The article describes a study of therapists involved in treating survivors of childhood sexual abuse. The authors focus on what induces participants to change their usual therapeutic boundaries. ...Through qualitative research utilizing extensive interviews, written questionnaires, and a focus-group discussion, the authors gathered information from therapists related to situations that influence them to change their own boundaries. Emergent themes are discussed and the information is integrated with the authors' experience of supervision and psychotherapy. Concern for client safety is the commonly recurrent issue that pushes therapists to change their boundaries. Other intense feelings, such as resentment of the client, worry about the client's feelings, a wish to connect and imbue hope are also strong influences. Self-disclosure boundaries of the therapist are challenged by the wish to balance power within the relationship. Supervision provides an opportunity to examine what influences therapists to make subtle boundary shifts before they become harmful boundary crossings.
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DOBA, IZUM, KILJ, NUK, ODKLJ, PILJ, PNG, SAZU, SIK, UILJ, UKNU, UL, UM, UPUK
There have been, in the last decade, approximately 500 surrogate births in the United States and the demand is increasing. The average cost is $25,000 and as there is no regulatory legislation in ...place, each arrangement is covered by a private legal contract. There is little reliable data regarding any member of the "incubating family", or on the adopting couple. This paper is an attempt to point out the potential hazards, based on a theoretical and clinical appreciation of child and adult biopsychosocial processes. The authors advocate careful longitudinal study of all children and adults involved in this complex reproductive alternative.
Background: Transitioning patients between cholinesterase inhibitors was thought to require a washout period to avoid cholinergic toxicity; however, evidence suggests that abrupt discontinuation of ...donepezil may lead to cognitive decline. We evaluated the safety and tolerability of an immediate switch from donepezil to rivastigmine.Method: This is an analysis of the safety and tolerability data from the first 28 days of an open-label, multicenter, prospective trial, conducted from August 2002 to August 2003, in which patients satisfying NINCDS-ADRDA criteria for probable Alzheimer's disease were administered rivastigmine 1.5 mg b.i.d. within 24 to 36 hours of donepezil discontinuation. Results are compared with adverse event rates from a retrospective analysis of a pivotal, placebo-controlled trial examining patients not previously treated with a cholinesterase inhibitor.Results: Fifty-eight of 61 patients completed the first 28 days, with no suspected drug-related discontinuations during this period. Incidence of overall gastrointestinal adverse events at day 7 was 8.2%, and at day 28 was 11.5%. The corresponding rate for rivastigmine-treated patients in the retrospective analysis of the pivotal trial for day 7 was 3.3%.Conclusion: These study results suggest that transitioning patients from donepezil to rivastigmine without a washout period is safe and well tolerated.
Traveling Uplift Jennifer Bernhardt Steadman
Traveling Economies,
10/2020
Book Chapter
Although Mary Ann Shadd Cary was the first African-American woman to own and edit a newspaper in North America, a recruiting agent for the Union Army during the Civil War, one of the first women to ...enter law school at Howard University, and a noted lecturer and activist for abolition, racial uplift, and Woman’s Rights, her extraordinary life has, until the late twentieth century, been forgotten.⁴ A recovery of her story reveals how she both transgressed expectations for black women and literally transgressed borders between slave and free states and between the United States and Canada. Shadd Cary belongs among
Scolding the Nation Jennifer Bernhardt Steadman
Traveling Economies,
10/2020
Book Chapter
The tabloid scandal of 1829, the trial of Anne Newport Royall—travel writer, newspaperwoman, muckraker, and political watchdog—filled the courthouse with Washington’s elite and the gossip columns ...with accounts of testimony and speculations on Royall’s crimes. Charged with being a “common scold,” Royall was accused of violating standards of feminine behavior and decency; testimony described the obscenities she had hurled at her neighbors, members of a neighboring Presbyterian church. While witnesses against her focused on the “torrents of the most coarse, vulgar, and obscene language” Royall had “not ceased to pour out on every one of them,” the real
All of the women travel writers in this study tested the limits of what women should do and where they should go. Frances Wright’s early evaluation of the practices and theories of American democracy ...certainly laid the foundation for her later Woman’s Rights and suffrage activism; Mary Ann Shadd Cary began to include reprints of Woman’s Rights articles alongside her own arguments for black emigration and black civil rights as the Provincial Freeman’s publication run drew to a close; and Amy Morris Bradley defined herself in terms of mobility and independence rather than marriage and domesticity, and offered her life
Introduction Jennifer Bernhardt Steadman
Traveling Economies,
10/2020
Book Chapter
In its lushly illustrated parody of women’s travel and travel writing, Harper’s New Monthly Magazine invites its readers to laugh at heroine Impulsia Gushington’s pretensions to independence, ...self-sufficiency, and world travel. The September 1863 feature titled “An Unprotected Female in the East” mocks Impulsia’s travel mishaps as she journeys from Alexandria to Cairo and in the process is abandoned by her travel companion, robbed by locals of everything except her undergarments and hoopskirt, fleeced by fellow travelers and servants, charmed by dubious suitors, and deceived by fake relatives. At her first Eastern port of call, Impulsia is the stereotypical picture
Just who was Frances “Fanny” Wright, and what did she do to be described as a wart (“strange excrescence”), an amazon, and a monster in the space of a single page? Wright’s complicated life includes ...travel writing; owning and editing her own newspaper; gaining a national reputation for her lectures and writings on freethinking, Woman’s Rights, labor reform, abolition, and, most shockingly, free love; not to mention rumors of affairs with famous men, an illicit pregnancy, and a subsequent, disastrously unhappy marriage. While Anne Royall grabbed headlines for several months with her common-scold trial, Wright spent two decades as a
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