task. This article attempts to link basic psychoanalytic and behavioral constructs to current neuroscience, specifically the memory paradigm of multiple trace theory. We propose that Freud's theory of early cognitive development, in which primary process is succeeded by secondary process, corresponds to the progression from a noncontextual taxon-based memory system to a locale system (mediated by hippocampal and cortical structures) in which memories are formed within space/time contexts. The effects of trauma within these models is then examined by noting how Freud's views of repression and regression parallel neuropsychological hypotheses about the ways in which traumatic experience impacts specific brain areas. Finally, the treatment implications of this theoretical synthesis are explored. We posit that transference resembles the learning theory construct of generalization, and the non-contextualized coding of the taxon system. In conclusion, we suggest that orthodox psychoanalytic approaches may have overestimated the efficacy of words and intellectual vectors in effecting therapeutic change. Nonverbal strategies may be required to reach material that is stored in early developing brain areas that may be inaccessible to words.

  18. [Correspondence from Julio Porto-Carrero to Arthur Ramos: the Brazilian Psychoanalytic Society and concern over the translation of psychoanalytic terms in the 1920s and 1930s].

    Science.gov (United States)

    Castro, Rafael Dias de

    2015-12-01

    The article presents the correspondence that psychiatrist Julio Porto-Carrero sent to psychiatrist Arthur Ramos in 1932 to inform him about the activities of the Brazilian Psychoanalytic Society and about a concern over systematizing the translation of certain psychoanalytic concepts into Portuguese. This correspondence is used in conjunction with the analysis of other sources to suggest that psychiatrists and psychoanalysts in Rio de Janeiro were then endeavoring to make a place for psychoanalysis in the day's medical and scientific circles and encourage ever more specialists in Brazil to take an interest in Freud's theory.

  19. Some psychoanalytical meanings of the skin in the book of Job

    Directory of Open Access Journals (Sweden)

    Pieter van der Zwan

    2017-01-01

    Full Text Available Traditionally, there has been a tension between psychology and religion because of the Freudian critique of religion. This research intends to show that a deeper understanding of religion leading hopefully to an even deeper religiosity can be achieved by studying bodily features portrayed in a (religious text from a psychoanalytic perspective. Just as any literary character can be �psychoanalysed� to produce new perspectives on it and on the narrative as a whole, the personality of Job invites the postmodern reader to continue understanding this book on new levels. From this approach, it becomes clear that the protagonist struggles with boundaries and individuation because of his depressive tendencies experienced in issues with reality�s harsh touch, nakedness and distance. Intradisciplinary and/or interdisciplinary implications: Just as any literary character can be �psychoanalysed� to produce new perspectives on it and on the narrative as a whole, the personality of Job invites the postmodern reader to continue understanding this book on new levels. From this approach, it becomes clear that the protagonist struggles with boundaries and individuation because of his depressive tendencies experienced in issues with reality�s harsh touch, nakedness and distance.

  20. A fuzzy approach to a multiple criteria and Geographical Information System for decision support on suitable locations for biogas plants

    DEFF Research Database (Denmark)

    Franco, Camilo; Bojesen, Mikkel; Hougaard, Jens Leth

    2015-01-01

    The purpose of this paper is to model the multi-criteria decision problem of identifying the most suitable facility locations for biogas plants under an integrated decision support methodology. Here the Geographical Information System (GIS) is used for measuring the attributes of the alternatives...... frame for identifying the most suitable locations for biogas facilities, taking into account the most relevant criteria for the social, economic and political dimensions....

  1. Evaluating the Sustainability of Community-Based Long-Term Care Programmes: A Hybrid Multi-Criteria Decision Making Approach

    Directory of Open Access Journals (Sweden)

    Baoan Song

    2016-07-01

    Full Text Available Sustainability is a crucial factor in Long-Term Care (LTC programmes, which implies whether the programmes have the capability of sustaining a quality service over the long term. To evaluate the sustainability of community-based LTC programmes, a novel hybrid framework has been demonstrated with a mixed Multi-Criteria Decision Making (MCDM technique. According to extensive literature review and the fuzzy Delphi method, four pillars of initial criteria and twelve sub-criteria have been determined. Then a weighted hierarchy has been constructed with Analytic Hierarchy Process (AHP to constitute the evaluation index system. In order to prove our framework, a case study of four community-based LTC programmes in Michigan is presented by applying the fuzzy technique for order preference by similarity to an ideal solution (TOPSIS method. The results indicate that programme P2 has the best potential of sustainability, and sub-criteria associated with economy outweigh other sub-criteria. The sensitivity analysis verifies that the result of the ranking remains stable regardless of the fluctuation in sub-criteria weights, which proves the evaluation results and proposed model to be accurate and effective. This study develops a comprehensive and effective framework for evaluating community-based LTC programmes from the sustainability perspective.

  2. Multi-criteria assessment of the Representative Elementary Watershed approach on the Donga catchment (Benin using a downward approach of model complexity

    Directory of Open Access Journals (Sweden)

    N. Varado

    2006-01-01

    Full Text Available This study is part of the AMMA - African Multidisciplinary Monsoon Analysis- project and aims at a better understanding and modelling of the Donga catchment (580 km2, Benin behaviour in order to determine its spatially distributed water balance. For this purpose, we applied the REW concept proposed by Reggiani et al. (1998, 1999, which allows the description of the main local processes at the sub-watershed scale. Such distributed hydrological models, which represent hydrological processes at various scales, should be evaluated not only on the discharge at the outlet but also on each of the represented processes and in several points of the catchment. This multi-criteria approach is required in order to assess the global behaviour of hydrological models. We applied such multi-criteria strategy to the Donga catchment (586 km2, in Benin. The work was supported by an observation set up, undertaken since 1998 consisting in a network of 20 rain gauges, an automatic meteorological station, 6 discharge stations and 18 wells. The main goal of this study was to assess the model's ability to reproduce the discharge at the outlet, the water table dynamics in several points of the catchment and the vadose zone dynamics at the sub-catchment scale. We tested two spatial discretisations of increasing resolution. To test the internal structure of the model, we looked at its ability to represent also the discharge at intermediate stations. After adjustment of soil parameters, the model is shown to accurately represent discharge down to a drainage area of 100 km2, whereas poorer simulation is achieved on smaller catchments. We introduced the spatial variability of rainfall by distributing the daily rainfall over the REW and obtained a very low sensitivity of the model response to this variability. Simulation of groundwater levels was poor and our results, in conjunction with new data available at the local scale, suggest that the representation of the processes

  3. An expert-based approach to forest road network planning by combining Delphi and spatial multi-criteria evaluation.

    Science.gov (United States)

    Hayati, Elyas; Majnounian, Baris; Abdi, Ehsan; Sessions, John; Makhdoum, Majid

    2013-02-01

    Changes in forest landscapes resulting from road construction have increased remarkably in the last few years. On the other hand, the sustainable management of forest resources can only be achieved through a well-organized road network. In order to minimize the environmental impacts of forest roads, forest road managers must design the road network efficiently and environmentally as well. Efficient planning methodologies can assist forest road managers in considering the technical, economic, and environmental factors that affect forest road planning. This paper describes a three-stage methodology using the Delphi method for selecting the important criteria, the Analytic Hierarchy Process for obtaining the relative importance of the criteria, and finally, a spatial multi-criteria evaluation in a geographic information system (GIS) environment for identifying the lowest-impact road network alternative. Results of the Delphi method revealed that ground slope, lithology, distance from stream network, distance from faults, landslide susceptibility, erosion susceptibility, geology, and soil texture are the most important criteria for forest road planning in the study area. The suitability map for road planning was then obtained by combining the fuzzy map layers of these criteria with respect to their weights. Nine road network alternatives were designed using PEGGER, an ArcView GIS extension, and finally, their values were extracted from the suitability map. Results showed that the methodology was useful for identifying road that met environmental and cost considerations. Based on this work, we suggest future work in forest road planning using multi-criteria evaluation and decision making be considered in other regions and that the road planning criteria identified in this study may be useful.

  4. A PSYCHOANALYTIC UNDERSTANDING OF THE GRIEVING PROCESS IN LOVING SEPARATION

    Directory of Open Access Journals (Sweden)

    Ohara de Souza Coca

    2017-03-01

    Full Text Available The loving separation is lived as an experience of death in life in which the individual needs to go through the grieving process so the loss can make sense. This study aimed to understand and analyze the grieving process towards the loving separation under a psychoanalytic perspective, and as specific objectives, identify the type of object-choice(anaclitic/ narcissistic of individuals; check if there was some kind of support during the process and analyze existing feelings after loving separation. For this, six participants were submitted a semi-structured interview, with data analyzed using content analysis. As a result, we identified the presence of both object-choices, especially the narcissistic choice in younger; the grieving process made possible changes and transformations; we found family support, friends, spiritual and psychological; and participants had greater individuality after the breakup. We hypothesized that the suffering caused by the relationship generates a defense as a detachment of another that could become a new object of love. In the grief process it’s possible to internalize the good parts of the beloved object, which are integrated into the Ego. Therefore, the good aspects become part of the subject, which can accept the loss. We pointed out that more studies are needed on the specific theme.

  5. On the problem of the id in psychoanalytic theory.

    Science.gov (United States)

    Shulman, M E

    1987-01-01

    The id per se has ceased being a topic for explicit speculation for some time in psychoanalysis. This paper first examines certain problems posed by the concept "id' via a close reading of a passage from Freud in which the complex and paradoxical interrelationship of ego and id is reviewed. Several aspects of the concept "id' are differentiated from each other. The implications of a dialectical relationship of ego and id are explored, as are the consequences for the understanding of the id of the anxieties imposed on the infant by its life situation and its "sensing' impulses and fleeing them before it can know them. The relationship of id impulse and infantile need to the concepts of intention and avowal is considered, and fundamental differences between the infant and adult human subject via-à-vis knowing and intending are clarified. These examinations pave the way for a critique of the recent work of Gill, Eagle, and especially, of Schafer, concerning metapsychology and the nature of psychoanalysis as a science. It is shown that some concept of id as a pre-intentional force operating in human lives and linking these lives to a nature beyond individual intending is necessarily implied in any adequate psychoanalytic science.

  6. Cultural function and psychological transformation in psychoanalysis and psychoanalytic psychotherapy.

    Science.gov (United States)

    Ronningstam, Elsa

    2006-10-01

    Cultural experience of silence and individual vicissitudes between talking and being silent influence the way individuals form an alliance and pursue the analytic process. This is of relevance both for the patient and for the psychoanalyst/therapist. The author describes a patient, whose silent phase occurred in the fifth and sixth year of intensive psychoanalytic psychotherapy. She suggests that a) the silence functioned as a protection of a space for the core self and promoted inner transformation and psychological development; b) the silence involved a transference-countertransference matrix with projective identifications of the patient's internalized mother- and father-related objects that caused a tenuous balance between maintaining and erasing the relationship between the patient and the author; c) the silence phase was highly influenced by the author's own cultural background and what she brought into the relationship of tolerance of being silent in the presence of another, and understanding of the many complex functions of silence. During the silent phase the patient moved from simply describing and naming her affects and inner experiences or expressing them as somatic processes, to being able to internally access and verbally convey her own affects and experiences in the therapeutic alliance. This process involved both affect desomatization, affect differentiation, and affect verbalization.

  7. Psychoanalytic treatment of psychological addiction toalcohol (alcohol abuse

    Directory of Open Access Journals (Sweden)

    Brian eJohnson

    2011-12-01

    Full Text Available AbstractThe DSM-V Committee plans to abolish the distinction between Alcohol Abuse and Alcohol Dependence (DSM5.org. The author presents a case report as a proof of concept that this distinction should be retained. The author has asserted that Alcohol Abuse is a purely psychological addiction, while Alcohol Dependence involves capture of the ventral tegmental dopaminergic SEEKING system (Johnson 2003. In psychological addiction the brain can be assumed to function normally, and ordinary psychoanalytic technique can be followed. For the patient described, transference interpretation was the fundamental key to recovery.Alcoholic drinking functioned to prevent this man from remembering overwhelming childhood events; events that were also lived out in his current relationships. Murders that occurred when he was a child were hidden in a screen memory. The patient had an obsessional style of relating where almost all feeling was left out of his associations. After he stopped drinking compulsively, he continued to work compulsively. The maternal transference had to be enacted and then interpreted in order for overwhelming memories to be allowed into conscious thought. After psychoanalysis, the patient resumed drinking and worked a normal schedule that allowed more fulfilling relationships. He had no further symptoms of distress from drinking over a 9 year followup.

  8. Tackling Complex Emergency Response Solutions Evaluation Problems in Sustainable Development by Fuzzy Group Decision Making Approaches with Considering Decision Hesitancy and Prioritization among Assessing Criteria.

    Science.gov (United States)

    Qi, Xiao-Wen; Zhang, Jun-Ling; Zhao, Shu-Ping; Liang, Chang-Yong

    2017-10-02

    In order to be prepared against potential balance-breaking risks affecting economic development, more and more countries have recognized emergency response solutions evaluation (ERSE) as an indispensable activity in their governance of sustainable development. Traditional multiple criteria group decision making (MCGDM) approaches to ERSE have been facing simultaneous challenging characteristics of decision hesitancy and prioritization relations among assessing criteria, due to the complexity in practical ERSE problems. Therefore, aiming at the special type of ERSE problems that hold the two characteristics, we investigate effective MCGDM approaches by hiring interval-valued dual hesitant fuzzy set (IVDHFS) to comprehensively depict decision hesitancy. To exploit decision information embedded in prioritization relations among criteria, we firstly define an fuzzy entropy measure for IVDHFS so that its derivative decision models can avoid potential information distortion in models based on classic IVDHFS distance measures with subjective supplementing mechanism; further, based on defined entropy measure, we develop two fundamental prioritized operators for IVDHFS by extending Yager's prioritized operators. Furthermore, on the strength of above methods, we construct two hesitant fuzzy MCGDM approaches to tackle complex scenarios with or without known weights for decision makers, respectively. Finally, case studies have been conducted to show effectiveness and practicality of our proposed approaches.

  9. Tackling Complex Emergency Response Solutions Evaluation Problems in Sustainable Development by Fuzzy Group Decision Making Approaches with Considering Decision Hesitancy and Prioritization among Assessing Criteria

    Directory of Open Access Journals (Sweden)

    Xiao-Wen Qi

    2017-10-01

    Full Text Available In order to be prepared against potential balance-breaking risks affecting economic development, more and more countries have recognized emergency response solutions evaluation (ERSE as an indispensable activity in their governance of sustainable development. Traditional multiple criteria group decision making (MCGDM approaches to ERSE have been facing simultaneous challenging characteristics of decision hesitancy and prioritization relations among assessing criteria, due to the complexity in practical ERSE problems. Therefore, aiming at the special type of ERSE problems that hold the two characteristics, we investigate effective MCGDM approaches by hiring interval-valued dual hesitant fuzzy set (IVDHFS to comprehensively depict decision hesitancy. To exploit decision information embedded in prioritization relations among criteria, we firstly define an fuzzy entropy measure for IVDHFS so that its derivative decision models can avoid potential information distortion in models based on classic IVDHFS distance measures with subjective supplementing mechanism; further, based on defined entropy measure, we develop two fundamental prioritized operators for IVDHFS by extending Yager’s prioritized operators. Furthermore, on the strength of above methods, we construct two hesitant fuzzy MCGDM approaches to tackle complex scenarios with or without known weights for decision makers, respectively. Finally, case studies have been conducted to show effectiveness and practicality of our proposed approaches.

  10. An improved MULTIMOORA approach for multi-criteria decision-making based on interdependent inputs of simplified neutrosophic linguistic information

    OpenAIRE

    Zhang-peng, Tian; Jing, Wang; Jian-qiang, Wang; Hong-yu, Zhang

    2016-01-01

    Multi-objective optimization by ratio analysis plus the full multiplicative form (MULTIMOORA) is a useful method to apply in multi-criteria decision-making due to the flexibility and robustness it introduces into the decision process. This paper defines several simplified neutrosophic linguistic distance measures and employs a distance-based method to determine criterion weights.

  11. Barriers to Information Transfer and Approaches Toward Their Reduction, Conference Proceedings of the Technical Information Panel Specialists’ Meeting Held in Washington, DC on 23-24 September 1987.

    Science.gov (United States)

    1988-03-01

    combination of several different approaches (sociological, psychosociological , psychoanalytic and psycholinguistic) and reveals just what is at stake, both...The detailed analysis of the cultural barrier, in the fourth chapter. is carried out by several approaches (sociological, psychosociological ...approaches: sociological, psychosociological , psychoanalytical, psycholinguistic. 4.2 Stakes. 5 Future trends on the linguistic state of the world at the

  12. Effects of a brief psychoanalytic intervention for perinatal depression.

    Science.gov (United States)

    Nanzer, Nathalie; Sancho Rossignol, Ana; Righetti-Veltema, Marion; Knauer, Dora; Manzano, Juan; Palacio Espasa, Francisco

    2012-08-01

    This pilot study explores the effects of a brief individual psychoanalytic therapy on perinatal depressive symptoms. This intervention is based on the Geneva's mother-infant intervention model. A sample of 129 pregnant women was recruited in Geneva (Switzerland) and screened for depressive symptoms with two instruments: the 'Edinburgh postnatal depression scale' (EPDS) and the 'Dépistage anténatal de la dépression postnatale'. A group of 40 women presenting depressive symptoms (treatment group) participated in a four-session intervention called 'Psychotherapy centred on parenthood (PCP)'. It consists in two antenatal and two postnatal sessions and is focussed on changing problematic representations of parenthood. This treatment group was compared to a control group of 88 women without depressive symptoms and following the usual obstetrical care. The main outcome measure was EPDS at 3 and 6 months after delivery. The 'Global assessment functioning scale' was administered at the end of each therapeutic session. The 'Parent-infant relationship global assessment scale' was administered at the two postnatal sessions in order to explore if PCP was also effective in preventing the potential negative effects of depression on mother-infant relationship. Results show that in the treatment group (N = 31), EPDS scores dropped from 12.8 to 4.8; none of these women met the EPDS cut-off score of 12 at 3 and 6 months postpartum. Mother-infant relationship was well adapted for all 31 dyads at the end of the intervention. These results suggest that PCP is a promising intervention for treating perinatal depression and helping mothers engaging in parenting.

  13. Definition of a multi-criteria, web-based approach to managing the illegal dumping of solid waste in Italian villages.

    Science.gov (United States)

    De Feoa, G; Cerrato, F; Siano, P; Torretta, V

    2014-01-01

    The aim of this study is to define a multi-criteria, web-based approach that can be used to manage the illegal dumping of solid waste, which is a serious environmental concern both in developing and developed countries. A simplified web-based geographic information system (SI-WEB-GIS) was designed to identify illegal dumpsites, and to allow sharing resources among authorities, technicians and citizens. A self-made multi-criteria technique was designed to establish the intervention priorities, in seven steps: (1) constructing the alternatives matrix; (2) giving a qualitative value or a combination of qualitative values to each individual dumpsite and to all criteria; (3) giving a numeric value to each qualitative value or combination of qualitative values in the alternatives matrix (three methods were adopted); (4) calculating the Average Hazard Index (AHI); (5) ranking the dumpsites of each alternatives matrix, in the order of decreasing AHI; (6) comparing the first 50% of the dumpsites in the three rankings, in order to evaluate which had the most intervention priorities and (7) performing a sensitivity analysis, giving different priorities to the four criteria adopted (relative quantity of waste, soil permeability level, pollution targets and types of solid waste). The application of the multi-criteria, web-based approach to managing the illegal dumping of solid waste allows minimizing the total social cost of pollution, rehabilitating dumpsites and monitoring illegal dumping. Although the system was applied to a village in Southern Italy, with around 14,000 inhabitants, it can easily be customized for use in similar villages in Italy and in other countries.

  14. A fuzzy multi criteria approach for evaluating green supplier's performance in green supply chain with linguistic preferences

    DEFF Research Database (Denmark)

    Shen, Lixin; Olfat, Laya; Govindan, Kannan

    2013-01-01

    Today's international business environment has forced many firms to focus on supply chain management to gain a competitive advantage. During recent years, supplier selection process in the supply chain has become a key strategic consideration. With the growing worldwide awareness of environmental...... protection and the corresponding increase in legislation and regulations, green purchasing has become an important issue for companies to gain environmental sustainability. Traditionally, companies consider criteria such as price, quality and lead time, when evaluating supplier performance and do not give...... enough attention to environmental criteria as a means to evaluate suppliers. Now, many companies have begun to implement green supply chain management (GSCM) and to consider environmental issues and the measurement of their suppliers' environmental performance. This paper examines GSCM to propose a fuzzy...

  15. A COPRAS-F base multi-criteria group decision making approach for site selection of wind farm

    Directory of Open Access Journals (Sweden)

    Nikhil Chandra Chatterjee

    2013-01-01

    Full Text Available Today global warming is on the rise and the natural resources are getting consumed at a faster rate. Power consumption has increased many folds to cater the human need. Thus renewable energy resources are the only option available at this juncture. Wind energy is one of the renewable energy. Location selection for wind farm takes an important role on power generation. However, the location selection is a complex multicriteria problem due to the criteria factors which are conflicting in nature as well as uncertain. The process becomes more complex when a group of decision makers are involved in decision making. In the present study, a COPRAS (COmplex PRoportional ASsessment based multi-criteria decision-making (MCDM methodology is done under fuzzy environment with the help of multiple decision makers. More specifically, this study is aimed to focus the applicability of COPRAS-F as a strategic decision making tools to handle the group decision-making problems.

  16. Development of Selection Criteria on Bean Weight Character of Cocoa (Theobroma cacaoL. through Path Analysis Approach

    Directory of Open Access Journals (Sweden)

    Indah Anita Sari

    2013-12-01

    Full Text Available Path coefficient analysis is frequently used for development of selection criteria on various type of plants. Path analysis on this research was conducted to find the selection criteria of yield component which directly affect bean weight. In addition to the value of path analysis coefficient, genetic variation coefficient, heritability and the value of genetic progress were also studied. The study was conducted at the Indonesian Coffee and Cocoa Research Institute. The research used randomized complete block design consisting of 14 accession numbers and each consisting of three replications. Pod girth, pod length, pod weight, wet beans weight per pod, number of normal beans per pod, number of abnormal beans per pod, dry weight per normal bean, and shell content were observed. The results showed that the pod weight character had an important role in determining the dry weight of normal bean. The character had a positive genotype correlation coefficient values which was high and significantly different (r=0.46 for dry weight per normal bean, considerable direct influence (P=0.479, moderate of the genotype variation coefficient (9.6%, and high genetic progress (95.23. Character of wet bean weight per pod could also be used indirectly for the selection criteria for dry weight per normal bean based on genetic variation coefficient value (11.88%, genetic progress value (82.48, and direct effect on dry weight per normal bean had positive value (P=0.006. Key words: Selection criteria, dry weight per bean, path analysis,Theobroma cacaoL.

  17. Two systems of self-regulation and the differential application of psychoanalytic technique.

    Science.gov (United States)

    Novick, Kerry Kelly; Novick, Jack

    2003-03-01

    Out of our work over the years on child development, clinical technique, and sadomasochism, we have begun to formulate a model of development that describes two possible ways of responding to feelings of helplessness in the face of the challenges of internal and external experience. Any psychoanalytic model has implications for how we think about technique and can be tested on the basis of its utility in generating technical ideas and enhancing our therapeutic repertoire. At this juncture in the history of our field, it is crucial for us to demonstrate that psychoanalytic techniques are effective in helping people enter treatment, change, and finish in a way that consolidates their gains. In this paper we explore the utility of our two-systems model for expanding the discourse about psychoanalytic technique.

  18. Studium and Punctum in Psychoanalytic Writing: Reading Case Studies Through Roland Barthes.

    Science.gov (United States)

    Amir, Dana

    2018-02-01

    This paper focuses on the link between Roland Barthes's reflection on photography and the essential characteristics of psychoanalytic case studies. The case study, like the photograph, seeks to take hold of something nearly intangible. It attempts to capture in time, space, and language something whose dynamic presence remains elusive. The attempt to capture this object often strips it of its essence. Case studies may be accurate on their face while giving us the unpleasant sense that they have "deadened" their object in the process. This paper attempts to clarify what is dropped from the picture that the psychoanalytic writing is trying to take. The relation between the "cultural context" (the Studium) and the freedom to puncture and undermine this context in psychoanalytic writing is discussed through a fresh reading of Georges Perec's "W, or the Memory of Childhood" and through clinical vignettes by Ronald Britton and Michael Eigen.

  19. JUSTIFICATION FOR THE RADIOLOGICAL CRITERIA FOR THE USE OF AREAS WITH RESIDUAL RADIOACTIVE CONTAMINATION BASED ON THE DOSE APPROACH

    Directory of Open Access Journals (Sweden)

    V. Yu. Golikov

    2017-01-01

    Full Text Available The article presents a methodology for assessing the radiological criteria for the use of the territory (a land plot with buildings with residual radioactive contamination from the so-called “green area”, i.e., complete release from radiation control until a number of restrictions are imposed on the use of the territory. In accordance with the further use of the territory, a range of scenarios and pathways for the exposure of the population was considered. A set of models and their parameters, corresponding to the number of the considered pathways of exposure, was defined. Assuming a uniform distribution of a radionuclide with a unit concentration in the source zone, the distribution of effective doses for the population living in the territory with the residual radioactive contamination for different irradiation scenarios was calculated by stochastic modeling, 95% of the quantile of which was attributed to the dose in the representatives of the critical population group. Next, the value of radiological criteria, depending on the implemented scenario, was determined as the ratio of the dose constraint EL = 0,3 mSv/yr and 95% quantile in the distribution of the effective dose from a unit contamination. The numerical values of radiological criteria for the presence of radionuclides in the soil are presented, both for the radiation scenarios that correspond to the permanent residence of the population in the contaminated territory and for recreational use. A further consideration is given to the so-called worker scenario, which corresponds to the limited time spent on the contaminated territory and the simultaneous effects of radionuclides contained both in the soil and in the construction of the buildings. A comparison of the results of the own calculations with the data of other authors was carried out.

  20. The depressed masochistic patient: diagnostic and management considerations--a contemporary psychoanalytic perspective.

    Science.gov (United States)

    Friedman, R C

    1991-01-01

    This article considers the relationship between depression and characterological masochism from a contemporary psychoanalytic perspective. Nosology is discussed historically from Krafft-Ebing to the DSM-III-R category, self-defeating personality disorder. Masochistic character traits are conceptualized as attempts to cope with depressed helpless and hostile feelings that have become part of the core self-concept. Psychotherapeutic strategy for treatment of masochistic patients at different levels of characterological integration is discussed. Many questions about self-defeating personality disorder remain open at present. The need for psychoanalytically informed clinical research on characterological masochism and particularly the relationship between masochism and depression is stressed.

  1. A Bayesian approach to the evaluation of risk-based microbiological criteria for Campylobacter in broiler meat

    DEFF Research Database (Denmark)

    Ranta, Jukka; Lindqvist, Roland; Hansson, Ingrid

    2015-01-01

    Shifting from traditional hazard-based food safety management toward risk-based management requires statistical methods for evaluating intermediate targets in food production, such as microbiological criteria (MC), in terms of their effects on human risk of illness. A fully risk-based evaluation...... of MC involves several uncertainties that are related to both the underlying Quantitative Microbiological Risk Assessment (QMRA) model and the production-specific sample data on the prevalence and concentrations of microbes in production batches. We used Bayesian modeling for statistical inference...

  2. A fuzzy approach to a multiple criteria and geographical information system for decision support on suitable locations for biogas plants

    DEFF Research Database (Denmark)

    Franco de los Rios, Camilo Andres; Bojesen, Mikkel; Hougaard, Jens Leth

    The purpose of this paper is to model the multi-criteria decision problem of identifying the most suitable facility locations for biogas plants under an integrated decision support methodology. Here the Geographical Information System (GIS) is used for measuring the attributes of the alternatives...... can also be successfully applied over the outcomes of different decision makers, in case a unique social solution is required to exist. The proposed methodology can be used under an integrated decision support frame for identifying the most suitable locations for biogas facilities, taking into account...

  3. Multi-criteria decision analysis and spatial statistic: an approach to determining human vulnerability to vector transmission of Trypanosoma cruzi

    Science.gov (United States)

    Montenegro, Diego; da Cunha, Ana Paula; Ladeia-Andrade, Simone; Vera, Mauricio; Pedroso, Marcel; Junqueira, Angela

    2017-01-01

    BACKGROUND Chagas disease (CD), caused by the protozoan Trypanosoma cruzi, is a neglected human disease. It is endemic to the Americas and is estimated to have an economic impact, including lost productivity and disability, of 7 billion dollars per year on average. OBJECTIVES To assess vulnerability to vector-borne transmission of T. cruzi in domiciliary environments within an area undergoing domiciliary vector interruption of T. cruzi in Colombia. METHODS Multi-criteria decision analysis [preference ranking method for enrichment evaluation (PROMETHEE) and geometrical analysis for interactive assistance (GAIA) methods] and spatial statistics were performed on data from a socio-environmental questionnaire and an entomological survey. In the construction of multi-criteria descriptors, decision-making processes and indicators of five determinants of the CD vector pathway were summarily defined, including: (1) house indicator (HI); (2) triatominae indicator (TI); (3) host/reservoir indicator (Ho/RoI); (4) ecotope indicator (EI); and (5) socio-cultural indicator (S-CI). FINDINGS Determination of vulnerability to CD is mostly influenced by TI, with 44.96% of the total weight in the model, while the lowest contribution was from S-CI, with 7.15%. The five indicators comprise 17 indices, and include 78 of the original 104 priority criteria and variables. The PROMETHEE and GAIA methods proved very efficient for prioritisation and quantitative categorisation of socio-environmental determinants and for better determining which criteria should be considered for interrupting the man-T. cruzi-vector relationship in endemic areas of the Americas. Through the analysis of spatial autocorrelation it is clear that there is a spatial dependence in establishing categories of vulnerability, therefore, the effect of neighbors’ setting (border areas) on local values should be incorporated into disease management for establishing programs of surveillance and control of CD via vector

  4. Multi-criteria decision analysis and spatial statistic: an approach to determining human vulnerability to vector transmission of Trypanosoma cruzi.

    Science.gov (United States)

    Montenegro, Diego; Cunha, Ana Paula da; Ladeia-Andrade, Simone; Vera, Mauricio; Pedroso, Marcel; Junqueira, Angela

    2017-10-01

    Chagas disease (CD), caused by the protozoan Trypanosoma cruzi, is a neglected human disease. It is endemic to the Americas and is estimated to have an economic impact, including lost productivity and disability, of 7 billion dollars per year on average. To assess vulnerability to vector-borne transmission of T. cruzi in domiciliary environments within an area undergoing domiciliary vector interruption of T. cruzi in Colombia. Multi-criteria decision analysis [preference ranking method for enrichment evaluation (PROMETHEE) and geometrical analysis for interactive assistance (GAIA) methods] and spatial statistics were performed on data from a socio-environmental questionnaire and an entomological survey. In the construction of multi-criteria descriptors, decision-making processes and indicators of five determinants of the CD vector pathway were summarily defined, including: (1) house indicator (HI); (2) triatominae indicator (TI); (3) host/reservoir indicator (Ho/RoI); (4) ecotope indicator (EI); and (5) socio-cultural indicator (S-CI). Determination of vulnerability to CD is mostly influenced by TI, with 44.96% of the total weight in the model, while the lowest contribution was from S-CI, with 7.15%. The five indicators comprise 17 indices, and include 78 of the original 104 priority criteria and variables. The PROMETHEE and GAIA methods proved very efficient for prioritisation and quantitative categorisation of socio-environmental determinants and for better determining which criteria should be considered for interrupting the man-T. cruzi-vector relationship in endemic areas of the Americas. Through the analysis of spatial autocorrelation it is clear that there is a spatial dependence in establishing categories of vulnerability, therefore, the effect of neighbors' setting (border areas) on local values should be incorporated into disease management for establishing programs of surveillance and control of CD via vector. The study model proposed here is flexible and

  5. Multi-criteria decision analysis as an innovative approach to managing zoonoses: results from a study on Lyme disease in Canada.

    Science.gov (United States)

    Aenishaenslin, Cécile; Hongoh, Valérie; Cissé, Hassane Djibrilla; Hoen, Anne Gatewood; Samoura, Karim; Michel, Pascal; Waaub, Jean-Philippe; Bélanger, Denise

    2013-09-30

    Zoonoses are a growing international threat interacting at the human-animal-environment interface and call for transdisciplinary and multi-sectoral approaches in order to achieve effective disease management. The recent emergence of Lyme disease in Quebec, Canada is a good example of a complex health issue for which the public health sector must find protective interventions. Traditional preventive and control interventions can have important environmental, social and economic impacts and as a result, decision-making requires a systems approach capable of integrating these multiple aspects of interventions. This paper presents the results from a study of a multi-criteria decision analysis (MCDA) approach for the management of Lyme disease in Quebec, Canada. MCDA methods allow a comparison of interventions or alternatives based on multiple criteria. MCDA models were developed to assess various prevention and control decision criteria pertinent to a comprehensive management of Lyme disease: a first model was developed for surveillance interventions and a second was developed for control interventions. Multi-criteria analyses were conducted under two epidemiological scenarios: a disease emergence scenario and an epidemic scenario. In general, we observed a good level of agreement between stakeholders. For the surveillance model, the three preferred interventions were: active surveillance of vectors by flagging or dragging, active surveillance of vectors by trapping of small rodents and passive surveillance of vectors of human origin. For the control interventions model, basic preventive communications, human vaccination and small scale landscaping were the three preferred interventions. Scenarios were found to only have a small effect on the group ranking of interventions in the control model. MCDA was used to structure key decision criteria and capture the complexity of Lyme disease management. This facilitated the identification of gaps in the scientific literature

  6. A Hybrid Multiple Criteria Group Decision-Making Approach for Green Supplier Selection in the TFT-LCD Industry

    Directory of Open Access Journals (Sweden)

    Che-Wei Tsui

    2014-01-01

    Full Text Available The awareness of the need for environmental protection is increasing throughout the world. The focuses of green supplier selection are on considering environmental criteria and strengthening the competitiveness of the entire supply chain. The purpose of this study is to develop a green supplier selection procedure for the thin film transistor liquid crystal display (TFT-LCD industry using polarizer suppliers as an example. First, a decision framework for green supplier selection is developed based on literatures and the supplier audit forms provided by an anonymous flat panel display manufacturer in Taiwan. Then, a hybrid multiple criteria group decision-making (MCGDM method is proposed based on analytic hierarchy process (AHP, entropy, elimination and choice expressing the reality III (ELECTRE III, and the linear assignment method to assist the manufacturer in choosing among four polarizer suppliers. The final ranking results for green supplier selection and different opinions from each department are provided. An improvement report is suggested to enhance suppliers’ performance. For the evaluation procedure, most managers emphasize the importance of current capability and the capability of research and development. Furthermore, we found that the subsidiary supplier should improve quality control competence immediately to be considered as the potential candidate of primary supplier.

  7. Selection of adequate site location during early stages of construction project management: A multi-criteria decision analysis approach

    Science.gov (United States)

    Marović, Ivan; Hanak, Tomaš

    2017-10-01

    In the management of construction projects special attention should be given to the planning as the most important phase of decision-making process. Quality decision-making based on adequate and comprehensive collaboration of all involved stakeholders is crucial in project’s early stages. Fundamental reasons for existence of this problem arise from: specific conditions of construction industry (final products are inseparable from the location i.e. location has a strong influence of building design and its structural characteristics as well as technology which will be used during construction), investors’ desires and attitudes, and influence of socioeconomic and environment aspects. Considering all mentioned reasons one can conclude that selection of adequate construction site location for future investment is complex, low structured and multi-criteria problem. To take into account all the dimensions, the proposed model for selection of adequate site location is devised. The model is based on AHP (for designing the decision-making hierarchy) and PROMETHEE (for pairwise comparison of investment locations) methods. As a result of mixing basis feature of both methods, operational synergies can be achieved in multi-criteria decision analysis. Such gives the decision-maker a sense of assurance, knowing that if the procedure proposed by the presented model has been followed, it will lead to a rational decision, carefully and systematically thought out.

  8. Combination of a Stresor-Response Model with a Conditional Probability Anaylsis Approach to Develop Candidate Criteria from Empirical Data

    Science.gov (United States)

    We show that a conditional probability analysis that utilizes a stressor-response model based on a logistic regression provides a useful approach for developing candidate water quality criterai from empirical data. The critical step in this approach is transforming the response ...

  9. Multi-Criteria Optimisation of Liquid Cargo Transport According to Linguistic Approach to the Route Selection Task

    Directory of Open Access Journals (Sweden)

    Guze Sambor

    2017-04-01

    Full Text Available The main aim of the paper is to present the possibility of use of the multi-criteria optimization method Analytical Hierarchy Process (AHP to liquid cargo transportation by sea. Finding the optimal solution is not simple. There are many factors influencing the shipping process. In the case of liquid cargo, the most important thing is the safety of the crew, ship, and environment. Therefore, the Mathematical Theory of Evidence is introduced and used to determine the optimal path in terms of time and safety of transport. Moreover, the details of liquid cargo transport process are described with particular attention to ship to ship operations. Besides, the basic concept of the AHP method, steps of the algorithm are introduced. Finally, the multicriteria optimization of the transport of the liquid cargo from the Persian Gulf to Port of Gdansk is done. It is based on the experts′ opinions.

  10. Diagnosing domoic acid toxicosis in the California sea lion (Zalophus californianus) using behavioral criteria: A novel approach.

    Science.gov (United States)

    Wittmaack, Christiana; Lahvis, Garet P; Keith, Edward O; Self-Sullivan, Caryn

    2015-01-01

    Domoic acid toxicosis in the California sea lion (Zalophus californianus) is difficult to diagnose using presence of toxin alone because the duration of domoic acid presence in blood and urine is generally less than 48 hr following exposure. Because domoic acid toxicosis is often suggested by presentation of behavioral abnormalities, we asked whether assessment of behavior might be useful for diagnostic purposes. We developed an ethogram to categorize behavioral data collected via continuous focal animal sampling. In total, 169 subjects were observed at a rehabilitation center. Sea lions with domoic acid toxicosis displayed head weaving (P behavioral diagnostic criteria can be effective in the diagnosis of domoic acid toxicosis in the California sea lion. © 2015 Wiley Periodicals, Inc.

  11. A hybrid multi-criteria decision modeling approach for the best biodiesel blend selection based on ANP-TOPSIS analysis

    Directory of Open Access Journals (Sweden)

    G. Sakthivel

    2015-03-01

    Full Text Available The ever increasing demand and depletion of fossil fuels had an adverse impact on environmental pollution. The selection of appropriate source of biodiesel and proper blending of biodiesel plays a major role in alternate energy production. This paper describes an application of hybrid Multi Criteria Decision Making (MCDM technique for the selection of optimum fuel blend in fish oil biodiesel for the IC engine. The proposed model, Analytical Network Process (ANP is integrated with Technique for Order Performance by Similarity to Ideal Solution (TOPSIS and VlseKriterijumska Optimizacija I Kompromisno Resenje (in Serbian (VIKOR to evaluate the optimum blend. Evaluation of suitable blend is based on the exploratory analysis of the performance, emission and combustion parameters of the single cylinder, constant speed direct injection diesel engine at different load conditions. Here the ANP is used to determine the relative weights of the criteria, whereas TOPSIS and VIKOR are used for obtaining the final ranking of alternative blends. An efficient pair-wise comparison process and ranking of alternatives can be achieved for optimum blend selection through the integration of ANP with TOPSIS and VIKOR. The obtained preference order of the blends for ANP-VIKOR and ANP-TOPSIS are B20 > Diesel > B40 > B60 > B80 > B100 and B20 > B40 > Diesel > B60 > B80 > B100 respectively. Hence by comparing both these methods, B20 is selected as the best blend to operate the internal combustion engines. This paper highlights a new insight into MCDM techniques to evaluate the best fuel blend for the decision makers such as engine manufactures and R& D engineers to meet the fuel economy and emission norms to empower the green revolution.

  12. Psychoanalytic and cognitive-behavior therapy of chronic depression: study protocol for a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Beutel Manfred E

    2012-07-01

    Full Text Available Abstract Background Despite limited effectiveness of short-term psychotherapy for chronic depression, there is a lack of trials of long-term psychotherapy. Our study is the first to determine the effectiveness of controlled long-term psychodynamic and cognitive-behavioral (CBT treatments and to assess the effects of preferential vs. randomized assessment. Methods/design Patients are assigned to treatment according to their preference or randomized (if they have no clear preference. Up to 80 sessions of psychodynamic or psychoanalytically oriented treatments (PAT or up to 60 sessions of CBT are offered during the first year in the study. After the first year, PAT can be continued according to the ‘naturalistic’ usual method of treating such patients within the system of German health care (normally from 240 up to 300 sessions over two to three years. CBT therapists may extend their treatment up to 80 sessions, but focus mainly maintenance and relapse prevention. We plan to recruit a total of 240 patients (60 per arm. A total of 11 assessments are conducted throughout treatment and up to three years after initiation of treatment. The primary outcome measures are the Quick Inventory of Depressive Symptoms (QIDS, independent clinician rating and the Beck Depression Inventory (BDI after the first year. Discussion We combine a naturalistic approach with randomized controlled trials(RCTsto investigate how effectively chronic depression can be treated on an outpatient basis by the two forms of treatment reimbursed in the German healthcare system and we will determine the effects of treatment preference vs. randomization. Trial registration http://www.controlled-trials.com/ISRCTN91956346

  13. On Whether to Convert from a Rhetorical to a Psychoanalytic Pedagogy

    Science.gov (United States)

    Kraemer, Don J.

    2010-01-01

    Like psychoanalysis, psychoanalytic pedagogy is a particular way of paying attention, a way of paying attention that deflects attention away from other pedagogies' means and goals. Looking for what psychoanalysis deems the "root cause" of writing problems--intrapsychic conflict--foregrounds that kind of conflict, relegating to the background other…

  14. Investigating Trauma in Narrating World War I: A Psychoanalytical Reading of Pat Barker's "Regeneration"

    Science.gov (United States)

    Sadjadi, Bakhtiar; Esmkhani, Farnaz

    2016-01-01

    The present paper seeks to critically read Pat Barker's "Regeneration" in terms of Cathy Caruth's psychoanalytic study of trauma. This analysis attempts to trace the concepts of latency, post-traumatic stress disorders, traumatic memory, and trauma in Barker's novel in order to explore how trauma and history are interrelated in the…

  15. Therapeutic Communications and the Process of Change in a Psychoanalytic Treatment

    Science.gov (United States)

    Vegas, Monica

    2013-01-01

    This study looked at the interplay of the analyst verbal speech acts and the process of change in a psychoanalytic treatment. Using a single case design on the session transcripts of the well studied case of Mrs. C., following Halfon and Weinstein's (2013) methodology the study tracked linguistic patterns as represented by the interaction of…

  16. Beyond Freud in psychoanalytic psychology of religion? On the discussion of religion as projection

    NARCIS (Netherlands)

    Belzen, J.A.

    2010-01-01

    In 1907, Sigmund Freud initiated the psychoanalytic psychology of religion, until the present day the most important contributor to the psychology of religion literature in general, and the branch of psychological critique of religion best known outside of psychology circles (having drawn attention

  17. PSYCHOANALYTIC INTERPRETATION OF JUSTICE IN CONTEXT OF PROBLEMS OF TECHNO-GENESIS (Part II

    Directory of Open Access Journals (Sweden)

    N. I. Mushinskij

    2009-01-01

    Full Text Available Carl Gustav Jung, Erich Fromm, Karen Horney, Jacques Lacan, Gilles Deleuze, Felix Guattari continue to develop a psychoanalytic theory of Freud under modern conditions. They investigate archetypes of unconscious which are linked with up-to-date conception of Justice. Ethics of psychoanalysis interprets the category of Justice from humanistic positions in the context of the techno-genesis processes.

  18. The "Matchbox School" (1927-1932): Anna Freud and the Idea of a "Psychoanalytically Informed Education"

    Science.gov (United States)

    Midgley, Nick

    2008-01-01

    Of all the applications of psychoanalysis to various fields, perhaps none has been as important--or as fraught--as the application of psychoanalytic insights to education. This paper re-constructs some of the early debates around psychoanalysis and pedagogy that Anna Freud engaged with during the 1920s in Vienna, when the whole question of what…

  19. PSYCHOANALYTIC INTERPRETATION OF JUSTICE IN CONTEXT OF PROBLEMS OF TECHNO-GENESIS (Part II)

    OpenAIRE

    N. I. Mushinskij

    2009-01-01

    Carl Gustav Jung, Erich Fromm, Karen Horney, Jacques Lacan, Gilles Deleuze, Felix Guattari continue to develop a psychoanalytic theory of Freud under modern conditions. They investigate archetypes of unconscious which are linked with up-to-date conception of Justice. Ethics of psychoanalysis interprets the category of Justice from humanistic positions in the context of the techno-genesis processes.

  20. Between Trauma and Perpetration: Psychoanalytical and Social Psychological Perspectives on Difficult Histories in the Israeli Context

    Science.gov (United States)

    Goldberg, Tsafrir

    2017-01-01

    This study explores the applicability of psychoanalytic trauma-centered perspectives and social psychological intergroup comparison perspectives to difficult histories of the Israeli context. The study describes 2 test cases of difficult histories in the Jewish-Israeli context at the levels of curriculum policy, teachers, and learners. The first…

  1. Spinsters, Schoolmarms, and Queers: Female Teacher Gender and Sexuality in Medicine and Psychoanalytic Theory and History

    Science.gov (United States)

    Cavanagh, Sheila L.

    2006-01-01

    This paper examines the social construction of white, female, spinster teacher personality profiles in the first half of the 20th century. Focusing on the psychological, medical, and psychoanalytic literature, I provide an overview of how white unmarried female teacher personalities were understood in order to provide a historical context for…

  2. Multi-criteria framework as an innovative tradeoff approach to determine the shelf-life of high pressure-treated poultry.

    Science.gov (United States)

    Guillou, S; Lerasle, M; Simonin, H; Anthoine, V; Chéret, R; Federighi, M; Membré, J-M

    2016-09-16

    A multi-criteria framework combining safety, hygiene and sensorial quality was developed to investigate the possibility of extending the shelf-life and/or removing lactate by applying High Hydrostatic Pressure (HHP) in a ready-to-cook (RTC) poultry product. For this purpose, Salmonella and Listeria monocytogenes were considered as safety indicators and Escherichia coli as hygienic indicator. Predictive modeling was used to determine the influence of HHP and lactate concentration on microbial growth and survival of these indicators. To that end, probabilistic assessment exposure models developed in a previous study (Lerasle, M., Guillou, S., Simonin, H., Anthoine, V., Chéret, R., Federighi, M., Membré, J.M. 2014. Assessment of Salmonella and L. monocytogenes level in ready-to-cook poultry meat: Effect of various high pressure treatments and potassium lactate concentrations. International Journal of Food Microbiology 186, 74-83) were used for L. monocytogenes and Salmonella. Besides, for E. coli, an exposure assessment model was built by modeling data from challenge-test experiments. Finally, sensory tests and color measurements were performed to evaluate the effect of HHP on the organoleptic quality of an RTC product. Quantitative rules of decision based on safety, hygienic and organoleptic criteria were set. Hygienic and safety criteria were associated with probability to exceed maximum contamination levels of L. monocytogenes, Salmonella and E. coli at the end of the shelf-life whereas organoleptic criteria corresponded to absence of statistical difference between pressurized and unpressurized products. A tradeoff between safety and hygienic risk, color and taste, was then applied to define process and formulation enabling shelf-life extension. In the resulting operating window, one condition was experimentally assayed on naturally contaminated RTC products to validate the multi-criteria approach. As a conclusion, the framework was validated; it was possible to

  3. Use of Multiple Linear Regression Models for Setting Water Quality Criteria for Copper: A Complementary Approach to the Biotic Ligand Model.

    Science.gov (United States)

    Brix, Kevin V; DeForest, David K; Tear, Lucinda; Grosell, Martin; Adams, William J

    2017-05-02

    performances of the two models. The pooled MLR model was then applied to the species sensitivity distribution to derive acute and chronic criteria equations similar in form to the USEPA's current hardness-based criteria equations but with DOC, pH, and hardness as the independent variables. Overall, the MLR is less responsive to DOC than the BLM across a range of hardness and pH conditions but more responsive to hardness than the BLM. Additionally, at low and intermediate hardness, the MLR model is less responsive than the BLM to pH, but the two models respond comparably at high hardness. The net effect of these different response profiles is that under many typical water quality conditions, MLR- and BLM-based criteria are quite comparable. Indeed, conditions where the two models differ most (high pH/low hardness and low pH/high hardness) are relatively rare in natural aquatic systems. We suggest that this MLR-based approach, which includes the mechanistic foundation of the BLM but is also consistent with widely accepted hardness-dependent WQC in terms of development and form, may facilitate adoption of updated state-wide Cu criteria that more accurately account for the parameters influencing Cu bioavailability than current hardness-based criteria.

  4. Quality criteria for medical device registries: best practice approaches for improving patient safety - a systematic review of international experiences.

    Science.gov (United States)

    Niederländer, Charlotte Susanne; Kriza, Christine; Kolominsky-Rabas, Peter

    2017-01-01

    As the benefit of medical device registries (MDRs) depends on their content and quality, it is important to ensure that MDRs have a robust and adequate structure to fulfill their objectives. However, no requirements are specified for the design and content of MDRs. The aim of this work is to analyze different MDRs in the field of implants and to give best practice recommendations for quality criteria regarding their design and development. Areas covered: A systematic literature search performed in databases (Medline, Cochrane Library, Scopus, Embase, CRD York), selected journals and websites identified 66 articles describing either a general MDR structure or the development process of specific registries. Extracted information about MDRs served as the basis for recommendations: MDRs should deliver a minimal data set and report information about the geographical area, data collection, numbers of patients enrolled, registry staff, and security and confidentiality of data. Expert commentary: Well-structured registries are a cornerstone of the regulatory process of medical devices and a major tool for decision makers. A future goal is to establish agreed minimal data sets for different devices - overcoming national borders. By establishing clear guidelines, the outcomes as well as registry comparability can be fundamentally improved.

  5. Criteria to define a more relevant reference sample of titanium dioxide in the context of food: a multiscale approach.

    Science.gov (United States)

    Dudefoi, William; Terrisse, Hélène; Richard-Plouet, Mireille; Gautron, Eric; Popa, Florin; Humbert, Bernard; Ropers, Marie-Hélène

    2017-05-01

    Titanium dioxide (TiO 2 ) is a transition metal oxide widely used as a white pigment in various applications, including food. Due to the classification of TiO 2 nanoparticles by the International Agency for Research on Cancer as potentially harmful for humans by inhalation, the presence of nanoparticles in food products needed to be confirmed by a set of independent studies. Seven samples of food-grade TiO 2 (E171) were extensively characterised for their size distribution, crystallinity and surface properties by the currently recommended methods. All investigated E171 samples contained a fraction of nanoparticles, however, below the threshold defining the labelling of nanomaterial. On the basis of these results and a statistical analysis, E171 food-grade TiO 2 totally differs from the reference material P25, confirming the few published data on this kind of particle. Therefore, the reference material P25 does not appear to be the most suitable model to study the fate of food-grade TiO 2 in the gastrointestinal tract. The criteria currently to obtain a representative food-grade sample of TiO 2 are the following: (1) crystalline-phase anatase, (2) a powder with an isoelectric point very close to 4.1, (3) a fraction of nanoparticles comprised between 15% and 45%, and (4) a low specific surface area around 10 m 2  g - 1 .

  6. Adolescence and the reorganization of infant development: a neuro-psychoanalytic model.

    Science.gov (United States)

    Stortelder, Frans; Ploegmakers-Burg, Marian

    2010-01-01

    The psychoanalytic view of adolescence as a phase of turbulence and reorganization occupied a central position in child and adolescent psychiatry until about 1980. The view of adolescence as a silent-transition phase then prevailed and diverged from the psychoanalytic perspective. This article reviews infant and adolescent development using an interdisciplinary, neuro-psychoanalytic model in which psychoanalytic, neurobiological, and developmental perspectives converge and complement each other. Recent empirical research focuses attention on adolescence as a phase in which a far-reaching neurobiological and psychological reorganization takes place. According to the ontogenetic principle of psychoanalysis, the development and organization of the basic psychic functions occur in the first five years of life, while a reorganization takes place in adolescence. Neurobiological research confirms that the basic growth and maturation of the brain occurs in the first five years of life, and that a substantial reorganization in brain development transpires in adolescence. Research also verifies the clinical psychoanalytic concept that neurobiological and psychological maturation in adolescence remain unfinished till approximately age 23. The long-term and late biopsychosocial maturation in adolescence implies that adequate monitoring by parents and school remains necessary. The view that adolescents need to separate, and discover their individuality and independence alone, is unsupported by recent findings. The adolescent must acquire his independence, personal identity, and self-agency ("scaffolding") step by step. It is important that the adolescent knows that his parents are in the background monitoring and intervening as necessary; that he is not entirely alone, adrift and at risk for potential fragmentation. The long-term plasticity of the brain in adolescence implies greater vulnerability for the development of psychopathology, but offers opportunity for

  7. Integrating the Ergonomics Techniques with Multi Criteria Decision Making as a New Approach for Risk Management: An Assessment of Repetitive Tasks -Entropy Case Study.

    Science.gov (United States)

    Khandan, Mohammad; Nili, Majid; Koohpaei, Alireza; Mosaferchi, Saeedeh

    2016-01-01

    Nowadays, the health work decision makers need to analyze a huge amount of data and consider many conflicting evaluation criteria and sub-criteria. Therefore, an ergonomic evaluation in the work environment in order to the control occupational disorders is considered as the Multi Criteria Decision Making (MCDM) problem. In this study, the ergonomic risks factors, which may influence health, were evaluated in a manufacturing company in 2014. Then entropy method was applied to prioritize the different risk factors. This study was done with a descriptive-analytical approach and 13 tasks were included from total number of employees who were working in the seven halls of an ark opal manufacturing (240). Required information was gathered by the demographic questionnaire and Assessment of Repetitive Tasks (ART) method for repetitive task assessment. In addition, entropy was used to prioritize the risk factors based on the ergonomic control needs. The total exposure score based on the ART method calculated was equal to 30.07 ±12.43. Data analysis illustrated that 179 cases (74.6% of tasks) were in the high level of risk area and 13.8% were in the medium level of risk. ART- entropy results revealed that based on the weighted factors, higher value belongs to grip factor and the lowest value was related to neck and hand posture and duration. Based on the limited financial resources, it seems that MCDM in many challenging situations such as control procedures and priority approaches could be used successfully. Other MCDM methods for evaluating and prioritizing the ergonomic problems are recommended.

  8. A Pragmatic Approach to Ethical Decision-Making in Engineering Practice: Characteristics, Evaluation Criteria, and Implications for Instruction and Assessment.

    Science.gov (United States)

    Zhu, Qin; Jesiek, Brent K

    2017-06-01

    This paper begins by reviewing dominant themes in current teaching of professional ethics in engineering education. In contrast to more traditional approaches that simulate ethical practice by using ethical theories to reason through micro-level ethical dilemmas, this paper proposes a pragmatic approach to ethics that places more emphasis on the practical plausibility of ethical decision-making. In addition to the quality of ethical justification, the value of a moral action also depends on its effectiveness in solving an ethical dilemma, cultivating healthy working relationships, negotiating existing organizational cultures, and achieving contextual plausibility in everyday professional practice. This paper uses a cross-cultural ethics scenario to further elaborate how a pragmatic approach can help us rethink ethical reasoning, as well as ethics instruction and assessment. This paper is expected to be of interest to educators eager to improve the ability of engineers and other professional students to effectively and appropriately deal with the kinds of everyday ethical issues they will likely face in their careers.

  9. Essentials of psychoanalytic process and change: How can we investigate the neural effects of psychodynamic psychotherapy in individualized neuro-imaging?

    Directory of Open Access Journals (Sweden)

    Heinz eBoeker

    2013-08-01

    Full Text Available The paper focuses on the essentials of psychoanalytic process and change and the question of how the neural correlates and mechanisms of psychodynamic psychotherapy can be investigated. The psychoanalytic approach aims at enabling the patient to remember, repeat and work through concerning explicit memory. Moreover, the relationship between analyst and patient establishes a new affective configuration which enables a reconstruction of the implicit memory. If psychic change can be achieved it corresponds to neuronal transformation.Individualized neuro-imaging requires controlling and measuring of variables that must be defined. Two main methodological problems can be distinguished: The design problem addresses the issue of how to account for functionally related variables in an experimentally independent way. The translation problem raises the question of how to bridge the gaps between different levels of the concepts presupposed in individualized neuro-imaging (e.g. the personal level of the therapist and the client, the neural level of the brain.An overview of individualized paradigms, which have been used until now is given, including Operationalized Psychodynamic Diagnosis (OPD-2 and the Maladaptive Interpersonal Patterns Q-Start (MIPQS. The development of a new paradigm that will be used in fMRI experiments, the Interpersonal Relationship Picture Set (IRPS, is described. Further perspectives and limitations of this new approach concerning the design and the translation problem are discussed.

  10. Recommendations from the workshop on Comparative Approaches to Safety Assessment of GM Plant Materials: A road toward harmonized criteria?

    Science.gov (United States)

    Bartholomaeus, Andrew; Batista, Juan Carlos; Burachik, Moisés; Parrott, Wayne

    2015-01-01

    An international meeting of genetically modified (GM) food safety assessors from the main importing and exporting countries from Asia and the Americas was held in Buenos Aires, Argentina, between June 26(th) and 28(th), 2013. Participants shared their evaluation approaches, identified similarities and challenges, and used their experience to propose areas for future work. Recommendations for improving risk assessment procedures and avenues for future collaboration were also discussed. The deliberations of the meeting were also supported by a survey of participants which canvassed risk assessment approaches across the regions from which participants came. This project was initiated by Argentine Agri-Food Health and Quality National Service (SENASA, Ministry of Agriculture, Argentina), with the support of the International Life Sciences Institute (ILSI) and other partner institutions. The importance of making all possible efforts toward more integrated and harmonized regulatory oversight for GM organisms (GMOs) was strongly emphasized. This exercise showed that such harmonization is a feasible goal that would contribute to sustain a fluid trade of commodities and ultimately enhance food security. Before this can be achieved, key issues identified in this meeting will have to be addressed in the near future to enable regulatory collaboration or joint work. The authors propose that the recommendations coming out of the meeting should be used as a basis for continuing work, follow up discussions and concrete actions.

  11. Groundwater chemistry characterization using multi-criteria approach: The upper Samalá River basin (SW Guatemala)

    Science.gov (United States)

    Bucci, Arianna; Franchino, Elisa; De Luca, Domenico Antonio; Lasagna, Manuela; Malandrino, Mery; Bianco Prevot, Alessandra; Hernández Sac, Humberto Osvaldo; Coyoy, Israel Macario; Sac Escobar, Edwin Osvaldo; Hernández, Ardany

    2017-10-01

    Improving understanding on groundwater chemistry is a key priority for water supply from groundwater resources, especially in developing countries. A hydrochemical study was performed in an area of SW Guatemala (Samalà River basin), where water supply to population is groundwater-based and no systematic studies on its groundwater resources have been performed so far. Traditional hydrochemical analyses on major ions and some trace elements metals coupled with chemometric approach were performed, including principal component analysis and hierarchical clustering analysis. Results evidence that chemical differentiation is linked to the spatial distribution of sampled waters. The most common hydrochemical facies, bicarbonate calcium and magnesium, is linked to infiltration of meteoric waters in recharge areas represented by highlands surrounding Xela caldera, a wide plateau where most of population is concentrated. This trend undergoes chemical evolution in proximity of active volcanic complexes in the southern area, with enrichment in sulphate, chloride and magnesium. Chemical evolution also occurs towards the centre of Xela caldera due to slow circulation in aquifer and consequent sodium enrichment due to ion exchange with the porous medium. Water quality did not reveal severe concerns, even though some sources of contamination could be identified; in particular, agriculture and urban wastewater could be responsible for observed threshold exceedances in nitrate and lead. This integrated multi-approach to hydrochemical data interpretation yielded to the achievement of important information that poses the basis for future groundwater protection in an area where main water features were almost unknown.

