Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Double Bind Interaction”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 37 records · Page 2Linked to original sources

Family therapy and anthropology.

There has been among family therapists a widespread belief that anthropology is at least useful if not kindred to their field. The belief springs from the assumption that families in different cultural milieus have different ways of expressing their experience of intimacy in everyday life. If this is true, family organization transcends culture, and the latter is a mere language or mode of expression of the more basic pillar of family organization. However, the assumption is also strong that different cultural contexts produce different types of families, and the natural consequence of this hypothesis is that family therapy as developed in the United States would be restricted to dealing with American families, while the problems of family life elsewhere should be meted by the local cultural ways. These two hypotheses, namely that of family universality and that of cultural relativism, are far ends of a continuum. The more interesting and real cases lie somewhere in the middle. In the following argument I will discuss this subject by presenting a brief overview of family therapy's theories and practices for those readers who know nothing about it, by reviewing a recent book that makes the claim that therapists will benefit from some kind of anthropological knowledge, and finally by turning the question on its head and addressing the interest family therapy may have for anthropologists.

Acculturation↗

An ethical analysis of double bind conflicts as experienced by care workers feeding severely demented patients.

When patients with incurable dementia diseases no longer take food or fluid voluntarily, the care workers experience distress and anxiety. Thirty-nine care workers were interviewed about their thoughts, feelings and attitudes towards feeding severely demented patients. A phenomenological approach was used and the interviews were developed, attention paid to Bateson's double bind theory, Kohlberg's theory of moral development and ethical theories. Ethical theories, principles and rules, containing messages at different logical levels and the lack of empirical knowledge of the demented patients' inner world, led to the care worker's difficult double bind situations. To solve the conflicts the care workers need insight in all aspects of the problem. In order to understand all the components in a double bind situation it is important to redefine it from outside.

Beneficence↗

Endothelin-1 elevates regional cerebral perfusion during prolonged ventricular fibrillation cardiac arrest in pigs.

Since adrenaline (epinephrine) also has negative effects during and after cardiopulmonary resuscitation (CPR) a non-adrenergic vasoconstrictor like endothelin might be an alternative to increase vital organ blood flow. We studied the effect of different doses of endothelin-1 compared with adrenaline on the ability to resuscitate, cerebral and myocardial blood flow (MBF) in a closed chest cardiac arrest pig model. After 5 min of ventricular fibrillation, CPR with a ventilator and a mechanical compression device was started. At 10 min, 31 pigs were randomized to receive a single dose of endothelin-1 50, 100 or 200 microg or repeated doses of adrenaline 0.04 mg kg(-1) or saline every 3 min. After 25 min, the pigs were defibrillated to achieve restoration of spontaneous circulation. Blood flow was measured with the fluorescent microsphere method. In animals receiving endothelin-1 50, 100 and 200 microg the cerebral blood flow (CBF) increased from median 28 (25th; 75th quartile: 16; 40), 32 (15; 48) and 17 (4; 65) to 36 (31; 54), 47 (39; 57) and 63 (35; 83) ml min(-1) per 100 g, respectively, 6 min after drug administration (P<0.05 endothelin-1 50 microg vs. Control, P<0.01 endothelin-1 100 and 200 microg vs. Control). At the same time CBF decreased in the control and adrenaline group from 36 (21; 41) and 39 (15; 50) to 12 (2; 25) and 24 (15; 26) ml min(-1) per 100 g, respectively, (P<0.05 adrenaline vs. endothelin-1 200 microg). There was no difference in MBF between the treatment groups despite a higher coronary perfusion pressure (CoPP) in the endothelin-1 groups. Restoration of spontaneous circulation could be only achieved in the endothelin-1 50 microg (3 of 7; 43%) and 100 microg (5 of 7; 71%) group. This study suggests that endothelin-1 enhances CBF during CPR better than adrenaline and increases resuscitation success.

Animals↗

["He will never be able to stand on his own two feet": developmental problems in families with schizophrenia patients from the parents' perspective].

BACKGROUND: From the perspective of developmental psychology, schizophrenia constitutes a serious developmental risk, since it obstructs a "normal" psychosocial development. Hardly any investigations up until now have focused on this important aspect. AIM: To investigate in an explorative study the developmental problems in families with an adult child with schizophrenia. METHOD: Parents of schizophrenia patients were interviewed within the scope of narrative interviews about their familial situations and their relationship to the patient. The data were selected and analysed following the guidelines of Grounded Theory and Thematic Field Analysis. RESULTS: Patients with schizophrenia often remain dependent on their parents' emotional, practical and financial support. Typically, the parent-child-relation is re-intensified, often with a co-occurring loss of extra-familial social contacts. From a biographical point of view, schizophrenia is often connected with permanent parenthood and lifelong parental help. DISCUSSION: Support offers for families should take into account illness-related developmental problems, especially problems regarding the difficult detachment of the patients from their parents.

Activities of Daily Living↗