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Clinical Interaction and the Analysis of Meaning

Clinical Interaction and the Analysis of Meaning
Author: Theo L. Dorpat
Publisher: Routledge
Total Pages: 345
Release: 2013-05-13
Genre: Psychology
ISBN: 1134887183

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Clinical Interaction and the Analysis of Meaning evinces a therapeutic vitality all too rare in works of theory. Rather than fleeing from the insights of other disciplines, Dorpat and Miller discover in recent research confirmation of the possibilities of psychoanalytic treatment. In Section I, "Critique of Classical Theory," Dorpat proposes a radical revision of the notion of primary process consonant with contemporary cognitive science. Such a revised conception not only enlarges our understanding of the analytic process; it also provides analysis with a conceptual language that can articulate meaningful connections with a growing body of empirical research about the development and nature of human cognition. In Section II, "Interactional Theory," Miller reverses the direction of inquiry. He begins with the literature on cognitive development and functioning, and proceeds to mine it for concepts relevant to the clinical process. He shows how a revised understanding of the operation of cognition and affect can impart new meaning to basic clinical concepts such as resistance, transference, and level of psychopathology. In Section III, "Applications and Exemplifications," Dorpat concludes this exemplary collaboration by exploring select topics from the standpoint of his and Miller's new psychoanalytic theory. At the heart of the authors' endeavor it "meaning analysis," a concept that integrates an up-to-date model of human information processing with the traditional goals of psychoanalysis. The patient approaches the clinical encounter, they argue, with cognitive-affective schemas that are the accumulatice product of his life experience to date; the manifold meanings ascribed to the clinical interaction must be understood as the product of these schemas rather than as distortions deriving from unconscious, drive-related fantasies. The therapist's goal is to make the patient's meaning-making conscious and thus available for introspection.


The Talk of the Clinic

The Talk of the Clinic
Author: G. H. Morris
Publisher: Routledge
Total Pages: 350
Release: 2013-11-05
Genre: Language Arts & Disciplines
ISBN: 1136690352

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This collection of original papers by scholars who closely analyze the talk of the clinic features studies that were conceived with the aim of contributing to clinical practitioners' insight about how their talk works. No previous communication text has attempted to take such a practitioner-sensitive posture with its research presentations. Each chapter focuses on one or more performances that clinical practitioners -- in consort with their clients or colleagues -- must achieve with some regularity. These speech acts are consequential for effective practice and sometimes present themselves as problematic. Rather than calling for research to be simplified or reoriented in order for practitioners to understand it, these authors interpret state-of-the-art descriptive analysis for its practical import for clinicians. Each contributor delves deeply into clinical practice and its wisdom; therefore, each is positioned to identify alternative clinical practices and techniques and to appreciate practitioners' means of performing effectively. When reflective practitioners encounter these new pieces of work, productive alterations in how their work is done can be stimulated. By reading this work, reflective practitioners will now have new ways of considering their talk and new possibilities for speaking effectively. The volume is uniquely constructed so as to engage in dialogue with these reflective practitioners as they struggle to articulate their work. A practical wisdom-as-research trend has recently emerged in the clinical fields stimulating these practitioners to explore new and more informative ways -- communication and literary theory, ethnography, and discourse analysis -- to express what they do in clinics and hospitals. With the studies presented in this book, the editors build upon this dialectical process between practitioner and researcher, thus helping this productive conversation to continue.


Communicating (with) Care

Communicating (with) Care
Author: S. Bigi
Publisher: IOS Press
Total Pages: 116
Release: 2016-08-25
Genre: Medical
ISBN: 1614996555

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At the start of studies on health communication, scholars were primarily concerned with showing the ethical implications of a new approach to care and with collecting evidence to demonstrate its greater effectiveness as opposed to the paternalistic and mechanistic paradigms. Well into the second decade of the 21st century, different issues need to be addressed. Aging populations and the spread of chronic diseases are challenging the sustainability of health care systems worldwide; increased awareness of health issues among the population and greater citizen participation seem to threaten clinicians’ authority. In this new scenario, it is acknowledged that the quality of verbal communication plays a crucial role, but it is still not clear how it impacts on the outcomes of care, which are its constitutive components and how it interacts with the institutional, cultural and social context of interactions. This book suggests that the time is ripe for a fresh start in health communication studies. As Debra Roter points out in her foreword, this proposal “is ambitious in attempting to integrate perspectives derived from pragmatics and argumentation theory with those derived from quantitative methods of medical interaction analysis and its prediction of outcomes”. On the other hand, as Giovanni Gobber explains in his foreword, “health communication can profit from an application of a performance-oriented linguistic analysis that pays attention to the role of the various relevant context factors in speech events related to specific activity types”. In this way, the open questions regarding communication in medical encounters are considered under a new light. The answers provided open up novel lines of research and provide an original perspective to face the new challenges in medical care.


