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Nurses working in correctional and forensic mental health settings face unique challenges in the provision of care to patients within custodial settings. The subjectivities of both patients and nurses are subject to the power relations, discourses and abjection encountered within these practice milieus. Using a poststructuralist approach using the work of Foucault, Kristeva, and Deleuze and Guattari, this paper explores how both patient and nurse subjectivities are produced within the carceral logic of this apparatus of capture. Recognizing that subjectivities are fluid and dynamic, and capable of change, Deleuze and Guattari's concept of deterritorialization will illustrate opportunities for resistance, where nurses can begin to practice outside the dominant carceral logic (and restrictions) of the system. [ABSTRACT FROM AUTHOR]

Caregivers' psychological well-being is linked to the quality of care provided for familiar with chronic illness. Despite caregivers of cardiac patients present an impaired psychological well-being, less investigated is the psychological well-being of caregivers of individuals with a rare disease such as the Transthyretin Cardiac Amyloidosis (ATTR-CA). Specifically, given that no study explored the well-being of the caregiver and the caregiver-patient relationship, this study aimed to analyze the prevalence of anxiety and depression in ATTR-CA caregivers and if these disorders were associated with patient's and caregiver's characteristics. Fifty-eight dyad caregiver-ATTR-CA patients completed the Hospital Anxiety and Depression Scale and the Network of Relationships Inventory. Moreover, ATTR-CA patients completed the Kansas City Cardiomyopathy Questionnaire, while caregivers completed the Multidimensional Scale of Social Support. Results showed that anxious caregivers (44%) reported higher conflict with patients. They had ATTR-CA relatives with a worse perception of cardiac symptoms and higher anxiety and depression. Depressed caregivers (39%) reported higher conflict with ATTR-CA relatives and lower perceived social support. Caregiver reported a high prevalence of anxiety and depression associated with worse personal relational well-being and to patient's psycho-physical condition. The care of ATTR-CA patient should consider the caregiver well-being. [ABSTRACT FROM AUTHOR]

According to a popular account, rationality is a kind of coherence of an agent's mental states and, more specifically, a matter of fulfilling norms of coherence. For example, in order to be rational, an agent is required to intend to do what they judge they ought to and can do. This norm has been called 'Enkrasia'. Another norm requires that, ceteris paribus, an agent retain their intention over time. This has been called 'Persistence of Intention'. This paper argues that thus understood norms of rationality may at times conflict. More specifically, Enkrasia and Persistence of Intention may place demands on the agent that are impossible to fulfil. In these cases, the framework of requirements does not provide us with norms that make us rational. A rival account, according to which rationality is a kind of responsiveness to one's available reasons, can overcome the problem. [ABSTRACT FROM AUTHOR]

Young people in Colombia present high rates of mental health problems, to which the country’s history of armed internal conflict contributes in complex ways. Mental health services in Colombia are fragmented, inadequate, and difficult to access for many. Young people’s help)seeking is often hindered by mental health stigma and/or poor experiences with services. This paper presents a thematic analysis of qualitative data from a mixed-methods study aimed at developing and testing a mental health intervention for Colombian youths. We draw upon theoretical lenses from scholarly work on stigma and Sen’s ‘capabilities approach’ to inform our analysis of interviews and group discussions with staff and young people involved in the state-funded human capital building programme ‘Jovenes en Acción’ (JeA). By illustrating how study participants talked about stigma, vulnerability, mental health services organisation, and the challenges of discussing mental health topics in a learning environment, we illuminate aspects of mental health support and anti-stigma interventions that might need enhancing. In particular, we suggest that more emphasis on ‘community competencies’ as complementary to and interrelated with individual competencies would strengthen young people’s individual and collective resources for mental wellbeing while being in line with the sociocritical principles of existing human capital-enhancing programmes. [ABSTRACT FROM AUTHOR]

Our research analyzes emerging labor conflict in pandemic-hit Argentina as well as its aftermath. Our hypothesis is that, albeit state mandated social distancing and controls, the workers partially rebuffed their "social designated roles in the pandemic" along with imposed work conditions. Whenever possible the workers organized themselves to resist independently of union leadership and in spite of the limits to protest in public spaces. In order to understand this process, we think in terms of multiple temporalities and spatial levels, all leading to the time of the pandemic event and intend to gain insight in the emerging subjects and organizational forms. Our focus is on Cordoba's health workers conflict of 2022, to show in a case study the inflection that the pandemic brought about. Our sources are different international, national and provincial databases as well as testimonies to said conflict. [ABSTRACT FROM AUTHOR]

Groupwork is a core method of social work intervention, yet in our experience, social work students and early graduates rarely embrace the idea of facilitating groups, nor foresee that as a role they would like to fill. Through our years of experience in practising and teaching groupwork, we have learned that one of the reasons for this reluctance is the fear of conflict. This paper focuses on our journey of understanding the role of conflict in groups viewed through the lens of Tuckman's 5 stages of groupwork. Through a series of examples from practice, we provide readers with strategies we have used for managing conflict in a groupwork practice setting. The aim of this paper is to provide social work educators, students and graduates with an understanding of why conflict occurs in groups and to provide a toolbox of strategies to respond to conflict. [ABSTRACT FROM AUTHOR]

Freud claimed that objects are means of satisfying drives (Freud, 1916), a view that was strengthened by object-relation theories, which claims that drives are primarily object-seeking (Fairbairn, 1946). In a recently published paper, I have suggested modifying this assumption. I argue that while drives are consciously directed at objects, they are unconsciously directed solely at characteristics (Saad, 2022). In this paper, I examine the distinction between directing drives at characteristics and directing drives at objects. I then use this distinction to make a distinction between transference relations and real relations. Finally, I show that the characteristic/object distinction might reveal intrapsychic conflicts in which the subject is consciously attracted to an object and unconsciously repulsed by its characteristics (or vice versa), and I examine how these conflicts can be analyzed within the psychoanalytic situation. [ABSTRACT FROM AUTHOR]

The article presents the discussion on personhood has long figured prominently in discussions of entities' moral status and attendant rights. Topics include personhood, however, might invite difficulties because of the word ‘person,' which has particular emotional resonance and is associated with ‘human being'; and moral standing that an entity can achieve, at which point an entity's interests, rights, and duties.

We have very little knowledge about the characteristics and consequences of false abuse accusations. Sixty-one members of a German support organisation for allegedly falsely accused individuals provided information about themselves, the accuser, the accusation, the consequences of the allegation, and their coping strategies. The majority of respondents were male (90%), accused of sexual abuse (89%), and a parent of the accuser (71%). The initial allegations were frequently (72%) associated with the accuser undergoing psychotherapy. The consequences for the accused were psychological, physiological, familial, job-related, personal, and legal in nature. These included a loss of contact (98%), altered family dynamics (92%), depressive symptoms (48%), and problems focussing at work (44%). Eleven accused (18%) faced legal prosecution, but none of them were charged. Frequent strategies to cope with the allegation included contacting the victim support organisation (100%), seeking therapy (51%), contacting counselling centres (43%) and other victim support organisations (23%). Most of the accused felt supported by their environment (84%). Supporting and elaborating upon previous studies, this study exposes the potential consequences of alleged false accusations. [ABSTRACT FROM AUTHOR]

We apply a newly developed attitude network‐modelling technique (Response‐Item Network, or ResIN) to study attitude–identity relationships in the context of hot–button issues that polarize the current US‐American electorate. The properties of the network–method allow us to simultaneously depict differences in the structural organization of attitudes between groups and to explore the relevance of organized attitude–systems for group identity management. Individuals based on a sample of US‐American crowd workers (N = 396) and the representative 2020 ANES data set (N = 8280), we model an attitude network with two conflictive partisan belief‐systems. In the first step, we demonstrate that the structural properties of the attitude‐network provide substantial information about latent partisan identities, thereby revealing which attitudes 'belong' to specific groups. In a second step, we evaluate the potential of attitudes to communicate identity‐relevant information. Results from a vignette study suggest that people rely on their mental representations of attitude‐identity links to structure and evaluate their social environment. By highlighting functional interdependences between (macro level) attitude structures and identity management, the presented findings help advancing the understanding of attitude‐identity dynamics and socio‐political cleavages. [ABSTRACT FROM AUTHOR]

An overarching, supraordinate identity (e.g., European identity) can enhance intergroup relations if individuals recategorize ingroup and outgroup members into one, unified group. Yet, in conflict‐affected societies, ethno‐national identities may promote negative intergroup attitudes and behaviours. The effects of European and ethno‐national identities in combination have yet to be explored in childhood. If they can be integrated, the inclusivity of a supraordinate European identity may be felt despite the divisiveness of ethno‐national identities in post‐accord societies. This research assesses supraordinate identity integration in relation to quality intergroup contact and cross‐group friendships among the post‐accord generation in Croatia, Kosovo and Republic of North Macedonia (RNM). These sites have relatively recent conflicts, but varying relationships to the EU. Data were collected from 382 children aged 7–11, split evenly by minority and majority status (Croatia n = 90; Kosovo n = 107; RNM n = 185). Children across all three sites had integrated ethno‐national/European identities. Levels of identity integration varied by site, but not group status. Identity integration was positively and significantly associated with quality of outgroup contact and number of cross‐group friends, and this relationship varied by site. Integrated supraordinate identities have promising implications for intergroup relations and the future of peacebuilding in Europe. Please refer to the Supplementary Material section to find this article's Community and Social Impact Statement. [ABSTRACT FROM AUTHOR]

The book review discusses "Mourning and Melancholia: Redux," which explores the impact of loss and grief on patients, therapists, and the therapeutic process. It examines Freud's ideas on mourning and melancholia and their influence on psychoanalysis. The review highlights chapters that focus on the therapist's emotional response to patients at risk of suicide, the use of self-disclosure in therapy, and the role of silence in the therapeutic process. The book emphasizes the transformative power of loss and the importance of the therapeutic alliance in facilitating mourning. It also explores various experiences and perspectives in psychoanalytic therapy, including the concept of defended affect, the theme of wounded healers, the use of virtual therapy, and the challenges faced by parents of children with special needs. The text underscores the importance of empathy and understanding in the therapeutic process, particularly in relation to grief and loss. [Extracted from the article]

This article is a review of the book "A User's Guide to an Affirmative Psychoanalysis" by Joseph D. Lichtenberg, James L. Fosshage, and Frank M. Lachmann. The authors advocate for an affirmative approach in psychoanalysis, which involves understanding and appreciating the positive intentions behind a patient's actions, even if they are maladaptive. They emphasize the importance of creating a positive atmosphere in therapy and discuss the role of different motivational systems in shaping the self. The article includes case studies to illustrate how these concepts are applied in clinical practice. The text also explores the concept of therapeutic intimacy, focusing on selfobject relating and intersubjective connecting. The author highlights the significance of mutual enjoyment and playfulness in the therapeutic relationship, comparing it to the joy between a mother and child. The article also discusses the case of Samantha, who struggles with balancing her parents' expectations and her own authentic self-expression. The author acknowledges the limitations of this approach, particularly in addressing unconscious fantasies and conflicts. However, they also emphasize the valuable insights gained from the book, such as affirming patients' accomplishments and creating a positive therapeutic environment. [Extracted from the article]

Purpose: This paper aims to critique the rationalist theoretical framework of international mediation, which ignores emotions in analyzing the decision by conflict parties to pursue a negotiated settlement or continue fighting, and to present an alternative framework that integrates emotions. Design/methodology/approach: The paper draws on psychology research on emotions and conflict to develop an emotionally informed framework for analyzing conflict parties' decision-making regarding a settlement. It demonstrates the framework's validity and value through a case study of the 2000 Camp David mediation to resolve the Israeli–Palestinian conflict. Findings: A rationalist approach to mediation does not have adequate explanatory and predictive power theoretically. In practice, it can reduce the prospect of success. Research limitations/implications: The paper highlights the necessity for mediation researchers to study the effects of emotion, draw on psychology studies on conflict and explore the emotional implications of different mediation strategies and tactics. Practical implications: The framework highlights the challenge of designing and conducting mediation in a way that cultivates emotions favorable to a settlement and lessens emotions unfavorable to a settlement. Originality/value: This is the first study, to the best of the authors' knowledge, to critique the rationalist framework of international mediation studies and develop an alternative framework that integrates emotions. [ABSTRACT FROM AUTHOR]

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Introduction: Internet addiction can lead to excessive online communication and boundary-less interactions over time. This could result in issues, such as marital boredom and marital infidelity. Aim: Investigating the mediating role of sensation seeking and impulsivity in the association of Internet addiction with marital boredom and attitude towards marital infidelity. Method: In this descriptive, correlational study, structural equation modeling was employed. The study population comprised all married employees of the Tourism Information Technology Development Company in Tehran, Iran, during 2022. A subset of 106 individuals was selected for this study via convenience sampling. The research tools included the Internet Addiction Diagnostic Questionnaire (1998), Marital Boredom Questionnaire (1996), Attitude Towards Infidelity Scale (2006), Sensation Seeking Scale (1978), and Impulsiveness Scale (1995). Data was analyzed using Pearson's correlation coefficient test and structural equation modeling. The analyses were conducted using SPSS Version 25 and SmartPLS Version 3 software. Results: The present findings indicated the direct, positive, and significant impact of Internet addiction on marital boredom, sensation seeking, impulsivity and attitude towards marital infidelity (P<0.05). The results also indicated the significant direct effects of sensation seeking and impulsivity on both marital boredom and attitude towards infidelity (P<0.05). Additionally, the bootstrap test results indicated the significant indirect effect of Internet addiction on marital boredom and attitude towards infidelity; this effect was found to be mediated by sensation seeking and impulsivity (P<0.05). Conclusion: The use of the Internet can gradually foster dependency and alter the dynamics of relationships between couples. This can lead to conflicts, impulsivity, and a search for emotional resolution in the virtual space, ultimately resulting in marital boredom and laying the groundwork for marital infidelity. Therefore, understanding the detrimental effects of Internet addiction can aid couples in enhancing their overall lifesatisfaction. [ABSTRACT FROM AUTHOR]

The challenges of caring for children with early life adversity have been identified as contributing to feelings of compassion fatigue (CF)—an emotional disconnection resulting from repeated exposure to another's trauma. Although extensive studies have focused on contributors to trauma-inducing workplace stress and well-being, research on trauma-related stress in the home, especially in adoptive parent populations, is relatively underexplored. This study aimed to understand how adoptive parents make sense of their experiences of parenting adopted children, identify core components of CF, understand parents' perceptions of contributing factors and explore wider relational impacts. Parents were recruited from Adoption UK via email invite. Semi-structured interviews were conducted with twelve parents to form a holistic picture of adoptive parents' experiences. Data were analysed using Reflexive Thematic Analysis. Findings yielded three overarching and interrelated themes: (i) a parent not a therapist; (ii) strained connections; and (iii) support is a mirage. Findings support recent literature highlighting the reality of CF in adoptive parents and the need to develop more preventative structures and responsive systems of support adapted to the needs of adopted children but also the unique needs of their families to help prevent mental health crises across the family and adoption breakdowns. [ABSTRACT FROM AUTHOR]

Background: The COVID-19 pandemic has significantly challenged global healthcare systems, particularly impacting the psychological health of nurses. This study examines the psychosocial impact and work-related stressors faced by Filipino nurses during the COVID-19 crisis. Methods: A descriptive cross-sectional survey was used to gather data from May 2021 to May 2022. Participants included registered nurses recruited from across the Philippines, focusing on their exposure to work-related stressors, burnout, job satisfaction, and coping activities. The survey included validated items that measured work related variables (e.g., job responsibilities, workload) and personal stress management strategies. Descriptive statistics (means, standard deviations, frequencies, and percentages) were calculated to interpret the continuous and categorical variables. Results: A total of 2,229 nurses participated in the survey. Findings indicate that 78.9% of nurses experienced increased workloads, and 36% were assigned to units outside their expertise. Despite the high stress and burnout rates (30.4% reported symptoms), 56.4% of nurses intended to stay in their positions. The most common coping strategies were use of social media (53.7%) and connecting with friends and family (51.5%). Conclusion: Filipino nurses displayed considerable resilience despite facing severe work-related stressors and psychological strains during the pandemic. The study highlights significant stressors such as increased workload, role shifts, and the lack of clear workplace goals, contributing to burnout and reduced job satisfaction. This study underscores the need for enhanced support systems and policies to safeguard nurses' well-being, recommending more robust mental health services, adequate staffing, and the provision of necessary resources and training to prepare nurses for future health crises better. [ABSTRACT FROM AUTHOR]

Authors and illustrators of children's literature often tend to view their readers as vulnerable and in need of protection. They take on the responsibility of shielding their implied readers from the impact of the conflict that they are writing about, either by including elements that enable the children to distance themselves from the narrative or by choosing presumably less-distressing elements. They draw the boundaries for what is acceptable and what isn't in narratives about border-crossing for young children. In order to analyze the power hierarchy between the adult creators and the young readers in such conflict narratives, I employ the framework of Rhetorical Theory of Narrative to explore the choices made by the illustrators and authors of five contemporary picture-books about Arab refugees to consider how the scenes of the conflict are being shown through images and words. I also examine how these depictions are likely to impact the reader, who takes on the role of witness while reading the words and the pictures. [ABSTRACT FROM AUTHOR]

Entrepreneurs running their businesses usually pursue goals associated with work and family functioning. The efficiency of goal realization in these two areas of activity varies and may depend on balance between the two domains. The study aimed to answer the question of how interplays between the work and family domains (work-to-family conflict, family-to-work conflict, work-tofamily facilitation, and family-to-work facilitation) were related to the realization of work and family goals in entrepreneurs. It also tested if sex was a moderator of these relationships. A total of 246 entrepreneurs participated in the study; they were married or in stable non-marital relationships. Structural equation modeling showed that family-to-work conflict is negatively related to work goal realization and family goal realization, and work-to-family facilitation is positively related to family goal realization. Sex does not moderate the relationships analyzed. The study provides insight into the relationships of conflict and facilitation to goal realization in people running their businesses. [ABSTRACT FROM AUTHOR]

This study examined the moderating effect of intergenerational relationships on the association between Internet engagement and older Chinese adults' mental well-being and whether this relationship and the moderating role of intergenerational relationships differs by age. We collected survey data from 1,162 participants aged 60 and older. Using the Satisfaction with Life Scale (SWLS) to measure life satisfaction, the Chinese version of the De Jong Gierveld Loneliness Scale to evaluate loneliness, and the Intergenerational Relationship Quality Scale for Aging Chinese Parents (IRQS-AP) to assess intergenerational relationship quality. Two-stage least squares regression with interaction terms was used to examine the moderating effect of intergenerational relationships on the association between Internet engagement and mental well-being in different age groups. Higher levels of Internet engagement were significantly associated with better life satisfaction and lower loneliness in older adults, particularly for the young-old. Furthermore, the positive association between Internet engagement and mental well-being was stronger for older adults with conflicted or detached intergenerational relationships. Encouraging and training older adults to use the Internet to shrink the digital divide, developing a sound Internet infrastructure, providing low-cost Internet services, particularly for the young-old with conflicted or detached intergenerational relationships, and the old-old. [ABSTRACT FROM AUTHOR]

The article examines the complexities of political dynamics in Asia and underscores the need for multifaceted approaches to address issues like women's political participation, ethnic conflicts, and international power relations. It also discusses challenges in achieving substantive gender representation in politics, the impact of ethnic disputes in Balochistan, and the ongoing internal conflicts in Myanmar.

Background: Cryptocurrency addiction is a new type of behavioral addiction that should be urgently addressed by professionals within the public mental health context. Therefore, a psychometrically sound measurement tool is urgently needed. Objectives: This study aimed to develop a 'cryptocurrency addiction scale'. Design: A descriptive, cross-sectional, and methodological design. Setting: Turkey. Participants: A total of 279 Turkish people participated in the first stage and 289 people participated in the second stage of the study. Methods: Exploratory and confirmatory factor analyses were used to test construct validity. To test criterion-related validity, Pearson's correlation coefficients between the Cryptocurrency Addiction Scale and the Generalized Problematic Internet Use Scale 2, De Jong Gierveld Loneliness Scale, and Epworth Sleepiness Scale were investigated. Internal reliability was assessed using Cronbach's a and McDonald's ra. Test-retest reliability was tested using Pearson's correlation between these two measures. Results: Exploratory factor analysis resulted in the extraction of six factors (conflict, tolerance, relapse, withdrawal, mood modification, and salience), which explained 63.41% of the total variance. The first-and second-order confirmatory factor analysis models showed good model fit. Participants' scores on the Cryptocurrency Addiction Scale showed significant positive correlations with problematic Internet use, loneliness, and sleepiness scores. Cronbach's a and McDonald's ra reliability coefficients of the scale were 0.93. A significant positive correlation was found between the test and retest scores of the scale. Conclusion: The Cryptocurrency Addiction Scale showed good construct validity, criterion-related validity, internal reliability, and test-retest reliability. Validity and reliability studies of the Cryptocurrency Addiction Scale in other languages are recommended. [ABSTRACT FROM AUTHOR]

Purpose: Despite the misconception that intimate partner violence and abuse (IPVA) is exclusive to heterosexual relationships, studies have shown that IPVA also occurs in same gender relationships. Adopting Johnsons' typology (1995, 2006), the study explores narratives of IPVA, and its appropriateness as an explanatory framework in a conservative and restrictive environment. Method: Using narrative inquiry, semi-structured interviews were conducted with nine (9) cisgender adults on their experiences of IPVA in same-gender relationships in Trinidad and Tobago. To analyse participants' narratives thematic narrative analysis was used. Results: Participants had varied and nuanced experiences of IPVA in their relationships. Three types of stories emerged through our analysis: (1) narratives of control and violence, (2) narratives of resistance to control and violence, (3) narratives of conflict and violence. While narratives demonstrated themes in Johnson's typology, variations of these themes were found. Narratives of coercive control varied in frequency and severity, the use of emotional violence and the presence of LGB + specific risk markers. Narratives of conflict and violence highlighted unidirectional and bidirectional forms of violence that were often related to the restrictive and conservative environments in which individuals exist. Conclusion: The results of this study provide a groundwork for the examination of IPVA within the LGB + community. The findings can help further our understanding of the complexities of IPVA in same-gender relationships in the Caribbean context and lay the groundwork for future research. [ABSTRACT FROM AUTHOR]

The COVID-19 pandemic forced classical musicians to cancel in-person recitals and concerts and led to the exploration of virtual alternatives for engaging audiences. The apparent solution was to livestream and upload performances to social media websites for audiences to view, leading to income and a sustained social media presence; however, automated copyright enforcement systems add new layers of complexity because of an inability to differentiate between copyrighted content and original renditions of works from the public domain. This article summarizes the conflict automated copyright enforcement systems pose to classical musicians and suggests how libraries may employ mitigation tactics to reduce the negative impacts when uploaders are accused of copyright infringement. [ABSTRACT FROM AUTHOR]

We introduce the job crafting competency construct and apply it to predict tradeoffs between competing outcomes that are inherent in job crafting, like performance and well‐being or engagement and withdrawal. Job crafting competencies are the clusters of individual knowledge, skills, and abilities that are necessary to achieve personal objectives through effective job crafting problem‐solving. We create a framework of job crafting competencies consisting of comprehensive/simplistic heuristic information use and approach/avoidance problem‐solving skills. In Study 1, we operationalize competencies as profiles demonstrated through an aptitude‐oriented assessment that predicts differences in outcomes. Five distinct profiles emerged in a sample of 174 workers. The high‐volume analytic problem‐solving profile was associated with higher performance and strain, while the ambivalent acquiescence profile was associated with lower performance and strain. The practical problem‐solving profile minimized tradeoffs between performance and strain. Rapid problem‐solving and low‐volume analytic problem‐solving profiles were variants in between these other patterns. Study 2 used a survey of 323 workers to support the uniqueness of the five competencies, and their relationships with approach/avoidance job crafting, engagement, and withdrawal. The research identifies a new job crafting individual difference (job crafting competencies) to delineate outcomes and tradeoffs according to unique competency profiles. [ABSTRACT FROM AUTHOR]

This study conducted an experiment to examine the impact of informational conflicts about COVID-19 transmission routes on cognitive and behavioral factors. We were guided by the risk information seeking and processing model and focused on relationships among perceived ambiguity, information insufficiency, trustworthiness, and seeking/avoidance across several conditions. Data from 304 participants indicated a higher level of perceived ambiguity in the conflicting information condition compared to the one-sided information condition. The serial mediations suggest conflicting information enhanced perceived ambiguity, which was negatively related with trustworthiness of experts, information seeking, and adherence intentions. These findings shed light on how conflicting information negatively affects the decision-making process and provide insight about what to consider when presenting dynamic information to the public. [ABSTRACT FROM AUTHOR]

In psychotherapy, ambivalence may be conceptualized as a conflict between two distinct motivations: one that is favorable to change (pro-change) and another that favors the maintenance of a problematic pattern (pro status quo). Previous studies identified two processes by which clients resolve this conflict: imposing the innovative part and silencing the problematic one (dominance), and establishing negotiations between the innovative and the pro status quo parts (negotiation). The present exploratory study examined ambivalence resolution in a sample of clients diagnosed with complicated grief. Results revealed that, in recovered cases, negotiation increases and dominance decreases from the beginning until the middle sessions of therapy and the opposite tendency is observed from the middle to the final sessions. Unchanged cases reveal an overall high proportion of dominance and an overall low proportion of negotiation. These results are partially divergent from those reported in previous studies with samples of clients diagnosed with major depression. [ABSTRACT FROM AUTHOR]

Develop and assess a novel medical improvisation-based motivational interviewing (MI) curriculum for residents. A 6-h medical improv-based MI curriculum occurred in 2022 for internal medicine residents. A mixed-methods evaluation included: pre- and post-role plays using the Motivational Interviewing Treatment Integrity Score (MITI) to assess MI competency, a post-course survey assessing confidence, and focus groups to understand learning through improvisation. Participants increased their confidence in applying MI skills after the curriculum in responding to a patient's argument against change (29% pre vs. 72% post, p < 0.001), eliciting change talk (21% vs. 86%, p < 0.001), and providing information in an MI-centric way (39% vs. 86%, p < 0.001). All role-play participants achieved at least beginning proficiency on MITI technical and relational global summary scores post-course. MI-adherent behaviors increased, and MI-non-adherent behaviors decreased in post-course role plays. Themes on learning through improvisation included: (1) improvisation can enhance the learning of MI skills, (2) using non-medical scenarios in improvisation exercises has benefits, and (3) trying improvisation had positive effects on the learning environment. A medical improvisation-based course is a promising, engaging way to teach residents MI skills and can improve competence and confidence with MI. [ABSTRACT FROM AUTHOR]

This longitudinal study examined bidirectional associations between special education pupils' teacher–child relationship characteristics (quality, satisfaction, and conflict), classroom structure, and behavioral problems (externalizing and attention-hyperactivity). A secondary goal was to investigate the extent to which severity of behavioral problems moderated the prospective associations. Participants were 586 pupils (86% boys) in Grades 4 to 6 (Mage time 1 = 10.82 years, SD = 0.86) from 13 special education schools in the Netherlands and their teachers. Findings indicated that primarily teacher–child conflict was related to increased externalizing problems. More classroom structure was related to decreased attention-hyperactivity problems, but higher teacher–child relationship quality was linked to increases in attention-hyperactivity problems. Moreover, both types of problems were related to increases in conflict. Severity of behavior problems did not moderate these associations. Although findings were not consistent in both school years, they suggested that particularly reducing conflict and instilling more classroom structure were the most effective strategies in reducing behavioral problems. Furthermore, disrupting negative transactional associations between conflict and externalizing behavior is important to reduce externalizing behavior. [ABSTRACT FROM AUTHOR]

