From the history of surgical instruments: 6. Sauerbruch's instruments for thoracic surgery

The historical development of thoracic surgery, which was established in Germany in the years 1904/1905 and the armamentarium of the chest designed by Ferdinand Sauerbruch (1875-1951) are described. Sauerbruch designed between 1904 and 1920 many instruments to facilitate thoracic surgery, e.g. several rib retractors, a special rib shear for the first rib, a rib shear for all ribs other than the first. Furthermore he designed a special lung grasping forceps with rubber covered jaws, a lung compression forceps and a fenestrated lung retractor to facilitate lung resections.     

Planning for the future: A life management strategy for increasing control and life satisfaction in adulthood.

The study examined the social, personality, and cognitive correlates of self-reported future planning and the relationship of future planning to perceived control and life satisfaction. Using 2 probability samples of adults ages 25–74 (n1?=?2,971, n2?=?300) findings suggest, for Study 1, that education, income, social support, predictability, Conscientiousness, and Openness to Experience were positively related to future planning, whereas Neuroticism and Agreeableness were negatively related. Men were more future oriented; as age increased, future planning decreased. Study 2 replicated the findings with the exception of age, Agreeableness, and Neuroticism. For both studies, results supported a model in which the effects of future planning on life satisfaction were mediated by sense of control. A Planning?×?Age interaction for Study 1 indicated that although self-reported future planning decreased with age, the positive effects of future-oriented planning strategies on life satisfaction were most pronounced for the older adults, and this relationship was also mediated by control beliefs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Client denial and resistance in the advance directive context: Reflections on how attorneys can identify and deal with a psycholegal soft spot.

An important reason why advance directive instruments are underused is that people faced with the need to think about the end of life, future mental health problems, or the need for nursing home admission experience psychological stress that produces denial and procrastination. This essay examines how lawyers who are counseling clients about advance directive instruments can deal with such client denial and resistance. It explains the psychological defense mechanism of denial and related forms of resistance and offers suggestions about techniques that lawyers can use for dealing with denial and resistance in counseling clients about advance directives. It suggests ways in which lawyers can develop their interpersonal skills, becoming more empathic and more sensitive to their clients' psychological needs. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Introduction to the special section: Foreword.

For many years, researchers and practitioners have devoted much of their time and resources to studies of criminals, on treatment and rehabilitation of criminals, and on psychology and the law, with particular focus on criminals and the criminal justice system. It is only very recently that the victims of crime and violence have begun to command the attention and study so long neglected. Where can psychology make its most significant contribution? It is to this question that this special issue is essentially addressed. Psychology can perhaps make its greatest contribution to the victims of crime and violence. The following articles demonstrate this initiative. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Collaborative versus directive interventions in the treatment of eating disorders: Implications for care providers.

Given that individuals with eating disorders, are typically ambivalent about changing their eating patterns, what approach is most helpful in working with this challenging group? This research compared the responses of clients with eating disorders and those of care providers to written clinical vignettes. All participants rated collaborative interventions as more acceptable and more likely to produce positive clinical outcomes than directive interventions. In addition, clients who were least ready for change rated directive interventions as less acceptable and less likely to produce adherence than did clients who were more ready. Despite participants' clear preference for collaborative interventions, directive interventions were rated as equally likely to occur. The implications of participant preferences and reasons that these preferences may not be reflected in actual clinical practice are addressed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Foreword: Values in psychotherapy.

Contends that the glory of psychotherapists' "tree of psychology" is that its roots are absolutely philosophical and, therefore, limitless in scope and devoid of absolute proofs. The trunk of this tree is a solid and substantial store of scientific and empirical data. The branches bear a multitude of flowers, many of which are not quite substantial; not made to endure the critical climate of a questioning world. Ultimately, however, these flowers contain the germinating factor, that which allows human knowledge the possibility of continued growth and rejuvenation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Therapeutic impact: A nonspecific major factor in directive psychotherapies.

Defines therapeutic impact as the capacity to overcome a client's inattention toward therapeutic messages and discusses how it counteracts the passive ways by which the effectiveness of directive psychotherapy may be reduced. To achieve impact, the therapist must obtain the client's attention and keep reactivity to messages at a high level. Factors that enhance impact are similar to those that produce a good orienting response and prevent habituation. The use of surprise and an integrative strategy for building impact are described. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The future of play therapy: Elevating credibility through play therapy research.

Elevating credibility in play therapy through research has been a difficult task. This difficulty is represented well in the Myth of Sisyphus (wherein Sisyphus is cursed with the mandate of rolling a large boulder up a hill, only to have it roll back down every time he approaches the top of the hill). Play therapy, in some form, has been in mental health clinics, clinician’s offices, and in journals for more than a century—yet empirical research on play therapy has consistently lagged behind practice. Also, we have several decades of research supporting the use of play therapy in addressing many common childhood problems, yet there is little recognition of play therapy as an “empirically supported treatment.” To stretch the Myth of Sisyphus just a bit, if we are to see the effort to develop empirical support for play therapy as our task, we need to look carefully at who is pushing the boulder, what strategies are being used to get the boulder up the hill, and how we will we know when we’ve reached the top of the hill. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Planning for alcohol-problem prevention through complex systems modeling: results from SimCom

This article describes a computer-based model of alcohol use and misuse intervention called SimCom. This generic model, based on the best available scientific knowledge, incorporates eight interaction subsystems. When loaded with actual data from a locality, the model has the ability to "act like" this location and can be used to forecast the future effects of alternative prevention strategies. The article describes benchmark testing of a model for the state of California, including projected prevention strategies for that state.     

Foreword: Psychotherapy in later life.

This special topic issue (psychotherapy in later life) is an outcome of our increasing interest and involvement in recent years with gerontology, particularly with psychotherapy for the elderly. It reflects the new and current social, economic and political significance of this population in our society and within the helping professions. This issue encompasses a broad sampling of the present state of the art represented by contributions from recognized authorities and dedicated workers in gerontology at academic, clinical, private and government centers serving the elderly throughout the United States. The currently broad spectrum of psychotherapeutic theory, research, and practice focusing on the elderly is demonstrated in our contributors' articles. Included are works concerned with historical, psychosocial aspects, individual and group therapy, sexism and sex differences, possibilities and limitations of applying various psychotherapeutic approaches such as behavioral, environmental, psychoanalytic and cognitive. Attention is paid to special needs of the frail and dependent elderly as well as to the more vigorous and autonomous older person coping, with varying degrees of independence, in non-institutional settings. No single publication can deal effectively with the enormity of issues confronting the elderly and the range of gerotherapies. If we have opened new doors for continued progress, and stimulated more reflection and action on behalf of this population, we shall feel rewarded by having laid the seeds for a new special topic issue in the approaching decade by future investigators. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interindividual–intergroup discontinuity reduction through the anticipation of future interaction.

Consistent with the role of a long-term perspective in reducing the tendency of intergroup relations to be more competitive than interindividual relations in the context of noncorrespondent outcomes, an experiment demonstrated that anticipated future interaction reduced intergroup but not interindividual competitiveness. Further results indicated that the effect was present only for groups composed of members high in abstractness (Openness–Intellect on the Big 5 Inventory and Intuition on the Myers–Briggs Type Inventory) who trusted their opponents. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Foreword: The case of David.

Introduces a series of articles that includes a case study and case formulations provided by four other contributors. Presentations of cases with a comparison of a number of differing views are an antidote against mere theoretical discussions that may or may not relate to the concrete views different therapeutic orientations have of concrete patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved)