Intimate Domain Research Articles

Peer Relations and Class Participation in PE

The study assessed how Chinese students’ peer relationships influence physical education (PE) class participation. The results showed positive assessments of peer relationships and class participation. Among the domains of peer relationships, intimacy, trust, and insight were identified as predictors of class participation. The findings suggest that teachers can enhance class participation by fostering student-peer relationships.

Patient characteristics of completion and dropout of mentalization-based treatment for adolescents with conduct disorder.

Conduct disorder (CD) is a severe mental disorder in youth. Yet, providing psychological interventions for adolescents with CD is challenging. This patient group is often characterized by risk factors for therapy dropout such as, e.g., CD symptoms and being in middle adolescence. On the other hand, little is known about characteristics of adolescents with CD who complete treatment. To gain more insight into what might become a successful therapy with adolescents with CD, this study explores baseline characteristics and drop-out occurrence in patients with CD referred to mentalization-based treatment for adolescents with CD (MBT-CD). More specifically, this study aims at identifying clusters of adolescent patients based on age, CD symptom severity and personality pathology at the beginning of treatment which may have come along with a higher or lower dropout occurrence. Following implications of an elbow plot, a 3-means cluster-analysis was conducted on self-report baseline data of N = 32 adolescents with CD (n = 11 dropouts, n = 21 completers) who participated in a feasibility study on MBT-CD. Additionally, in an exploratory stepwise logistic regression, variables were explored as potential predictors of dropout. Cluster 1 consisted of n = 14 adolescents, of whom n = 8 (57%) dropped out. Cluster 2 consisted of n = 5 adolescents of whom 1 (20%) dropped out. Cluster 3 consisted of N = 13 adolescents, of whom only n = 2 (15%) dropped out. Cluster 2 showed descriptively the highest CD symptom severity. While adolescents in Clusters 1 and 3 showed in part similarities in CD symptom severity, personality pathology was descriptively markedly higher in Cluster 1. In the stepwise logistic regression, only intimacy personality pathology was identified as potential predictor for dropout. This study's exploratory findings point to different types of adolescents with CD coming along with different chances for therapists to conduct a (successful) psychotherapy. Herein, low personality functioning in the intimacy domain, rather than CD symptoms as aggressiveness, may play a crucial role. While findings are limited by the small sample size, they may be able to shed increasing light on conducting (successful) psychotherapy with a scarcely researched patient group.

Self-perceived quality of life, cognitive and behavioural impairment in amyotrophic lateral sclerosis

BackgroundSelf-perceived quality of life (QoL) is important in amyotrophic lateral sclerosis (ALS). Although caregiver burden and strain have been related to cognitive and behavioural impairment, there has been no comprehensive research looking at these impairments and how they may influence self-perceived QoL subdomains.AimsTo explore how cognitive and behavioural impairment are related to different areas of self-perceived QoL using disease-specific measures.MethodsThis was a quantitative, cross-sectional, observational cohort study, utilising existing specialist ALS clinic data. Clinical and demographic variables were available as well as multidimensional measures, ALS-specific QoL Short Form (ALSsQoL-SF) results and the data from the Edinburgh Cognitive and Behavioural ALS Screen (ECAS). Group comparison and regression analyses were performed.ResultsData from 121 participants with ALS were analysed. 61.2% (N = 74) had either cognitive and/or behavioural impairment, with 28.9% (N = 35) with cognitive impairment (ALSci), 14.1% (N = 17) with behavioural impairment (ALSbi) and 18.2% (N = 22) with both (ALScbi). 38.8% (N = 47) were classified as having no impairments (ALSni). Those with ALSbi had significantly lower QoL in the domains of negative emotions and the interaction with people and the environment compared to those with ALSci and ALSni (ps < 0.05). Further, those with ALScbi had significantly lower QoL in the intimacy domains than those with ALSci and ALSni (ps < 0.05). Regression analysis showed specific cognitive and behavioural (inclusive of psychosis) predictors associated with specific QoL subdomains.ConclusionsBehavioural impairments effect QoL in specific subdomains, namely relating to internalising (negative emotions) and externalising (interaction with people and the environment subdomains, intimacy).