Many ethnoreligious-minority foster children in several western countries, including the Netherlands, are placed and permanently live with ethnically and religiously non-matched foster families (i.e., in trans-religious foster care). We examine whether and which moral dilemmas exist around the issue of how religion should be weighted in trans-religious foster care to provide ethnoreligious-minority foster children with healthy identity development. We applied a thematic analysis to 17 qualitative interviews (seven foster parent/foster child dyads and three foster parents) taken from two pre-existing datasets. We retrieved five moral dilemmas in trans-religious foster care placements, which are discussed in relation to the following ethical arguments: (1) pressure from birth parents and parents of foster children to abide by their religious praxis; (2) objections of the foster family to the faith of the birth family; (3) a switch to the faith of the foster family by the foster child; (4) challenges to the religious identity searches of foster children due to ethnoreligious boundary drawing between majority and minority groups; and (5) the impact of religious traditions on the bodily integrity of foster children. We argue that it is in the best interest of foster children to have a foster family who, when making (some) religious choices on their behalf, is sensitive to the particular child and their developing identity with regard to their religious ideas and beliefs. Foster families need support regarding religious reflection and religious self-determinism in their foster children. [ABSTRACT FROM AUTHOR]

This study set out to examine the valence effect on the explicit and implicit processing of Chinese emotion-label and emotion-laden words with emotional categorisation task (ECT) and emotional Stroop task (EST). Behaviourally, the dissociation between emotion-label and emotion-laden words was only observed in the ECT and was modulated by valence. Neurophysiologically, a negative bias was found in the early perceptual processing stage (N170). In the second processing stage, the dissociation between emotion-label and emotion-laden words was modulated by valence (P2 and EPN). In the elaborate processing stage, the neural dissociation between emotion-label and emotion-laden words was modulated by the processing level (frontal N400 and early LPC). Valence interacted with processing level (late LPC). This study verifies the three-stage model of emotional word processing and extends it by adding two factors—processing level and emotional word type—into the model. [ABSTRACT FROM AUTHOR]

Purpose: Attention deficit hyperactivity disorder (ADHD) is currently the most prevalent childhood psychiatric diagnosis. This article reports how 10 young adults in Norway positioned themselves before they were diagnosed with ADHD either during early childhood or adolescence. A central theme is how these subject-positions relate to societal norms and mental well-being. Method: Individual interviews were conducted, and the transcriptions of the interviews were analysed according to discourse theory. Result: Six central subject positions were identified which in turn related to two major positions: 1) failure with schoolwork and 2) struggle in social interaction. The findings indicated specific emotional and environmental needs and that individuals were confronted with societal norms related to the criteria for ADHD prior to and regardless of whether one had received a formal diagnosis. Conclusion: We argue that analysing subject positions provides important knowledge regarding ADHD that is useful for individuals, parents, teachers, practitioners, policymakers, and helping professionals in the field of mental health and education when it comes to interventions that support children who possess different temperaments. [ABSTRACT FROM AUTHOR]

What makes people feel respected or disrespected in political discussions with contrary-minded others? In two survey studies, participants recalled a situation in which they had engaged in a discussion about a political topic. In Study 1 (n = 126), we used qualitative methods to document a wide array of behaviors and expressions that made people feel (dis)respected in such discussions, and derived a list of nine motives that may have underlain their significance for (dis)respect judgments. Study 2 (n = 523) used network analysis tools to explore how the satisfaction of these candidate motives is associated with felt respect. On the whole, respect was associated with the satisfaction or frustration of motives for esteem, fairness, autonomy, relatedness, and knowledge. In addition, the pattern of associations differed for participants who reported on a discussion with a stranger versus with someone they knew well, suggesting that the meaning of respect is best understood within the respective interaction context. We discuss pathways towards theoretical accounts of respect that are both broadly applicable and situationally specific. [ABSTRACT FROM AUTHOR]

Using a dyadic intensive longitudinal design, we examined bidirectional links between daily relationship tension and actigraphy-measured sleep quality and whether attachment and post-conflict recovery behavior moderated these effects. A community sample of cohabiting couples (N = 208 dyads) completed a laboratory-based conflict discussion and a 14-day diary study of arguments and relationship stress. Each night, participants wore actigraphy monitors to assess wakefulness after sleep onset (WASO), an indicator of poor sleep quality. WASO was higher on days of especially high relationship stress but was not associated with next-day relationship stress or arguments. Attachment anxiety and avoidance exacerbated associations between more frequent arguments and higher WASO, and between higher WASO and higher next-day relationship stress. Partner conflict recovery buffered links between higher WASO and more frequent arguments, and between higher relationship stress and higher WASO. This study, one of the few to incorporate behavioral observation and actigraphy-measured sleep quality, identified novel moderators of bidirectional associations between sleep quality and relationship tension, underscoring the significance of dyadic buffering processes on sleep quality. [ABSTRACT FROM AUTHOR]

