Clinical intervention using dance-movement psychotherapy for couples: qualitative research and clinical implications

ABSTRACT

Dance-movement psychotherapy for couples (DMP-C) provides the space to mentally process physical experiences in relationships. The objective of the research is to become familiar with how, in the therapeutic process, a combination of, and a transition from, verbal to experiential occurs. Fourteen couples participated in 12 sessions conducted by four therapists. The sessions were documented using video and in diaries. Three themes characterized the therapeutic intervention: (a) when the narrative is perforated – suggesting connections between action, sensation and emotion; (b) when the past is reconstructed in the present – naming of roles and their trans-generational implications manifest in the body; (c) when the conflict intensifies – instructions to look for a psychosomatic resource. The significance of the findings will be examined with respect to expanding the role of the therapist in work with embodied knowledge.     

Sexual health for men in culturally diverse communities—some psychological considerations

This paper will look at some psychological issues for clinicians, educators and researchers in the provision of sexual healthcare for black and ethnically non-Western men. Brief reference will be made to the literature about men's sexual health needs in other cultures, and what has already been found to be theraputically effective. Culture-bound syndromes and the beliefs they betoken will be referred to in this context. Where clinicians have adapted Western techniques to suit diverse groups, these will be discussed, even if only partially successful. Differences between black and white men in STD prevalence and vulnerability to AIDS will be described. Clinicians are urged to increase their awareness, their knowledge base, their repertoire of clinical skills, and last but not least, their desire to establish better services for diverse communities.     

The effect of serum vitamin D levels in couples on embryo development and clinical outcomes

Research question

Do serum vitamin D levels in men and women undergoing IVF/intracytoplasmic sperm injection (ICSI) affect embryo development and clinical outcomes?

Couples, PMTCT programs and infant feeding decision-making in Ivory Coast

In Sub-Saharan Africa, prevention of HIV pediatric infection due to breastfeeding requires turning to alternatives to prolonged breastfeeding: artificial feeding or exclusive breastfeeding with early weaning. Choosing a preventive option and applying it does not only depend upon the mother but also on the father and more specifically on couple interactions. To date, not enough studies have considered this question. In Abidjan, Ivory Coast, HIV-positive women and their infants were followed over two years in Ditrame Plus, a prevention of mother-to-child transmission (PMTCT) project. Using data from this project and from interviews conducted with couples and women, we analyzed the construction of decisions and practices concerning the application of preventive infant feeding options.Differences may be found between women and men in discourses regarding their attitudes, which are in part related to their conceptions of motherhood and fatherhood. We found that when men know their wife is HIV positive and are involved in the PMTCT project, they play an active role in applying the advice received. However, women do not always need the support of their spouse to undertake preventative behaviour. The project team also plays an important role in the adoption of such by women and men. The implementation of preventive options is a complex process in which three groups of actors (women, men and the project team) interact. In order to optimize PMTCT programs for couples, it is essential that this dynamic be taken into account.     

夫妻沟通方式与抑郁的关系及样本类型的调节作用研究

目的　了解夫妻沟通方式与抑郁的关系,并探讨样本类型在二者间的调节作用。方法　以2016年北京市某心理专科医院门诊收治的以婚姻情感问题为主诉的148例患者为临床组,另在2016年选取社会招募400例健康人群志愿者为对照组。采用人口学变量问卷、9条目患者健康问卷（PHQ-9）、沟通模式问卷-简短版（CPQ-SF）,分别用于评价基本情况、抑郁、沟通方式水平。采用层次回归分析探讨样本类型对夫妻沟通方式、抑郁关系的调节作用。结果　临床组抑郁、男要求女回避、女要求男回避、双方都要求/回避、批评/防御评分高于对照组,积极沟通评分低于对照组,差异有统计学意义（P<0.05）;两组交替进行要求/回避评分比较,差异无统计学意义（P>0.05）。层次回归分析结果显示,控制了性别、学历、有无子女后,男要求女回避评分、女要求男回避评分、双方都要求/回避评分、双方交替进行要求/回避评分、批评/防御评分、样本类型可以正向预测抑郁评分（P<0.05）,积极沟通评分可以负向预测抑郁评分（P<0.05）;分别将男要求女回避评分×样本类型、女要求男回避评分×样本类型、双方都要求/回避评分×样本类型、双方交替进行要求/回避×样本类型、批评/防御评分×样本类型、积极沟通评分×样本类型纳入回归方程,男要求女回避评分×样本类型、积极沟通评分×样本类型的交互作用有统计学意义（P<0.05）;样本类型对男要求女回避评分和抑郁评分关系、积极沟通评分和抑郁评分关系起调节作用（△R2分别为0.011、0.019,P<0.05）。结论　样本类型可以调节夫妻沟通方式与抑郁的关系,尤其是男要求女回避、积极沟通与抑郁的关系。     

粘弹性血管入口区域内血管壁与血液耦合运动模型及其应用

从血液流动、血管壁运动、血液 血管壁耦合运动三方面出发 ,建立了粘弹性血管发展流动的数学模型。导出了一组血液流动的速度分布、压力分布公式以及管壁位移公式。并结合一组狗的胸主动脉参数进行分析与讨论。结果表明 :(1)入口区域内血液流动的速度分布、压力分布公式与管壁的粘弹性无关 ;(2 )导得的管壁运动公式反映了定常、非定常、入口流动、充分发展流动等不同流动时态和形态下血流压力、速度变化对血管壁运动的影响。 (3)定常、非定常状态下粘弹性血管的运动呈现一定的规律 :当x/RnR <0 .16时 ,管壁位移变化显著 ;当x/RnR >0 .16时 ,管壁位移变化平稳。在相同条件下 ,弹性血管的位移变化幅值大于粘弹性血管。 (4)粘弹性血管的运动不仅与它的径向、轴向位置有关 ,而且与血液对血管的作用力有关。 (5 )完全弹性问题可视为本文公式的特殊情况     

恋爱、夫妻关系类型与性取向分析

性生活是保障婚姻家庭生活和谐的一个重要方面,而婚后夫妻间性生活又与恋爱关系类型及夫妻关系类型有着密切的关系,气质型、青春型恋爱关系的不同种类及结果型、多角度型夫妻关系类型折射不同的性取向,了解这些性取向关系,便于有效管理夫妻问的亲密关系,使婚姻家庭更加稳定和谐.     

Effects of couple based coping intervention on self-efficacy and quality of life in patients with resected lung cancer

ObjectiveWe aimed to assess the couple based coping intervention (CBCI) for self-efficacy and quality of life in patients with resected lung cancer, compared with individual coping intervention (ICI).MethodsFrom October to December 2015, 132 consecutive patients with resected lung cancer who were married/lived in a stable relationship were randomly assigned to the ICI group and the CBCI group.ResultsThe CBCI group had higher GSES compared with the ICI group at 2 month after operation, and at 6 month after operation (P < 0.05). The CBCI group had higher VT, SF, RE, and MH score of SF-36 compared with the ICI group at 2 month after operation, and at 6 month after operation (P < 0.05), but no significant differences were found in RP, PF, BP, and GH score of SF-36 compared between two groups (P > 0.05) in these 2 time points.ConclusionCouple based coping intervention is more effective than individual coping intervention for improving the self-efficacy and the quality of life in patients with resected lung cancer.Practice implicationsPractitioners might like to consider using couple based coping intervention strategy to improve self-efficacy and quality of life in patients with resected lung cancer.