Bluetooth security analysis of general and intimate health IoT devices and apps: the case of FemTech

The number of digital health products is increasing faster than ever. These technologies (e.g. mobile apps and connected devices) collect massive amounts of data about their users, including health, medical, sex life, and other intimate data. In this paper, we study a set of 21 Internet of Things (IoT) devices advertised for general and intimate health purposes of female bodies (aka female-oriented technologies or FemTech). We focus on the security of the Bluetooth connection and communications between the IoT device and the mobile app. Our results highlight serious security issues in the current off-the-shelf FemTech devices. These include unencrypted Bluetooth traffic, unknown Bluetooth services and insecure Bluetooth authentication when connecting to the app. We implement Bluetooth attacks on the communication between these devices and apps, resulting in malfunctioning of the device and app. We discuss our results and provide recommendations for different stakeholders to improve the security practices of Bluetooth-enabled IoT devices in such a sensitive and intimate domain.

Social Support as a Correlate of Depression and Quality of Life Among Nigerian Older Adults: a Cross-Sectional Study.

Reduced social support has been associated with presence of depression and reduced quality of life among older adults. The relationships may be better understood by exploring the interactions of individual domains among the constructs. This cross-sectional survey involved a consecutive sample of 206 (116 females and 90 males) older adults living in a Southern Nigeria community. The Multidimensional Scale of Perceived Social Support, Geriatric Depression Scale, and World Health Organization Quality of Life-OLD Questionnaire, were used to measure social support, depression, and quality of life respectively. Data was analyzed using frequency counts, percentages, mean, standard deviation, multiple regression and Spearman rank-order correlation coefficient, at 0.05 alpha level. Prevalence rate of depression among participants was 45.5%. Social support was perceived to be low by 37.4% of participants with the lowest mean social support score coming from friends domain. Participants' quality of life was generally fairly good (> 60%) with the lowest scores coming from the intimacy domain. Significant correlations between social support domains and each of quality of life (p < 0.05) and depression were respectively positive and negative; but weakest for the friend and strongest for significant others domains. All quality of life domains were significantly correlated with social support except the death and dying domain. All the domains of social support (family and significant other) were significant predictors of depression except the friend domain. Significant others around individual older adults particularly those with depression ought to be educated on the importance of their roles. Stakeholders including healthcare providers may create and support programmes for improved social networking for the older adults in order to enhance their general wellbeing and quality of life.

The experiences of Chinese colorectal cancer survivors in marital intimacy after ostomy creation: A qualitative study.

Colorectal cancer (CRC) ranks as the third most prevalent cancer globally. The disease and its treatment significantly impact marital intimacy, particularly among individuals who have undergone ostomy creation. Therefore, it is necessary to explore their experiences. This study aimed to explore the experiences of colorectal cancer survivors in marital intimacy after ostomy creation and clarify the domain and sub-domain of marital intimacy in CRC survivors with ostomy. This study used a qualitative descriptive design, and participants were selected by purposive sampling from two hospitals in Henan province, China. Sixteen patients participated in this research, and the data were collected through an in-depth interview from June 27 to September 27, 2023. Colaizzi's method was used to analyze the data. Five themes emerged from data analysis, including physical intimacy, psychological intimacy, social intimacy, spiritual intimacy, and operational intimacy. By profiling the experiences of CRC survivors in marital intimacy after ostomy creation, the domain and sub-domain of marital intimacy were clarified in this cohort and revealed that ostomy had a severe effect on marital intimacy among colorectal cancer survivors. The results from this study could be used by nurses, midwives, and other healthcare professionals to design specific interventions covering all aspects of marital intimacy. Also, the findings will guide the development of a particular instrument for marital intimacy in CRC survivors with ostomy.

