Emotional Comfort Research Articles

Level of social adaptation in children with down syndrome depending on verbal communication ability

Down syndrome, like other syndromes associated with mental pathology that occur and develop in childhood and/or adolescence, often prevent the normal adaptation of the individual in society. Children with Down syndrome are often anxious, timid, misunderstand the intentions of others, and therefore misinterpret them and react inappropriately; social skills in such children are often underdeveloped. Detachment from peers and social isolation can reduce the effectiveness of rehabilitation programs for children with Down syndrome and deepen cognitive and affective deficits in children with this disease. The aim of the study was to determine the level of social adaptation depending on the ability to verbal communication in children with Down syndrome. The research was carried out on the basis of the National Medical Center of ZOR, 97 children with Down's syndrome were thoroughly examined. The patients were divided into two groups according to the criterion of the ability to verbal communication: group 1 (G1) included 77 children capable of verbal communication, group 2 (G2) — 20 children who do not speak. As a result of the research, the level of social adaptation was determined depending on the ability to verbal communication in children with Down syndrome. Both in G1 and in G2, a normal level of adaptability, emotional comfort and manageability was revealed, which generally indicates a feeling of inner peace in a familiar environment and a high level of satisfaction with one's own microsocial environment. In G1 and G2, there was a decrease in the indicators of maladjustment, self-rejection, rejection of others, emotional discomfort, which can be interpreted as a decrease in the level of criticism of both oneself and others in both groups, regardless of the ability to speak. In G1, significantly higher levels of self-acceptance and internal control were found, which indicates higher self-esteem and the ability to independently solve difficult life situations in children with Down syndrome who are able to speak. In G2, a significant decrease in indicators of external control and escapism was established, which may be the result of a more gentle and careful attitude towards children with Down syndrome who are not capable of verbal communication. Key words: Down syndrome, social adaptation, social anxiety, psychocorrection, children psychiatry

Anti-stigma narratives and emotional comfort against health crisis: a context analysis of UGC short videos from patients with COVID-19 infections

Patients narratives are being recorded increasingly frequently and spontaneously in short user produced content (UGC) films, which may have an impact on the vlogger’s health as well as the public’s comprehension of the relevant health concerns. This paper addressed three research questions regarding the population characteristics of UGC video publishers, the narrative theme of the videos, and the emotional orientation of the commenters. This study aimed to deepen our understanding of COVID-19 patients’ narrative intentions and emotional needs through the theoretical frameworks of theory of planned behavior (TPB) and negative dominance theory (NDT). We collected 335 videos from 28 COVID-19 patients and 572,052 comments as samples on Douyin platform, the largest short-video website in China. Using Latent Semantic Analysis, we analyzed the descriptive information of the video blogs, the narrative textual information of the videos, and the emotional orientation of the comments. Our findings revealled seven categories of narrative themes, with 52.1% of video comments exhibiting a positive emotional orientation. Within a framework integrating TPB and NDT theories, we analyzed the behavioral intentions of vloggers and viewers during COVID-19 epidemic, and interpreted the persistent posting of videos and the active posting of comments as positive actions that counteracted the multiple effects of negative messages. This study contributes to the understanding of individual narratives in macro-risk communication, both theoretically and empirically, and offers policy recommendations in relevant fields.

“I’m Home”: “Russian” Houses in Germany and Their Objects

Abstract In this article, I will focus on the study of the living space in houses of Russian-speaking emigrants in 1990s–2000s in Germany. I will discuss the “home” in several aspects: in a wide sense as a place on Earth where people’s life goes on, as physically built environment where a family dwells, and as objectified everyday life in the interiors. The choice of objects and furnishings for a “Russian” house in Germany cannot be classified, but it is unique and is associated with the biographies of the owners, the history of each individual family, as well as the history of moving to Germany. The “Russian” house in Germany turns out to be a complex phenomenon: it can be seen as a safe space, escape from the outside world, and offering emotional comfort. It is a place for representation of family and personal values, the owners’ identity, and preferences. It is also a scene where scenarios of relationships between a person and objects unfold. The objects that a person places in his/her house appear as objectified memories of life events and other people, reflecting the importance of family and interpersonal relationships expressed in gifts, photos, children’s drawings, and crafts. In a new place, people are no longer limited to a set of typical furnishing patterns that were dictated by a shortage of goods and ideas in the country of origin. House owners show their personality, trying to make their home different from that in the place of origin and introduce a non-standard style of European interiors in their homes, yet unwittingly they often reproduce stereotypes and fragments from their previous houses where they lived before migrating.