  12. Relative accuracy of spatial predictive models for lynx Lynx canadensis derived using logistic regression-AIC, multiple criteria evaluation and Bayesian approaches

    Directory of Open Access Journals (Sweden)

    Shelley M. ALEXANDER

    2009-02-01

    Full Text Available We compared probability surfaces derived using one set of environmental variables in three Geographic Information Systems (GIS-based approaches: logistic regression and Akaike’s Information Criterion (AIC, Multiple Criteria Evaluation (MCE, and Bayesian Analysis (specifically Dempster-Shafer theory. We used lynx Lynx canadensis as our focal species, and developed our environment relationship model using track data collected in Banff National Park, Alberta, Canada, during winters from 1997 to 2000. The accuracy of the three spatial models were compared using a contingency table method. We determined the percentage of cases in which both presence and absence points were correctly classified (overall accuracy, the failure to predict a species where it occurred (omission error and the prediction of presence where there was absence (commission error. Our overall accuracy showed the logistic regression approach was the most accurate (74.51%. The multiple criteria evaluation was intermediate (39.22%, while the Dempster-Shafer (D-S theory model was the poorest (29.90%. However, omission and commission error tell us a different story: logistic regression had the lowest commission error, while D-S theory produced the lowest omission error. Our results provide evidence that habitat modellers should evaluate all three error measures when ascribing confidence in their model. We suggest that for our study area at least, the logistic regression model is optimal. However, where sample size is small or the species is very rare, it may also be useful to explore and/or use a more ecologically cautious modelling approach (e.g. Dempster-Shafer that would over-predict, protect more sites, and thereby minimize the risk of missing critical habitat in conservation plans[Current Zoology 55(1: 28 – 40, 2009].

  13. [Psychoanalytically based and psychoanalysis in children and adolescents from the viewpoint of a child and adolescent psychotherapist].

    Science.gov (United States)

    Berns, Inge

    2002-01-01

    The author, practitioner of psychoanalytic psychotherapy with children and adolescents, explains her point of view regarding psychotherapy versus psychoanalysis. Verbatim process notes illustrate the work and are used to plan the therapeutic method.

  14. Using Fuzzy Multiple Criteria Decision-Making Approach for Assessing the Risk of Railway Reconstruction Project in Taiwan

    Directory of Open Access Journals (Sweden)

    Shih-Tong Lu

    2014-01-01

    Full Text Available This study investigates the risk factors in railway reconstruction project through complete literature reviews on construction project risks and scrutinizing experiences and challenges of railway reconstructions in Taiwan. Based on the identified risk factors, an assessing framework based on the fuzzy multicriteria decision-making (fuzzy MCDM approach to help construction agencies build awareness of the critical risk factors on the execution of railway reconstruction project, measure the impact and occurrence likelihood for these risk factors. Subjectivity, uncertainty and vagueness within the assessment process are dealt with using linguistic variables parameterized by trapezoid fuzzy numbers. By multiplying the degree of impact and the occurrence likelihood of risk factors, estimated severity values of each identified risk factor are determined. Based on the assessment results, the construction agencies were informed of what risks should be noticed and what they should do to avoid the risks. That is, it enables construction agencies of railway reconstruction to plan the appropriate risk responses/strategies to increase the opportunity of project success and effectiveness.

  15. Using fuzzy multiple criteria decision-making approach for assessing the risk of railway reconstruction project in Taiwan.

    Science.gov (United States)

    Lu, Shih-Tong; Yu, Shih-Heng; Chang, Dong-Shang

    2014-01-01

    This study investigates the risk factors in railway reconstruction project through complete literature reviews on construction project risks and scrutinizing experiences and challenges of railway reconstructions in Taiwan. Based on the identified risk factors, an assessing framework based on the fuzzy multicriteria decision-making (fuzzy MCDM) approach to help construction agencies build awareness of the critical risk factors on the execution of railway reconstruction project, measure the impact and occurrence likelihood for these risk factors. Subjectivity, uncertainty and vagueness within the assessment process are dealt with using linguistic variables parameterized by trapezoid fuzzy numbers. By multiplying the degree of impact and the occurrence likelihood of risk factors, estimated severity values of each identified risk factor are determined. Based on the assessment results, the construction agencies were informed of what risks should be noticed and what they should do to avoid the risks. That is, it enables construction agencies of railway reconstruction to plan the appropriate risk responses/strategies to increase the opportunity of project success and effectiveness.

  16. Algunas puntualizaciones psicoanalíticas sobre Durkheim Some psychoanalytical views about Durkheim

    Directory of Open Access Journals (Sweden)

    Osvaldo Umérez

    2005-12-01

    Full Text Available Es el objetivo del siguiente trabajo realizar una lectura psicoanalítica de los aportes de Emile Durkheim al entendimiento de la crisis de los lazos sociales producto de la "sociedad industrial", centrándonos en las nociones de "anomia" y "mal de lo infinito"que dicho autor utilizara para dar cuenta del descontento del hombre en la sociedad de tales características. Sostenemos la vigencia de su pensamiento en el acercamiento a lo actual y realizamos un retorno a dicho autor mediante conceptualizaciones freudianas y lacanianas. Desde Freud, se aborda la perspectiva propuesta en relación al malestar en la cultura y la imposibilidad del hombre para llevar a cabo el programa del principio del placer. Desde Lacan, se trabaja la noción de Superyó en tanto imperativo de goce , la resignificación del concepto de castración y la cuestión de la femeneidad. Esta última trabajada por los tres autores mencionados como excepción a la ley universal.The aim of the following paper is to make a psychoanalytical approach to the contributions of Emile Durkheim to the understanding of the social relationship crisis produced by the "industrial society", highlighting the notions of "anomy" and "infinite evil" which that author used to show the discontent of the man in a society with those characteristics. His standing thought is supported as a way of approaching the present time and a return to the ideas of the author is made through concepts from Freud and Lacan. From Freud, the perspective proposed in connection to the cultural malaise is studied as well as the impossibility of the man to carry out the pleasure principle programme. From Lacan, the notion of the Superego as an imperative of enjoyment, the reappraisal of the concept of castration and the femineity matter are considered. This last issue has been elaborated by the three authors mentioned as an exception to the universal law.

  17. A LONG-TERM FOLLOW-UP STUDY OF A RANDOMIZED CONTROLLED TRIAL OF MOTHER-INFANT PSYCHOANALYTIC TREATMENT: OUTCOMES ON MOTHERS AND INTERACTIONS.

    Science.gov (United States)

    Salomonsson, Majlis Winberg; Sorjonen, Kimmo; Salomonsson, Björn

    2015-01-01

    An earlier randomized controlled trial (RCT) compared 80 mother-infant dyads in a Stockholm sample. One had received mother-infant psychoanalytic treatment [mother-infant psychoanalytic therapies (MIP) group], and the other received Child Health Center care (CHCC group). Effects were found on mother-reported depression and expert-rated mother-infant relationship qualities and maternal sensitivity. When the children were 412 years, the dyads were followed up with assessments of the children's attachment representations, social and emotional development, and global functioning, and the mothers' psychological well-being and representations of the child as well as the mother-child interactions. We gathered data from 66 cases approximately 312 years' posttreatment. All scores involving the mothers had now approached community levels. We found effects on maternal depression in favor of MIP, but no other between-group differences. The MIP treatments seemed to have helped the mothers to recover more quickly on personal well-being, to become more sensitive to their babies' suffering, and to better support and appreciate their children throughout infancy and toddlerhood. If so, this would explain why the MIP children had a better global functioning and were more often "OK" and less often "Troubled" at 412 years. © 2015 Michigan Association for Infant Mental Health.

  18. Methodology in the Assessment of Construction and Development Investment Projects, Including the Graphic Multi-Criteria Analysis – a Systemic Approach

    Science.gov (United States)

    Szafranko, Elżbieta

    2017-10-01

    Assessment of variant solutions developed for a building investment project needs to be made at the stage of planning. While considering alternative solutions, the investor defines various criteria, but a direct evaluation of the degree of their fulfilment by developed variant solutions can be very difficult. In practice, there are different methods which enable the user to include a large number of parameters into an analysis, but their implementation can be challenging. Some methods require advanced mathematical computations, preceded by complicating input data processing, and the generated results may not lend themselves easily to interpretation. Hence, during her research, the author has developed a systemic approach, which involves several methods and whose goal is to compare their outcome. The final stage of the proposed method consists of graphic interpretation of results. The method has been tested on a variety of building and development projects.

  19. The language of empathy: an analysis of its constitution, development, and role in psychoanalytic listening.

    Science.gov (United States)

    Aragno, Anna

    2008-09-01

    Viewed from an epistemological perspective, empathy in psychoanalytic practice is described as that aspect of a specialized attentional stance that opens channels of interaction facilitating the formation of a trusting bond and enabling one to gain access to the emotional qualities of another's experience. A literature overview traces the origins of the concept in Freud and its role in psychoanalytic listening (including its controversial, divisive evolution in our field). Empathy is then examined from a semiotic-developmental framework. Its constitutional origins, differentiated forms, and distinctive purpose in clinical discourse are discussed. A developmental line is proposed, and clear distinctions are drawn between empathy in everyday life and its specialized technical application in clinical work.

  20. PARRHESIA, PHAEDRA, AND THE POLIS: ANTICIPATING PSYCHOANALYTIC FREE ASSOCIATION AS DEMOCRATIC PRACTICE.

    Science.gov (United States)

    Gentile, Jill

    2015-07-01

    This essay explores the mostly unexamined analogy of psychoanalytic free association to democratic free speech. The author turns back to a time when free speech was a matter of considerable discussion: the classical period of the Athenian constitution and its experiment with parrhesia. Ordinarily translated into English as "free speech," parrhesia is startlingly relevant to psychoanalysis. The Athenian stage-in particular, Hippolytus (Euripides, 5th century BCE)-illustrates this point. Euripides's tragic tale anticipates Freud's inquiries, exploring the fundamental link between free speech and female embodiment. The author suggests that psychoanalysis should claim its own conception of a polis as a mediated and ethical space between private and public spheres, between body and mind, and between speaking and listening communities. © 2015 The Psychoanalytic Quarterly, Inc.

  1. ["... here I am entirely among patients now..": the psychoanalytical practice of Lou Andreas-Salomé].

    Science.gov (United States)

    Klemann, Manfred

    2005-01-01

    The aim of this article is to disprove the widespread prejudice depicting Andreas-Salomé merely as a femme fatale, or companion of a few famous contemporaries (Nietzsche, Rilke, and Freud), while suppressing her original intellectual and clinical-practical achievement as a psychoanalyst. An evaluation of both published and hitherto unpublished sources clearly confirms the broad and thorough foundations of her psychoanalytical training in theory as well as in practice. Between 1913 and 1933 Andreas-Salomé conducted a relatively large number of analyses, discussed some of them with Freud in a kind of "supervision" by correspondence and published several articles on central psychoanalytical issues. So far, however, many psychoanalysts seem to have been unaware of her status as a former accomplished colleague.

  2. Prisoners of liberation: a psychoanalytic perspective on disenchantment and burnout among career women lawyers.

    Science.gov (United States)

    Berger, B

    2000-05-01

    Using a psychoanalytic perspective, this article addresses the roots and treatment of disillusionment and incipient burnout in female corporate lawyers. It suggests that one of the primary issues that needs to be addressed in therapy with this group is the tendency to be self-punishing, a characteristic that often may be traced back to insensitive parenting. This formulation, combined with the penchant of law firms to regard as "good and expected" the inclination of their workers (especially women) to work without respite and with little regard for their own needs, places individuals at high risk for burnout. A case example is used to illustrate this phenomenon. It is concluded that whereas psychoanalytic treatment greatly may help overstressed professionals, society at large must address the values that foster the attitude of high career achievement at any cost.

  3. The violent true believer as a "lone wolf" - psychoanalytic perspectives on terrorism.

    Science.gov (United States)

    Reid Meloy, J; Yakeley, Jessica

    2014-01-01

    The existing research on lone wolf terrorists and case experience are reviewed and interpreted through the lens of psychoanalytic theory. A number of characteristics of the lone wolf are enumerated: a personal grievance and moral outrage; the framing of an ideology; failure to affiliate with an extremist group; dependence on a virtual community found on the Internet; the thwarting of occupational goals; radicalization fueled by changes in thinking and emotion - including cognitive rigidity, clandestine excitement, contempt, and disgust - regardless of the particular ideology; the failure of sexual pair bonding and the sexualization of violence; the nexus of psychopathology and ideology; greater creativity and innovation than terrorist groups; and predatory violence sanctioned by moral (superego) authority. A concluding psychoanalytic formulation is offered. Copyright © 2014 John Wiley & Sons, Ltd.

  4. Child psychoanalytic psychotherapy in the UK National Health Service: an historical analysis.

    Science.gov (United States)

    Rous, Elizabeth; Clark, Andrew

    2009-12-01

    This review developed from a discussion with the late Professor Richard Harrington about interventions in Child and Adolescent Mental Health services (CAMHS) that lacked an evidence base. Our aim is to investigate the literature for signs that child psychoanalysis is a declining paradigm within the Child and Adolescent Mental Health Services (CAMHS) in the United Kingdom (UK). We present the literature chronologically since the inception of the UK National Health Service. This study shows that there have been a number of threats to child psychoanalytic psychotherapy, but no significant consistent decline. The profession is beginning to develop the social profile of a scientific discipline. We conclude that child psychoanalytic psychotherapy does not consistently demonstrate features of a declining scientific paradigm.

  5. When the Subconscious Goes to Steering - Psychoanalytic Subtexts in Thriller Cinema: The Example of Duel

    OpenAIRE

    Erol, Volkan

    2017-01-01

    Fear, an inseparable part of humanity, manifests itself in art andliterature as a reflection of subconscious, also occupies cinema since itsbeginning. Images that reflected from gigantic screens in the darkness of movietheaters, manage to revive collective fears simultaneously unlike any othermedium. Horror, thriller and suspense films, which use subconscious fears as asource and more often than not, prefer to use metaphors while narrate them,prepare the ground for psychoanalytic film analysi...

  6. ON THE BIRTH AND DEVELOPMENT OF PSYCHOANALYTIC FIELD THEORY, PART 1.

    Science.gov (United States)

    Silverman, Martin A

    2017-07-01

    Defining Psychoanalysis: Achieving a Vernacular Expression, by Ian Miller. London: Karnac, 2016. 116 pp. The Pioneers of Psychoanalysis in South America: An Essential Guide, edited by Nydia Lisman-Pieczanski and Alberto Pieczanski. London/New York: Routledge, 2015. 537 pp. Reading Italian Psychoanalysis, edited by Franco Borgogno, Alberto Luchetti, and Luisa Marino Coe. London/New York: Routledge, 2016. 738 pp. © 2017 The Psychoanalytic Quarterly, Inc.

  7. Bingham Dai, Adolf Storfer, and the tentative beginnings of psychoanalytic culture in China, 1935-1941.

    Science.gov (United States)

    Blowers, Geoffrey

    2004-01-01

    This paper looks at the work of two figures who, while marginal to theoretical developments within the history of psychoanalysis, each briefly played an important role in the dissemination of analytical ideas in China, contributing to an early psychoanalytic culture there. Bingham Dai, a native of China, while studying for a PhD in sociology at Chicago, received instruction from Harry Stack Sullivan and a psychoanalytic training under Karen Horney's supervision. However, the neo-Freudian outlook with which this experience imbued him had its roots in an earlier encounter with his experiments in personality education first conducted on students in a Tientsin high school, and later in Shantung under the direction of the conservative Confucian scholar and reformer, Liang Shu Ming. These experiences convinced him that a less orthodox psychoanalytic perspective was what Chinese patients with psychological problems required. He returned in 1935 to teach medical psychology to doctors at Peking Union Medical College, taking a few into analysis and treating some patients. However, the Sino-Japanese war brought these activities to a close and he left in 1939, just a few months after the former Freud publisher and Viennese émigré, Adolf Storfer, arrived. Storfer set about publishing "Gelbe Post," a German language periodical replete with articles on psychoanalysis, linguistics and Chinese culture. But limited finances, severe competition from a rival publisher, plus his own ill health, forced him to abandon this in spite of the support offered him through the many contributors in the international psychoanalytic community whose articles he published. The paper concludes by considering the relative historiographic fate of the men upon whom subsequent scholarship has been very unevenly focused.

  8. The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought.

    Science.gov (United States)

    Fonagy, Peter; Target, Mary

    2007-01-01

    The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.

  9. Aprendizagem e método psicanalítico Learning and the psychoanalytical method

    Directory of Open Access Journals (Sweden)

    Marta Regina de Leão D'Agord

    2010-01-01

    Full Text Available Este trabalho tem por objetivo contribuir para a docência universitária e como origem a seguinte questão: se o método psicanalítico estabelece princípios para uma direção de tratamento, qual seria a contribuição do mesmo para os princípios de uma direção psicanalítica de aprendizagens (ou aprendizagem? na universidade? Trabalha-se com uma transposição do método psicanalítico, elaborado por Freud e Lacan, para o campo da aprendizagem, reconhecendo-se que o primeiro opera sobre o saber inconsciente, enquanto o segundo tem por objeto o conhecimento. As questões abordadas para a formulação de uma direção psicanalítica de aprendizagem são as seguintes: a relação entre saber e conhecimento; a relação entre o saber e o só-depois (Nachträglichkeit e a experiência dos cartéis nas instituições de formação psicanalítica.This work presents a contribution to university teaching. This study originates from the following question: if the psychoanalytical method establishes principles for a treatment direction, which would be the contribution of this method to the principles of a direction of learning in the university? This research works with a transposition of the psychoanalytical method to the field of learning, recognizing itself that the first one operates on unconscious knowing, as the second has for object knowledge. The relation between knowing and knowledge; the relation between knowing and the retroactivity (Nachträglichkeit, the experience of the institutions of psychoanalytical formation with the group called cartel are questions to a proposal of psychoanalytical direction of learning.

  10. Medical management of the traumatic consequences of civil unrest incidents: causation, clinical approaches, needs and advanced planning criteria.

    Science.gov (United States)

    Ballantyne, Bryan

    2006-01-01

    readiness, and availability of required equipment and medications. Ideally, planning, administration and coordination should be undertaken at both local (regional) and central (governmental) centres. Regional centres should have responsibilities for education, training, ensuring facilities and staffing are appropriate, and that adequate equipment and medicines are available. There should be cooperative interactions and communications with local police and other emergency services. Centrally directed functions should include ensuring adequacy of the information base, coordinating activities and agreeing approaches between the regional centres, and periodic audits of regional centres with respect to the staffing, facility, equipment and training needs. Also, there is a need for most countries to introduce detailed guidelines and formal (regulatory) schemes for the assessment of the safety-in-use of chemicals and the delivery systems that are to be used against heterogeneous human populations for the control of civil unrest incidents. Such regulatory approval schemes should also cover advisory functions for safe use and any required restrictions.

  11. Converging Paradigms: A Reflection on Parallel Theoretical Developments in Psychoanalytic Metapsychology and Empirical Dream Research.

    Science.gov (United States)

    Schmelowszky, Ágoston

    2016-08-01

    In the last decades one can perceive a striking parallelism between the shifting perspective of leading representatives of empirical dream research concerning their conceptualization of dreaming and the paradigm shift within clinically based psychoanalytic metapsychology with respect to its theory on the significance of dreaming. In metapsychology, dreaming becomes more and more a central metaphor of mental functioning in general. The theories of Klein, Bion, and Matte-Blanco can be considered as milestones of this paradigm shift. In empirical dream research, the competing theories of Hobson and of Solms respectively argued for and against the meaningfulness of the dream-work in the functioning of the mind. In the meantime, empirical data coming from various sources seemed to prove the significance of dream consciousness for the development and maintenance of adaptive waking consciousness. Metapsychological speculations and hypotheses based on empirical research data seem to point in the same direction, promising for contemporary psychoanalytic practice a more secure theoretical base. In this paper the author brings together these diverse theoretical developments and presents conclusions regarding psychoanalytic theory and technique, as well as proposing an outline of an empirical research plan for testing the specificity of psychoanalysis in developing dream formation.

  12. The "black hole" as the basic psychotic experience: some newer psychoanalytic and neuroscience perspectives on psychosis.

    Science.gov (United States)

    Grotstein, J S

    1990-01-01

    The psychoanalytic treatment of psychotic disorders has had a long and complicated history because of the historic preference of psychoanalysis for neurotics. Nevertheless, it has survived the prejudice of psychoanalysts and empirical psychiatrists and now enters an interdisciplinary phase in which psychotic psychopathology is understood as primarily an emotional disorder, but one that must also be considered from the point of view of neurobiology and neuropsychology as well as sociology. In this contribution, I offer the idea that perhaps the most important subtext in the psyche of the psychotic is what has been called the black hole. This massive deficit is ultimately attributable to a precocious abruption of the mother's physical and psychical presence from the infant, a phenomenon that has hereditary, congenital, perinatal, and continuing developmental reinterpretive elaborations. The psychoanalytic treatment of the psychotic consists of reversing the direction of his or her cataclysmic descent into the black hole and, at the same time, empathically loosening the control that the protective psychotic alterego has on the surviving self. Further, the psychoanalytic treatment of schizophrenia, in particular (as well as many of the other primitive mental disorders), now frequently involves both an interdisciplinary orientation and perspective and choices of interdisciplinary modalities extending across the whole biopsychosocial spectrum.

  13. Recrimination in the analytic situation. A hypothesis about its influence on psychoanalytical groups.

    Science.gov (United States)

    Gálvez, Manuel José; Maldonado, Jorge Luis

    2002-10-01

    This paper deals with certain distortions in communication generated by mutual recrimination that is the result of disturbances in the ideal agencies of both parties. Although the ideal ego, superego and ego ideal participate equally in reproach, it is the latter which is the most decisive. In clinical experience, recrimination may easily colour the analytic dialogue. In such cases, interpretation loses its sense of clarification and another type of dialogue replaces it. There, words are used to take possession of the other, for its autonomy is a threat to the static character of the pathology of mourning. The problem of recrimination has also tainted the development of psychoanalysis, to the point of disrupting the process of discovery itself. This paper deals with repercussions in the psychoanalytic movement and also in the elements that constitute its structure. Finally, different variations and disturbances in the psychoanalytic ideal are considered, as well as the involvement of the psychoanalytic institution in preserving or transforming the ideal. Here the importance of institutions and institutional ideals is emphasised. Finally, we suggest that ideals either encourage or hinder the working through of individual and collective mourning.

  14. Addiction as an attempt at self-regulation (contemporary psychoanalytic theories of addiction

    Directory of Open Access Journals (Sweden)

    Gregor Žvelc

    2001-09-01

    Full Text Available In the article author presents the development of psychoanalytic theory of addiction from early writings to contemporary ego, self psychological and theories of object relations. Classical psychoanalysis understood addiction as a regressive gratification of libidinal drives, whereas contemporary authors understand it as an attempt of adaptation to certain problems and worries. The neurotic conflict is not anymore in the foreground, but disturbances in ego, self and object relations. On the basis of a review of contemporary psychoanalytical theories, the author concludes that individuals prone to addiction have a disturbance in self-regulation. Because of that, they have problems in tolerating and coping with certain emotions. With the help of outer means they tend to re-establish internal balance, which they can't manage alone. This outer 'help' can be seen in various forms of addiction (drugs, food, relationships, sex .... So, the core problem of addicted people is a deficit of self-regulation, which is a consequence of a lack of internalisaton of regulatory functions of primary object. Contemporary psychoanalytical theories of addiction bring us greater insight in personality factors which influence the formation of addiction, thus giving us guidelines for adequate psychotherapy of addiction.

  15. Inner and Outer Life at Work. The Roots and Horizon of Psychoanalytically Informed Work Life Research

    Directory of Open Access Journals (Sweden)

    Linda Lundgaard Andersen

    2012-09-01

    Full Text Available The modern labour market has increasingly put the inner working life on the agenda. This stems from a number of societal changes: the knowledge society and its need of personalised competences and work investments in welfare services, the transformation from subject-object relationships to subject-subject relationships and the emergence of the "learning organisations" and reflexive leadership. All of this has been the subject of critical analyses tracing modern work life identities, conflicts, organisational and societal structuration. Against this background the accounts and conceptualisations of work life involving people to people interactions offered by psychodynamic theories and methods take up a pivotal position. Psychoanalytic organisational and work life research explores how work, organisations and individuals are affected by psychic dynamics, the influence of the unconscious in the forms of human development and interaction situated in a societal context. Based on this substantial work I draw upon two influential psychoanalytical positions—the British Tavistock position and German psychoanalytic social psychology in order to situate and identify how to understand the inner and outer life at work—in a generic display of concepts, methods and epistemology. URN: http://nbn-resolving.de/urn:nbn:de:0114-fqs1203232

  16. O excesso de transferência na pesquisa em psicanálise The excess of transference in psychoanalytic research

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    Waldir Beividas

    1999-01-01

    Full Text Available Toda reflexão sobre a pesquisa em psicanálise se concentra em geral: (a na mútua implicação que se espera aí entre a dimensão teórica e a clínica; (b num debate entre a pesquisa psicanalítica e a pesquisa «científica», onde a psicanálise é levada a confrontar-se com a ciência cartesiana, experimental, positivista ou neo-positivista, e assim adiante… O presente estudo quer abordar uma região menos explorada nesse debate; quer demonstrar que a psicanálise freudiana, sobretudo com Lacan e após Lacan, acabou sendo levada a uma «submissão pânica» ao a priori da enunciação do fundador (Freud ou do re-fundador (Lacan. A pesquisa ficou embaraçada numa teia excessivamente «transferencial», sob o regime de um dixit Lacan sobreposto a um dixit Freud. O autor defende uma saída para isso: conceber a pesquisa psicanalítica como uma conceituação estruturante do inconsciente com Lacan e Freud, e não sob Lacan e Freud.Reflection about research in psychoanalysis generally focus on: (a the mutual implications supposed to exist between the theoretical and clinical dimensions; (b the discussion between psychoanalytical and "scientific" research, in which psychoanalysis in confronted with Cartesian, Experimentalist, Positivist, or Neo-Positivis models, among others. The present study intended to approach a field that has been poorly explored on this debate, aiming to demonstrate that Freudian psychoanalysis, specially with and beyond Lacan, was led to a "panicky surrender" to he a priori enunciation of the founder (Freud or to the re-founder (Lacan. Research got entrapped on a web of excessive transference regulated by a Lacan dixit over a Freud dixit. I suggest that the way out of this puzzle is to conceptualize psychoanalytical research as a "structuring conceptualization" of the unconscious with Lacan and Freud rather than under Lacan and Freud.

  17. The myth and history of some psychoanalytic concepts. Thoughts inspired by a reading of Orange et al., Working intersubjectively.

    Science.gov (United States)

    Goretti, G R

    2001-12-01

    In this paper the author gives her reactions to a book on the intersubjective approach that deals with major issues such as the analyst's role in the psychoanalytic process, neutrality, technique and self-disclosure. Noting that the book often adopts an antagonistic and innovative stance towards Freud, she draws attention to aspects of his theories that deal with concepts deemed by the intersubjective school to be of fundamental importance. Chief among these is the influence of the analyst on the analytic process, in terms both of his 'defects' and of his individuality in general. In opposition to the 'myth of the isolated mind' attributed by the book to Freud, the author presents some selected passages from his works that emphasise the structuring function of the object and the influence of various groups on the individual. The aim of the paper is not only to counter the oversimplified view of Freud that emerges from the book but also to put forward a theoretical position with respect to a school that is exerting an increasingly powerful attraction on both sides of the Atlantic. The author's argument is based mainly on a discussion of the detailed clinical sequences featuring in the book. She also considers some possible cultural and social determinants of the development of the intersubjective trend.

  18. Decision criteria in PSA applications

    Energy Technology Data Exchange (ETDEWEB)

    Holmberg, J.E.; Pulkkinen, U.; Rosqvist, T.; Simola, K. [VTT Automation (Finland)

    2001-11-01

    Along with the adoption of risk informed decision making principles, the need for formal probabilistic decision rule or criteria has been risen. However, there are many practical and theoretical problems in the application of probabilistic criteria. One has to think what is the proper way to apply probabilistic rules together with deterministic ones and how the criteria are weighted with respect to each other. In this report, we approach the above questions from the decision theoretic point of view. We give a short review of the most well known probabilistic criteria, and discuss examples of their use. We present a decision analytic framework for evaluating the criteria, and we analyse how the different criteria behave under incompleteness or uncertainty of the PSA model. As the conclusion of our analysis we give recommendations on the application of the criteria in different decision situations. (au)

  19. Psychoanalytic reflections on a particular form of language distortion.

    Science.gov (United States)

    Spero, M H

    1990-01-01

    A female obsessive patient communicated with her sister via a distortion of the Hebrew language, in which she masculinized the feminine gender second person pronoun and certain nouns. This treatment of words is analyzed in terms ranging from the concrete to the metaphoric uses of language. Lacan's emphasis on the meaning of the word is explored and is seen as an amplification rather than a replacement of the object relations approach to language and metaphor.

  20. Toward a tripartite vision of supervision for psychoanalysis and psychoanalytic psychotherapies: alliance, transference-countertransference configuration, and real relationship.

    Science.gov (United States)

    Watkins, C Edward

    2011-08-01

    The psychoanalytic supervision relationship is examined as a tripartite phenomenon, comprised of the supervisory alliance, transference-countertransference configuration, and real relationship. While most supervisory analysts would readily acknowledge that a real (or personal) relationship element exists in analytic supervision, that facet of the supervision relationship has not routinely been incorporated into considerations of psychoanalytic supervision. In this vision of supervision, real relationship, supervisory alliance, and transference-countertransference configuration are presented as integral and complementary constructs that define psychoanalytic supervision. Each of those three components is examined briefly with regard to its beginnings, evolution, and contemporary status; each component is also considered from an empirical perspective. While we have a growing quantitative and qualitative research foundation that supports psychoanalytic practice, psychoanalytic supervision has largely been ignored as a subject and object of scientific study. Supervisory alliance, transference-countertransference configuration, and real relationship are explored as research ready variables. Some clinical hypotheses--eminently testable and worthy of investigation--are proposed with regard to each component of the model, and some ideas--albeit tentative and preliminary--about how to initiate such inquiries are offered. © 2011 N.P.A.P.

