Through the application of a discovery-oriented task analysis, this research delineated specific therapist behaviors that resulted in a successful caregiver openness event in emotionally focused family therapy (EFFT). EFFT experts were recruited via email and asked to submit family therapy recordings where they believed a caregiver openness event occurred. Ten family therapy recordings were submitted by three experts. Within these recordings, 12 caregiver openness events were discovered and critically analyzed. Nine themes were identified and interventions therapists applied to accomplish these themes were delineated using the emotionally focused therapy-coding scheme (EFT-CS). These themes included:(1) validating and reframing the child's protected stance, (2) processing the impact of the child's unmet attachment longings, (3) validating the caregiver's blocked relational stance, (4) expanding caregiving intentions, (5) enacting the caregiver's intentions to meet the child's attachment longings, (6) processing the enactment, (7) processing and promoting caregiver accessibility to the child's response, (8) heightening the caregiver's accessible stance, and (9) enhancing shifting family dynamics. Additional findings, implications for clinical practice, training, and future research are discussed.

During the Flash process, the cross section of a plain-carbon or a low-alloy steel is austenitized through rapid heating and transformed on rapid cooling to a predominantly martensite + bainite structure with small amounts of retained austenite. Unlike conventional heat treating, homogeneity is intentionally avoided during Flash processing of steels. The Flash process assembly consists of a pair of rolls that transfer the steel sheets through the heating and cooling stage of the thermal cycle. The initial microstructure of the steel consists of ferrite (body-centered cubic iron) + carbide ((Fe,X)mCn) mixture. The heating rate through the peak temperature is a function of temperature and reaches a peak of about 300-400K/s and the cooling rate has a maximum value of 3000-4000K/s. The on-heating phase transformations include carbide dissolution, austenite (face-centered cubic iron) nucleation and growth, and diffusion of carbon and other substitutional elements in the steel. The on-cooling phase transformations include formation of martensite (body-centered tetragonal phase containing supersaturated solute) and bainite (ferrite plates with or without fine carbides). In this project, the focus is on Fe-C-Cr steels that are currently Flash processed for armor applications. The modeling effort proposed here will help optimize the Flash thermal cycle for these low alloy steels to achieve the target performance, which is an ongoing effort at SFP Works. A significant feature of Flash processed Fe-C-Cr steels is the presence of scatter in the through-thickness in the sheet. The variability in hardness results from a variability in the bainite + martensite microstructure that is sensitive to the local chemical concentration of C and Cr. Such a chemical inhomogeneity is intentionally obtained in the Flash process. Although such a microstructural gradient is presumably responsible for the exceptional properties of the Flash processed steel, it is very important to quantify the gradients as a function of Flash variabilities in processing parameters and the input microstructure. Understanding the mechanistic pathway that leads to microstructural gradients could be ground-breaking and instrumental for achieving better process control and optimized microstructural state to meet application-specific strength-ductility requirements. Since the final microstructure depends on setting up precise solute concentration gradients through a rapid heating process, and transforming these regions into various phases, it is important to understand how small changes in steel chemistry, input microstructure (carbide size and distribution), and process variables (Flash thermal cycle) will impact the solute concentration gradients.

Pediatric acute-onset neuropsychiatric syndrome (PANS) and pediatric autoimmune neuropsychiatric disorder associated with streptococcal infections (PANDAS) are severe but highly treatable postinfectious inflammatory brain conditions. Despite published diagnostic and treatment guidelines for this condition, there are long delays in obtaining appropriate care. The reasons for these delays are poorly understood. We sought to identify health care system barriers to timely treatment by examining cases of PANDAS/PANS occurring in children of health care professionals. We recruited families via e-mail request through the PANDAS Physicians Network. Participating parents completed a structured questionnaire and provided a written case description. Eleven families completed data collection, representing a broad spectrum of disease (child disease onset age 4-15, 7 males/4 females, mild to severe). Parents included 11 physicians, 2 mental health professionals, 2 nurses, and a PharmD. Nine cases (82%) had "very delayed" diagnosis and treatment (>4 weeks after onset). The most commonly encountered causes for treatment delay were clinician lack of awareness (82%), clinician skepticism (82%), overdependence on diagnostic testing (91%), and out-of-pocket expenses >$100 US (82%). Other common challenges included difficulties finding a provider to spearhead care (64%), psychological misdiagnosis (55%), and children's suppression of behaviors during assessments (55%). We found numerous barriers to treatment of PANDAS/PANS among children of health care providers. Our findings suggest that even among the medically sophisticated, PANDAS/PANS diagnosis and treatment remains challenging. Improvement in PANDAS/PANS education of clinicians who may encounter children with this disorder is 1 key step toward addressing our identified barriers. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

This study investigated the relationship between long working hours and the incidence of divorce or separation among Korean female and male workers. A cohort study was conducted in 125,108 Korean workers, married at baseline, who attended health examinations between 2012 and 2017 and had been followed annually or biennially until December 31, 2018. The weekly working hours and marital status changes were measured using self-administered questionnaires. This study was performed using sex stratification. In a multivariable-adjusted model, by comparing working hours->52 hours/week with 35 to 40 hours/week-the hazard ratios (95% confidence intervals) for incidents of divorce or separation were 1.60 (1.03-2.49) and 0.86 (0.66-1.12) in females and males, respectively. This study showed that long working hours could contribute to marital status changes in Korean female workers.

In the midst of the increasing intensity of our world, peacebuilding practice is rapidly transforming. These changes come with a growing recognition that complexity is a new type of problem that requires new approaches and responses. As conflict resolution and peacebuilding actors are increasingly adopting complexity thinking and approaches to program implementation, I propose that we can learn to better master complexity by how we attend to our everyday experience. This, I suggest, is something that peacebuilding practitioners can do as a form of ongoing inquiry into the first-person territory of relational, contextual information that surrounds and includes the problems we care about and seek to address. I use a difficult incident from my experience to demonstrate some of what makes complexity so challenging and to explore ways we can learn to deal with these challenges. In keeping with the emancipatory and self-reflective traditions of action research and conflict resolution, an everyday action research is my way of harnessing inquiry and practice to expand capacities to meet the challenges we face in an increasingly complex world.

Riggs and Due offer an engaging read and a compelling critical view of surrogacy, which they explore through a capitalist perspective. They offer eight chapters introducing a historical perspective...

In this chapter I will explain my approach to working with conservative Christians in mixed-orientation marriages, from my own sometimes conflicted but scripture based and affirming attitudes toward LGBTQ individuals. I will present the case of Elaine and Bob, based on three mixed-orientation marriage couples known to me. The underlying framework is based on Doherty’s spiritual assessment and intervention model and Bronfenbrenner’s ecological model. This includes reframing concerns framed solely in religious language regarding the self, relationship(s), family, faith affiliation, community, and society and to include moral and clinical dimensions of each layer of one’s context. Methods to move from a sense of having a counterfeit relationship to empowering both partners to consider their best interests while supporting both spouses will be presented.