Beyond Words

Beyond Words

Assessment of anorexia nervosa according to the DSM-5 alternative personality model using the SCID-5-AMPD diagnostic interview system

IntroductionAnorexia nervosa (AN) is a chronic disease that significantly impairs the quality of life, with a low (less than 50%) remission rate, the incidence of which is increasing and it appears at younger and younger ages.ObjectivesOur aim is to facilitate effective and targeted therapy for anorexia nervosa by identifying personality traits and endophenotypes that aid diagnosis and identification of psychotherapeutic targets.MethodsAN patients aged 18-45 years (N=14 female patients in the current study) completed online questionnaires on personality traits (PID-5), eating disorder (EDI-1), emotion regulation style, mentalization (MZQ), dissociation (DIS-Q), current emotional and mood state (SCL-90, PHQ-9), and past traumatic events (CTQ) after MINI and SCID-5-AMPD interview. Results were compared with a matched healthy control sample.ResultsApart from AN, the most common comorbidity was depressive episode, and anxiety disorders were also present. In the SCID-5-AMPD interview, high scores were obtained for several domains describing personality dysfunction in the AN group. Among self-report questionnaires, we observed significant differences in scores on the SCL-90-R, and no difference in CTQ in the AN patients compared to healthy controls.ConclusionsBased on the results of our study, the AN group showed more severe personality trauma, especially in the functional domains of identity and intimacy, and more psychological distress. The above may help to identify personalised psychotherapeutic treatment targets in AN patients, which may significantly improve effectiveness and reduce the time spent in therapy.Disclosure of InterestNone Declared

Theorizing checkpoints of desire: multilingualism, sexuality and (in)securitization in Israel/Palestine

ABSTRACT In this article, we explore how people in conflict-affected societies use language to navigate the affective constraints that political conflicts impose. Specifically, we consider the role of multilingualism in enabling sexual and romantic intimacy between Jewish and Palestinian Israelis in Israel/Palestine. Our data are drawn from a close examination of the speech of Fadi Daeem, one of the protagonists in the 2015 documentary Oriented. Building on studies of (in)securitization and everyday bordering, we show how the ongoing armed conflict between Israel and Palestine serves to instantiate a regime of affective checkpoints, a space in which sexual and romantic relations between Jewish Israelis and Palestinians are discursively blocked. We describe how Fadi and his friends use strategic instances of code-switching between Arabic, Hebrew, and English to navigate this ideologically fraught terrain. Our primary goal is to demonstrate how multilingualism can be employed as a resource for managing affect and desire in a conflict-ridden context like Israel/Palestine. In doing so, we further highlight how the intimate domain of romantic desire is inevitably situated within a broader matrix of power and constraint.

Choice and Use of Sangu Language Among Sangu Speakers of Mbarali Mbeya Region, Tanzania

This article aims to analyse the domains of language choice and use of the Sangu language among Sangu speakers in Tanzania in relation to its endangerment. The study used quantitative approach to assess the four domains of sangu language of home/family, religion, market, and traditional functions. The study was guided by domain analysis theoretical framework by Fishman (1972). Data were collected through questionnaire method from 50 Sangu speakers and were computed and analyzed quantitatively by the assistance of SPSS programme. The research outcomes portrays the domination of Swahili, the national language in almost all domains along with a noticeable interference of it in the intimate domains of Sangu language use. The choice and use of Sangu language have turned out to be minimal in almost all domains. The research results points towards one conclusion that Sangu language is in the danger of disappearing because the presence of Swahili in the intimate domain indicates that the coming generations will lack intergeneration language transmission and become endangered

비판적 배려윤리와 도덕교육

In this article, I examined what is the critical ethics of care and what is the necessity of it, and how we can do the education of critical ethics of care to solve the problems of existing ethics of caring and education of caring. Early care ethics mainly have been emphasized the care relation of private, intimate domain like the care relation of mother-child in home as ideal relation and caring of others. But we have been experienced the equalization and globalization of care in the contemporary period, therefore, we need beyond the existing ethics of caring and education of caring instead of the role assignment of care for women. Critical ethics of care understands care in the political, social, public, collective and global dimension as well as moral dimension. Critical ethics of care analyzes the care relation of oppression and exploitation through critical reflection and pursues the combination of care and justice, just caring, equalization and democratization of care. I dealt with key characteristics of critical ethics of care and the moral educational direction of critical ethics of care.