The Cambridge Handbook of Group Interaction Analysis

The Cambridge Handbook of Group Interaction Analysis
Author: Elisabeth Brauner
Publisher: Cambridge University Press
Total Pages: 968
Release: 2018-08-02
Genre: Psychology
ISBN: 1108655165

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This Handbook provides a compendium of research methods that are essential for studying interaction and communication across the behavioral sciences. Focusing on coding of verbal and nonverbal behavior and interaction, the Handbook is organized into five parts. Part I provides an introduction and historic overview of the field. Part II presents areas in which interaction analysis is used, such as relationship research, group research, and nonverbal research. Part III focuses on development, validation, and concrete application of interaction coding schemes. Part IV presents relevant data analysis methods and statistics. Part V contains systematic descriptions of established and novel coding schemes, which allows quick comparison across instruments. Researchers can apply this methodology to their own interaction data and learn how to evaluate and select coding schemes and conduct interaction analysis. This is an essential reference for all who study communication in teams and groups.


Transference

Transference
Author: Joseph Schachter
Publisher: Routledge
Total Pages: 252
Release: 2013-06-17
Genre: Psychology
ISBN: 1134903499

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The theory of transference and the centrality of transference interpretation have been hallmarks of psychoanalysis since its inception. But the time has come to subject traditional theory and practice to careful, critical scrutiny in the light of contemporary science. So holds Joseph Schachter, whose Transference: Shibboleth or Albatross? undertakes this timely and thought-provoking task. After identifying the weaknesses and inconsistencies in Freud's original premises about transference, Schachter demonstrates how contemporary developmental research across a variety of domains effectively overturns any theory that posits a linear deterministic relationship between early childhood and adult psychic functioning, including the adult patient's treatment behavior toward the analyst. No less trenchantly, he shows how contemporary chaos theory complements developmental research by making the very endeavor of historical reconstruction - of backward prediction - suspect on logical grounds. Nor, Schacter continues, does the clinical evidence normally adduced in support of transference theory provide the firm bedrock of data that most analysts suppose to exist. What one finds, he holds, are endlessly reiterated claims of identifying determining historical antecedents sustained only by descriptions of current behaviors through a gloss of theory. Less a polemic than a call to order, Transference: Shibboleth or Albatross? is cogently argued and straightforwardly written. It is destined to be a thorn in the side of analysts who resist change and a spur to those who seek to bring analytic theory into closer alignment with contemporary science in the interest of improves treatment efficacy.


The Prevention and Treatment of Missing Data in Clinical Trials

The Prevention and Treatment of Missing Data in Clinical Trials
Author: National Research Council
Publisher: National Academies Press
Total Pages: 163
Release: 2010-12-21
Genre: Medical
ISBN: 030918651X

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Randomized clinical trials are the primary tool for evaluating new medical interventions. Randomization provides for a fair comparison between treatment and control groups, balancing out, on average, distributions of known and unknown factors among the participants. Unfortunately, these studies often lack a substantial percentage of data. This missing data reduces the benefit provided by the randomization and introduces potential biases in the comparison of the treatment groups. Missing data can arise for a variety of reasons, including the inability or unwillingness of participants to meet appointments for evaluation. And in some studies, some or all of data collection ceases when participants discontinue study treatment. Existing guidelines for the design and conduct of clinical trials, and the analysis of the resulting data, provide only limited advice on how to handle missing data. Thus, approaches to the analysis of data with an appreciable amount of missing values tend to be ad hoc and variable. The Prevention and Treatment of Missing Data in Clinical Trials concludes that a more principled approach to design and analysis in the presence of missing data is both needed and possible. Such an approach needs to focus on two critical elements: (1) careful design and conduct to limit the amount and impact of missing data and (2) analysis that makes full use of information on all randomized participants and is based on careful attention to the assumptions about the nature of the missing data underlying estimates of treatment effects. In addition to the highest priority recommendations, the book offers more detailed recommendations on the conduct of clinical trials and techniques for analysis of trial data.