Objective: Indigenous young people are known to have adverse demographic and psychosocial factors affecting worse mental health outcomes and some household factors aiding resilience. In Australia, there has been no exploration of these factors in clinically referred Indigenous young people assessed in a culturally appropriate way. Methods: A total of 113 Indigenous children and adolescents, 217 non-Indigenous young people, age, gender, mental disorder symptom severity, symptom-linked distress and impairment matched, and 112 typically developing participants, age- and gender-matched were recruited. Cultural validity and reliability of the impairing symptoms in Indigenous young people were determined. Key demographic and psychosocial factors were compared across the three groups. Results: The Indigenous clinical group differed significantly from the other two groups that did not differ on three possibly protective measures examined. Key demographic and psychosocial risk factors in the Indigenous group differed significantly from the non-Indigenous clinical group which in turn differed from the typically developing participants. The three groups exhibited a progressively increased magnitude of difference. Conclusions: It remains imperative to nurture features that provide protection and enhance resilience for Indigenous young people and their communities. Indigenous status is linked to significant demographic and psychosocial disadvantage over and above that conferred by clinical impairment and its management. It is crucial that these features are managed and/or advocated for with those demographic and psychosocial factors of the greatest magnitude dealt with first. Future systematic investigations of the contribution of these key factors to mental health referral pathways, assessment and management are needed. [ABSTRACT FROM AUTHOR]

Introduction: With the increasing number of Arthroscopic surgeries, comes with it, the undesirable problem of litigation associated with it. Arthroscopy does possess certain unique aspects which need to be understood from the legal point of view as well. Materials and Methods: We obtained information on specific medico-legal cases involving arthroscopy from books and websites containing collections of medico-legal judgments in Indian legal courts, consumer dispute redressal forums at the state and national levels, and state medical councils.. Results: We assimilated and analysed all this information, combined it with our experience in the field of medical law, and have provided practical, enforceable ways to decrease the medicolegal risk for arthroscopy surgeons. Conclusion: This review provides a comprehensive overview of pressing issues in relation to the medicolegal aspects of arthroscopic surgery. [ABSTRACT FROM AUTHOR]

Purpose: The aim of this study was to utilize an intersectional framework to examine academic faculty's lived experiences during COVID-19. Specifically, we set out to: (1) describe the multiple intersectional identities (e.g., gender, race/ethnicity, rank, caregiver status, disability status) represented by the faculty, (2) examine potential disparities in well-being, workload, and productivity linked to these intersectional factors, and (3) identify qualitative themes endorsed by faculty as they relate to lived experiences during COVID-19. Methods: This was a cross-sectional mixed-methods research study. The Center for Women in Medicine and Science (CWIMS) at the University of Minnesota developed and implemented a survey between February–June of 2021 in response to national reports of disparities in the impacts of COVID-19 on faculty with lived experiences from multiple intersections. Results: There were 291 full-time faculty who participated in the study. Quantitative findings indicated that faculty with multiple intersectional identities (e.g., woman+assistant professor+caregiver+underrepresented in medicine) reported greater depression symptoms, work/family conflict, and stress in contrast to faculty with fewer intersectional identities. Furthermore, faculty with more intersectional identities reported higher clinical workloads and service responsibilities and lower productivity with regard to research article submissions, publications, and grant submissions in contrast to faculty with fewer intersectional identities. Qualitative findings supported quantitative findings and broadened understanding of potential underlying reasons. Conclusions: Findings confirm anecdotal evidence that faculty with lived experiences from multiple intersections may be disproportionately experiencing negative outcomes from the pandemic. These findings can inform decisions about how to address these disparities moving into the next several years with regard to promotion and tenure, burnout and well-being, and faculty retention in academic medical settings. Given these findings, it is also important to intentionally plan responses for future public health crises to prevent continued disparities for faculty with multiple intersectional identities. [ABSTRACT FROM AUTHOR]

Becoming a father is a common transitional event, however men are often not adequately prepared for their fathering role. The United States (U.S.) health care system does little to support fathers' parenting needs during the postnatal and infancy period. Moreover, father's support needs are often perceived as secondary to the mother's needs in the maternal-child system. It is important that fathers' social support needs be investigated in the first year of his newborn's life, especially in diverse populations. Therefore, the purpose of this study was to determine the social support needs of urban, African American fathers during early parenthood. Using the Critical Incident Technique (CIT), a descriptive, qualitative design was used to interview 35 fathers about their social support at 2–12 months after the birth of their baby. Using a semi-structured interview guide, fathers were asked to describe helpful and unhelpful events they experienced since the birth of their baby. Fathers reported 36 helpful events and 32 unhelpful events for an overall total of 68 events. Data was analyzed using House's Social Support Theory and the four social support categories: instrumental, informational, emotional, and appraisal. Using the CIT, main categories and subcategories were developed. The helpful categories included: 1) Helping father with infant care, 2) Providing information on infant care, 3) Receiving HCP assistance, 4) Managing relationships, and 5) Becoming a father. The unhelpful categories included: 1) Receiving unhelpful assistance, 2) Receiving unreliable or unwanted assistance, 3) Offering bad advice, 4) Conflicting relationships, 5) Conflicts with friends, 6) Unsatisfying HCP experience, and 7) Receiving no support from family/organizations. The results of the study validated House's Social Support Theory and served as an excellent framework for exploring social support needs in fathers. More research needs to be conducted on the social support needs of fathers during the first year of their infants' lives, especially with experienced African American fathers and nonresidential fathers, and how health care professionals (HCPs), specifically postnatal and child health nurses, can better support fathers during the infancy period. [ABSTRACT FROM AUTHOR]