A study on the impact of the number of family generations on intergenerational support for centenarians: a study in a Chinese 'longevity city'.

As a natural source of support for the elderly, the family is an important channel for achieving a sense of security, happiness, and worthiness in old age. In this study, we analysed the characteristics of intergenerational support in families of centenarians and explored the impact of the number of family generations on intergenerational support. We conducted a cross-sectional survey between April 2020 and January 2021 among 62 elderly people aged 99+ in Rugao, China, one of six 'longevity cities' in the world. Assisted by the researchers, centenarians completed questionnaires with details pertaining to general demographics, intergenerational support, and other aspects. We used a logistic regression model to analyse the influence of the number of family generations on intergenerational support that the centenarians received with respect to economic, living, and emotional aspects. Centenarians were primarily recipients of care in their families, and received intergenerational support mainly for their declined physical functions and limited self-care ability. The study results revealed that the greater the number of generations comprising the family, the greater was the intergenerational life care and emotional comfort provided for centenarians by the family. In this study, we found a positive effect of the number of family generations on intergenerational support for centenarians. The government and society should promote the tradition of respecting, caring for, and honouring the elderly while paying close attention to the dynamic changes in the family structure of centenarians in promoting high-quality and sustainable development of the people, economy, and society.

Bridging therapeutic landscapes to architecture. International experience-based design strategies for healthcare infrastructures.

in Italy, many cases studies of therapeutic green spaces are built into healthcare infrastructures, but only some of these follow the principles of healing gardens. Scientific literature and international case studies offer many contributions of evidence relating to how therapeutic green spaces can support traditional treatments. The paper analyze the relationship between indoor and outdoor spaces and healing gardens' features; the main research questions were: "Can we synthetize experience-based design strategies for therapeutic green spaces and healing gardens? How can we prioritize the most relevant ones for the healthcare infrastructures?" Research Method is divided into three different steps: 1st case studies' selection; 2nd case studies' analysis, and 3rd quali-quantitative comparative matrix. ten case studies were identifiedfour of them have the therapeutic green space on the ground floor,despite of the other six having the healing garden on the rooftop.The best experience-based design strategies for the therapeutic green spaces or healing gardens development were identified from the previous comparison matrix, and divided into A.Safety, Security and Privacy; B.Accessibility; C.Physical and Emotional Comfort; D.Positive distraction; E.Engagement with Nature; F.Maintenance and Aesthetics; and G.Sustainability. The results obtained from the comparative matrix are qualitative and quantitative design elements in terms of type of element / space, percentage, perimeter, area, number, materiality, shape, color, among others. The quali-quantitative matrix is a useful and practical tool that allows the designer to have a base of design guidelines that can be later applied to the proposal of new therapeutic gardens.

Online Physician-Patient Interaction and Patient Satisfaction: Empirical Study of the Internet Hospital Service.

In China, a form of online health service called the internet hospital became a prominent means of patient care when face-to-face visits were not possible during the COVID-19 pandemic to minimize transmission of the SARS-CoV-2 virus. Patients' internet hospital experiences largely depend on online physician-patient interaction. Yet, little is known about how physicians can improve patient satisfaction by using specific communication strategies online. This study aimed to identify specific communication strategies to help physicians deliver better quality internet hospital services. We also outline recommendations for hospitals to operate internet hospital platforms more effectively. A longitudinal data set was collected from an internet hospital platform operated by a top hospital in China. By extracting communication patterns from approximately 20,000 records of online health care services and by controlling the features of service requests, we tested the impacts of response load, more detailed style, and emotional comfort on patient satisfaction. We further explored the effects of these communication patterns in different service contexts. Physicians with a low response load, a more detailed style, and expressions of emotional comfort received more positive patient feedback. Response load did not affect patient satisfaction with free online health service, whereas a more detailed style and emotional comfort enhanced satisfaction with free service. Response load significantly reduced patient satisfaction with paid online health service, while a more detailed style had no effect. Compared with free service, emotional comfort more strongly promoted patient satisfaction with paid service. The communication strategies identified can help physicians provide patients with a better internet hospital experience. These strategies require hospitals to schedule each physician's online service period more appropriately. In addition, tailoring the strategies to service situations can facilitate more targeted and effective internet hospital service for patients.

Does grandchild care intention, intergenerational support have an impact on the health of older adults in China? A quantitative study of CFPS data.