The Making of the American Calorie and the Metabolic Metrics of Empire

In “The Making of the American Calorie and the Metabolic Metrics of Empire,” Athia Choudhury develops a far-reaching critical genealogy of caloric biocitizenship that reframes her personal experiences with calorie counting and fat-phobic discourses that stigmatize the bodies and pleasures of racialized, working-class people, especially female bodied and fem-identifying people. Tracing practices of energy management and bodily discipline from colonial military outposts, nineteenth-century domestic manuals, dietetic discourses in the Philippines, and Native American Boarding Schools to a range of reform projects that framed calories as a tool for inculcating responsible eating through the domestic practices of white, bourgeois women, Choudhury highlights continuities between colonial subjection and modern biocitizenship, as well as the ways in which the putatively objective metric of the calorie positioned the New American Woman as a powerful catalyst for policing race in the intimate domain of the home.

The Relationships between Frailty and Quality of Life in Elderly Women with Breast Cancer

Background: It is well known that oncologic management of elderly patients is complicated, and physicians should well define the ultimate goals when choosing treatment modalities. Cancer treatment should not necessarily focus on survival but aim for a good quality of life for the patient in light of their frailty.&#x0D; Patients and Methods: This is a retrospective cross-sectional survey study. One hundred fifty-eight women with breast cancer participated in this study. The PRISMA-7 Frailty Index and WHOQOL-OLD Module assessed participants’ frailty and quality of life. SPSS 26.0 and Medcalc 14 [Acacialaan 22, B-8400 Ostend, Belgium] programs were used for statistical analyses. Statistically significant associations between the PRISMA-7 scale and the WHOQOL-OLD Module were assessed.&#x0D; Results: Of the158 participants, the median age [min-max] was 71 [65-96] years, and 61.2% had stage I and II breast cancer. Lumpectomy was 61.1%, and 75% received chemotherapy-radiotherapy and hormone therapy. For the WHOQOL-OLD domains; financial status [p=0.001] with the sensory ability domain, work status [p&lt;0.001] and education status[p=0.004] with the autonomy domain, education status [p=0.002] with PPF activity domain, education status [p=0.001] and work status [p=0.007] with the social participation domain, treatment modality [p=0.003] with death &amp;dying domain, number of comorbidities [p=0.004] with intimacy domain statistically significant. The total score was associated with education status [p=0.005] and the number of comorbidities [p=0.010]. Frailty correlated positively with age [cut-off age 68 years; p&lt;0.001]. Education status was inversely associated with increased frailty [p=0.003]. The relationship between the PRISMA-7 scale and the WHOQOL-OLD Module correlated negatively in five out of six dimensions except for the Intimacy domain.&#x0D; Conclusions: It is necessary to design customized cancer management programs to improve specific components of elderly women with breast cancer with increased frailty by revealing the associations in domains of QoL.

Establishing Ethical Relationships through Care Education

This thesis begins by acknowledging that there are more suffering and more discriminating people, as Zizek said, that the fear of Pandemic is more clearly revealing the widespread discrimination in our society. From this idea, I would like to answer the question of what the relationship with the other should be in this era. In particular, modern society seems to regard rationality as the only tool in solving social problems and establishing ethical relationships in the community. is rationality truly the one and only tool at our disposal to help us solve the problems of modern society? In response to this question, we focus on the ethics of caring as a means to solve the problem in a ‘different’ way. In particular, we will examine how the ethics of caring, which begins with Gilligan, shows a critical view of the existing rationality-oriented ethical attitude. We then outline how Noddings, who followed, laid the foundation for ethical education through this perspective. The ethics of caring plays a role in making care lead from natural care to ethical care, and making the ethics of caring no longer remain in the private domain of intimacy. The necessity of caring education is being discussed not only in the realm of ethics but also in the realm of politics. In addition to Noddings, it should be understood that Tronto and Engster want to establish a community as a more essential relationship by systematizing and theorizing caring education. Through this discussion, we will show that Noddings' ethics of caring can indeed be extended beyond a feminine perspective to that of an ethics of caring for others. Morevover, we will show that an ethics of caring implies a perspective that is actually centered on others in that the first caring begins by responding to the call of others, rather than caring for others from the standpoint of the subject based on identity.