  1. Delineation of Suitable Cropland Areas Using a GIS Based Multi-Criteria Evaluation Approach in the Tam Dao National Park Region, Vietnam

    Directory of Open Access Journals (Sweden)

    Duong Dang Khoi

    2010-07-01

    Full Text Available Land degradation is recognized as one of the major threats to the buffer zones of protected areas (PAs in Vietnam. In particular, the expansion of land degradation into the PAs is exerting pressure on biodiversity conservation efforts. This degradation is partially the result of mismanagement: the utilization of the land is often unmatched with the inherent suitability of the land. Identification of the spatial distribution of suitable areas for cropland is essential for sustainable land-use recommendation. This paper aims to delineate the areas suitable for cropland in the Tam Dao National Park (TDNP region using a GIS-based multi-criteria evaluation of biophysical factors and Landsat ETM+ imagery. GIS is used to generate the factors, while MCE is used to aggregate them into a land suitability index. The results indicate the location and extent of crop farming areas at different suitability levels, i.e., most suitable (28.10%, moderately suitable (23.96%, marginally suitable (28.77%, and least suitable (19.17%. The current cropland covers 46.5% of the study area, while most and moderately suitable areas are estimated to be 52.06% of the territory. The results can be used to identify priority areas for crop farming and sustainable land-use management. The GIS-MCE approach provides an effective assessment tool for land-use managers working in protected areas of Vietnam.

  2. An Evaluation Model of Quantitative and Qualitative Fuzzy Multi-Criteria Decision-Making Approach for Location Selection of Transshipment Ports

    Directory of Open Access Journals (Sweden)

    Ji-Feng Ding

    2013-01-01

    Full Text Available The role of container logistics centre as home bases for merchandise transportation has become increasingly important. The container carriers need to select a suitable centre location of transshipment port to meet the requirements of container shipping logistics. In the light of this, the main purpose of this paper is to develop a fuzzy multi-criteria decision-making (MCDM model to evaluate the best selection of transshipment ports for container carriers. At first, some concepts and methods used to develop the proposed model are briefly introduced. The performance values of quantitative and qualitative subcriteria are discussed to evaluate the fuzzy ratings. Then, the ideal and anti-ideal concepts and the modified distance measure method are used in the proposed model. Finally, a step-by-step example is illustrated to study the computational process of the quantitative and qualitative fuzzy MCDM model. The proposed approach has successfully accomplished our goal. In addition, the proposed fuzzy MCDM model can be empirically employed to select the best location of transshipment port for container carriers in the future study.

  3. The interaction of existential concerns and psychoanalytic insights in the treatment of contemporary patients.

    Science.gov (United States)

    Chessick, Richard D

    2009-01-01

    Middle-aged and elderly patients have been shown to respond to psychoanalytic treatment, but they present certain characteristic problems not typical of young patients. I discuss these and offer a brief case presentation followed by a general discussion of the role of existential concerns and of their intertwining with psychoanalytic insights and interpretations in the treatment of older patients from our contemporary culture. The particular case of a relatively mild narcissistic personality disorder is used as an example of the kinds of difficulties contemporary psychoanalysts and psychodynamic psychiatrists run into in the current treatment of the aging patient population. The analyst's beliefs and personality are seen as more important than in classical Freudian psychoanalysis, and deliberate attention to the patient's existential concerns and cultural milieu cannot be avoided. A great deal of correction of what Gedo called "apraxias" is necessary, but I argue that in this situation each person must develop one's self in one's own way and without education and intrusion by the analyst. This self development in the face of one's inevitable future is seen as a vital aspect of contemporary psychoanalytic treatment of aging patients, regardless of which of the five orientation channels (that I have discussed elsewhere) are employed. The patient is seen as dealing both with his or her own infantile neurosis that is interfering with adult functioning and at the same time with universal existential human problems that become increasingly pressing as one ages. I contend that the current biological orientation of psychiatry is insufficient to address these difficulties, regardless of what advances we make in psychopharmacology and neurobiology. An exclusive neurobiological orientation can represent what existentialists label an "inauthentic choice" and a retreat from the spirit of humanism.

  4. Reality testing in place of interpretation: a phase in psychoanalytic work with descendants of Holocaust survivors.

    Science.gov (United States)

    Grubrich-Simitis, Ilse

    2010-01-01

    Repetition of experience endured by the first generation has frequently been observed in descendants of Holocaust survivors. Such repetitions are associated with an erosion of the ability, in the area of the trauma, to distinguish more or less reliably between external and internal reality. This in turn results from the defensive need, in the affected families, to dissociate from such extreme traumatic experiences. Clinical material is presented to show that, at a certain phase in psychoanalytic work with patients belonging to subsequent generations, interpretive activity may need to be temporarily suspended in order to facilitate reality testing and the recognition of the Shoah as an objective historical fact.

  5. Psychoanalytic education in the twenty-first century: a syllabus for all seasons.

    Science.gov (United States)

    Jacobs, Carl

    2011-10-01

    I am suggesting that psychoanalytic training facilities restructure their curriculum to include opposing views, in an effort to avoid the inevitable disintegration of the field at large. Without a sense of requirement for any particular viewpoint, I have suggested the model of class modules, usually based around three differing positions, be applied in as many classes as possible. This method enhances the very nature of psychoanalysis while it extends the educational provenance of each separate institute, and specifically each teacher of psychoanalysis. In so doing, candidates across the board will feel and think in a more collegial manner, and may find that learning psychoanalysis is to learn something new and exciting.

  6. For developmental period specific tasks in psychoanalytically oriented psychotherapy: The case report

    Directory of Open Access Journals (Sweden)

    Miloš Židanik

    2000-03-01

    Full Text Available The patient – therapist relationship is always unique, depending from both personalities – the patient's and the therapist's one. Therefore the rules for therapeutic interventions are strict and rigid – they should give some objective frames for the therapy. In this article I present psychoanalytically oriented psychotherapy, where I outrouled the rigidness of psychotherapeutic interventions.At deep pathology of personality structure, especially at ego and self pathology, it is sometimes advisable to overcame the therapeutic boundaries for a more active healing process of developmental deficits.

  7. POST-BIONIAN DEVELOPMENTS IN PSYCHOANALYTIC FIELD THEORY: THE CONTRIBUTIONS OF ANTONINO FERRO AND GIUSEPPE CIVITARESE.

    Science.gov (United States)

    Katz, S Montana

    2017-04-01

    The Bi-Personal Field: Experiences in Child Psychoanalysis. By Antonino Ferro. New York: Routledge, 1992 (1999). 232 pp. The Intimate Room: Theory and Technique of the Analytic Field. By Giuseppe Civitarese. New York: Routledge, 2008 (2010). 240 pp. The Necessary Dream: New Theories and Techniques of Interpretation in Psychoanalysis. By Giuseppe Civitarese; translated by Ian Harvey. London: Karnac, 2013 (2014). 246 pp. The Analytic Field and Its Transformations. By Antonino Ferro and Giuseppe Civitarese. London: Karnac, 2015. 224 pp. © 2017 The Psychoanalytic Quarterly, Inc.

  8. Medicating patients in psychoanalytic therapy: implications for introjection, transference, and countertransference.

    Science.gov (United States)

    Riccio, Dominick J

    2011-12-01

    If a patient comes for psychotherapy or psychoanalysis, why medicate him with psychotropic drugs? The answers to this question are explored and addressed from several points of view. The central hypothesis of this paper suggests that most of the reasons for medicating patients have to do with therapist's unresolved countertransference issues. Furthermore, medicating a patient may have deleterious effects on his introjected sense of self, and impacts the transference relationship in a significant way. The issues surrounding medication as adjunctive therapy are elucidated and clarified in terms of rationale, efficacy, and the impact on the psychotherapeutic relationship. Psychoanalytic solutions are offered and discussed.

  9. Beyond Death’s Dream Kingdom: modernity and the psychoanalytic Social Imaginary

    Directory of Open Access Journals (Sweden)

    Neil Turnbull

    2016-02-01

    Full Text Available The appearance on the historical stage of Western modernity is often understood as an “epochal event” that overturned an earlier pre-modern cultural condition that was premised on the dialectic of life and death and the attempt to forge a suitable balance or harmony between them. As such Western modernity is often viewed as the emergence as a new liberal political order based upon individualism, radical immanence and the emergence of a new calculating subjectivities and governmentalities in ways that led to the rejection of the transcendent, the metaphysical and the theological dimensions of human life. In this paper, using Hans Holbein’s famous painting The Ambassadors as a point of reference and adopting the oblique position in relation to the modern taken up by the artist in this painting, I suggest that in the 20th Century, largely as a result of an awareness of the metaphysical significance of the catastrophe of the First World War, that modern liberalism was thrown into crisis and the old pre-modern metaphysical problematic returned as new focus of social and political concern. With specific reference to the work of Sigmund Freud and later psychoanalytic thinkers who took Freud’s idea of the death drive as their theoretical point of departure, I show how in the 20th century psychoanalytically-informed practitioners attempted to resolve the ancient conflict between the forces of life and death through the creation of an enchanted phantasmagoria of mass consumable objects that were often specifically designed and marketed in order to eroticise the nascent thanatic dimensions of modern life, thereby rendering the latter manageable and ultimately liveable. Drawing on the work of social theorists of the imaginary such as Glibert Durand as well as famous propagandisers of Freud such as Edward Bernays and Ernst Dichter (who saw in Freud’s work the possibility of developing a political technology I will suggest that in the 20th century

  10. Through the storm: psychoanalytic theory in the psychotherapy of the anxiety disorders.

    Science.gov (United States)

    Zerbe, K J

    1990-01-01

    Anxiety is one of the most ubiquitous problems facing human beings. The author summarizes the views of the major psychodynamic theorists who have contributed to a psychoanalytic understanding of anxiety: Freud's toxic and signal theories; the interpersonal schools of Harry Stack Sullivan, Karen Horney, and Frieda Fromm-Reichmann; the object relations theorists; and the self-psychological perspective of Heinz Kohut. The author then describes how each of these schools provides a different way to appreciate and work with anxiety. She emphasizes the containing and soothing functions of therapy, which have their roots in several of the theories.

  11. Inner and Outer Life at Work. The Roots and Horizon of Psychoanalytically Informed Work Life Research

    DEFF Research Database (Denmark)

    Lundgaard Andersen, Linda

    2013-01-01

    »‚Innen‘ – und ‚Außenleben‘ in der Arbeitswelt. Ursprünge und Potenziale einer psychoanalytisch informierten Arbeitsweltforschung«. The modern labour market has increasingly put the inner working life on the agenda. This stems from a number of societal changes: the knowledge society and its need...... identities, conflicts, organisational and societal structuration. Against this background the accounts and conceptualisations of work life involving people to people interactions offered by psychodynamic theories and methods take up a pivotal position. Psychoanalytic organisational and work life research...

  12. Antigone’s Legacy: A Feminist psychoanalytic of an Other Sexual Difference

    OpenAIRE

    Cavanagh, Sheila L.

    2017-01-01

    Much has been written about Antigone who buried her brother Polynices in Theban soil despite the prohibition issued by King Creon (her uncle) in the Sophocles tragedy. In order to understand the magnitude of Antigone’s radical act in the play by the same name I engage the scholarship of Israeli feminist psychoanalytic scholar Bracha L. Ettinger. By engaging Ettinger’s theory of the Other (Feminine) Sexual Difference, I consider how ways of being in the Feminine tap into the matrixial domain, ...

  13. Solving the Problem of Multiple-Criteria Building Design Decisions with respect to the Fire Safety of Occupants: An Approach Based on Probabilistic Modelling

    Directory of Open Access Journals (Sweden)

    Egidijus Rytas Vaidogas

    2015-01-01

    Full Text Available The design of buildings may include a comparison of alternative architectural and structural solutions. They can be developed at different levels of design process. The alternative design solutions are compared and ranked by applying methods of multiple-criteria decision-making (MCDM. Each design is characterised by a number of criteria used in a MCDM problem. The paper discusses how to choose MCDM criteria expressing fire safety related to alternative designs. Probability of a successful evacuation of occupants from a building fire and difference between evacuation time and time to untenable conditions are suggested as the most important criteria related to fire safety. These two criteria are treated as uncertain quantities expressed by probability distributions. Monte Carlo simulation of fire and evacuation processes is natural means for an estimation of these distributions. The presence of uncertain criteria requires applying stochastic MCDM methods for ranking alternative designs. An application of the safety-related criteria is illustrated by an example which analyses three alternative architectural floor plans prepared for a reconstruction of a medical building. A MCDM method based on stochastic simulation is used to solve the example problem.

  14. REBEL WITHOUT A CAUSE: A PSYCHOANALYTIC AND FAMILY-LIFE-CYCLE VIEW OF EMERGING ADULTHOOD IN THE FILM.

    Science.gov (United States)

    Fulmer, Richard H

    2017-07-01

    The period during which grown children leave home and establish a new, self-supporting family is called emerging adulthood. This paper uses psychoanalytic concepts and family-life-cycle theory to analyze the film Rebel without a Cause () as a dramatic example of three families going through this phase. Freud's () rescue-motif of the child trying to save an endangered peer to repay his parents for having been nurtured is also characteristic of this period and is considered practice for parenting the next generation. Proximate conflict and support enable two of the film's families to continue the path to reproduce themselves. © 2017 The Psychoanalytic Quarterly, Inc.

  15. The evolution of psychoanalytic thought: a brief view through the lens of Western art and history: Freud and beyond.

    Science.gov (United States)

    Stavovy, Tania

    2017-06-01

    The aim of this paper is to explore the diversity and progress in psychoanalysis and psychotherapy post-Sigmund Freud from the perspective of Western art. Since 1900 the shift from one-person psychology to the more contemporary two-person psychology is reflected in the creativity of artists, particularly in their depiction of the mother-infant relationship. An alternative perspective in understanding the evolution of Man's nature can be drawn from a discourse between art, history and psychoanalytic thought. Using art as evidence that reflects concurrent changes in psychoanalytic thought is a stimulating way to engage trainee psychiatrists and psychiatrists in their exploration of human nature.

  16. A proposed approach for quantitative benefit-risk assessment in diagnostic radiology guideline development: the American College of Radiology Appropriateness Criteria Example.

    Science.gov (United States)

    Agapova, Maria; Bresnahan, Brian B; Higashi, Mitchell; Kessler, Larry; Garrison, Louis P; Devine, Beth

    2017-02-01

    The American College of Radiology develops evidence-based practice guidelines to aid appropriate utilization of radiological procedures. Panel members use expert opinion to weight trade-offs and consensus methods to rate appropriateness of imaging tests. These ratings include an equivocal range, assigned when there is disagreement about a technology's appropriateness and the evidence base is weak or for special circumstances. It is not clear how expert consensus merges with the evidence base to arrive at an equivocal rating. Quantitative benefit-risk assessment (QBRA) methods may assist decision makers in this capacity. However, many methods exist and it is not clear which methods are best suited for this application. We perform a critical appraisal of QBRA methods and propose several steps that may aid in making transparent areas of weak evidence and barriers to consensus in guideline development. We identify QBRA methods with potential to facilitate decision making in guideline development and build a decision aid for selecting among these methods. This study identified 2 families of QBRA methods suited to guideline development when expert opinion is expected to contribute substantially to decision making. Key steps to deciding among QBRA methods involve identifying specific benefit-risk criteria and developing a state-of-evidence matrix. For equivocal ratings assigned for reasons other than disagreement or weak evidence base, QBRA may not be needed. In the presence of disagreement but the absence of a weak evidence base, multicriteria decision analysis approaches are recommended; and in the presence of weak evidence base and the absence of disagreement, incremental net health benefit alone or combined with multicriteria decision analysis is recommended. Our critical appraisal further extends investigation of the strengths and limitations of select QBRA methods in facilitating diagnostic radiology clinical guideline development. The process of using the decision

  17. Towards Tailored Patient’s Management Approach: Integrating the Modified 2010 ACR Criteria for Fibromyalgia in Multidimensional Patient Reported Outcome Measures Questionnaire

    Directory of Open Access Journals (Sweden)

    Yasser El Miedany

    2016-01-01

    Full Text Available Objectives. To assess the validity, reliability, and responsiveness to change of a patient self-reported questionnaire combining the Widespread Pain Index and the Symptom Severity Score as well as construct outcome measures and comorbidities assessment in fibromyalgia patients. Methods. The PROMs-FM was conceptualized based on frameworks used by the WHO Quality of Life tool and the PROMIS. Initially, cognitive interviews were conducted to identify item pool of questions. Item selection and reduction were achieved based on patients as well as an interdisciplinary group of specialists. Rasch and internal consistency reliability analyses were implemented. The questionnaire included the modified ACR criteria main items (Symptom Severity Score and Widespread Pain Index, in addition to assessment of functional disability, quality of life (QoL, review of the systems, and comorbidities. Every patient completed HAQ and EQ-5D questionnaires. Results. A total of 146 fibromyalgia patients completed the questionnaire. The PROMs-FM questionnaire was reliable as demonstrated by a high standardized alpha (0.886–0.982. Content construct assessment of the functional disability and QoL revealed significant correlation (p<0.01 with both HAQ and EQ-5D. Changes in functional disability and QoL showed significant (p<0.01 variation with diseases activity status in response to therapy. There was higher prevalence of autonomic symptoms, CVS risk, sexual dysfunction, and falling. Conclusions. The developed PROMs-FM questionnaire is a reliable and valid instrument for assessment of fibromyalgia patients. A phased treatment regimen depending on the severity of FMS as well as preferences and comorbidities of the patient is the best approach to tailored patient management.

  18. Three Approaches to Understanding and Classifying Mental Disorder: ICD-11, DSM-5, and the National Institute of Mental Health's Research Domain Criteria (RDoC).

    Science.gov (United States)

    Clark, Lee Anna; Cuthbert, Bruce; Lewis-Fernández, Roberto; Narrow, William E; Reed, Geoffrey M

    2017-09-01

    The diagnosis of mental disorder initially appears relatively straightforward: Patients present with symptoms or visible signs of illness; health professionals make diagnoses based primarily on these symptoms and signs; and they prescribe medication, psychotherapy, or both, accordingly. However, despite a dramatic expansion of knowledge about mental disorders during the past half century, understanding of their components and processes remains rudimentary. We provide histories and descriptions of three systems with different purposes relevant to understanding and classifying mental disorder. Two major diagnostic manuals-the International Classification of Diseases and the Diagnostic and Statistical Manual of Mental Disorders-provide classification systems relevant to public health, clinical diagnosis, service provision, and specific research applications, the former internationally and the latter primarily for the United States. In contrast, the National Institute of Mental Health's Research Domain Criteria provides a framework that emphasizes integration of basic behavioral and neuroscience research to deepen the understanding of mental disorder. We identify four key issues that present challenges to understanding and classifying mental disorder: etiology, including the multiple causality of mental disorder; whether the relevant phenomena are discrete categories or dimensions; thresholds, which set the boundaries between disorder and nondisorder; and comorbidity, the fact that individuals with mental illness often meet diagnostic requirements for multiple conditions. We discuss how the three systems' approaches to these key issues correspond or diverge as a result of their different histories, purposes, and constituencies. Although the systems have varying degrees of overlap and distinguishing features, they share the goal of reducing the burden of suffering due to mental disorder.

  19. Tavistock Adult Depression Study (TADS: a randomised controlled trial of psychoanalytic psychotherapy for treatment-resistant/treatment-refractory forms of depression

    Directory of Open Access Journals (Sweden)

    Taylor David

    2012-07-01

    Full Text Available Abstract Background Long-term forms of depression represent a significant mental health problem for which there is a lack of effective evidence-based treatment. This study aims to produce findings about the effectiveness of psychoanalytic psychotherapy in patients with treatment-resistant/treatment-refractory depression and to deepen the understanding of this complex form of depression. Methods/Design INDEX GROUP: Patients with treatment resistant/treatment refractory depression. DEFINITION & INCLUSION CRITERIA: Current major depressive disorder, 2 years history of depression, a minimum of two failed treatment attempts, ≥14 on the HRSD or ≥21 on the BDI-II, plus complex personality and/or psycho-social difficulties. EXCLUSION CRITERIA: Moderate or severe learning disability, psychotic illness, bipolar disorder, substance dependency or receipt of test intervention in the previous two years. DESIGN: Pragmatic, randomised controlled trial with qualitative and clinical components. TEST INTERVENTION: 18 months of weekly psychoanalytic psychotherapy, manualised and fidelity-assessed using the Psychotherapy Process Q-Sort. CONTROL CONDITION: Treatment as usual, managed by the referring practitioner. RECRUITMENT: GP referrals from primary care. RCT MAIN OUTCOME: HRSD (with ≤14 as remission. SECONDARY OUTCOMES: depression severity (BDI-II, degree of co-morbid disorders Axis-I and Axis-II (SCID-I and SCID-II-PQ, quality of life and functioning (GAF, CORE, Q-les-Q, object relations (PROQ2a, Cost-effectiveness analysis (CSRI and GP medical records. FOLLOW-UP: 2 years. Plus: a. Qualitative study of participants’ and therapists’ problem formulation, experience of treatment and of participation in trial. (b Narrative data from semi-structured pre/post psychodynamic interviews to produce prototypes of responders and non-responders. (c Clinical case-studies of sub-types of TRD and of change. Discussion TRD needs complex, long-term intervention and

  20. Predicting Material Weaknesses In Internal Control Systems After The Sarbanes-Oxley Act Using Multiple Criteria Linear Programming And Other Data Mining Approaches

    National Research Council Canada - National Science Library

    Wikil Kwak; Susan Eldridge; Yong Shi; Gang Kou

    2009-01-01

      Our study proposes a multiple criteria linear programming (MCLP) and other data mining methods to predict material weaknesses in a firm's internal control system after the Sarbanes-Oxley Act (SOX) using 2003-2004 U.S. data...

  1. Aaron T. Beck's drawings and the psychoanalytic origin story of cognitive therapy.

    Science.gov (United States)

    Rosner, Rachael I

    2012-02-01

    In this essay the author challenges the standard origin story of cognitive therapy, namely, that its founder Aaron T. Beck broke with psychoanalysis to pursue a more pragmatic, parsimonious, and experimentalist cognitive model. It is true that Beck broke with psychoanalysis in large measure as a result of his experimental disconfirmation of key psychoanalytic ideas. His new school of cognitive therapy brought the experimental ethos into every corner of psychological life, extending outward into the largest multisite randomized controlled studies of psychotherapy ever attempted and inward into the deepest recesses of our private worlds. But newly discovered hand-sketched drawings from 1964 of the schema, a conceptual centerpiece of cognitive therapy, as well as unpublished personal correspondence show that Beck continued to think psychoanalytically even after he broke with psychoanalysis. The drawings urge us to consider an origin story much more complex than the one of inherited tradition. This new, multifaceted origin story of cognitive therapy reaches beyond sectarian disagreements and speaks to a broader understanding of the theoretical underpinnings of cognitive therapy.

  2. Psychoanalytic self psychology and its conceptual development in light of developmental psychology, attachment theory, and neuroscience.

    Science.gov (United States)

    Hartmann, Hans-Peter

    2009-04-01

    The chapter starts with a historical overview of the subject of narcissism in psychoanalysis. Some sociophilosophical definitions of narcissism are explained and the connection to self psychology is described. It is especially referred to Honneth's Struggle for Recognition, which is related to the need for selfobject experiences. An outline of different concepts concerning narcissism, especially in the European psychoanalytic tradition, follows and leads to a clearer understanding of Kohut's conception of the self and its selfobjects. Because self psychology can often be understood as applied developmental psychology, useful links to attachment research are described and the move to the level of representation by mentalization is clarified. Further development of self psychology in the direction of intersubjectivity helps to supply connections to systems theory. Recently developed theories of empathy with reference to neurobiological findings provide a dynamic perspective of the activation of empathy. Thus, empathy seems to be better understood as a sort of contagion on which cognitive cortical processes are superimposed. Finally, the therapeutic process in psychoanalytic self psychology is portrayed. This process implies a disruption and repair process by which transmuting internalization can take place. More current theories of self psychology view this process in its essence intersubjectively as a co-construction between patient and analyst. The paper concludes with some hints for a paradigm shift in the direction of a more holistic understanding of the self.

  3. Which family physician should I choose? The analytic hierarchy process approach for ranking of criteria in the selection of a family physician.

    Science.gov (United States)

    Kuruoglu, Emel; Guldal, Dilek; Mevsim, Vildan; Gunvar, Tolga

    2015-08-05

    Choosing the most appropriate family physician (FP) for the individual, plays a fundamental role in primary care. The aim of this study is to determine the selection criteria for the patients in choosing their family doctors and priority ranking of these criteria by using the multi-criteria decision-making method of the Analytic Hierarchy Process (AHP) model. The study was planned and conducted in two phases. In the first phase, factors affecting the patients' decisions were revealed with a qualitative research. In the next phase, the priorities of FP selection criteria were determined by using AHP model. Criteria were compared in pairs. 96 patient were asked to fill the information forms which contains comparison scores in the Family Health Centres. According to the analysis of focus group discussions FP selection criteria were congregated in to five groups: Individual Characteristics, Patient-Doctor relationship, Professional characteristics, the Setting, and Ethical Characteristics. For each of the 96 participants, comparison matrixes were formed based on the scores of their information forms. Of these, models of only 5 (5.2 %) of the participants were consistent, in other words, they have been able to score consistent ranking. The consistency ratios (CR) were found to be smaller than 0.10. Therefore the comparison matrix of this new model, which was formed based on the medians of scores only given by these 5 participants, was consistent (CR = 0.06 < 0.10). According to comparison results; with a 0.467 value-weight, the most important criterion for choosing a family physician is his/her 'Professional characteristics'. Selection criteria for choosing a FP were put in a priority order by using AHP model. These criteria can be used as measures for selecting alternative FPs in further researches.

  4. Virtual reality and the psyche. Some psychoanalytic approaches to media addiction.

    Science.gov (United States)

    Weisel, Anja

    2015-04-01

    This paper explores the ramifications of excessive use of media on personality development, the development of symbolic and thinking functions and on psychic reality. In doing so, the questions of whether there are specific media objects possessing an intrinsic symbolic quality, and which attachments in the inner world of a child/adolescent can be mobilized or destroyed are discussed. By selecting specific material, computer gamers use their game to activate the field of a personal psychic reality. Hereby, they attempt some kind of self-healing. However, after leaving the game, conflicts and traumata re-enacted but unresolved in the game disappear from their temporary representation without generating any resonance in the gamer's psychic experience. Consequently, although states of mind and affects are activated in the computer game, their processing and integration fail; the game results in a compulsive repetition. The construction and consolidation of retrievable maturation and structural development, the representation of the unrepresentable, succeed in the context of the triangulating analytic relationship, initially through a jointly performed symbolic and narrative re-experience or the recreation of the game. Theoretical considerations are illustrated by means of clinical vignettes. © 2015, The Society of Analytical Psychology.

  5. Earthquake Vulnerability Assessment for Hospital Buildings Using a Gis-Based Group Multi Criteria Decision Making Approach: a Case Study of Tehran, Iran

    Science.gov (United States)

    Delavar, M. R.; Moradi, M.; Moshiri, B.

    2015-12-01

    Nowadays, urban areas are threatened by a number of natural hazards such as flood, landslide and earthquake. They can cause huge damages to buildings and human beings which necessitates disaster mitigation and preparation. One of the most important steps in disaster management is to understand all impacts and effects of disaster on urban facilities. Given that hospitals take care of vulnerable people reaction of hospital buildings against earthquake is vital. In this research, the vulnerability of hospital buildings against earthquake is analysed. The vulnerability of buildings is related to a number of criteria including age of building, number of floors, the quality of materials and intensity of the earthquake. Therefore, the problem of seismic vulnerability assessment is a multi-criteria assessment problem and multi criteria decision making methods can be used to address the problem. In this paper a group multi criteria decision making model is applied because using only one expert's judgments can cause biased vulnerability maps. Sugeno integral which is able to take into account the interaction among criteria is employed to assess the vulnerability degree of buildings. Fuzzy capacities which are similar to layer weights in weighted linear averaging operator are calculated using particle swarm optimization. Then, calculated fuzzy capacities are included into the model to compute a vulnerability degree for each hospital.

  6. The Bible as Transformational Object: The Psychoanalytic Theories of Christopher Bollas and Their Relevance for Religious Educators

    Science.gov (United States)

    DeGear, Elizabeth Berne

    2016-01-01

    This article examines the psychoanalytic concepts of object-relations theorist Christopher Bollas, applying them to a view of the Bible as "transformational object." Emphasizing the connection between psychological process and religious experience, this article suggests that each person's innate ability to choose and use objects is a key…

  7. The Role of Compensation Criteria to Minimize Face-Time Bias and Support Faculty Career Flexibility: An Approach to Enhance Career Satisfaction in Academic Pathology.

    Science.gov (United States)

    Howell, Lydia Pleotis; Elsbach, Kimberly D; Villablanca, Amparo C

    2016-01-01

    Work-life balance is important to recruitment and retention of the younger generation of medical faculty, but medical school flexibility policies have not been fully effective. We have reported that our school's policies are underutilized due to faculty concerns about looking uncommitted to career or team. Since policies include leaves and accommodations that reduce physical presence, faculty may fear "face-time bias," which negatively affects evaluation of those not "seen" at work. Face-time bias is reported to negatively affect salary and career progress. We explored face-time bias on a leadership level and described development of compensation criteria intended to mitigate face-time bias, raise visibility, and reward commitment and contribution to team/group goals. Leaders from 6 partner departments participated in standardized interviews and group meetings. Ten compensation plans were analyzed, and published literature was reviewed. Leaders did not perceive face-time issues but saw team pressure and perception of availability as performance motivators. Compensation plans were multifactor productivity based with many quantifiable criteria; few addressed team contributions. Using these findings, novel compensation criteria were developed based on a published model to mitigate face-time bias associated with team perceptions. Criteria for organizational citizenship to raise visibility and reward group outcomes were included. We conclude that team pressure and perception of availability have the potential to lead to bias and may contribute to underuse of flexibility policies. Recognizing organizational citizenship and cooperative effort via specific criteria in a compensation plan may enhance a culture of flexibility. These novel criteria have been effective in one pilot department.