Primary Health Care

Primary Health Care
Author: Trisha Greenhalgh
Publisher: John Wiley & Sons
Total Pages: 341
Release: 2013-03-15
Genre: Medical
ISBN: 1118693434

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General practitioners and other primary care professionals have a leading role in contemporary health care, which Trisha Greenhalgh explores in this highly praised new text. She provides perceptive and engaging insights into primary health care, focussing on: its intellectual roots its impact on the individual, the family and the community the role of the multidisciplinary team contemporary topics such as homelessness, ethnic health and electronic records. Concise summaries, highlighted boxes, extensive referencing and a dedicated section on effective learning make this essential reading for postgraduate students, tutors and researchers in primary care. "Trish Greenhalgh, in her frequent columns in the British Medical Journal...more than any other medical journalist spoke to her fellow GPs in the language of experience, but never without linking this to our expanding knowledge from the whole of human science. When I compare the outlines of primary care so lucidly presented in this wonderful book, obviously derived from rich experience of real teaching and learning, with the grand guignol theatre of London medical schools when I was a student 1947-52, the advance is stunning." —From the foreword by Julian Tudor Hart "Trish Greenhalgh is one of the international stars of general practice and a very clever thinker. This new book is a wonderful resource for primary health care and general practice. Every general practice registrar should read this book and so should every general practice teacher and primary care researcher." —Professor Michael Kidd, Head of the Department of General Practice, University of Sydney and Immediate Past President of The Royal Australian College of General Practitioners "This important new book by one of primary care's most accomplished authors sets out clearly the academic basis for further developments in primary health care. Health systems will only function effectively if they recognise the importance of high quality primary care so I strongly recommend this book to students, teachers, researchers, practitioners and policy makers." —Professor Martin Marshall, Deputy Chief Medical Officer, Department of Health, UK


Metaphor and Fields

Metaphor and Fields
Author: S. Montana Katz
Publisher: Routledge
Total Pages: 262
Release: 2013-01-03
Genre: Psychology
ISBN: 1135099006

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Metaphor and Fields is an explanation and demonstration of the value of metaphoric processes and fields in psychoanalysis. In this book, Montana Katz articulates a future direction for psychoanalysis which is progressively explored, taking into account features essential to psychoanalysts of all persuasions, clinically and theoretically. In this way, psychoanalysis is brought into the postmodern future by fashioning an umbrella for the discipline. With this umbrella, the barriers to mutual understanding may be dismantled and a path permanently forged to the possibility of meaningful international, intercultural, interdisciplinary and poly-perspectival psychoanalytic exchange. Metaphor and Fields organically merges work on metaphoric processes with work on fields. The use of a framework with metaphoric processes and fields combined exhibits the uniqueness of psychoanalysis and shows how it explores and explains human experience. The relational fields of the North American school of relational theory, intersubjective matrices, self object matrices, and the ground breaking work of Madeleine and Willy Baranger are all examples of field concepts that have been successfully employed in theoretical frameworks and clinical technique. They show how other schools of thought can be understood as using an implicit field concept. The chapters in this book approach the subject from diverse vantage points. Taken together, they form an intricate web of psychoanalytic thought that moves the scope of psychoanalysis beyond dispute towards the open, inclusive discussion of core concepts and technique. Metaphor and Fields will be of interest to psychoanalysts, psychiatrists, mental health clinicians, psychologists, social workers, and a wide academic audience drawn from the fields of philosophy, linguistics, comparative literature, anthropology and sociology.


Researching Communication in Clinical Encounters Using Interaction Analysis

Researching Communication in Clinical Encounters Using Interaction Analysis
Author:
Publisher:
Total Pages:
Release:
Genre: Communication in medicine
ISBN: 9781473992245

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Professor Carol Rivas discusses how to conduct interaction analysis by observing a natural setting. She includes accounts from a personal research project involving nurse and patient interactions during medical consultations.


Fundamentals of Clinical Data Science

Fundamentals of Clinical Data Science
Author: Pieter Kubben
Publisher: Springer
Total Pages: 219
Release: 2018-12-21
Genre: Medical
ISBN: 3319997130

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This open access book comprehensively covers the fundamentals of clinical data science, focusing on data collection, modelling and clinical applications. Topics covered in the first section on data collection include: data sources, data at scale (big data), data stewardship (FAIR data) and related privacy concerns. Aspects of predictive modelling using techniques such as classification, regression or clustering, and prediction model validation will be covered in the second section. The third section covers aspects of (mobile) clinical decision support systems, operational excellence and value-based healthcare. Fundamentals of Clinical Data Science is an essential resource for healthcare professionals and IT consultants intending to develop and refine their skills in personalized medicine, using solutions based on large datasets from electronic health records or telemonitoring programmes. The book’s promise is “no math, no code”and will explain the topics in a style that is optimized for a healthcare audience.