Never enough: neoliberalizing Namibian middle-class marriages

AbstractNeoliberal ideologies have not only transformed the Namibian economy but also reconfigured some of the most intimate domains of everyday life. In the course of the last forty years, marriage in Namibia has changed from a widespread and affordable life transition to a costly celebration of middle-classness. To be married today is a sign of middle-class achievement, lifestyle and prosperity. The downside of these accomplishments is the middle classes’ fear of failing, especially through divorce. Although Namibian divorce rates are low, most middle-class couples interviewed in 2015–16 in Windhoek were anxious about such an end to marriage. In order to prevent divorce and the loss of a middle-class lifestyle, middle-class couples neoliberalized their marriages. With often cruel determination, many worked as hard as they could to optimize themselves, their marriages and their kin relations. They trimmed their bodies, enhanced their communications skills and supported their kin. As it remained unclear, however, how much optimizing would indeed be enough, their attempts at self-formation had a Sisyphus-like quality. This article builds on the growing literature on the lived experiences of the African middle classes, focusing on how the neoliberalization of Namibian marriages is shaping a new ethics of personhood.

Ceci n'est pas une Mormon Studies Book

Ceci n'est pas une Mormon Studies Book

Assessment of personality functioning in ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder.

The newly added diagnosis complex posttraumatic stress disorder (CPTSD) in the 11th edition of the International Classification of Diseases (ICD-11) includes a domain of disturbances in self-organization (DSO), in addition to PTSD. The DSO construct appears to have definitional overlap with the dimensional personality pathology severity measure, personality functioning. This study investigated the association between personality functioning and ICD-11 CPTSD, and the associations between DSO clusters and personality functioning domains. The sample comprised 83 outpatients with ICD-11 PTSD or CPTSD. Personality functioning was operationalized with the Level of Personality Functioning Scale (LPFS) and assessed with the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Alternative Model for Personality Disorders, Module I. Results showed an average level of moderate impairment in personality functioning (i.e., Identity, Self-Direction, Empathy, and Intimacy) for the whole sample. However, the levels of impairment in personality functioning were significantly more severe in patients with ICD-11 CPTSD, compared with patients with PTSD. Furthermore, the results revealed strong significant positive associations between the personality functioning domains and the DSO symptom clusters, except for the LPFS Identity domain and the DSO Affective Dysregulation cluster. Contrary to expectations, we found a significant positive association between the PTSD symptom cluster Avoidance and the LPFS domains Identity, Self-Direction, and Intimacy. Furthermore, higher levels of impairment in the Identity and Intimacy domain were associated with an increase in DSO symptom severity. New development in assessment of personality functioning may assist clinicians in differential diagnosis of PTSD and CPTSD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Developing an Online Program for Self-Management of Fatigue, Pain, and Urgency in Inflammatory Bowel Disease: Patients' Needs and Wants.