  8. Optimal Siting of Charging Stations for Electric Vehicles Based on Fuzzy Delphi and Hybrid Multi-Criteria Decision Making Approaches from an Extended Sustainability Perspective

    Directory of Open Access Journals (Sweden)

    Huiru Zhao

    2016-04-01

    Full Text Available Optimal siting of electric vehicle charging stations (EVCSs is crucial to the sustainable development of electric vehicle systems. Considering the defects of previous heuristic optimization models in tackling subjective factors, this paper employs a multi-criteria decision-making (MCDM framework to address the issue of EVCS siting. The initial criteria for optimal EVCS siting are selected from extended sustainability theory, and the vital sub-criteria are further determined by using a fuzzy Delphi method (FDM, which consists of four pillars: economy, society, environment and technology perspectives. To tolerate vagueness and ambiguity of subjective factors and human judgment, a fuzzy Grey relation analysis (GRA-VIKOR method is employed to determine the optimal EVCS site, which also improves the conventional aggregating function of fuzzy Vlsekriterijumska Optimizacijia I Kompromisno Resenje (VIKOR. Moreover, to integrate the subjective opinions as well as objective information, experts’ ratings and Shannon entropy method are employed to determine combination weights. Then, the applicability of proposed framework is demonstrated by an empirical study of five EVCS site alternatives in Tianjin. The results show that A3 is selected as the optimal site for EVCS, and sub-criteria affiliated with environment obtain much more attentions than that of other sub-criteria. Moreover, sensitivity analysis indicates the selection results remains stable no matter how sub-criteria weights are changed, which verifies the robustness and effectiveness of proposed model and evaluation results. This study provides a comprehensive and effective method for optimal siting of EVCS and also innovates the weights determination and distance calculation for conventional fuzzy VIKOR.

  9. The current status of the psychoanalytic theory of instinctual drives. I: Drive concept, classification, and development.

    Science.gov (United States)

    Compton, A

    1983-07-01

    The evolution of Freud's theory of instinctual drives, with the accompanying models of a mental apparatus, is remarkable for its tenacious adherence to addressing the fundamental problems of human psychology, here phrased as the problems of body-mind-environment relationships. The concept of instinctual drives continues to be one of the most pervasive concepts of psychoanalysis, weathering considerable attack over the last several decades, although losing some clarity in the process. I have cited and discussed as basic issues of the concept of instinctual drives: the relationship of observational data and theoretical constructs in psychology; whether our construct of drives is or should be or can be purely psychological; the problem of conceptualizing the ontogenetic origin of mind; the issues of the "force-meaning conjunction" and the problem of psychic energy in psychoanalytic constructs; and the relation of our concept of instinctual drives to the concept of instincts in general. It seems that progress with these fundamental issues might be made by utilizing models that are more homologous with present knowledge in related fields than is Freud's reflex arc model of the nervous system, in order to build a better drive construct within the framework of psychoanalysis. The classification of instinctual drives remains a problem. Clinically, aggression seems to be a factor in conflict, very much like sexuality. Despite widespread acceptance of the idea of aggression as simply parallel to sexuality in all respects, there are major discrepancies. Perhaps aggression cannot be viewed as a drive after all; perhaps our drive construct needs to be modified to accommodate aggression. Certainly, controversy in this area has interfered with the production of good clinical studies which could begin to increase our understanding of aggression and its place in the human personality. The psychoanalytic theory of drive development has probably undergone less change in the last

  10. Hierarchical Recursive Organization and the Free Energy Principle: From Biological Self-Organization to the Psychoanalytic Mind.

    Science.gov (United States)

    Connolly, Patrick; van Deventer, Vasi

    2017-01-01

    The present paper argues that a systems theory epistemology (and particularly the notion of hierarchical recursive organization) provides the critical theoretical context within which the significance of Friston's (2010a) Free Energy Principle (FEP) for both evolution and psychoanalysis is best understood. Within this perspective, the FEP occupies a particular level of the hierarchical organization of the organism, which is the level of biological self-organization. This form of biological self-organization is in turn understood as foundational and pervasive to the higher levels of organization of the human organism that are of interest to both neuroscience as well as psychoanalysis. Consequently, central psychoanalytic claims should be restated, in order to be located in their proper place within a hierarchical recursive organization of the (situated) organism. In light of the FEP the realization of the psychoanalytic mind by the brain should be seen in terms of the evolution of different levels of systematic organization where the concepts of psychoanalysis describe a level of hierarchical recursive organization superordinate to that of biological self-organization and the FEP. The implication of this formulation is that while "psychoanalytic" mental processes are fundamentally subject to the FEP, they nonetheless also add their own principles of process over and above that of the FEP. A model found in Grobbelaar (1989) offers a recursive bottom-up description of the self-organization of the psychoanalytic ego as dependent on the organization of language (and affect), which is itself founded upon the tendency toward autopoiesis (self-making) within the organism, which is in turn described as formally similar to the FEP. Meaningful consilience between Grobbelaar's model and the hierarchical recursive description available in Friston's (2010a) theory is described. The paper concludes that the valuable contribution of the FEP to psychoanalysis underscores the

  11. Shifting sexual cultures, the potential space of online relations, and the promise of psychoanalytic listening.

    Science.gov (United States)

    Corbett, Ken

    2013-02-01

    How we listen to the potential space of online relations is rapidly becoming part of our daily work. Two treatments are examined where themes of sexual shame, repression, and relational difficulties were found and refound through online relating and hooking-up. Consideration is given to the ways in which online exploration opens a potential space that affords sexual practice and the reach of relationality. Moving with these patients into this potential space opened onto an intriguing and productive relational field. These cases help illuminate a shift in our modern social order, and how that shift has followed on a reconsideration of our psychoanalytic ideals about sexual well-being. We are now positioned to reflect not only on the evolution and revolution of our shifting sexual cultures, including the increasing role of technology in our modern relational world, but on how this new world finds its way into our consulting rooms.

  12. Eroticism in group psychotherapy: psychoanalytic reflections on desire, agony, and ecstasy.

    Science.gov (United States)

    Tylim, Isaac

    2003-10-01

    To fully understand the complexities of eroticism in groups, it may be necessary to review a conceptual differentiation of desire and its allies: agony and ecstasy. This article suggests that psychoanalytic group psychotherapy is made for neither agony nor ecstasy. Sexual excitement maybe; eroticism and desire, yes; agony and ecstasy, no. While agony or ecstasy imply a threat to the survival of the group, eroticism and desire reaffirm its existence. In this manner the group may be converted into a theater where desire may be celebrated, while the threat of being dissolved in the depths or exaltation of agony and ecstasy is elaborated and worked through: "Desire is desire only if it succeeds in postponing something".

  13. Paranoia and beating fantasy: an inquiry into the psychoanalytic theory of paranoia.

    Science.gov (United States)

    Blum, H P

    1980-01-01

    Psychoanalytic contributions to the theory of paranoia are reviewed. As a primary problem underlying paranoia, this paper emphasizes the importance of beating fantasy associated with a fragile personality structure rather than the theory of repressed homosexuality. Castration anxiety and homosexual conflict may precipitate paranoia, but all levels of psychosexual development and their corresponding danger situations contribute to the transformed fantasy of persecution and punishment; early infantile narcissism, aggression, and sadomasochism are especially important. Severe preoedipal disturbance has contributed to deficient ego development and oedipal resolution. The failure to negotiate separation-individuation is associated with narcissistic arrest and impaired object relations and testing of reality. Ego integration, identity and sexual identity are unstable. Attempts at undoing, repair, or revenge of traumata and narcissistic injury and the maintenance of ego stability and (narcissistic) object relationship are more fundamental than homosexual object choice or the negative Oedipus complex in the understanding of paranoid psychopathology.

  14. Racism as a transference state: episodes of racial hostility in the psychoanalytic context.

    Science.gov (United States)

    Hamer, Forrest M

    2006-01-01

    Episodes of racial prejudice emerging in the context of a psychoanalytic therapy suggest that racism can be thought of as a regressed state of transference, characterized by polarized representations of self and other, categorical thinking, and the predominance of splitting and projection as defenses. The author suggests that activation of racial hostility in the clinical situation occurs as a result of events and processes not atypical in an analytic process. Though such states occurring outside of the analytic context are more likely made conscious in certain situations and in certain persons, the author suggests that racism can be more generally described as an ever-potential state of mind for most people living in racialized contexts.

  15. Termination of psychotherapy: the journey of 10 psychoanalytic and psychodynamic therapists.

    Science.gov (United States)

    Fragkiadaki, Evangelia; Strauss, Susan M

    2012-09-01

    Literature on termination originates mainly from clinical and theoretical accounts as well as practitioners' autobiographical reports. There is, however, a paucity of psychological research on termination. The purpose of this study is to examine the process of termination of therapy based on therapists' narratives of experiences of endings with patients. Grounded Theory methodology has been applied in this study in order to conceptualize the process of termination from the therapist's perspective. Ten psychoanalytic and psychodynamic therapists were interviewed for this study. Grounded Theory analysis of the data revealed five central categories: therapist as a person, therapist's awareness of termination, development of therapeutic relationship, working through termination, and the aftermath (post-termination phase). The results offer a Grounded Theory model of the therapist's journey through termination of therapy with patients. Subcategories and their relationships will be explored. Implications for clinical practice, limitations and suggestions for further research will be discussed. © 2011 The British Psychological Society.

  16. On hating in the first person plural: thinking psychoanalytically about racism, homophobia, and misogyny.

    Science.gov (United States)

    Moss, D

    2001-01-01

    On the basis of personal, cultural, and clinical references, misogyny, homophobia, and racism are conceptualized as structured forms of hatred grounded in a defensive use of the first person plural voice. This use of hatred defends against dangers associated with desires linked to the first person singular. In these hatreds, "I want" is defensively transformed into "we hate." Disidentification from and hatred of the object appear where identification and yearning had been. Along with this defensive move into plurality, with these forms of hatred comes the use of what is conceptualized as the "hermeneutics of transparency." Here the hated qualities of the objects in question are sensed to be transparently obvious, a matter not of thought but of perception. The underlying premises of these hatreds are then contrasted with the underlying premises of psychoanalysis. Effective psychoanalytic work with these hatreds entails resisting the moral pressure to disidentify from them, while bearing the often profound discomfort linked with identifying with them.

  17. Analytic change: Assessing ways of being in a psychoanalytic follow-up interview.

    Science.gov (United States)

    Stänicke, Erik; Strømme, Hanne; Killingmo, Bjørn; Gullestad, Siri Erika

    2015-06-01

    The article argues that the concepts of relational scenario, structuralized affect and actualized affect are proposed candidates for observation of changes in relational ways of being as it is expressed in transference. A psychoanalytic follow-up interview of a former analytic patient is presented in order to illustrate how change in relational ways of being may be registered and studied. By triangulating the patient's verbal report of change with nonverbal information and transference-countertransference dynamics, one may grasp qualitative changes in relational ways of being. The case presented illustrates a former patient's on-going process of working towards representing aggression in a more direct manner and how this process is made observable with the aid of the proposed concepts in the interview situation. The proposed concepts of relational scenario, structuralized and actualized affect discussed are compared to the concept of transference used in studies of core conflictual relationship theme (CCRT). Copyright © 2014 Institute of Psychoanalysis.

  18. Encountering Ehrenberg: tracing the development of psychoanalytic therapy at the intimate edge.

    Science.gov (United States)

    Laidlaw, Christine; Heusser, Shelley

    2014-01-01

    This article illustrates the thinking-through processes and clinical applications of D.B. Ehrenberg's ideas within the therapeutic situation. During the last four decades, Ehrenberg has articulated that the psychoanalytic relationship is at its most compelling when it evolves at "the intimate edge" of the therapist's self and that of the patient. She invites us to explore and process the relational dynamics of the therapeutic dyad within the consulting room. In tribute to Ehrenberg's work, we reflect on two individuals closed up in their self-reliance, who start to break open to their desires for intimacy when their therapist opens up his own self within the uniquely meaningful space co-created in the analytic therapy.

  19. The interpretive process in the psychoanalytic psychotherapy of borderline personality pathology.

    Science.gov (United States)

    Caligor, Eve; Diamond, Diana; Yeomans, Frank E; Kernberg, Otto F

    2009-04-01

    While all patients become more concrete in their psychological functioning in areas of conflict, especially in the setting of transference regression, in the treatment of patients with severe personality pathology this process poses a particular clinical challenge. In the psychoanalytic psychotherapy of patients with severe personality pathology in general, and borderline personality disorder in particular, the interpretive process serves multiple functions. This process comprises a series of steps or phases that can be viewed as moving the patient further away from a single, poorly elaborated, and concrete experience in the transference, which dominates and floods subjectivity, and toward more fully elaborated, complex, stable, and integrated representations of the analyst and of what he or she evokes in the patient's internal world.

  20. Towards a psychoanalytic understanding of Fascism and anti-Semitism: perceptions from the 1940s.

    Science.gov (United States)

    Fisher, David James

    2004-01-01

    After selecting five representative European psychoanalytic thinkers, all of whom emigrated to the United States, this essay surveys their earliest perceptions and interpretations of the historical and psychological roots of Fascism, with particular emphasis on anti-Semitism. My samples almost all derive from the period before, during, and immediately after World War II. In examining the writings of Otto Fenichel, Ernst Simmel, Erik Homburger Erikson, Rudolf Loewenstein and Bruno Bettelheim, it discusses the various environmental and psychological dimensions of their understandings of racial prejudice. The paper argues that each thinker attempted to integrate historical, sociological, cultural and clinical factors into their psychodynamic formulations about the individual and group mind of the Fascist anti-Semite. This generation of psychoanalysts explained Fascist anti-Semitism by exploring the mechanisms of projection, the process of massive splitting mechanisms of the group mind, fantasies of delinquent adolescent aggrandizement in Hitler, sado-masochistic and perverse oedipal dynamics, and a macabre identification with the torturers on the part of Jewish inmates in the concentration camps, that obliterated the individual's sense of autonomy and capacity to respond morally. The paper points out the pronounced ambivalence of this generation of Jewish analysts and intellectuals toward their own Jewish backgrounds and sense of themselves as Jews. It also argues that this generation muted its left-wing and socialist political tendencies once they arrived in America, taking a turn against politics. It suggests that some of the features of this Jewish ambivalence can be seen in the exploration of a so-called "Jewish psychology," itself a disguised form of racism, a derivative of projection, which may have had rather negative and authoritarian consequences for the psychoanalytic movement in America.

  1. FDG PET/CT response assessment criteria for patients with Hodgkin's and non-Hodgkin's lymphoma at end of therapy: A multiparametric approach

    Energy Technology Data Exchange (ETDEWEB)

    Metser, Ur; Mohan, Ravi; Beckley, Vaughan; Murphy, Grainne [Mount Sinai Hospital and Women' s College Hospital, University of Toronto, Toronto (Canada); Hodgson, David [Radiation Oncology, Princess Margaret Hospital, University Health Network, University of Toronto, Toronto (Canada)

    2016-03-15

    Based on the International Harmonization Project (IHP) criteria, positron emission tomography (PET) response assessment of residual nodal masses in patients with lymphoma after completion of therapy is performed visually using mediastinal blood pool as the reference. The primary objective of this study was to define the optimal reference for PET response assessment. Secondary aim was to assess if morphological criteria on computed tomography (CT) may improve performance of PET. This institutional review board approved retrospective study included 137 patients, with Hodgkin's (n = 43) or non-Hodgkin's lymphoma (n = 94) assessed for residual masses (n = 180) after completion of therapy with pathology and clinical and imaging surveillance data (mean, 19 months) as the standard of reference. Two readers independently assessed response by IHP and Deauville criteria. The addition of morphological parameters on CT was assessed in relation to therapy response. Based on the standard of reference, 36 patients (26.3 %) had residual lymphoma. For IHP and Deauville criteria, sensitivity, specificity and accuracy were 97.2 %, 97.2 % (p = 1); 79.2 %, 92.1 % (p < 0.001); and 83.9 %, 93.4 % (p = 0.001), respectively. Of the morphological parameters assessed, only change in size over course of therapy was significant (p < 0.003) and improved specificity for IHP-based interpretation to 90.4 % (p = 0.008). Using liver as the visual reference to determine PET positivity for lymphoma patients being assessed for residual masses at the end of therapy improves specificity, yet maintains the high sensitivity of PET in identifying residual disease. The addition of change in size after therapy improves specificity of PET when using IHP-based but not Deauville-based interpretation.

  2. THE ANALYSIS OF RELATIONSHIP BETWEEN MOTHER AND CHILD AND ITS IMPACT ON THE FORMATION OF GENDER STEREOTYPES IN THE CONTEXT OF PSYCHOANALYTIC FEMINISM

    National Research Council Canada - National Science Library

    L. Bulanova-Duvalko

    2014-01-01

    The purpose. The article analyzes the influence of the experience of motherhood on formation steady sexual arrangements and stereotypical models of femininity and masculinity in society in the context of the psychoanalytic feminism...

  3. Determination of criteria weights in solving multi-criteria problems

    Science.gov (United States)

    Kasim, Maznah Mat

    2014-12-01

    A multi-criteria (MC) problem comprises of units to be analyzed under a set of evaluation criteria. Solving a MC problem is basically the process of finding the overall performance or overall quality of the units of analysis by using certain aggregation method. Based on these overall measures of each unit, a decision can be made whether to sort them, to select the best or to group them according to certain ranges. Prior to solving the MC problems, the weights of the related criteria have to be determined with the assumption that the weights represent the degree of importance or the degree of contribution towards the overall performance of the units. This paper presents two main approaches which are called as subjective and objective approaches, where the first one involves evaluator(s) while the latter approach depends on the intrinsic information contained in each criterion. The subjective and objective weights are defined if the criteria are assumed to be independent with each other, but if they are dependent, there is another type of weight, which is called as monotone measure weight or compound weights which represent degree of interaction among the criteria. The measure of individual weights or compound weights must be addressed in solving multi-criteria problems so that the solutions are more reliable since in the real world, evaluation criteria always come with different degree of importance or are dependent with each other. As the real MC problems have their own uniqueness, it is up to the decision maker(s) to decide which type of weights and which method are the most applicable ones for the problem under study.

  4. [Therapeutic approaches in court-ordered therapy].

    Science.gov (United States)

    Floris, Emmanuelle; De Jésus, Arnaud; Cano, Jean-Philippe; Raymondaud, Séverine; Rouveyrol, Éric; Bouchard, Jean-Pierre

    As is the case with other contexts of mental health treatments, the therapeutic approaches to court-ordered therapy are varied. They are based on the principle of their clinical indication and must be delivered by therapists trained in the specific area. The classic therapeutic approaches are used: medication, psychoanalysis and psychoanalytically inspired therapies, cognitive behavioural therapies, group therapies and body-oriented approach. Copyright © 2017. Published by Elsevier Masson SAS.

  5. From playfulness and self-centredness via grand expectations to normalisation: a psychoanalytical rereading of the history of molecular genetics.

    Science.gov (United States)

    Zwart, H A E

    2013-11-01

    In this paper, I will reread the history of molecular genetics from a psychoanalytical angle, analysing it as a case history. Building on the developmental theories of Freud and his followers, I will distinguish four stages, namely: (1) oedipal childhood, notably the epoch of model building (1943-1953); (2) the latency period, with a focus on the development of basic skills (1953-1989); (3) adolescence, exemplified by the Human Genome Project, with its fierce conflicts, great expectations and grandiose claims (1989-2003) and (4) adulthood (2003-present) during which revolutionary research areas such as molecular biology and genomics have achieved a certain level of normalcy--have evolved into a normal science. I will indicate how a psychoanalytical assessment conducted in this manner may help us to interpret and address some of the key normative issues that have been raised with regard to molecular genetics over the years, such as 'relevance', 'responsible innovation' and 'promise management'.

  6. [The Psychoanalytic-interactional Method (PIM): A Psychodynamic Treatment for Adolescents with Severe Disorders of Personality Functioning].

    Science.gov (United States)

    Cropp, Carola

    2017-07-01

    The Psychoanalytic-interactional Method (PIM): A Psychodynamic Treatment for Adolescents with Severe Disorders of Personality Functioning The psychoanalytic-interactional method (PIM) was developed as a psychodynamic treatment for adult patients with severe disorders of personality functioning (Streeck u. Leichsenring, 2015). However, it is also well suited for the treatment of adolescent patients because its techniques fit with specific conditions of adolescence. A modified version of the PIM for adolescents (Streeck-Fischer, Cropp, Streeck, Salzer, 2016) has proven to be efficacious. The paper describes the basic principles of the PIM and names aspects that have to be taken into account in the treatment of adolescents with severe disorders of personality functioning. Finally, previous empirical results regarding the PIM treatment in adolescence are presented.

  7. A Multi-Model Approach Using Statistical Index and Information Criteria to Evaluate the Adequacy of the Model Geometry in a Fissured Carbonate Aquifer (Italy

    Directory of Open Access Journals (Sweden)

    Marco Giacopetti

    2016-06-01

    Full Text Available A conceptual model related to a mountain aquifer that is characterized by a lack of data of hydrogeological parameters and boundary conditions, which were based on a single available observational dataset used for calibration, was studied using numerical models. For the first time, a preliminary spatial-temporal analysis has been applied to the study area in order to evaluate the real extension of the aquifer studied. The analysis was based on four models that were characterized by an increasing degree of complexity using a minimum of two zones and a maximum of five zones, which consequently increased the number of adjustable parameters from a minimum of 10 to a maximum of 22, calibrated using the parameter estimation code PEST. Statistical index and information criteria were calculated for each model, which showed comparable results; the information criteria indicated that the model with the low number of adjustable parameters was the optimal model. A comparison of the simulated and observed spring hydrographs showed a good shape correspondence but a general overestimation of the discharge, which indicated a good fit with the rainfall time series and a probably incorrect extension of the aquifer structure: the recharge contributes more than half of the total outflow at the springs but is not able to completely feed the springs.

  8. The green economy for sustainable development: a spatial multi-criteria analysis - ordered weighted averaging approach in the siting process for short rotation forestry in the Basilicata Region, Italy

    Directory of Open Access Journals (Sweden)

    Severino Romano

    2013-09-01

    Full Text Available Optimising bioenergy chains and the creation of a bio-energy district can make a positive contribution to territorial development, land use planning and employment, while reducing environmental pollution. Energy planning issues are complex problems with multiple decision makers and criteria. Given the spatial nature of the problem, the present paper proposes a spatial multi-criteria analysis approach for supporting decision makers in the site selection process for short rotation forestry planting in the Basilicata Region, southern Italy. The methodology applied in the decision-support system is ordered weighted averaging, extended by means of fuzzy linguistic quantifiers. The purpose of the research is to formulate a systematic procedure to analyse complex decision problems, while supplying decision makers with a flexible tool to decide on possible agro-energy policies. The outcomes of the analysis may support decision makers in defining targeted agro-energy policies and help the private sector to identify the most appropriate cropping plan.

  9. Hierarchical Recursive Organization and the Free Energy Principle: From Biological Self-Organization to the Psychoanalytic Mind

    Science.gov (United States)

    Connolly, Patrick; van Deventer, Vasi

    2017-01-01

    The present paper argues that a systems theory epistemology (and particularly the notion of hierarchical recursive organization) provides the critical theoretical context within which the significance of Friston's (2010a) Free Energy Principle (FEP) for both evolution and psychoanalysis is best understood. Within this perspective, the FEP occupies a particular level of the hierarchical organization of the organism, which is the level of biological self-organization. This form of biological self-organization is in turn understood as foundational and pervasive to the higher levels of organization of the human organism that are of interest to both neuroscience as well as psychoanalysis. Consequently, central psychoanalytic claims should be restated, in order to be located in their proper place within a hierarchical recursive organization of the (situated) organism. In light of the FEP the realization of the psychoanalytic mind by the brain should be seen in terms of the evolution of different levels of systematic organization where the concepts of psychoanalysis describe a level of hierarchical recursive organization superordinate to that of biological self-organization and the FEP. The implication of this formulation is that while “psychoanalytic” mental processes are fundamentally subject to the FEP, they nonetheless also add their own principles of process over and above that of the FEP. A model found in Grobbelaar (1989) offers a recursive bottom-up description of the self-organization of the psychoanalytic ego as dependent on the organization of language (and affect), which is itself founded upon the tendency toward autopoiesis (self-making) within the organism, which is in turn described as formally similar to the FEP. Meaningful consilience between Grobbelaar's model and the hierarchical recursive description available in Friston's (2010a) theory is described. The paper concludes that the valuable contribution of the FEP to psychoanalysis underscores the

  10. Psyche--the meeting of mind and soul: current psychoanalytic views on the mental representation of god.

    Science.gov (United States)

    Clemens, Norman A

    2013-11-01

    The author presents an overview of two contemporary, related psychoanalytic perspectives on religious phenomena. Based on data from systematic interviews, Ana-Maria Rizzuto explores the way the human mind forms the idea of God as it evolves through the various stages of childhood and adult development. The object-representation of God is greatly influenced by the mental representations of mother, father, and other important adults in the child's life. Object relations theory and the writings of Winnicott play an important role in these concepts. William Meissner, a Jesuit priest as well as a psychoanalyst, addresses Freud's views of religious belief as an illusion, or when accepted with certainty as real, as a delusion. Instead, Meissner sees religious belief as a developmental process that resides in the mental realm of transitional phenomena where spirituality, creativity, appreciation of beauty, transcendental states, play, and the psychoanalytic process itself also take place. In psychoanalytic treatment, religious phenomena are not exempt from exploration and understanding, perhaps resulting in more mature development of object representations, ego functions, and the superego functions of conscience and ego ideal as well as more mature religious life.

  11. Agents of the Father's law in a society of brothers: A philosophic and psychoanalytic perspective on legitimate use of violence.

    Science.gov (United States)

    Even-Tzur, Efrat; Hadar, Uri

    This paper explores subjective processes of "Agents of Law" - individuals who the state grants the authority to use violence - and the dissonance stemming from the contradictory demands posed on them as legitimate users of violence despite the societal taboo against violence. A conceptual model will be offered based on two theoretical legs, Lacanian psychoanalysis and political theories of legitimacy. Specifically, psychoanalytic ideas would serve to examine unconscious processes, subject position and various identifications related to the question of "self-legitimacy" of Agents of Law. A central link between psychoanalysis and political thought is found in the image of the father and in the triad ruler-God-Father, which calls for an oedipal analysis. A psychoanalytic reading of two philosophical schools that elaborated on the question of legitimacy will be presented, and yield two analytic poles of a model for the understanding of possible subject positions of agents of Law: identification with a "Living Father" vs. identification with a "Dead Father". The psychoanalytic reading will shed light on the limitations of the philosophical perspectives in reflecting on the various (im)possible psychological positions of agents of Law. Finally, then, it will be shown how psychoanalysis helps finding words to characterize different nuances in the coping of agents of Law with the contradictory demands posed on them in an age in which God is dead, the father was murdered and the king was beheaded. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Compassion and altruism in psychoanalytic theory: an evolutionary analysis of self psychology.

    Science.gov (United States)

    Kriegman, D

    1990-01-01

    Freud's creation of psychoanalysis was, in part, a reaction to the societal, religious morality that denied the ubiquitous drivenness that repeatedly confronted him, the essential animal nature of homo sapiens as had been recently made clear by the theory of evolution. For example, Freud (1933) wrote an aggression, It is a general principle. . .that conflicts of interest between men are settled by the use of violence. This is true of the whole animal kingdom, from which men have no business to exclude themselves. Though evolutionary theory was in its infancy, incompletely understood even by its creator, Freud's commitment to facing its truths led to an unswerving stance in reaction to attempts to deny the narcissistic injury inherent in his psychoanalytic discoveries. He insisted on trying to reinterpret virtually all social behaviors in the light of his new theory, and he and his followers have stretched his drive/structure model to its limits. Yet, as we have seen, this evolutionary creation--the human psyche--cannot be fully accounted for utilizing the vicissitudes of Freud's two instincts. What we come to appreciate when we bring the perspective of the theory of evolution to the relational/structure versus drive/structure debate, is that the debate is about the two sides of the same coin. Like this metaphor, in the case of the selfish, yet social, human animal, you cannot have a one-sided coin. Both drives and relationships are biologically inherent and have their structuralizing effect upon the supraordinate self. A modern evolutionary biological, psychoanalytic conception of conflicts and drives may actually be closer to the adaptive/functional tone of aspects of the self psychological paradigm than to the traditional perspective. As human animals we are inherently in conflict over our irreducible biologically based driven, asocial needs (i.e., self-enhancing pleasure seeking and avoidance of unpleasure) and our irreducible biologically based needs for a self

  13. Improving mood with psychoanalytic and cognitive therapies (IMPACT: a pragmatic effectiveness superiority trial to investigate whether specialised psychological treatment reduces the risk for relapse in adolescents with moderate to severe unipolar depression: study protocol for a randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Suckling John

    2011-07-01

    Full Text Available Abstract Background Up to 70% of adolescents with moderate to severe unipolar major depression respond to psychological treatment plus Fluoxetine (20-50 mg with symptom reduction and improved social function reported by 24 weeks after beginning treatment. Around 20% of non responders appear treatment resistant and 30% of responders relapse within 2 years. The specific efficacy of different psychological therapies and the moderators and mediators that influence risk for relapse are unclear. The cost-effectiveness and safety of psychological treatments remain poorly evaluated. Methods/Design Improving Mood with Psychoanalytic and Cognitive Therapies, the IMPACT Study, will determine whether Cognitive Behavioural Therapy or Short Term Psychoanalytic Therapy is superior in reducing relapse compared with Specialist Clinical Care. The study is a multicentre pragmatic effectiveness superiority randomised clinical trial: Cognitive Behavioural Therapy consists of 20 sessions over 30 weeks, Short Term Psychoanalytic Psychotherapy 30 sessions over 30 weeks and Specialist Clinical Care 12 sessions over 20 weeks. We will recruit 540 patients with 180 randomised to each arm. Patients will be reassessed at 6, 12, 36, 52 and 86 weeks. Methodological aspects of the study are systematic recruitment, explicit inclusion criteria, reliability checks of assessments with control for rater shift, research assessors independent of treatment team and blind to randomization, analysis by intention to treat, data management using remote data entry, measures of quality assurance, advanced statistical analysis, manualised treatment protocols, checks of adherence and competence of therapists and assessment of cost-effectiveness. We will also determine whether time to recovery and/or relapse are moderated by variations in brain structure and function and selected genetic and hormone biomarkers taken at entry. Discussion The objective of this clinical trial is to determine

  14. ["The most ill go into psychoanalytic treatment"? Critical comments on an article in Report Psychologie].

