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61.
Effects of transference work in the context of therapeutic alliance and quality of object relations.
H?glend Per; Hersoug Anne Grete; B?gwald Kjell-Petter; Amlo Svein; Marble Alice; S?rbye ?ystein; R?ssberg Jan Ivar; Ulberg Randi; Gabbard Glen O.; Crits-Christoph Paul 《Canadian Metallurgical Quarterly》2011,79(5):697
Objective: Transference interpretation is considered as a core active ingredient in dynamic psychotherapy. In common clinical theory, it is maintained that more mature relationships, as well as a strong therapeutic alliance, may be prerequisites for successful transference work. In this study, the interaction between quality of object relations, transference interpretation, and alliance is estimated. Method: One hundred outpatients seeking psychotherapy for depression, anxiety, and personality disorders were randomly assigned to 1 year of weekly sessions of dynamic psychotherapy with transference interpretation or to the same type and duration of treatment, but without the use of transference interpretation. Quality of Object Relations (QOR)–lifelong pattern was evaluated before treatment (P. H?glend, 1994). The Working Alliance Inventory (A. O. Horvath & L. S. Greenberg, 1989; T. J. Tracey & A. M. Kokotovic, 1989) was rated in Session 7. The primary outcome variable was the Psychodynamic Functioning Scales (P. H?glend et al., 2000), measured at pretreatment, posttreatment, and 1 year after treatment termination. Results: A significant Treatment Group × Quality of Object Relations × Alliance interaction was present, indicating that alliance had a significantly different impact on effects of transference interpretation, depending on the level of QOR. The impact of transference interpretation on psychodynamic functioning was more positive within the context of a weak therapeutic alliance for patients with low quality of object relations. For patients with more mature object relations and high alliance, the authors observed a negative effect of transference work. Conclusion: The specific effects of transference work was influenced by the interaction of object relations and alliance, but in the direct opposite direction of what is generally maintained in mainstream clinical theory. (PsycINFO Database Record (c) 2011 APA, all rights reserved) 相似文献
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Comparison of sulfate-reducing and conventional Anammox upflow anaerobic sludge blanket reactors 总被引:1,自引:0,他引:1
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Tine Rørvik Ivar M. Dahl Helle B. Mostad Ole Henrik Ellestad 《Catalysis Letters》1995,33(1-2):127-134
A solid superacidic Nafion-H polymer was examined as a catalyst for isobutane/2-butene alkylation and compared with a cerium-exchanged Y zeolite. Both catalysts demonstrate initial alkylation activity with rapid decrease in alkylation selectivity. The total product distributions were found to be significantly different after three hours of reaction. Nafion-H showed less selectivity towards iso-octanes, but formed relatively more 2,2,4-trimethylpentane. The differences between the two catalysts suggest dissimilar favoured reaction mechanisms. 相似文献
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A particular version of a spectral integrator has been designed. It consists of a xenon lamp whose light is dispersed into a color spectrum by dispersing prisms. Using a transmissive LCD panel controlled by a computer, certain fractions of the light in different parts of the spectrum are masked out. The remaining transmitted light is integrated and projected onto a translucent diffusing plate. A spectroradiometer that measures the generated light is also attached to the computer, thus making the spectral integrator a closed-loop system. An algorithm for generating the light of a specified spectral power distribution has been developed. The resulting measured spectra differ from the specified ones with relative rms errors in the range of 1%-20% depending on the shape of the spectral power distribution. 相似文献
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The aim of this study was to investigate how manipulation of glycolytic rate by post-mortem processing conditions influences quality of aged beef of two bovine muscles of different physiological character, longissimus dorsi (LD) and adductor (AD). Post-mortem glycolysis was manipulated by low-voltage electrical stimulation (LV-ES) of half carcasses and by chilling rate of the muscles. Multivariate statistical analysis was used to visualise the data, while ANOVA was used to identify significant effects and interactions. As expected there was a significant effect of LV-ES on the pH decline in the first hours post-mortem in both muscles. Moreover, significant effects of LV-ES on WB shear force measured 2 and 8 days after slaughter were observed for LD at both chilling temperatures, while for AD no effect on WB shear force was observed. Furthermore, the results revealed a large individual variation in the response of LV-ES on both pH decline and WB shear force, and this variation did not always correlate for the two responses. Some animals showed no response of LV-ES on pH decline, but still had an improved WB shear force, and vice versa. The results from this study indicate that there probably are other mechanisms than accelerated pH decline and prevention of cold-shortening, by which LV-ES can affect meat tenderness. 相似文献
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Prognostic factors for chronic neck pain were identified in a prospective Norwegian insurance cohort comprising 636 persons with minor or moderate traffic injuries. One questionnaire was used at baseline and another at 3 years post-injury. Daily severe or very severe neck pain at three years follow up was defined as chronic neck pain. Eight significant independent prognostic factors for chronic neck pain were identified: (1) rear-end or frontal and rear-end collision, odds ratio (OR): 4.10 (95% confidence interval (CI): 1.72-10.82); (2) neck and/or shoulder pain before the accident, OR: 2.38 (95% CI: 1.07-5.37); (3) post-accident (a) memory and concentration problems, OR: 4.62 (95% CI: 1.99-11.20), (b) bodily tension, OR: 3.43 (95% CI: 1.49-8.42), (c) difficulties to climb stairs, OR: 5.03 (95% CI: 1.77-14.95), (d) difficulties to bend forward, OR: 4.85 (95% CI: 2.06-11.79), (e) difficulties to do heavy labour, OR: 3.70 (95% CI: 1.24-11.64); (4) beliefs in future work disability, OR: 2.64 (95% CI: 1.11-6.48). The results indicate that development of chronic neck pain is influenced by pre-accident neck and/or shoulder pain, the impact of the collision, as well as post-accident symptoms, perceived impaired function and pessimism for the future ability to work. 相似文献
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