Background: Most health systems are insufficiently prepared to promote the participation of chronically ill patients in their care. Strong primary health care (PHC) strengthens patients' resources and thus promotes their participation. The tasks of providing continuous care to people with chronic diseases and promoting self‐management are the responsibility of PHC nurses. Recent research assessing enablers of or barriers to nurses' efforts to support patients' participation has mostly not considered the special situation of patients with chronic diseases or focused on the PHC setting. Objective: To investigate enablers of and barriers to PHC nurses' efforts to promote the participation of chronically ill patients in their care. Methods: We interviewed 34 practicing PHC nurses and 23 key informants with advanced knowledge of PHC nursing practice in Brazil, Germany and Spain. The data was analyzed using thematic coding. Results: We identified four categories of barriers and enablers. (1) Establishing bonds with patients: Interviewees emphasized that understanding patients' views and behaviours is important for PHC nurses. (2) Cooperation with relatives and families: Good relationships with families are fundamental, however conflicts within families could challenge PHC nurses efforts to strengthen participation. (3) Communication and cooperation within PHC teams: PHC nurses see Cooperative team structures as a potential enabler, while the dominance of a 'biomedical' approach to patient care is seen as a barrier. (4) Work environment: Interviewees agreed that increased workload is a barrier to patient participation. Discussion and Conclusions: Supporting patient participation should be acknowledged as an important responsibility for nurses by general practitioners and PHC planners. PHC nurses should be trained in communicative competence when discussing participation with chronically ill patients. Interprofessional education could strengthen other professionals' understanding of patient participation as a nursing task. Patient or Public Contribution: This study is part of a research project associated with the research network 'forges: User‐oriented care: Promotion of health in the context of chronic diseases and care dependency'. The study's focus and provisional results were discussed continuously with partners in health and social care practice and presented to and discussed with the public at two conferences in which patient representatives, professionals and researchers participated. [ABSTRACT FROM AUTHOR]

Aims and Objectives: Studies in adult medicine have shown that physicians base testing decisions on the patient's clinical condition but also consider other factors, including local practice or patient expectations. In pediatrics, physicians and parents jointly decide on behalf of a (young) child. This might demand more explicit and more complex deliberations, with sometimes conflicting interests. We explored pediatricians' considerations in diagnostic test ordering and the factors that influence their deliberation. Method: We performed in‐depth, semistructured interviews with a purposively selected heterogeneous sample of 20 Dutch pediatricians. We analyzed transcribed interviews inductively using a constant comparative approach, and clustered data across interviews to derive common themes. Results: Pediatricians perceived test‐related burden in children higher compared with adults, and reported that avoiding an unjustified burden causes them to be more restrictive and deliberate in test ordering. They felt conflicted when parents desired testing or when guidelines recommended diagnostic tests pediatricians perceived as unnecessary. When parents demanded testing, they would explore parental concern, educate parents about harms and alternative explanations of symptoms, and advocate watchful waiting. Yet they reported sometimes performing tests to appease parents or to comply with guidelines, because of feared personal consequences in the case of adverse outcomes. Conclusion: We obtained an overview of the considerations that are weighed in pediatric test decisions. The comparatively strong focus on prevention of harm motivates pediatricians to critically appraise the added value of testing and drivers of low‐value testing. Pediatricians' relatively restrictive approach to testing could provide an example for other disciplines. Improved guidelines and physician and patient education could help to withstand the perceived pressure to test. [ABSTRACT FROM AUTHOR]

This column examines conscientious objection and institutional objection in Australian voluntary assistance in dying. It reviews the current legislative regimes and then examines these practices from an ethical perspective, and raises particular concerns and suggestions with how conscientious objection and institutional objection should be operationalised. [ABSTRACT FROM AUTHOR]

The author reflects on the legacies of the editors who preceded him including Jonathan Mann, Sofia Gruskin, and Paul Farmer. He talks about the work of these former editors, his own engagement in health and in human rights, and the real focus of Human Rights Watch (HRW) on health and human rights which began with the creation of an HIV program in 2000.

While most bullying researchers argue that any definition of bullying must include three core elements (power imbalance, intent to cause harm, and repetitive negative actions), relatively few researchers have examined whether parents define bullying along these three elements. Among those that have, most find that parents focus on the intent to cause harm and ignore or discount the power imbalance and repetition elements. Using qualitative data from 50 parents in a southeastern state, we explore parental definitions of bullying and trace how their definitions match those three elements. We find that most parents include intent to cause harm in their definition but far fewer mention the power imbalance or repetition commonly found in scholarly definitions. Additionally, we uncover a fourth component that was important for several parents: the fact that bullies engage in that activity to build their own self-esteem. Implications for policy and research are discussed. [ABSTRACT FROM AUTHOR]

Background: On September 25, 2023, the law requiring the mandatory installation and operation of closed circuit television (CCTV) in the operating room went into effect. In this study, doctors' perceptions of the law were re-examined on September 23, 2023 (just prior to the law's enforcement), following a survey conducted on July 21, 2021 (before the re-examination of the bill). This study aimed to confirm doctors' perceptions of the infringement of fundamental rights of this law, the collapse of essential medical services due to the avoidance of surgery, and other concerns and priority solutions ahead of the law's enforcement. Methods: The survey was conducted from 8 to 18 September, 2023, by the Korean Medical Association Doctor Survey; a total of 1,267 doctors responded to the survey. Results: Out of 1,267 respondents, 1,156 (91.2%) said "yes," and 111 (8.8%) said "no" to issue concerning constitutional violations of fundamental rights--such as the freedom of medical personnel to practice their profession--and moral rights. A total of 1,149 (90.7%) respondents agreed with the concern regarding the collapse of essential medical care due to the avoidance of surgeons. Conclusion: Sufficient guidance should be provided, along with guidelines that provide explicit standards for the installation and operation of the CCTV systems, along with safety management measures. Medical disputes and the heavy legal responsibility of medical personnel are the main reasons as to why essential medical care collapses, given the avoidance of surgery. Medical disputes should be avoided in order to prevent essential medical care collapse, as the video is used as evidence for criminal sanctions. [ABSTRACT FROM AUTHOR]