    Science.gov (United States)

    Richter, R; Hartmann, A; Meyer, A E; Rüger, U

    1994-01-01

    Thomas and Schmitz claim that they "deliver a proof for the effectiveness of humanistic methods" (p. 25) with their study. However, they did not or were not able to verify their claim due to several reasons: The authors did not say if and if so to what extent the treatments carried out within the framework of the TK-regulation were treatments using humanistic methods. The validity of the only criterium used by the authors, the average duration of the inability to work, must be questioned. The inferential statistical treatment of the data is insufficient; a non-parametrical evaluation is necessary. Especially missing are personal details concerning the treatment groups (age, sex, occupation, method, duration and frequency of therapy), which are indispensable for a differentiated interpretation. In addition there are numerous formal faults (wrong quotations, mistakes in tables, unclear terms etc.). In view of this criticism we come to the conclusion that the results are to a large degree worthless, at least until several of our objections have been refuted by further information and adequate inferential statistical methods. This study is especially unsuitable to prove a however defined "effectiveness of out-patient psychotherapies", therefore also not suitable to prove the effectiveness of those treatments conducted within the framework of the TK-regulation and especially not suitable to prove the superiority of humanistic methods in comparison with psychoanalytic methods and behavioural therapy.

  15. The reassembly of the body from parts: psychoanalytic reflections on death, resurrection, and cannibalism.

    Science.gov (United States)

    Gottlieb, Richard M

    2007-01-01

    Terror of the dismemberment, disintegration, and decay of the body after death has been represented in ritual, myth, legend, art, and religious belief throughout the ages. So too has the wished-for triumph over these inevitable processes. Commonly, bodily experience after death is represented mentally in cannibalistic ideas of eating and being eaten, which are then countered by the wishful undoing of cannibalistic destruction through its reversal: swallowing as regurgitation, dismemberment as rememberment, disintegration as reassembly. Luca Signorelli's fresco The Resurrection of the Flesh is part of his celebrated group of decorations (1499-1504) of the Cappella Nuova in the cathedral at Orvieto. The doctrinal, iconographic, social, and political contexts of this admired and influential work are explored in order to illustrate how and why this painting represents our greatest fears, along with our triumph over them, as well as our most destructive urges and their reparative counterparts. The photographer Sally Mann has explored these same themes. In What Remains (2003), a series of pictures with accompanying text, Mann documents her exhumation and reassembly of the body of her beloved pet greyhound. Two clinical examples illustrate some ways these concerns (cannibalism and reassembly) may make their appearance in psychoanalytic work.

  16. Inside and outside the window: some fundamental elements in the theory of psychoanalytic technique.

    Science.gov (United States)

    Tuckett, David

    2011-12-01

    The underlying concern of this paper is that psychoanalysis as practised today is in danger of losing its specificity and so losing its way. The author suggests this is possible for three reasons: the problem analysts face in responding to the strong emotional demands the great majority of patients necessarily place on them, the unintended consequences of the apparent success of 'here and now technique' and the absence of good clinical theory. The paper mainly discusses the author's ideas about some core elements of the clinical theory that all psychoanalysts must use when they are working and proposes (at the risk of being facile) some relatively simple heuristics related to them which are meant to be helpful. Recalling Kurt Lewin's maxim that 'there is nothing so practical as a good theory', he will suggest that continuous reflection on how one is using theory in daily practice is highly practical, if the theory is good enough. Theory in fact is a necessary 'third' in psychoanalytic practice which, if kept in sufficient working order close enough to clinical experience, provides an ongoing and very necessary check on our sense of reality. But, of course, as a third it can, like reality itself, be the focus of both love and hate with equally problematic consequences. The paper starts with a clinical example of a difficult but apparently successful analysis reaching its end, which will be used throughout the paper to illustrate and elaborate the theoretical ideas set out. Copyright © 2011 Institute of Psychoanalysis.

  17. On emergence: a neo-psychoanalytic essay on change and science.

    Science.gov (United States)

    Whitehead, Clay C

    2011-01-01

    The neo-psychoanalytic paradigm re-establishes the connection between psychodynamics and evolution. This allows us to transcend the limitations of dualistic metapsychology, and to make seminal contributions to traditional science. The new paradigm employs the concept of emergence, the potential for change in the evolutionary and clinical process. Emergence is described as originating with the Big Bang, but also is reflected at much higher levels, for example, biochemistry, or the capacity of the evolved mind to produce insights in psychotherapy. The constraints of dualistic theories are examined. A neuron-based view of change illustrates the evolution of traditional science as well as the neuron, itself. The new mind paradigm recognizes individual, familial, communitarian, and global reciprocal influences mediated by culture and illustrated by the extended mind and the democratic spirit. Thus both traditional and psychodynamic sciences are undergoing revolutionary changes in their common efforts to better understand the mechanisms of knowledge, relationship and consciousness. The boundaries of the self and the consultation suite are also expanded in this view. Following a survey of invagination, the work is concluded by an application of emergence theory to the creationist controversy and Freud's views of religion.

  18. "Operation Pied Piper": a psychoanalytic narrative of authority in a time of war.

    Science.gov (United States)

    Farley, Lisa

    2012-01-01

    The evacuation of British children during World War II is read alongside the legend of the "Pied Piper" after which the mass migration was officially named. While virtually every British account of World War II makes mention of the evacuation, most are silent on the question of its ominous title: "Operation Pied Piper." This paper traces the legend's key theme - on influencing and being influenced - as it surfaces in the writing of one child analyst and one social worker charged with the responsibility of leading a family of five hostels for British youth. At a time when Hitler's deadly regime reached unprecedented heights across the Channel, the legend of the "Pied Piper" becomes a highly suggestive metaphor for thinking about D. W. Winnicott and Clare Britton's writing on what authority could mean in the face of leadership gone terribly wrong. Quite another, profoundly intimate loss of leadership haunts their words as well: Sigmund Freud, in exile from Hitler's Europe and leader of the psychoanalytic movement, died in London just weeks after the first wave of Blitz evacuations. It is in this context that Winnicott and Britton articulated a theory of authority that could address the losses of history without at the same time demanding the loss of the mind.

  19. Lost objects: from the laboratories of hypnosis to the psychoanalytic setting.

    Science.gov (United States)

    Mayer, Andreas

    2006-03-01

    The psychoanalytic setting counts today as one of the familiar therapeutic rituals of the Western world. Taking up some of the insights of the anthropology of science will allow us to account for both the social and the material arrangements from which Freud's invention emerged at the end of the nineteenth century out of the clinical laboratories and private consulting rooms of practitioners of hypnosis. The peculiar way of neglecting or forgetting the object world and the institution of the psychoanalyst as a "transference object" will be traced back to multiple reconfigurations in the history of hypnotism in France and in Germany. In this process, different practitioners tried to achieve a synthesis of clinical work and experimental psychology, with the aim of objectifying knowledge about human subjectivity. While Freud retained the claim of psychoanalysis performing an experimental situation, he set apart his own setting from the objectifying practices which were characteristic of this experimental psychology located in the clinic and the private consulting room.

  20. The seventh penis: towards effective psychoanalytic work with pre-surgical transsexuals.

    Science.gov (United States)

    Withers, Robert

    2015-06-01

    The author reflects on his contrasting analytic work with two transsexual patients. He uses three previous psychoanalytic studies (Stoller, Morel and Lemma) to explore whether effective analytic work with the issues driving a person's determined wish for sex reassignment surgery (SRS) is possible. Particular consideration is given to how such work might navigate a path between traumatizing and pathologizing the patient on the one hand and avoiding important analytic material out of fear of so doing on the other. The author proceeds to ask whether it is possible to tell in advance, with any degree of reliability, who is and who is not likely to benefit from surgery. He considers certain diagnostic issues in relation to these questions. Illustrations are given of how, in practice, countertransference anxieties about psychopathologizing transsexual patients can contribute to significant difficulties in working clinically with them. It is argued that the understanding and containment of such anxieties could eventually lead to more effective analytic work, and that such work might be further facilitated by considering the contribution of mind-body dissociation to transsexualism. © 2015, The Society of Analytical Psychology.

  1. The invasion of reality (or of negotiation): The psychoanalytic ethic and extinction anxiety.

    Science.gov (United States)

    Nociforo, Nicola

    2017-10-01

    Extinction anxiety is the expression used to describe a pervasive and ever more realistic sense of futurelessness. A group emotion characterized by terror of the extinction of the human race, the family, or professional or shared cultural group, it grips the individual with a sense of desperation and impotence through the internal groups present in the mind of every individual. The contribution presented here aims to demonstrate how extinction anxiety has also infected psychoanalysts and psychoanalytic institutions, thereby seriously weakening the ethics of psychoanalysis. The term ethics here should not be confused with morals, but is intended as the happiness that is derived from the capacity to be responsible for one's self and one's own professional identity. The contagion of extinction anxiety has, in fact, accentuated the crisis of psychoanalysts and their faith in psychoanalysis. The author relates a particularly tormented clinical experience in order to show how only the relationship with psychoanalysis and its capacity to interpret the manifestations of the unconscious, enables the recognition of the effects of what he defines as a true invasion of reality, thus restoring to thought the power to establish a deep, transformative, and fecund relationship between internal and external reality. Copyright © 2016 Institute of Psychoanalysis.

  2. Investigating Trauma in Narrating World War I: A Psychoanalytical Reading of Pat Barker’s Regeneration

    Directory of Open Access Journals (Sweden)

    Bakhtiar Sadjadi

    2016-12-01

    Full Text Available The present paper seeks to critically read Pat Barker’s Regeneration in terms of Cathy Caruth’s psychoanalytic study of trauma. This analysis attempts to trace the concepts of latency, post-traumatic stress disorders, traumatic memory, and trauma in Barker’s novel in order to explore how trauma and history are interrelated in the narrative of past history and, particularly, in the history of World War I. The present paper also demonstrates how Barker’s novel Regeneration acts as the narrative of trauma that vocalizes the silenced history of shell-shocked soldiers of World War I to represent British society, the history that has been concealed due to social and individual factors. The study thus investigates the dissociative disorders which are experienced by traumatized survivors of World War I as the aftermath of traumatic experiences of wartime. In addition, it argues how time moves for the traumatized victim and how the notion of latency in terms of Caruth’s theory is traceable in Barker’s novel. In Regeneration, the traumatized survivors are haunted with traumatic memory of past history; furthermore, past history constantly disrupts their present and the victims are in continuous shift from present time to past time. Time thus loses its linearity in the narrative of traumatized survivors. Keywords: Latency, post-traumatic stress disorders, traumatic memory, trauma

  3. Aetiology of phenomenon of fair play in sport through psychoanalytic discourse

    Directory of Open Access Journals (Sweden)

    Roman Vodeb

    2003-12-01

    Full Text Available When discussing fair play, sports experts nowadays mostly talk about how to "be a sport" on a sport field. It means telling and preaching to athletes to obey all the written rules of sport's ethic and those not written as well. Here we want to explore the other meaning of the term "fair play". We want to really learn about it, because fair play certainly is a psychological category. Psychoanalytic logic teaches us that roots of fair play should be sought in the infantile period of child's development. It seems, that the events caused by the Oedipus complex and the building Superego have the most sufficient impact on someone's sports behavior. Theoretically speaking, fair play cannot be considered as something gained from culture - it is mainly a construct, a symptom of returning infantile repressions in the context of father as a sexual concurrent. "Turning to the opposite side" (reaction-formation is an ego-defense mechanism that in the etiology of fair play ought to be pointed out in particularly. As we are talking about men in sports, let us tell, it is the boy's relation towards his father at the time when he's arrogating the boy's mother to himself, the most crucial for feeling and performing fair play. Fantasies and repressions, which happened in the psychical reality of a child, have the main impact on fair play in sports as well as in other situations.

  4. Antigone’s Legacy: A Feminist psychoanalytic of an Other Sexual Difference

    Directory of Open Access Journals (Sweden)

    Sheila L. Cavanagh

    2017-08-01

    Full Text Available Much has been written about Antigone who buried her brother Polynices in Theban soil despite the prohibition issued by King Creon (her uncle in the Sophocles tragedy. In order to understand the magnitude of Antigone’s radical act in the play by the same name I engage the scholarship of Israeli feminist psychoanalytic scholar Bracha L. Ettinger. By engaging Ettinger’s theory of the Other (Feminine Sexual Difference, I consider how ways of being in the Feminine tap into the matrixial domain, thus expanding the bounds of what counts as subjective experience in psychoanalysis. I situate Ettinger’s theory of the matrixial in relation to Lacan’s analysis of Antigone in The Ethics of Psychoanalysis (Seminar VII. I also focus on Julia Kristeva’s concept of ‘debinding’ (2010 and Judith Butler’s (2002 writing on gender and kinship disorder in the tragedy. My objective is to build upon Ettinger’s analysis of Antigone to better understand how it is not death, exactly, that is at stake in the drama, but rather the status of the Feminine dimension in the Theban city-state. If Antigone’s transgression can be understood through a matrixial lens it behooves us as feminist scholars to more fully understand the affective landscape and maternal ethics of difference enacted in the play.

  5. Mourning, Memorials, and Religion: A Psychoanalytic Perspective on the Park51 Controversy

    Directory of Open Access Journals (Sweden)

    Nathan Carlin

    2011-06-01

    Full Text Available This article summarizes a version of the “mourning religion” thesis—derived from the work of Peter Homans and further developed and advanced by William Parsons, Diane Jonte-Pace, and Susan Henking—and then demonstrates how this thesis can shed light on the Park51 controversy. We argue that the Park51 controversy represents a case of incomplete cultural mourning of an aspect of American civil religion that manifests itself in melancholic rage by means of protests, threats to burn the Qur’an (as well as actual burnings of the Qur’an, and vandalism of mosques around the United States. We explore various losses—military, economic, and symbolic—and note that these losses remain ambiguous, therefore preventing closure and productive mourning. The fact that a permanent memorial still has not been built at Ground Zero reflects, and perhaps exacerbates, this incomplete cultural mourning. Also, the fact that Freedom Tower, the building to replace the Twin Towers, is to be 1776 feet tall reflects that the losses related to 9/11 are connected to American civil religion, as 1776 is a sacred year in American history. Setting aside the ethics and the politics related to this controversy, we attempt here to understand this controversy from a psychoanalytic perspective.

  6. A Stochastic Programming Approach with Improved Multi-Criteria Scenario-Based Solution Method for Sustainable Reverse Logistics Design of Waste Electrical and Electronic Equipment (WEEE

    Directory of Open Access Journals (Sweden)

    Hao Yu

    2016-12-01

    Full Text Available Today, the increased public concern about sustainable development and more stringent environmental regulations have become important driving forces for value recovery from end-of-life and end-of use products through reverse logistics. Waste electrical and electronic equipment (WEEE contains both valuable components that need to be recycled and hazardous substances that have to be properly treated or disposed of, so the design of a reverse logistics system for sustainable treatment of WEEE is of paramount importance. This paper presents a stochastic mixed integer programming model for designing and planning a generic multi-source, multi-echelon, capacitated, and sustainable reverse logistics network for WEEE management under uncertainty. The model takes into account both economic efficiency and environmental impacts in decision-making, and the environmental impacts are evaluated in terms of carbon emissions. A multi-criteria two-stage scenario-based solution method is employed and further developed in this study for generating the optimal solution for the stochastic optimization problem. The proposed model and solution method are validated through a numerical experiment and sensitivity analyses presented later in this paper, and an analysis of the results is also given to provide a deep managerial insight into the application of the proposed stochastic optimization model.

  7. Assessment of safety culture among job positions in high-rise construction: a hybrid fuzzy multi criteria decision-making (FMCDM) approach.

    Science.gov (United States)

    Ardeshir, A; Mohajeri, M

    2018-01-16

    The construction industry is known as one of the most dangerous industries, which not only requires sound operation of executive laws and regulations, but also necessitates the safety culture of all workers at workshops. Therefore, the aim of this research is to identify the factors of safety culture and ranking occupations in jobsites based on those factors in order to proactively improve the safety culture of construction projects and subsequently promote safety conditions and worksites. In this study, safety culture criteria are weighted by a combination of Fuzzy Decision Trail and Evaluation Laboratory and Fuzzy ANP methods. Next, different job positions in high-rise projects are ranked using the Fuzzy Technique for Order of Preference by Similarity to Ideal Solution method. Findings demonstrated that the project manager, site superintendent and supervisor occupations had the highest and labourers had the lowest level of safety culture in the high-rise construction industry. Furthermore, factors such as safety supervision and training must be considered more seriously in order to create a positive safety culture among workers.

  8. Stormwater Tank Performance: Design and Management Criteria for Capture Tanks Using a Continuous Simulation and a Semi-Probabilistic Analytical Approach

    Directory of Open Access Journals (Sweden)

    Flavio De Martino

    2013-10-01

    Full Text Available Stormwater tank performance significantly depends on management practices. This paper proposes a procedure to assess tank efficiency in terms of volume and pollutant concentration using four different capture tank management protocols. The comparison of the efficiency results reveals that, as expected, a combined bypass—stormwater tank system achieves better results than a tank alone. The management practices tested for the tank-only systems provide notably different efficiency results. The practice of immediately emptying after the end of the event exhibits significant levels of efficiency and operational advantages. All other configurations exhibit either significant operational problems or very low performances. The continuous simulation and semi-probabilistic approach for the best tank management practice are compared. The semi-probabilistic approach is based on a Weibull probabilistic model of the main characteristics of the rainfall process. Following this approach, efficiency indexes were established. The comparison with continuous simulations shows the reliability of the probabilistic approach even if this last is certainly very site sensitive.

  9. FHR Generic Design Criteria

    Energy Technology Data Exchange (ETDEWEB)

    Flanagan, G.F.; Holcomb, D.E.; Cetiner, S.M.

    2012-06-15

    The purpose of this document is to provide an initial, focused reference to the safety characteristics of and a licensing approach for Fluoride-Salt-Cooled High-Temperature Reactors (FHRs). The document does not contain details of particular reactor designs nor does it attempt to identify or classify either design basis or beyond design basis accidents. Further, this document is an initial attempt by a small set of subject matter experts to document the safety and licensing characteristics of FHRs for a larger audience. The document is intended to help in setting the safety and licensing research, development, and demonstration path forward. Input from a wider audience, further technical developments, and additional study will be required to develop a consensus position on the safety and licensing characteristics of FHRs. This document begins with a brief overview of the attributes of FHRs and then a general description of their anticipated safety performance. Following this, an overview of the US nuclear power plant approval process is provided that includes both test and power reactors, as well as the role of safety standards in the approval process. The document next describes a General Design Criteria (GDC)–based approach to licensing an FHR and provides an initial draft set of FHR GDCs. The document concludes with a description of a path forward toward developing an FHR safety standard that can support both a test and power reactor licensing process.

  10. FHR Generic Design Criteria

    Energy Technology Data Exchange (ETDEWEB)

    Flanagan, George F [ORNL; Holcomb, David Eugene [ORNL; Cetiner, Sacit M [ORNL

    2012-06-01

    The purpose of this document is to provide an initial, focused reference to the safety characteristics of and a licensing approach for Fluoride-Salt-Cooled High-Temperature Reactors (FHRs). The document does not contain details of particular reactor designs nor does it attempt to identify or classify either design basis or beyond design basis accidents. Further, this document is an initial attempt by a small set of subject matter experts to document the safety and licensing characteristics of FHRs for a larger audience. The document is intended to help in setting the safety and licensing research, development, and demonstration path forward. Input from a wider audience, further technical developments, and additional study will be required to develop a consensus position on the safety and licensing characteristics of FHRs. This document begins with a brief overview of the attributes of FHRs and then a general description of their anticipated safety performance. Following this, an overview of the US nuclear power plant approval process is provided that includes both test and power reactors, as well as the role of safety standards in the approval process. The document next describes a General Design Criteria (GDC) - based approach to licensing an FHR and provides an initial draft set of FHR GDCs. The document concludes with a description of a path forward toward developing an FHR safety standard that can support both a test and power reactor licensing process.

  11. Integration of environmental and human health risk assessment for industries using hazardous materials: a quantitative multi criteria approach for environmental decision makers.

    Science.gov (United States)

    Topuz, E; Talinli, I; Aydin, E

    2011-02-01

    Environmental management, for which environmental and human health risk assessment is the first stage, is a requirement for industries both before construction and during operation in order to sustain improved quality of life in the ecosystem. Therefore, the aim of this study is to propose an approach that integrates environmental and human health risk assessment for industries using hazardous materials in order to support environmental decision makers with quantitative and directive results. Analytic hierarchy process and fuzzy logic are used as tools to handle problems caused by complexity of environment and uncertain data. When the proposed approach is implemented to a scenario, it was concluded that it is possible to define risk sources with their risk classes and related membership degrees in that classes which enable the decision maker to decide which risk source has priority. In addition, they can easily point out and rank the factors contributing those risk sources owing to priority weights of them. As a result, environmental decision makers can use this approach while they are developing management alternatives for unfounded and on-going industrial plants using hazardous materials. Copyright © 2010 Elsevier Ltd. All rights reserved.

  12. Hybrid multiple criteria decision-making methods

    DEFF Research Database (Denmark)

    Zavadskas, Edmundas Kazimieras; Govindan, K.; Antucheviciene, Jurgita

    2016-01-01

    Formal decision-making methods can be used to help improve the overall sustainability of industries and organisations. Recently, there has been a great proliferation of works aggregating sustainability criteria by using diverse multiple criteria decision-making (MCDM) techniques. A number of review...... the advantages of hybrid approaches over individual methods, and we conclude that they can assist decision-makers in handling information such as stakeholders' preferences, interconnected or contradictory criteria, and uncertain environments. The main contribution of this work is identifying hybrid approaches...... as improvements for decision-making related to sustainability issues, while also promoting future application of the approaches....

  13. Sample quality criteria.

    Science.gov (United States)

    Ramsey, Charles A; Wagner, Claas

    2015-01-01

    The concept of Sample Quality Criteria (SQC) is the initial step in the scientific approach to representative sampling. It includes the establishment of sampling objectives, Decision Unit (DU), and confidence. Once fully defined, these criteria serve as input, in addition to material properties, to the Theory of Sampling for developing a representative sampling protocol. The first component of the SQC establishes these questions: What is the analyte(s) of concern? What is the concentration level of interest of the analyte(s)? How will inference(s) be made from the analytical data to the DU? The second component of the SQC establishes the DU, i.e., the scale at which decisions are to be made. On a large scale, a DU could be a ship or rail car; examples for small-scale DUs are individual beans, seeds, or kernels. A well-defined DU is critical because it defines the spatial and temporal boundaries of sample collection. SQC are not limited to a single DU; they can also include multiple DUs. The third SQC component, the confidence, establishes the desired probability that a correct inference (decision) can be made. The confidence level should typically correlate to the potential consequences of an incorrect decision (e.g., health or economic). The magnitude of combined errors in the sampling, sample processing and analytical protocols determines the likelihood of an incorrect decision. Thus, controlling error to a greater extent increases the probability of a correct decision. The required confidence level directly affects the sampling effort and QC measures.

  14. THE ANALYSIS OF RELATIONSHIP BETWEEN MOTHER AND CHILD AND ITS IMPACT ON THE FORMATION OF GENDER STEREOTYPES IN THE CONTEXT OF PSYCHOANALYTIC FEMINISM

    Directory of Open Access Journals (Sweden)

    L. Bulanova-Duvalko

    2014-12-01

    Full Text Available The purpose. The article analyzes the influence of the experience of motherhood on formation steady sexual arrangements and stereotypical models of femininity and masculinity in society in the context of the psychoanalytic feminism. In particular, the importance of philosophical analysis of mother-child interrelations as the subjects of motherhood experience facilitates the understanding of mechanisms for construction and reproduction of the sexual arrangements and stereotyped gender roles is covered. Moreover, the influence of separation and individuation processes in the mother-child interrelations on the reproduction of patriarchy in social relations is considered. Research methodology. The basis of the research is a methodology of the psychoanalytic feminism as well as content analysis and a systematic method. Scientific novelty of the research lies in studying and systematizing the key theses of stereotypical manifestations of femininity theoretical substantiation from the perspective of psychoanalytic feminism that had not been presented within the national scientific thought. The research handles the following tasks: 1to define the main directions of polemics of the psychoanalytic feminism and psychoanalytic concepts of Sigmund Freud and Jacques Laca; 2 to highlight the major spheres of the psychoanalytic feminism scientific interest;3 to consider the features of theory about the influence of the human psyche development during the pre-oedipal stage on producing the constant sexual arrangements in the perspective of the Anglo-American tradition of the psychoanalytic feminism; 4 to describe the main aspects of the theory about constructing femininity in the French feminism studies; 5 to analyze different ways to overcome the patriarchal symbolic order suggested by the psychoanalytic feminism. Conclusions. The research found that despite the adherence to a particular psychoanalytic theory the scholars agree that the pre-oedipal stage of

  15. On decoding and rewriting genomes: a psychoanalytical reading of a scientific revolution.

    Science.gov (United States)

    Zwart, Hub

    2012-08-01

    In various documents the view emerges that contemporary biotechnosciences are currently experiencing a scientific revolution: a massive increase of pace, scale and scope. A significant part of the research endeavours involved in this scientific upheaval is devoted to understanding and, if possible, ameliorating humankind: from our genomes up to our bodies and brains. New developments in contemporary technosciences, such as synthetic biology and other genomics and "post-genomics" fields, tend to blur the distinctions between prevention, therapy and enhancement. An important dimension of this development is "biomimesis": i.e. the tendency of novel technologies and materials to mimic or plagiarize nature on a molecular and microscopic level in order to optimise prospects for the embedding of technological artefacts in natural systems such as human bodies and brains. In this paper, these developments are read and assessed from a psychoanalytical perspective. Three key concepts from psychoanalysis are used to come to terms with what is happening in research laboratories today. After assessing the general profile of the current revolution in this manner, I will focus on a particular case study, a line of research that may serve as exemplification of the vicissitudes of contemporary technosciences, namely viral biomaterials. Viral life forms can be genetically modified (their genomes can be rewritten) in such a manner that they may be inserted in human bodies in order to produce substances at specific sites such as hormones (testosterone), neurotransmitters (dopamine), enzymes (insulin) or bone and muscle tissue. Notably, certain target groups such as top athletes, soldiers or patients suffering from degenerative diseases may become the pioneers serving as research subjects for novel applications. The same technologies can be used for various purposes ranging from therapy up to prevention and enhancement.

  16. The War on Women in Psychoanalytic Theory Building: Past to Present.

    Science.gov (United States)

    Balsam, Rosemary H

    2015-01-01

    Psychoanalysis has both waged "hot" war on women overtly and "cold" war covertly over the years by colluding with cultural stereotypes offered as "theory," starting with Freud and his Viennese circle. True freedom of thinking, however, broke through in Freud's originality even then, and from time to time subsequently in the history of the movement only to keep retreating. Fritz Wittels's thesis on the "Child Woman" will exemplify Horneys (1924, 1926, 1933) and Jones's (1927) grounds for engaging in the "hot war" in the 1920s and challenging the unselfconscious inbuilt denigration of women. This skirmish had little impact, however, in the New World up till the 1970s. In the aftermath of the second wave of feminism, there were (and are) bursts of new thought about sex and gender that remain fragmented and unintegrated into general acceptance. The contemporary situation has been more like a "cold" war waged by ennui in the field. A sexed and agendered theories of mind as a "no man's land" absorb an intense focus away from the sexual and gender specificities that were alive, contentious, and unresolved in Freud's libido theory. The third sociocultural wave of feminism, since the 1990s, has refocused vitality on individuality, race, and varieties of sexual identity. I identify the latter as the psychoanalytic space for a potential renewed interest in theorizing the female body within heterosexual, homosexual, queer, or transgendered individuals. The "wars" have shown how fruitless for peace and new discovery is the compulsive (but still common) close comparison between males and females developmentally. Female development is as fresh and unsettled a theoretical question as it once was with Freud.

  17. Instituições psicanalíticas: uma política de avestruz? Psychoanalytical Institutions: ostrich politics?

    Directory of Open Access Journals (Sweden)

    Paulina Schmidtbauer Rocha

    2000-12-01

    Full Text Available Este trabalho aponta questões que consideramos fundamentais para a constituição de instituições psicanalíticas mais democráticas e fraternas, capazes de sustentar a vocação crítica da psicanálise e sua marca de subversão em prol da humanidade. Refletimos sobre suas marcas históricas e seus desdobramentos políticos, destacando que não se trata mais de colocar a instituição como um mal necessário para a formação e transmissão da psicanálise. É necessário, ao contrário, vê-la como uma das possíveis escolhas para pensar o homem e suas circunstâncias na contemporaneidade. O que, por sua vez, implica em responsabilidades indelegáveis de cada um que se reconhece como psicanalista e quer pertencer à pólis psicanalítica.This paper points to questions considered fundamental for the constitution of more democratic and fraternal psychoanalytical institutions. These should be capable of preserving the critical vocation of psychoanalysis as well as its subversive character on behalf of humanity. The author reflects on the historical marks and political developments of the psychoanalytical institution, emphasizing that it should no longer be seen as a necessary evil for training psychoanalysts and transmitting psychoanalysis. Rather, it should be considered as one of several possible alternatives for thinking about man and his contemporary circumstances. This in turn implies non-delegable responsibilities that must be acknowledged by all psychoanalysts who wish to belong to the psychoanalytical polis.

  18. German students' current choice of profession in the field of psychotherapy: Reasons for or against engaging in psychoanalytic training.

    Science.gov (United States)

    Lebiger-Vogel, Judith

    2016-04-01

    The psychoanalytic societies in Germany as in many other countries are concerned by a decline in the number of candidates for full psychoanalytic training. While this situation is partly attributable to changes both in society and in educational and healthcare systems, it is questionable whether psychoanalytic training institutions have yet found adequate responses to it. Under the banner of 'evidence-based treatment', behaviour therapy has come to be widely disseminated, with major implications for the teaching of different psychotherapy paradigms at universities. To investigate the determinants of this trend in the specific German situation, a large-scale, multi-method exploratory study supported by IPA's DPPT programme was undertaken, focusing on the reasons given by a population (N = 679) of German psychology, medical, and education students for embarking on training in psychoanalysis or behaviour therapy. The results suggest that behaviour therapy is more compatible with the prevailing scientific understanding and with current societal and cultural trends, owing in part to inadequacies or bias in university teaching of the various paradigms of psychotherapy. While most of the psychology students expressed a preference for behavioural training, the psychotherapy option proved less attractive for their counterparts in the fields of medicine and education. Semi-standardized qualitative interviews were used to gain a deeper understanding of the students' decisions for or against training in a specific paradigm, and led to the identification of seven decision-making prototypes. Possible reasons for the students' decisions are discussed, and concrete proposals and recommendations are presented. Copyright © 2016 Institute of Psychoanalysis.