BackgroundInflammatory bowel disease (IBD) is a lifelong relapsing–remitting condition, characterized by troublesome symptoms including fatigue, pain, and bowel urgency. These symptoms can persist even in clinical remission and have a debilitating impact on social, work-related and intimate domains of life. Symptom self-management can be challenging for some patients, who could potentially benefit from an online self-management tool.AimsWe aimed to understand patients’ symptom self-management strategies and preferred design for a future online symptom self-management intervention.MethodsUsing exploratory qualitative methods, we conducted focus group and individual interviews with 40 people with IBD recruited from UK clinics and from community-dwelling members of the Crohn’s and Colitis UK charity; data were collected using a digital audio recorder, and transcribed and anonymized by a third party (professional) transcriber. We used framework analysis for focus group data and thematic analysis for interview data.ResultsThe data provided three core themes: ways of coping; intervention functionality; and intervention content. Participants attempt to manage all three symptoms simultaneously, recognizing the combined influence of factors such as food, drink, stress, and exercise on all symptoms. They wanted an accessible online intervention functioning across several platforms, with symptom and medication management, and activity-tracking features.ConclusionsPatients reported numerous ways of self-managing symptoms of fatigue, pain, and urgency/incontinence related to IBD and expressed their needs for content, design, and functionality of the proposed intervention. Based on this and existing intervention development literature, the IBD-BOOST online self-management intervention has now been developed and is undergoing testing.

A música como prática integrativa complementar em idosos institucionalizados

INTRODUÇÃO: A população passou por um processo de envelhecimento em um curto prazo de tempo, devido ao aumento da expectativa média de vida e as quedas significativas nas taxas de fecundidade e mortalidade dos últimos anos. Esses fatores, aumentam o comprometimento desta população pelas doenças crônico-degenerativas e pelas Incapacidades Funcionais (IFs), motivos que os levam a institucionalização. Em busca da qualidade de vida desses idosos, as instituições de longa permanência vêm desfrutando do benefício da musicoterapia, cuja terapia busca prevenir e minimizar os sintomas de várias doenças. OBJETIVOS: Analisar os efeitos terapêuticos da música na promoção de saúde em idosos de uma instituição de longa permanência. MATERIAIS E MÉTODOS: Tratou-se de uma pesquisa do tipo qualitativa, com características de pesquisa-ação, de forma exploratória e intervencionista. Foi realizado em uma Instituição de Longa Permanência de uma cidade do Planalto Norte Catarinense. Contou com uma amostra de 5 participantes. Na avaliação foram aplicados os instrumentos MEEM e WHOQOL-OLD, os mesmos foram aplicados pré e pós intervenção, totalizando 10 encontros com duração de 45 minutos. Ao termino foi aplicado um questionário de satisfação dos participantes. RESULTADOS: O MEEM obteve aumento na avaliação pré e pós 10 encontros. Na avaliação do WHOQOL-OLD, foi observado aumento pós intervenção nos domínios de autonomia, atividades passadas, presentes e futuras e no domínio de intimidade. A satisfação dos pacientes em participar da pesquisa foi positiva. CONCLUSÕES: A musicoterapia apresenta resultados positivos para melhora do cognitivo, qualidade de vida, e a socialização dos idosos de uma ILP. Palavras-Chave: Envelhecimento. Musicoterapia. Qualidade de vida.

Nordic Walking and Free Walking Improve the Quality of Life, Cognitive Function, and Depressive Symptoms in Individuals with Parkinson's Disease: A Randomized Clinical Trial.

Nordic walking’s (NW) degree of effectiveness regarding health-related parameters in people with Parkinson’s Disease (PD) is a subject of debate. While NW seems to improve functionality, a clear non-motor benefit has not been demonstrated. The aim of this randomized controlled trial was to compare the effects of 9-week NW and free walking (FW) training programs on quality of life, cognitive function, and depressive symptoms in individuals with PD. Thirty-three people with PD, (Hoehn and Yahr 1–4) were randomized into two groups: NW (n = 16) and FW (n = 17). We analyzed quality of life, cognitive function, depressive symptoms, and motor symptoms. Significant improvements were found in the overall, physical, psychological, social participation, and intimacy domains of quality of life, as well as in cognitive function and depressive symptoms for both groups. Only the NW group showed improvement in the autonomy domain. Individuals with PD had a similar enhancement of non-motor symptoms after walking training, with or without poles. However, the NW group showed a more significant improvement in the autonomy domain, strengthening the applied and clinical potential of NW in people with PD. Future studies are needed to determine the efficacy of walking training without poles in subjects with PD.