  19. Hierarchical Recursive Organization and the Free Energy Principle: From Biological Self-Organization to the Psychoanalytic Mind

    Directory of Open Access Journals (Sweden)

    Patrick Connolly

    2017-09-01

    Full Text Available The present paper argues that a systems theory epistemology (and particularly the notion of hierarchical recursive organization provides the critical theoretical context within which the significance of Friston's (2010a Free Energy Principle (FEP for both evolution and psychoanalysis is best understood. Within this perspective, the FEP occupies a particular level of the hierarchical organization of the organism, which is the level of biological self-organization. This form of biological self-organization is in turn understood as foundational and pervasive to the higher levels of organization of the human organism that are of interest to both neuroscience as well as psychoanalysis. Consequently, central psychoanalytic claims should be restated, in order to be located in their proper place within a hierarchical recursive organization of the (situated organism. In light of the FEP the realization of the psychoanalytic mind by the brain should be seen in terms of the evolution of different levels of systematic organization where the concepts of psychoanalysis describe a level of hierarchical recursive organization superordinate to that of biological self-organization and the FEP. The implication of this formulation is that while “psychoanalytic” mental processes are fundamentally subject to the FEP, they nonetheless also add their own principles of process over and above that of the FEP. A model found in Grobbelaar (1989 offers a recursive bottom-up description of the self-organization of the psychoanalytic ego as dependent on the organization of language (and affect, which is itself founded upon the tendency toward autopoiesis (self-making within the organism, which is in turn described as formally similar to the FEP. Meaningful consilience between Grobbelaar's model and the hierarchical recursive description available in Friston's (2010a theory is described. The paper concludes that the valuable contribution of the FEP to psychoanalysis

  20. A psychoanalytic understanding of the desire for knowledge as reflected in Freud's Leonardo da Vinci and a memory of his childhood.

    Science.gov (United States)

    Blass, Rachel B

    2006-10-01

    The author offers an understanding of the psychoanalytic notion of the desire for knowledge and the possibility of attaining it as it fi nds expression in Freud's Leonardo da Vinci and a memory of his childhood. This understanding has not been explicitly articulated by Freud but may be considered integral to psychoanalysis' Weltanschauung as shaped by Freud's legacy. It emerges through an attempt to explain basic shifts, contradictions, inconsistencies and tensions that become apparent from a close reading of the text of Leonardo. Articulating this implicit understanding of knowledge provides the grounds for a stance on epistemology that is integral to psychoanalysis and relevant to contemporary psychoanalytic concerns on this topic. This epistemology focuses on the necessary involvement of passion, rather than detachment, in the search for knowledge and views the psychoanalytic aim of self-knowledge as a derivative, and most immediate expression, of a broader and more basic human drive to know.

  1. Involving self-help groups in health-care institutions: the patients' contribution to and their view of 'self-help friendliness' as an approach to implement quality criteria of sustainable co-operation.

    Science.gov (United States)

    Nickel, Stefan; Trojan, Alf; Kofahl, Christopher

    2017-04-01

    The importance of patient participation and involvement is now widely acknowledged; in the past, few systematic health-care institution policies existed to establish sustainable co-operation. In 2004, in Germany, the initiative 'Self-Help Friendliness (SHF) and Patient-Centeredness in Health Care' was launched to establish and implement quality criteria related to collaboration with patient groups. The objective of this study was to describe (i) how patients were involved in the development of SHF by summarizing a number of studies and (ii) a new survey on the importance and feasibility of SHF. In a series of participative studies, SHF was shaped, tested and implemented in 40 health-care institutions in Germany. Representatives from 157 self-help groups (SHGs), 50 self-help organizations and 17 self-help clearing houses were actively involved. The second objective was reached through a survey of 74 of the 115 member associations of the biggest self-help umbrella organization at federal level (response rate: 64 %). Patient involvement included the following: identification of the needs and wishes of SHGs regarding co-operation, their involvement in the definition of quality criteria of co-operation, having a crucial role during the implementation of SHF and accrediting health-care institutions as self-help friendly. The ten criteria in total were positively valued and perceived as moderately practicable. Through the intensive involvement of self-help representatives, it was feasible to develop SHF as a systematic approach to closer collaboration of professionals and SHGs. Some challenges have to be taken into account involving patients and the limitations of our empirical study. © 2016 The Authors. Health Expectations published by John Wiley & Sons Ltd.

  2. Double injection/single detection asymmetric flow injection manifold for spectrophotometric determination of ascorbic acid and uric acid: Selection the optimal conditions by MCDM approach based on different criteria weighting methods

    Science.gov (United States)

    Boroumand, Samira; Chamjangali, Mansour Arab; Bagherian, Ghadamali

    2017-03-01

    A simple and sensitive double injection/single detector flow injection analysis (FIA) method is proposed for the simultaneous kinetic determination of ascorbic acid (AA) and uric acid (UA). This method is based upon the difference between the rates of the AA and UA reactions with Fe3 + in the presence of 1, 10-phenanthroline (phen). The absorbance of Fe2 +/1, 10-phenanthroline (Fe-phen) complex obtained as the product was measured spectrophotometrically at 510 nm. To reach a good accuracy in the differential kinetic determination via the mathematical manipulations of the transient signals, different criteria were considered in the selection of the optimum conditions. The multi criteria decision making (MCDM) approach was applied for the selection of the optimum conditions. The importance weights of the evaluation criteria were determined using the analytic hierarchy process, entropy method, and compromised weighting (CW). The experimental conditions (alternatives) were ranked by the technique for order preference by similarity to an ideal solution. Under the selected optimum conditions, the obtained analytical signals were linear in the ranges of 0.50-5.00 and 0.50-4.00 mg L- 1 for AA and UA, respectively. The 3σ detection limits were 0.07 mg L- 1 for AA and 0.12 mg L- 1 for UA. The relative standard deviations for four replicate determinations of AA and UA were 2.03% and 3.30% respectively. The method was also applied for the analysis of analytes in the blood serum, Vitamine C tablets, and tap water with satisfactory results.

  3. Utilization of International Association of Diabetes and Pregnancy Study Groups criteria vs. a two-step approach to screening for gestational diabetes mellitus in Chinese women with twin pregnancies.

    Science.gov (United States)

    Liu, X; Chen, Y; Zhou, Q; Shi, H; Cheng, W W

    2015-03-01

    To evaluate prevalence and pregnancy outcomes using the International Association of Diabetes and Pregnancy Study Groups (IADPSG) criteria and screening protocol vs. a standard two-step screening approach for gestational diabetes mellitus in Chinese twin pregnancies. A retrospective cohort study for pregnancies during 2007-2013 was performed in a tertiary hospital in Shanghai, China. Data were abstracted from the medical records of twin pregnancies delivered at the hospital. During the period 2007-2011, this hospital used a two-step approach with a 50 g screening with a cut-off value of ≥ 7.8 mmol/l followed by a 100 g diagnostic oral glucose tolerance test (OGTT) utilizing Carpenter-Coustan criteria. In 2012-2013, the hospital switched to the IADPSG protocol of universal 75 g OGTT. Among 1461 twin pregnancies, 643 were screened utilizing IADPSG criteria and 818 using the two-step protocol. Gestational diabetes mellitus was diagnosed more frequently in the IADPSG group than in the two-step group [20.4% and 7.0%, respectively; adjusted odds ratio (aOR) = 3.22; 95% confidence interval (CI) = 2.30-4.52]. During the IADPSG period, the incidence of pre-eclampsia was 38% lower in non-gestational diabetes mellitus affected pregnancies compared with the two-step period (aOR = 0.62; 95% CI = 0.44-0.87). We observed no significant differences in most perinatal outcomes between the two groups. Compared with a standard two-step approach to screening and diagnosis, the IADPSG screening method resulted in a three-fold increase in the incidence of gestational diabetes mellitus in twin pregnancies, with a 38% lower risk of pre-eclampsia but no significant difference in most perinatal outcomes in non-gestational diabetes mellitus affected pregnancies. © 2014 The Authors. Diabetic Medicine © 2014 Diabetes UK.

  4. Weighting Performance Evaluation Criteria Base in Balanced Score Card Approach with Use of Combination Method Shapley value & Bull\\'s-eye

    Directory of Open Access Journals (Sweden)

    Mohammad Hassan Kamfiroozi

    2014-05-01

    Full Text Available Performance evaluation as a control tool was considered by managers in the organizations and manufactures. In this paper we decide to present a new model for performance evaluation and industrial companies ranking at uncertain conditions. Based on this, we implemented performance evaluation based on balance score card (BSC method. Beside, we tried to use three parameter interval grey numbers in lieu of linguistic variables. Then evaluation and weighting of fourth indicators is done with use of Bulls-eye-Shapley combination method that is counted as new approach in this article. Reason of utilization of three parameter interval grey numbers and combination method was decreasing of environmental uncertainty on data and model. This combination weighting method can be used as a new method in decision making Science. At final of this paper case study was implemented on industrial companies (nail makers that ranking of these companies is obtained by use of grey-TOPSIS method (that is a generalization of classic TOPSIS for three parameter interval grey numbers.

  5. Biological Water Quality Criteria

    Science.gov (United States)

    Page contains links to Technical Documents pertaining to Biological Water Quality Criteria, including, technical assistance documents for states, tribes and territories, program overviews, and case studies.

  6. The challenge of professional identity for Chinese clinicians in the process of learning and practicing psychoanalytic psychotherapy: the discussion on the frame of Chinese culture.

    Science.gov (United States)

    Yang, Yunping

    2011-06-01

    One important element in psychoanalysis, which is derived from Western culture, is individualization: the independency and autonomy of an individual are highly valued. However, one of the significant essences in Chinese culture is that the collective interests transcend the individual interests and the interests of social groups are more important than those of families. Therefore, when learning and practicing psychoanalytic psychotherapy, Chinese clinicians inevitably experience conflicts derived from this difference of cultural values. This article attempts to use a historical perspective to discuss the current challenges of professional identity for Chinese clinicians learning and practicing psychoanalytic psychotherapy and psychoanalysis. Copyright © 2011 Institute of Psychoanalysis.

  7. Dual Criteria Decisions

    DEFF Research Database (Denmark)

    Andersen, Steffen; Harrison, Glenn W.; Lau, Morten Igel

    2014-01-01

    The most popular models of decision making use a single criterion to evaluate projects or lotteries. However, decision makers may actually consider multiple criteria when evaluating projects. We consider a dual criteria model from psychology. This model integrates the familiar tradeoffs between...

  8. Plutonium storage criteria

    Energy Technology Data Exchange (ETDEWEB)

    Chung, D. [Scientech, Inc., Germantown, MD (United States); Ascanio, X. [Dept. of Energy, Germantown, MD (United States)

    1996-05-01

    The Department of Energy has issued a technical standard for long-term (>50 years) storage and will soon issue a criteria document for interim (<20 years) storage of plutonium materials. The long-term technical standard, {open_quotes}Criteria for Safe Storage of Plutonium Metals and Oxides,{close_quotes} addresses the requirements for storing metals and oxides with greater than 50 wt % plutonium. It calls for a standardized package that meets both off-site transportation requirements, as well as remote handling requirements from future storage facilities. The interim criteria document, {open_quotes}Criteria for Interim Safe Storage of Plutonium-Bearing Solid Materials{close_quotes}, addresses requirements for storing materials with less than 50 wt% plutonium. The interim criteria document assumes the materials will be stored on existing sites, and existing facilities and equipment will be used for repackaging to improve the margin of safety.

  9. Green Supplier Selection Criteria

    DEFF Research Database (Denmark)

    Nielsen, Izabela Ewa; Banaeian, Narges; Golinska, Paulina

    2014-01-01

    Green supplier selection (GSS) criteria arise from an organization inclination to respond to any existing trends in environmental issues related to business management and processes, so GSS is integrating environmental thinking into conventional supplier selection. This research is designed...... to determine prevalent general and environmental supplier selection criteria and develop a framework which can help decision makers to determine and prioritize suitable green supplier selection criteria (general and environmental). In this research we considered several parameters (evaluation objectives......) to establish suitable criteria for GSS such as their production type, requirements, policy and objectives instead of applying common criteria. At first a comprehensive and deep review on prevalent and green supplier selection literatures performed. Then several evaluation objectives defined to assess the green...

  10. [Psychoanalytic psychotherapy and the ADHD-triad (impulsivity, hyperactivity and attention deficit disorder)].

    Science.gov (United States)

    Bürgin, Dieter; Steck, Barbara

    2007-01-01

    A brief survey of the psychoanalytically oriented literature regarding the symptom triad of ADHD is followed by the discussion of frequently found disturbances in infantile development, attachment, object relations (regulation of drives and affects, ego functions) of the role of infantile trauma (object loss) and psychic conflict. In the analytic-psychotherapeutic process with a child, the ADHD-symptom-triad may manifest itself e.g. as intrapsychic conflict on the level of the self-representation or of the representation of central self-object-relations (characterized by an insufficient containing-/holding-function), as impairment of self-regulative functions, as inconsistent symbolizing capacity or as deficient regulating and controlling capacity of the ego. The multitude of factors involved does not allow a generalisation of neither the etiology or the pathogenesis of this symptom triad. This is particularly evident in a therapeutic procedure which is relation oriented. In a first interview the authors illustrate the capacity of a ten year old boy (diagnosed as ADHD patient) to make use of the analytic therapeutic dialogue and to present his intrapsychic experiences and problems in a figurative and narrative performance. Finally some specific technical features of low or high frequent analytic psychotherapy with ADHD children are shown: according to the foremost pregenital form of relations--manifested mostly by intensive self esteem problems, narcissistic aggressiveness and motor impulsivity--the transference and counter-transference movements proceed predominantly by projective and introjective identifications. Containment of the difficulties by the therapist is often paralleled for a long period of time by assistance in regulation and by limit setting for the child. Translation of action into language and transformation of intrapsychic processes within the psyche of the therapist into helpful interventions for the child require a continuous adjustment to the

  11. Opening to the otherwise: The discipline of listening and the necessity of free-association for psychoanalytic praxis.

    Science.gov (United States)

    Barratt, Barnaby B

    2017-02-01

    It is argued that only free-association methodically opens the discourse of self-consciousness (the representations available to reflective awareness) to the voicing of the repressed. The method is key to Freud's originality and the sine qua non of any genuinely psychoanalytic process. Clinical procedures which do not prioritize a steadfast and ongoing commitment to this method (instead emphasizing either interpretative formulations, as decisive acts that appear to fix and finalize the meaning of a particular lived experience, or the vicissitudes of transference-countertransference in the immediate treatment situation) all too readily entrap the treatment, limiting its capacity to divulge the power of unconscious processes. Influenced by Laplanche, Freud's 1920 principles of lifefulness and deathfulness (the binding and unbinding of psychic energy in representations) facilitate an understanding of the unique significance of free-associative discourse in opening the representational textuality of self-consciousness to the voicing of that which is otherwise than representationality and reason. The 'otherwise' is intimated as the returning force of the repressed, as the 'unfathomable navel' of 'thing-presentations,' experienced and expressed within the text of awareness, yet not translatable into the law and order of its logical and rhetorical reflections. Free-associative discourse thus affects self-consciousness in a way that is radically different from other creative procedures ('psychosynthetic' or integratively interpretive). In this respect, the status of free-associative praxis as necessary for a genuinely psychoanalytic process is justified. Copyright © 2016 Institute of Psychoanalysis.

  12. 'For Beauty is nothing but the barely endurable onset of Terror': Outline of a general psychoanalytic aesthetics.

    Science.gov (United States)

    Leikert, Sebastian

    2017-06-01

    Even close to 80 years after Freud's words that psychoanalysis "has scarcely anything to say about beauty" (Freud, Civilization and its Discontents, SE 21, p. 82) the question of a specific psychoanalytic aesthetic is still faced with a deficit in theory. Since aesthetics is related to Aisthesis, the Greek word for 'perception', a psychoanalytic aesthetic can solely emerge from a psychoanalysis of perceptive structures. The term 'kinaesthetic semantic' is introduced in order to exemplify via music how perceptive experiences must be structured for them to be experienced as beautiful. The basic mechanisms - repetition of form (rhythm, unification) and seduction (deviation, surprise) - are defined. With the help of these mechanisms an intensive contact between perceiving object and kinetic subject, the physical self, is established. The intensive relatedness is a requirement for the creative process in art and also for psychic growth on the subject's level. The described basic mechanisms of the aesthetic process in music can also be encountered in painting and poetry. By the means of a self-portrait by Bacon it will be examined how, in art, terror and traumatization are represented via targeted disorganization of beauty endowing mechanisms, hence finding an enabling form of confrontation and integration of fended contents. Copyright © 2017 Institute of Psychoanalysis.

  13. Fire protection design criteria

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-03-01

    This Standard provides supplemental fire protection guidance applicable to the design and construction of DOE facilities and site features (such as water distribution systems) that are also provided for fire protection. It is intended to be used in conjunction with the applicable building code, national Fire Protection Association Codes and Standards, and any other applicable DOE construction criteria. This Standard, along with other delineated criteria, constitutes the basic criteria for satisfying DOE fire and life safety objectives for the design and construction or renovation of DOE facilities.

  14. Four Criteria for Design Theories

    Directory of Open Access Journals (Sweden)

    Peter Hodges

    Full Text Available The goal of this paper is to demonstrate that the adoption of the four criteria we outline will strengthen future design theories and encourage existing design theories to expand or reconfigure in useful directions. We propose four criteria for design theory creation and evaluation. These are (1 the theory should have substantial design applications, and be applicable to any topic; (2 the theory should use propositions—if-then language—as a way of describing, explaining, and predicting actual and existing aspects of designing; (3 where appropriate, a new theory should accept and adopt propositions and language contained in other design theories; and (4 the theory should accommodate, or at least acknowledge, generative activity. We are not proposing a new general design theory—this paper outlines a strong approach to studying and building theory. Please also note that this essay does not pretend to exhaust a topic that has been discussed for at least the last 50 years.

  15. Multimodal freight investment criteria.

    Science.gov (United States)

    2010-07-01

    Literature was reviewed on multi-modal investment criteria for freight projects, examining measures and techniques for quantifying project benefits and costs, as well as ways to describe the economic importance of freight transportation. : A limited ...

  16. Aquatic Life Criteria - Copper

    Science.gov (United States)

    Documents pertain to Aquatic Life Ambient Water Quality criteria for Copper (2007 Freshwater, 2016 Estuarine/marine). These documents contain the safe levels of Copper in water that should protect to the majority of species.

  17. Water Quality Criteria

    Science.gov (United States)

    EPA develops water quality criteria based on the latest scientific knowledge to protect human health and aquatic life. This information serves as guidance to states and tribes in adopting water quality standards.

  18. Integrated Criteria Document Chromium

    OpenAIRE

    Slooff W; Cleven RFMJ; Janus JA; van der Poel P; van Beelen P; Boumans LJM; Canton JH; Eerens HC; Krajnc EI; de Leeuw FAAM; Matthijsen AJCM; van de Meent D; van der Meulen A; Mohn GR; Wijland GC

    1990-01-01

    Betreft de engelse versie van rapport 758701001
    Bij dit rapport behoort een appendix onder hetzelfde nummer getiteld: "Integrated Criteria Document Chromium: Effects" Auteurs: Janus JA; Krajnc EI
    (appendix: see 710401002A)

  19. The conversation group: using group psychoanalytic techniques to resolve resistances of recently immigrated Chinese students to learning English in a high school setting.

    Science.gov (United States)

    Zaretsky, Sheila

    2009-07-01

    Does group psychoanalytic theory and technique have an application in an ordinary high school classroom? In this article, the writer describes a research project in which she attempts to answer this question by applying the techniques with a group of recently immigrated Chinese students who wished to improve their spoken English.

  20. Snell Envelope with Small Probability Criteria

    Energy Technology Data Exchange (ETDEWEB)

    Del Moral, Pierre, E-mail: Pierre.Del-Moral@inria.fr; Hu, Peng, E-mail: Peng.Hu@inria.fr [Universite de Bordeaux I, Centre INRIA Bordeaux et Sud-Ouest and Institut de Mathematiques de Bordeaux (France); Oudjane, Nadia, E-mail: Nadia.Oudjane@edf.fr [EDF R and D Clamart (France)

    2012-12-15

    We present a new algorithm to compute the Snell envelope in the specific case where the criteria to optimize is associated with a small probability or a rare event. This new approach combines the Stochastic Mesh approach of Broadie and Glasserman with a particle approximation scheme based on a specific change of measure designed to concentrate the computational effort in regions pointed out by the criteria. The theoretical analysis of this new algorithm provides non asymptotic convergence estimates. Finally, the numerical tests confirm the practical interest of this approach.

  1. From somatic pain to psychic pain: The body in the psychoanalytic field.

    Science.gov (United States)

    Hartung, Thomas; Steinbrecher, Michael

    2017-03-24

    The integration of psyche and soma begins with a baby's earliest contact with his or her parents. With the help of maternal empathy and reverie, β-elements are transformed into α-elements. While we understand this to be the case, we would like to enquire what actually happens to those parts of the affect which have not been transformed? For the most part they may be dealt with by evacuation, but they can also remain within the body, subsequently contributing to psychosomatic symptoms. This paper describes how the body serves as an intermediate store between the psychic (inner) and outer reality. The authors focuses on the unconscious communicative process between the analyst and the analysand, and in particular on how psychosomatic symptoms can spread to the analyst's body. The latter may become sensitive to the analysand's psychosomatic symptoms in order to better understand the psychoanalytical process. Sensory processes (visual and auditory) and psychic mechanisms such as projective identification can serve as a means for this communication. One of the first analysts to deal with this topic was Wilhelm Reich. He described one kind of psychosomatic defence like a shell, the character armour, comparing the armour formed by muscle tension with another, more psychical type of armour. This concept can be linked to Winnicott's contribution of the false self and later on to Feldman's concept of compliance as a defence. The authors links further details of the clinical material with theoretical concepts from Joyce McDougall, Piera Aulagnier, and Ricardo Rodulfo and Marilia Aisenstein. With the aid of the complex concept of projective identification, as described by Heinz Weiss, the authors discusses the important question of how the analyst gets in touch with the patient's current psychosomatic state, and describes a specific communication between the body of the psychoanalyst and the body of the patient. A vignette illustrates in greater detail the relationship

  2. Sediment quality criteria: A review with recommendations for developing criteria for the Hanford Site

    Energy Technology Data Exchange (ETDEWEB)

    Driver, C.J.

    1994-05-01

    Criteria for determining the quality of liver sediment are necessary to ensure that concentrations of contaminants in aquatic systems are within acceptable limits for the protection of aquatic and human life. Such criteria should facilitate decision-making about remediation, handling, and disposal of contaminants. Several approaches to the development of sediment quality criteria (SQC) have been described and include both descriptive and numerical methods. However, no single method measures all impacts at all times to all organisms (U.S. EPA 1992b). The U.S. EPA`s interest is primarily in establishing chemically based, numerical SQC that are applicable nation-wide (Shea 1988). Of the approaches proposed for SQC development, only three are being considered for numerical SQC on a national level. These approaches include an Equilibrium Partitioning Approach, a site-specific method using bioassays (the Apparent Effects Threshold Approach), and an approach similar to EPA`s water quality criteria (Pavlou and Weston 1984). Although national (or even regional) criteria address a number of political, litigative, and engineering needs, some researchers feel that protection of benthic communities require site-specific, biologically based criteria (Baudo et al. 1990). This is particularly true for areas where complex mixtures of contaminants are present in sediments. Other scientifically valid and accepted procedures for freshwater SQC include a background concentration approach, methods using field or spiked bioassays, a screening level concentration approach, the Apparent Effects Threshold Approach, the Sediment Quality Triad, the International Joint Commission Sediment Assessment Strategy, and the National Status and Trends Program Approach. The various sediment assessment approaches are evaluated for application to the Hanford Reach and recommendations for Hanford Site sediment quality criteria are discussed.

  3. Produção científica no contexto psicanalítico (2002-2009 Scientific production in the psychoanalytic context (2002-2009

    Directory of Open Access Journals (Sweden)

    Rosane Zétola Lustoza

    2010-08-01

    Full Text Available Esta pesquisa teve por objetivo analisar a produção científica no contexto psicanalítico em 229 artigos (2002 a 2009, seis periódicos científicos indexados. A análise baseou-se em alguns critérios da metaciência, a saber, autoria, temática, discurso e análise dos tipos de recursos. Os resultados evidenciaram que em alguns periódicos há maior concentração de publicações sobre a temática, acentuada nos últimos anos. A participação feminina foi predominante na autoria dos artigos, e detectou-se ampla diversificação nos propósitos e contextos nos quais a psicanálise tem sido aplicada. Conclui-se que a produção divulgada no período revela o amadurecimento da área, mas aponta para alguns aspectos que poderão ser mais explorados em futuras publicações. Sugere-se que outros estudos similares sejam realizados, visando monitorar a expansão da área no Brasil.This paper analyzes the scientific production in the psychoanalytic context published in 229 articles (2002 to 2009 from six scientific indexed periodicals. The analysis was carried out according to some metascientific criteria such as: authorship, thematic, discourse, and exam of the different types of resources. Results evinced not only a greater concentration of publications regarding psychoanalysis in certain journals, but also an increase of these types of studies recently. It was also found that most of the authors were females and the psychoanalysis were used both in a variety of contexts and with diverse purposes. It was concluded that the divulged production in the period reveals the matureness of the area, but points out some aspects that might be explored in future publications. It is recommended that similar studies be conducted in order to better monitor the expanding area in Brazil.

  4. Criteria for Environmentally Associated Autoimmune Diseases

    Science.gov (United States)

    Pollard, K. Michael; Parks, Christine G.; Germolec, Dori R.; Leung, Patrick S.C.; Selmi, Carlo; Humble, Michael C.; Rose, Noel R.

    2012-01-01

    Increasing evidence supports a role for the environment in the development of autoimmune diseases, as reviewed in the accompanying three papers from the National Institute of Environmental Health Sciences Expert Panel Workshop. An important unresolved issue, however, is the development of criteria for identifying autoimmune disease phenotypes for which the environment plays a causative role, herein referred to as environmentally associated autoimmune diseases. There are several different areas in which such criteria need to be developed, including: 1) identifying the necessary and sufficient data to define environmental risk factors for autoimmune diseases meeting current classification criteria; 2) establishing the existence of and criteria for new environmentally associated autoimmune disorders that do not meet current disease classification criteria; and 3) identifying in clinical practice specific environmental agents that induce autoimmune disease in individual patients. Here we discuss approaches that could be useful for developing criteria in these three areas, as well as factors that should be considered in evaluating the evidence for criteria that can distinguish individuals with such disorders from individuals without such disorders with high sensitivity and specificity. Current studies suggest that multiple lines of complementary evidence will be important and that in many cases there will be clinical, serologic, genetic, epigenetic, and/or other laboratory features that could be incorporated as criteria for environmentally associated autoimmune diseases to improve diagnosis and treatment and possibly allow for preventative strategies in the future. PMID:22771005

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

    Science.gov (United States)

    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.

  6. Connection and Disconnection: Value of the Analyst’s Subjectivity in Elucidating Meaning in a Psychoanalytic Case Study

    Directory of Open Access Journals (Sweden)

    Sara Hueso

    2012-11-01

    Full Text Available This article reflects on pivotal concepts of psychoanalytic practice and theory, applied to a single case study to create new meanings. Drawing from the concepts of transference, countertransference, and projective identification, the author presents the notion that the researcher’s subjective reactions are created and induced by the subject of study precisely because this is one, and sometimes the only way available to the subject to communicate something that is out of its full awareness. In essence, some unconscious material can be expressed nonverbally by the subject by means of provoking visceral and bodily reactions in the researcher, or in some cases, psychic imagery such as dreams or fantasies. The material can be meaningfully interpreted by the researcher by receiving, containing, and sorting through these inchoate emotional reactions within self.

  7. [Psychoanalytic study of social withdrawal: grandiose narcissism and passive aggression due to insufficient maternal containing in childhood].

    Science.gov (United States)

    Ogawa, Toyoaki

    2012-01-01

    Two different types of pathology can cause social withdrawal: the narcissistic--schizoid personality organization (NSPO) type and the mild Asperger's syndrome (mild developmental disorders) type. Only the former type can be treated by psychoanalytic psychotherapy. In the childhood of both types, one may find traumatic family environments which will result in social withdrawal (Hikikomori). In the infancy of the NSPO type, the mother fails to function as a sufficient container of the child's emotion, which encourages formation of a schizoid personality organization i.e. the psychic withdrawal (or "psychic retreat" by Steiner, J.). With only a little failure in life events, this may turn into a physical withdrawal for a long time. And in this type of pathology their aggression takes a passive form that hardens their social withdrawal situation. Moreover, the social withdrawal itself serves to reinforce the pathological narcissism.

  8. Lung donor selection criteria.

    Science.gov (United States)

    Chaney, John; Suzuki, Yoshikazu; Cantu, Edward; van Berkel, Victor

    2014-08-01

    The criteria that define acceptable physiologic and social parameters for lung donation have remained constant since their empiric determination in the 1980s. These criteria include a donor age between 25-40, a arterial partial pressure of oxygen (PaO2)/FiO2 ratio greater than 350, no smoking history, a clear chest X-ray, clean bronchoscopy, and a minimal ischemic time. Due to the paucity of organ donors, and the increasing number of patients requiring lung transplant, finding a donor that meets all of these criteria is quite rare. As such, many transplants have been performed where the donor does not meet these stringent criteria. Over the last decade, numerous reports have been published examining the effects of individual acceptance criteria on lung transplant survival and graft function. These studies suggest that there is little impact of the historical criteria on either short or long term outcomes. For age, donors should be within 18 to 64 years old. Gender may relay benefit to all female recipients especially in male to female transplants, although results are mixed in these studies. Race matched donor/recipients have improved outcomes and African American donors convey worse prognosis. Smoking donors may decrease recipient survival post transplant, but provide a life saving opportunity for recipients that may otherwise remain on the transplant waiting list. No specific gram stain or bronchoscopic findings are reflected in recipient outcomes. Chest radiographs are a poor indicator of lung donor function and should not adversely affect organ usage aside for concerns over malignancy. Ischemic time greater than six hours has no documented adverse effects on recipient mortality and should not limit donor retrieval distances. Brain dead donors and deceased donors have equivalent prognosis. Initial PaO2/FiO2 ratios less than 300 should not dissuade donor organ usage, although recruitment techniques should be implemented with intent to transplant.

  9. Robustness - acceptance criteria

    DEFF Research Database (Denmark)

    Rizzuto, Enrico; Sørensen, John Dalsgaard; Kroon, Inger B.

    2010-01-01

    This factsheet describes the general framework on the bases of which acceptance criteria for requirements on the robustness of structures can be set. Such framework is based on the more general concept of risk-based assessment of engineering systems. The present factsheet is to be seen in conjunc......This factsheet describes the general framework on the bases of which acceptance criteria for requirements on the robustness of structures can be set. Such framework is based on the more general concept of risk-based assessment of engineering systems. The present factsheet is to be seen...

  10. Multi-criteria decision making using fuzzy preference relations

    OpenAIRE

    Hanna Borzecka

    2012-01-01

    When dealing with multi-criteria decision making problem the concept of Pareto -optimality and Pareto-dominance could be inefficient (the lack of unique solution), especially with many number of criteria. Our paper faces the fuzzy multi-criteria decision making problem based on Zadeh’s linguistic approach to P-optimality and P-dominance. The construction, analysis and application of multi-criteria decision making model using fuzzy preference relation are considered. This paper is dedicated ...

  11. Multi-criteria Decision Making Using Fuzzy Preference Relations

    OpenAIRE

    Hanna Borzęcka

    2012-01-01

    When dealing with multi-criteria decision making problems, the concept of Pareto-optimality and Pareto-dominance may be inefficient (e.g. generally multiple solutions exist), especially when there is a large number of criteria. Our paper considers the fuzzy multi-criteria decision making problem based on Zadeh's linguistic approach to P-optimality and P-dominance. The construction, analysis and application of a model of multi-criteria decision making using a fuzzy preference relation are cons...

  12. Framework for a new dialogue between psychoanalysis and neurosciences: is the combined neuro-psychoanalytic approach the missing link?

    Science.gov (United States)

    Vaslamatzis, Grigoris

    2007-01-01

    Freud's legacy deriving from his work The project for a scientific psychology (1895) could give a new impetus to the dialogue between psychoanalysis and neurosciences. A rapproachment phase is warrented. Based on the work of psychoanalysts who are themselves neuroscientists (such as Mauro Mancia, Martha Koukkou and Harold Shevrin) or have a long term dialogue with neuroscientists (Arnold Modell), three points of epistemological congruence are described: 1. dualism is no longer a satisfactory solution 2. cautions for the centrality of interpretation (hermeneutics) 3. the self-criticism of neuroscientists PMID:17976245

  13. Framework for a new dialogue between psychoanalysis and neurosciences: is the combined neuro-psychoanalytic approach the missing link?

    Directory of Open Access Journals (Sweden)

    Vaslamatzis Grigoris

    2007-11-01

    Full Text Available Abstract Freud's legacy deriving from his work The project for a scientific psychology (1895 could give a new impetus to the dialogue between psychoanalysis and neurosciences. A rapproachment phase is warrented. Based on the work of psychoanalysts who are themselves neuroscientists (such as Mauro Mancia, Martha Koukkou and Harold Shevrin or have a long term dialogue with neuroscientists (Arnold Modell, three points of epistemological congruence are described: 1. dualism is no longer a satisfactory solution 2. cautions for the centrality of interpretation (hermeneutics 3. the self-criticism of neuroscientists

  14. The Neuropsychoanalytic Approach: Using Neuroscience as the Basic Science of Psychoanalysis

    Science.gov (United States)

    Johnson, Brian; Flores Mosri, Daniela

    2016-01-01

    Neuroscience was the basic science behind Freud's psychoanalytic theory and technique. He worked as a neurologist for 20 years before being aware that a new approach to understand complex diseases, namely the hysterias, was needed. Solms coined the term neuropsychoanalysis to affirm that neuroscience still belongs in psychoanalysis. The neuropsychoanalytic field has continued Freud's original ideas as stated in 1895. Developments in psychoanalysis that have been created or revised by the neuropsychoanalysis movement include pain/relatedness/opioids, drive, structural model, dreams, cathexis, and dynamic unconscious. Neuroscience has contributed to the development of new psychoanalytic theory, such as Bazan's (2011) description of anxiety driven by unconscious intentions or “phantoms.” Results of adopting the “dual aspect monism” approach of idiographic psychoanalytic clinical observation combined with nomothetic investigation of related human phenomena include clarification and revision of theory, restoration of the scientific base of psychoanalysis, and improvement of clinical treatments. By imbricating psychoanalytic thinking with neuroscience, psychoanalysts are also positioned to make contributions to neuroscience research. Freud's original Project for a Scientific Psychology/Psychology for Neurologists can be carried forward in a way that moves psychoanalysis into the twenty-first century as a core contemporary science (Kandel, 1999). Neuroscience as the basic science of psychoanalysis both improves the field, and enhances its scientific and cultural status. PMID:27790160

  15. The Neuropsychoanalytic Approach: Using Neuroscience as the Basic Science of Psychoanalysis.

    Science.gov (United States)

    Johnson, Brian; Flores Mosri, Daniela

    2016-01-01

    Neuroscience was the basic science behind Freud's psychoanalytic theory and technique. He worked as a neurologist for 20 years before being aware that a new approach to understand complex diseases, namely the hysterias, was needed. Solms coined the term neuropsychoanalysis to affirm that neuroscience still belongs in psychoanalysis. The neuropsychoanalytic field has continued Freud's original ideas as stated in 1895. Developments in psychoanalysis that have been created or revised by the neuropsychoanalysis movement include pain/relatedness/opioids, drive, structural model, dreams, cathexis, and dynamic unconscious. Neuroscience has contributed to the development of new psychoanalytic theory, such as Bazan's (2011) description of anxiety driven by unconscious intentions or "phantoms." Results of adopting the "dual aspect monism" approach of idiographic psychoanalytic clinical observation combined with nomothetic investigation of related human phenomena include clarification and revision of theory, restoration of the scientific base of psychoanalysis, and improvement of clinical treatments. By imbricating psychoanalytic thinking with neuroscience, psychoanalysts are also positioned to make contributions to neuroscience research. Freud's original Project for a Scientific Psychology/Psychology for Neurologists can be carried forward in a way that moves psychoanalysis into the twenty-first century as a core contemporary science (Kandel, 1999). Neuroscience as the basic science of psychoanalysis both improves the field, and enhances its scientific and cultural status.

  16. THE NEUROPSYCHOANALYTIC APPROACH: USING NEUROSCIENCE AS THE BASIC SCIENCE OF PSYCHOANALYSIS

    Directory of Open Access Journals (Sweden)

    Brian Johnson

    2016-10-01

    Full Text Available NEUROSCIENCE AS THE BASIC SCIENCE OF PSYCHOANALYSISNeuroscience was the basic science behind Freud’s psychoanalytic theory and technique. He worked as a neurologist for 20 years before being aware that a new approach to understand complex diseases, namely the hysterias, was needed. Solms coined the term neuropsychoanalysis to affirm that neuroscience still belongs in psychoanalysis. The neuropsychoanalytic field has continued Freud’s original ideas as stated in 1895. Developments in psychoanalysis that have been created or revised by the neuropsychoanalysis movement include pain/relatedness/opioids, drive, structural model, dreams, cathexis, and dynamic unconscious. Neuroscience has contributed to the development of new psychoanalytic theory, such as Bazan’s (2011 description of anxiety driven by unconscious intentions or phantoms. Results of adopting the dual aspect monism approach of idiographic psychoanalytic clinical observation combined with nomothetic investigation of related human phenomena include clarification and revision of theory, restoration of the scientific base of psychoanalysis, and improvement of clinical treatments. By imbricating psychoanalytic thinking with neuroscience, psychoanalysts are also positioned to make contributions to neuroscience research. Freud’s original Project for a Scientific Psychology/Psychology for Neurologists can be carried forward in a way that moves psychoanalysis into the 21st century as a core contemporary science (Kandel 1999. Neuroscience as the basic science of psychoanalysis both improves the field, and enhances its scientific and cultural status.

  17. Human Systems Design Criteria

    DEFF Research Database (Denmark)

    Rasmussen, Jens

    1982-01-01

    This paper deals with the problem of designing more humanised computer systems. This problem can be formally described as the need for defining human design criteria, which — if used in the design process - will secure that the systems designed get the relevant qualities. That is not only...... the necessary functional qualities but also the needed human qualities. The author's main argument is, that the design process should be a dialectical synthesis of the two points of view: Man as a System Component, and System as Man's Environment. Based on a man's presentation of the state of the art a set...... of design criteria is suggested and their relevance discussed. The point is to focus on the operator rather than on the computer. The crucial question is not to program the computer to work on its own conditions, but to “program” the operator to function on human conditions....

  18. Diagnostic criteria of dementia.

    Science.gov (United States)

    Bouchard, Rémi W

    2007-03-01

    In the past two decades there has been a tremendous effort among clinicians and searchers to improve the diagnostic criteria of the dementias on the basis of the differential neurological and neuropsychological profiles. This was an obligatory requirement for clinical trials and the development of treatments. Over the years it became rapidly evident that the cohorts of patients in studies had some degree of heterogeneity, making it difficult to interpret the results of some studies, particularly in the vascular dementias and the mild cognitive impairment (MCI) group. For example, many sub-types of the vascular group were included in clinical trials, such as the cortical strokes, the lacunar states and the diffuse white matter disease cases, and some of the patients might have had also mixed pathology. In addition, the standard DSM IV criteria for dementia no longer represent our present knowledge of the clinical profile of some of the dementias such as vascular dementia (VaD) and fronto-temporal dementia where the memory impairment is not necessarily the first requirement. To improve the validity of clinical trials and eventually help developing more appropriate treatments, we revised the present diagnostic criteria and made recommendations for some changes in the context of the 2nd Canadian Conference on the Development of Antidementia Therapies, held in 2004 and reviewed in the light of the recent literature as of early 2006. It is expected that in the near future, these dementia criteria for clinical trials will have to be revised again in order to include specific subtypes of the dementias as well as biomarkers, structural and functional imaging.

  19. Tavistock Adult Depression Study (TADS): a randomised controlled trial of psychoanalytic psychotherapy for treatment-resistant/treatment-refractory forms of depression

    OpenAIRE

    Taylor, D.; Carlyle, J. A.; McPherson, S.; Rost, F.; Thomas, R.; Fonagy, P.

    2012-01-01

    ABSTRACT: BACKGROUND: Long-term forms of depression represent a significant mental health problem for which there is a lack of effective evidence-based treatment. This study aims to produce findings about the effectiveness of psychoanalytic psychotherapy in patients with treatment-resistant/treatment-refractory depression and to deepen the understanding of this complex form of depression. METHODS: INDEX GROUP: Patients with treatment resistant/treatment refractory depression. DEFINITION & INC...

  20. Personel Seçiminde Çok Kriterli Karar Verme: Bulanık Topsis Uygulaması - Multi-Criteria Approach to Personnel Selection: Fuzzy Topsis Applications

    Directory of Open Access Journals (Sweden)

    Nalan Gülten AKIN

    2016-06-01

    Full Text Available Which are very important in terms of human resource management, personnel selection, it expressed as a process of determining the appropriate personnel hired to perform the work. Personnel selection, often occurs as a result of decisions made by a group decision based on the evaluation of candidates by various criteria and subjective judgment transmitter. Whereas the organization that they can gain competitive advantage and this advantage can continue, according to the right personnel for the right job it depends on the objective criteria chosen. Personnel selection problems, decision-making and be more than the number of candidates and the terms of a number of criteria involved in the decision to take effect on multi-criteria decision problems. Decisions based on personal jurisdiction includes the uncertainty. Therefore, one of the multiple-criteria decision analysis techniques in this study preferred method of fuzzy TOPSIS. In the process of recruiting a research assistant in a public university under study, which will be invited to the scientific examination of the candidates who apply, with proximity to the ranking made by calculating the coefficients for each candidate is determined based on objective criteria

  1. A supervisão na formação do analista e do psicoterapeuta psicanalítico The supervision in the training of psychoanalytical psychotherapist

    Directory of Open Access Journals (Sweden)

    Lisiane Alvim Saraiva

    2007-12-01

    Full Text Available Este artigo consiste na revisão sistemática da literatura brasileira sobre supervisão em psicanálise e psicoterapia psicanalítica, em periódicos científicos referenciados entre 2001 e 2006 nas bases de dados eletrônicas Lilacs, Scielo, Pepsic e Indexpsi, e localizada a partir do descritor supervisão psic$. A busca resultou em 64 artigos, posteriormente reduzidos para 13, em função de criteriosa leitura e descarte daqueles que não abordavam diretamente o tema. Os treze artigos foram lidos novamente e submetidos à análise de conteúdo, configurando 11 categorias de discussão. Concluiu-se que: poucos estudos que tratam do tema da supervisão assumem o formato de pesquisas empíricas; artigos não discutem os passos que supervisor e supervisionando devem seguir para atingir os objetivos desejados; as patologias na atualidade são discutidas, mas não há sugestões de mudanças na técnica e na estratégia da supervisão; poucos artigos trazem como foco o aspecto controle da supervisão; artigos com exemplos de casos não mencionam consentimento informado do paciente.The present paper is a systematic review of the Brazilian literature regarding supervision in psychoanalysis and psychoanalytical psychotherapy, in scientific journals indexed between 2001 and 2006 in the electronic databases Lilacs, Scielo, Pepsic, Indexpsi. The descriptor supervisão psic$ led to 64 articles which were reduced for 13, after a careful examination that disregarded those in which the theme was not approached directly. The articles were reread and categorized per content analysis method. Eleven categories of discussion emerged. Results show: few studies that focused supervision were empirical researches; articles do not mention the steps that supervisor and supervisee need to follow to reach the desirable objectives; new pathologies are mentioned but there are no suggestions about technical changes in supervision strategies to deal with them; few articles

  2. Web site Evaluation Criteria

    Directory of Open Access Journals (Sweden)

    Mojdgan binesh

    2008-07-01

    Full Text Available The ever-increasing evolution of the Internet and the growing number of the resources accessible through this medium, has turned the issue of resource evaluation of the internet-based information into a controversial and cogent issue. By nature, the internet milieu is uncontrollable. It concomitantly contains both verifiable and unverifiable information. Thus it behooves the internet users to develop resource evaluation and critical thinking skills in order to discern appropriate quality resources. Through review and comparison of the available checklists, the present paper endeavors to offer criteria for website evaluation

  3. Combining the IADPSG criteria with the WHO diagnostic criteria for ...

    African Journals Online (AJOL)

    Background: Gestational diabetes mellitus (GDM) is associated with adverse pregnancy outcomes, yet there are no universally accepted ... and World Health Organization's (WHO) diagnostic criteria are commonly used criteria, although clinical outcome data .... GDM, hypertensive disorder, maternal age, maternal obesity,.

  4. Pichon Rivière's psychoanalytic contributions: Some comparisons with object relations and modern developments in psychoanalysis.

    Science.gov (United States)

    Scharff, David E; Losso, Roberto; Setton, Lea

    2017-02-01

    Enrique Pichon Rivière's work, fundamental to Latin American and European psychoanalytic development, is largely unknown in English-language psychoanalysis. Pichon's central contribution, the link (el vinculo), describes relational bonds in all dimensions. People are born into, live in, and relate through links. Psychic structure is built of links that then influence external interaction. Links, expressed in mind, body and external action, continuously join internal and external worlds. Links have two axes: vertical axis links connect generations through unconscious transgenerational transmission; horizontal axis links connect persons to life partners, family, community and society. For Pichon, treatment constitutes a spiral process through which interpretation disrupts existent structures, promoting new emergent organizations at successively deeper levels. Psychic and link structures evolve over time unless repetitive cycles stunt growth. For Pichon, transference is constituted in the here-and-now-with-me because of the analytic link. Pichon also undertook family and group psychoanalysis where individuals become spokespersons for unconscious links and family secrets. He developed operative groups that apply psychoanalysis to both analytic and non-analytic tasks. After describing Pichon's major contributions, the paper compares Pichon Rivière's ideas with those of Klein, Fairbairn, Bion, Winnicott and Bowlby, and contemporary writers including Ogden, Kaës, and Ferro whose works echo Pichon Rivière's thought. Copyright © 2016 Institute of Psychoanalysis.

  5. A psychoanalytic appreciation of Giotto's mode of artistic representation and its implications for Renaissance art and science.

    Science.gov (United States)

    Blatt, S J

    1994-01-01

    This paper applies developmental psychoanalytic and cognitive psychological principles to an evaluation of Giotto's Padua frescoes as pivotal in the transition from a medieval to a Renaissance mode of thought. The formulation stresses the importance of the emergence of triadic or operational thinking involving the coordination of multiple dimensions and the capacity for transforming them with reversibility, reciprocity, and conservation. This developmental achievement also results in an expanded sense of time and space. These concepts provide a basis for appreciating more fully the transition from the dyadic classical and medieval artistic representations to the triadic representations of Renaissance art, especially the contributions of Giotto's Padua frescoes to the development of the concept of infinity in nature, a concept central to both Renaissance art and science. The development of this concept in Renaissance thought raises a question about the relation of art and science. Two major modes of encoding or representing experiences are discussed--a sequential lexical and a nonsequential nonverbal mode (or word and thing representations). These formulations lead to the identification of a process that suggests that developments in art often precede those in science and thereby contribute to a fuller appreciation of Giotto's Padua frescoes as a landmark contribution with implications for the entirety of Renaissance thought.

  6. Oedipus the King: quest for self-knowledge--denial of reality. Sophocles' vision of man and psychoanalytic concept formation.

    Science.gov (United States)

    Zachrisson, Anders

    2013-04-01

    In the Oedipus myth we find a dramatic representation of the child's passionate ties to its parents. In the play Oedipus the King, Sophocles relates the theme of the myth to the question of self-knowledge. This was the predominant reading in German 19th century thinking, and even as a student Freud was fascinated by Oedipus' character - not primarily as the protagonist of an oedipal drama, but as the solver of divine riddles and as an individual striving for self-knowledge. Inspired by Vellacott, Steiner has proposed an alternative reading of Oedipus the King as a play about a cover-up of the truth. The text supports both these arguments. The pivotal theme of the tragedy is Oedipus' conflict between his desire to know himself and his opposing wish to cover up the truth that will bring disaster. It is this complex character of Oedipus and the intensity of his conflict-ridden struggle for self-knowledge that has made the tragedy to a rich source of inspiration for psychoanalytic concept formation and understanding both of emotional and cognitive development up to our own time. Copyright © 2012 Institute of Psychoanalysis.

  7. Making unformulated experience real through painting: Painting and psychoanalytic psychotherapy practice as two ways of making sense.

    Science.gov (United States)

    Schwartz, Karen M

    2018-02-01

    I contend that painting, like psychoanalytic psychotherapy, is an intersubjective process able to connect hearts and minds of painters and viewers alike, because the creative process of making a painting brings painters into more complex and more animated relationship with themselves. My own painting process is largely nonverbal. Interactions between me and my evolving artwork-in-process reveal experiences, thoughts, and feelings not yet formulated in words, and so, not available explicitly to conscious awareness until visual representation allows questions of meaning and intention to be thought about and elaborated in the usual, verbal sense. I describe how my particular painting practice provides an experiential frame for the creative process of self-articulation that goes on in psychotherapy, as well as how the physical and mostly nonverbal dialogue experienced in the painting studio served as a source of listening attitudes and self-regulation in my work with a patient's inhibited self-expression and thwarted artistic ambitions. © 2018 Wiley Periodicals, Inc.

  8. PERFORMANCE CRITERIA SLITTING-PROCESS

    Directory of Open Access Journals (Sweden)

    N. V. Starkov

    2016-01-01

    Full Text Available Criteria of efficiency the slitting process. For example double-line rolling of rebar No. 20 identified such criteria separation efficiency in non-dividing device as the size of the crossbar.

  9. User perspectives on relevance criteria

    DEFF Research Database (Denmark)

    Maglaughlin, Kelly L.; Sonnenwald, Diane H.

    2002-01-01

    implications for relevance feedback in information retrieval systems, suggesting that systems accept and utilize multiple positive and negative relevance criteria from users. Systems designers may want to focus on supporting content criteria followed by full text criteria as these may provide the greatest cost...

  10. Criteria of Progress in Child Psychotherapies According to Psychotherapists

    Directory of Open Access Journals (Sweden)

    Lilian Pereira de Medeiros Guimarães

    2014-04-01

    Full Text Available This study aimed to perform a survey with psychotherapists, regarding the criteria they consider relevant to measure the progress of children in psychotherapy and whether the criteria indicated by them differ according to the therapist’s theoretical approach. Therapists were contacted electronically and answered a questionnaire composed of items with criteria of positive change present in the literature. Participants were 154 child therapists from different regions of Brazil. The analysis regarding the criteria of positive change that the participants indicated and their theoretical approach suggested that, despite the theoretical differences, in practice psychotherapists seem to adopt similar criteria to interpret progress in child psychotherapies. The criteria mentioned may be useful for a better systematization of the psychotherapy techniques for children. However, due to the lack of elements to evaluate the sample’s representativeness, caution is advised in generalizing the results.

  11. Trauma, dor e ato: o olhar da psicanálise sobre uma tentativa de suicídio Trauma, pain and act: a psychoanalytic look on the attempt of suicide

    Directory of Open Access Journals (Sweden)

    Mônica Medeiros Kother Macedo

    2007-06-01

    Full Text Available As relações existentes entre trauma, dor psíquica e ato são abordadas por meio da análise do caso clínico de uma pessoa que efetivou uma tentativa de suicídio. Explora-se a inter-relação entre o traumático, a ruptura das barreiras de proteção ao psiquismo e o predomínio do irrepresentável que tem como conseqüência o ato de tentar tirar a própria vida. A partir da metapsicologia psicanalítica, nomeia-se a tentativa de suicídio como um ato-dor.The existing relations among trauma, psychic pain and act are approached by means of the analysis of the clinical case of a person that has performed a suicide attempt. The inter-relation among the traumatic, the breaking of the psyche protection barriers and the prevalence of the "unrepresentative" contents predominance that as a consequence produces the act of trying to take one's own life. Through psychoanalytic metapsychology a suicide attempt is named as a pain-act.

  12. Spiritual Resources for the Pastoral Care and Counseling of the Alcoholic: An Approach Implementing Spiritual Interventions

    Science.gov (United States)

    2002-04-01

    moments when Ralph did something wrong and I could see his father took a stern punishment approach rather than a corrective healing approach to the wrong...Personal God. Journal of Feminist Family Therapy 7, No. 1/2: 123-139. Gross, Don H. 1978. The Case for Spiritual Healing. New York: Thomas Nelson...Christian Prayer Form. New York: Doubleday. Rizzuto, Ana- Maria . 1979. The Birth of the Living God: A Psychoanalytic Study. Chicago: The University

  13. Horneyan developmental psychoanalytic theory and its application to the treatment of the young.

    Science.gov (United States)

    Paul, H A

    1984-01-01

    The early work of Dr. Karen Horney has been reviewed, including her ideas concerning neurotogenesis, the formation of basic anxiety, basic conflict as a result of disordered attachment, and various conflict solutions. In addition, her pioneering ideas regarding the real self and self-realization have been mentioned. It has been shown that the application of her ideas in clinical work with the young results in a rational approach to suffering children and their families.

  14. A Decision Support System for Solving Multiple Criteria Optimization Problems

    Science.gov (United States)

    Filatovas, Ernestas; Kurasova, Olga

    2011-01-01

    In this paper, multiple criteria optimization has been investigated. A new decision support system (DSS) has been developed for interactive solving of multiple criteria optimization problems (MOPs). The weighted-sum (WS) approach is implemented to solve the MOPs. The MOPs are solved by selecting different weight coefficient values for the criteria…

  15. Stability Criteria - Present Status and Perspectives of Improvement

    Directory of Open Access Journals (Sweden)

    Lech Kobylinski

    2014-06-01

    Full Text Available Short historical development and present status of stability criteria is presented. Current work of the International Maritime Organisation on second generation stability criteria is critically assessed showing the advantages and week points of the project. Perspectives for improvement of the safety against stability failure are discussed, including risk assessment methods and goal oriented approach to stability problems.

  16. ACR Appropriateness Criteria Myelopathy.

    Science.gov (United States)

    Roth, Christopher J; Angevine, Peter D; Aulino, Joseph M; Berger, Kevin L; Choudhri, Asim F; Fries, Ian Blair; Holly, Langston T; Kendi, Ayse Tuba Karaqulle; Kessler, Marcus M; Kirsch, Claudia F; Luttrull, Michael D; Mechtler, Laszlo L; O'Toole, John E; Sharma, Aseem; Shetty, Vilaas S; West, O Clark; Cornelius, Rebecca S; Bykowski, Julie

    2016-01-01

    Patients presenting with myelopathic symptoms may have a number of causative intradural and extradural etiologies, including disc degenerative diseases, spinal masses, infectious or inflammatory processes, vascular compromise, and vertebral fracture. Patients may present acutely or insidiously and may progress toward long-term paralysis if not treated promptly and effectively. Noncontrast CT is the most appropriate first examination in acute trauma cases to diagnose vertebral fracture as the cause of acute myelopathy. In most nontraumatic cases, MRI is the modality of choice to evaluate the location, severity, and causative etiology of spinal cord myelopathy, and predicts which patients may benefit from surgery. Myelopathy from spinal stenosis and spinal osteoarthritis is best confirmed without MRI intravenous contrast. Many other myelopathic conditions are more easily visualized after contrast administration. Imaging performed should be limited to the appropriate spinal levels, based on history, physical examination, and clinical judgment. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every three years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals, and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  17. ACR appropriateness criteria jaundice.

    Science.gov (United States)

    Lalani, Tasneem; Couto, Corey A; Rosen, Max P; Baker, Mark E; Blake, Michael A; Cash, Brooks D; Fidler, Jeff L; Greene, Frederick L; Hindman, Nicole M; Katz, Douglas S; Kaur, Harmeet; Miller, Frank H; Qayyum, Aliya; Small, William C; Sudakoff, Gary S; Yaghmai, Vahid; Yarmish, Gail M; Yee, Judy

    2013-06-01

    A fundamental consideration in the workup of a jaundiced patient is the pretest probability of mechanical obstruction. Ultrasound is the first-line modality to exclude biliary tract obstruction. When mechanical obstruction is present, additional imaging with CT or MRI can clarify etiology, define level of obstruction, stage disease, and guide intervention. When mechanical obstruction is absent, additional imaging can evaluate liver parenchyma for fat and iron deposition and help direct biopsy in cases where underlying parenchymal disease or mass is found. Imaging techniques are reviewed for the following clinical scenarios: (1) the patient with painful jaundice, (2) the patient with painless jaundice, and (3) the patient with a nonmechanical cause for jaundice. The ACR Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 2 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances where evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment. Copyright © 2013 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  18. Criteria for performance evaluation

    Directory of Open Access Journals (Sweden)

    David J. Weiss

    2009-03-01

    Full Text Available Using a cognitive task (mental calculation and a perceptual-motor task (stylized golf putting, we examined differential proficiency using the CWS index and several other quantitative measures of performance. The CWS index (Weiss and Shanteau, 2003 is a coherence criterion that looks only at internal properties of the data without incorporating an external standard. In Experiment 1, college students (n = 20 carried out 2- and 3-digit addition and multiplication problems under time pressure. In Experiment 2, experienced golfers (n = 12, also college students, putted toward a target from nine different locations. Within each experiment, we analyzed the same responses using different methods. For the arithmetic tasks, accuracy information (mean absolute deviation from the correct answer, MAD using a coherence criterion was available; for golf, accuracy information using a correspondence criterion (mean deviation from the target, also MAD was available. We ranked the performances of the participants according to each measure, then compared the orders using Spearman's rextsubscript{s}. For mental calculation, the CWS order correlated moderately (rextsubscript{s} =.46 with that of MAD. However, a different coherence criterion, degree of model fit, did not correlate with either CWS or accuracy. For putting, the ranking generated by CWS correlated .68 with that generated by MAD. Consensual answers were also available for both experiments, and the rankings they generated correlated highly with those of MAD. The coherence vs. correspondence distinction did not map well onto criteria for performance evaluation.

  19. Neuroscience and imagination: the relevance of Susanne Langer's work to psychoanalytic theory.

    Science.gov (United States)

    Browning, Margaret M

    2006-10-01

    This paper presents the work of philosopher Susanne Langer and argues that her conceptualization of the human mind can provide psychoanalysts with a unique framework with which to theoretically combine interpretive and biological approaches to their work. Langer's earlier work in the philosophy of symbols directs her investigation into the biological sciences along the lines of sentience and imagination, which in turn become the cornerstones of her theory of mind. Langer's understanding of the continuing transformation of affect into language is a decisive contribution yet to be built upon by others.

  20. Avaliação de resultados da psicoterapia psicanalítica Assessment of psychoanalytic psychotherapy outcomes

    Directory of Open Access Journals (Sweden)

    Simone Isabel Jung

    2007-08-01

    Full Text Available INTRODUÇÃO: Este artigo relata uma investigação de coorte retrospectiva que avaliou a efetividade da psicoterapia psicanalítica com pacientes adultos em um serviço de atendimento comunitário na cidade de Porto Alegre, Brasil. MÉTODO: A amostra foi constituída por 34 pacientes divididos em dois grupos: grupo 1, 17 pacientes que realizaram tratamento por até 11 meses (média de 6,4 meses, e grupo 2, 17 pacientes com 1 ano ou mais de psicoterapia (média de 24,7 meses, contatados após o término de seu tratamento psicoterápico, em média 20,9 meses no grupo 1 e 29,9 meses no grupo 2. Os instrumentos utilizados foram: entrevista semi-estruturada, questionário de efetividade e escala de avaliação global do funcionamento. Experts independentes aplicaram a escala de avaliação global do funcionamento na entrevista inicial de tratamento (realizada pelo psicoterapeuta e encontrada no arquivo da instituição e de seguimento. RESULTADOS: Os pacientes melhoraram significativamente seu funcionamento global, comparando a avaliação inicial à de seguimento da psicoterapia (p INTRODUCTION: This article reports a retrospective cohort investigation, which assessed the effectiveness of psychoanalytic psychotherapy in adult patients at a community health center in the city of Porto Alegre, Brazil. METHODs: The sample was composed of 34 patients, who were divided into two groups: group 1, 17 patients who underwent treatment for up to 11 months (mean 6.4 months and group 2, 17 patients who underwent psychotherapy for 1 year or longer (mean 24.7 months. The patients were contacted after their psychotherapeutic treatment was over, in average 20.9 months (group 1 and 29.9 months (group 2. Instruments used were semi-structured interview, effectiveness questionnaire and global assessment of functioning scale. Independent experts applied the global assessment of functioning scale in the initial interview (carried out by the psychotherapist and found in