With the rising of fertility cost and the implementation of the "universal three-child" policy, the model of intergenerational support for grandchild is becoming an inevitable choice for more and more families in China. As the number of grandchildren increases and the interval between births extends, will the grandchild care intention and grandparents' health be affected? Based on the data of China Family Panel Studies from 2018 and 2020, this study used multiple linear regression and multiple mediation tests to investigate the effect of grandchild care intention and intergenerational support on the health of older adults. Firstly, actively taking care of grandchild has increased the self-rated health and mental health of older adults by 11.8 and 10.7%, respectively. Secondly, there is heterogeneity in the effect of intergenerational support from adults on health in their parents, among them, economic support improves the physical health by 5.5%; life care increases the self-rated and physical health by 3.3 and 0.8% respectively; emotional comfort improves the physical and mental health by 2.5 and 2.9%, respectively. Thirdly, grandchild care intention has a mediating effect on the health of older adults through economic support, life care, and emotional comfort. The grandchild care intention has positive effect on the health of older adults. The intergenerational supports (economic support, emotional comfort, and life care) have heterogeneous effects on the health of older adults, such as economic support mainly affects the physical health. Older adults who actively take care of their grandchild are more likely to gain intergenerational support and feedback from their adult children, transforming intergenerational support into a "win-win" model of resource reciprocity between generations. Based on this, it is necessary to re-establish the value identity of "caring for older adults" and "raising grandchildren" at the cultural level, continuously improve the fertility support policies at the government level and establish "caring for older adults" support platform at the social level.

‘I’ve Got Nothing Against Vegans… But’: To Divulge, Dissemble or Divert Positionality in Rural Research Settings

Changes in diet and related purchasing habits at a societal level have become a significant source of stress for farmers in recent years. The rise of vegetarianism and veganism means that the use of these dietary terms, and those who identify with them, may act as potential triggers for those working with livestock. This paper considers the specific methodological issue of how to position oneself within the research process in rural domains, with regards to personal identity related to diet. Focussing on non-meat eaters conducting research with livestock farmers, it explores the moral implications and appropriateness of how and whether authors choose to truthfully present their own diet-related identities in research settings. Using ethnographic descriptions of personal experience as well as secondary source material, the authors conclude that three possible response behaviours at the farmer-researcher interface are available when it comes to potentially ‘exposing’ one’s dietary identity – to divulge, to dissemble, or to divert, and that each comes with its own ethical and moral challenges. We argue that the research field and the researcher’s personal world are separate, though blurred, realms and, while the collection of quality data is important to any study, behavioural decisions should always be undertaken with boundaries of safety, and emotional and moral comfort in mind.

Cancer Patient Perspectives on the Meaning of Healing and the Clinician as a Healer.

The experience of living with cancer is marked by suffering and loss, which creates a need for healing. Understanding what healing means to patients and how clinicians can play a role in the healing process is essential to holistic cancer care. The aim of this study was to explore the perspectives of cancer patients on the meaning and experiences of healing and the qualities of a clinician and the clinician-patient relationship that are healing. A qualitative study was conducted using semi-structured interviews with 14 cancer patients. Participants were asked about their illness experience, definition of healing, qualities of a healer, and relationships with clinicians that were healing. Interview transcripts were coded, and qualitative analysis was conducted to identify major themes. Participants defined the nature of healing as comprising aspects of physical, mental, emotional, and spiritual well-being. Participants described healing as alleviating pain and symptoms; promoting mental strength, emotional comfort, and spiritual connection; restoring and adapting to losses; and improving quality of life. The qualities of a clinician that contributed to a healing relationship included listening, empathy and compassion, understanding patients' values and goals, and caring for the patient as a whole person. Participants viewed healing as physical, psychosocial, and spiritual in nature and an important part of their cancer experience with an emphasis on quality of life. Clinicians played an important role beyond treating the cancer by helping in the healing process through their humanistic qualities and holistic approach to patient care.

Assessment of the attractiveness of material objects of the historical and cultural heritage of the Carpathian region


 
 
 The Carpathian region has a high tourist and recreational potential for the develop- ment of cultural and educational tourism for both domestic and foreign tourists. The purpose of this scientific work is to assess the attractiveness of the material objects of the historical and cultural heritage of the Carpathian region based on the results of the survey of respondents, which were obtained during a sociological study within the framework of the «Carpathian Cultural Route» project. The subject of the study is the analysis of the results of a questionnaire survey of respondents regarding the attractiveness of historical and cultural objects in the Ivano-Frankivsk and Transcarpathian regions. The object of the research is tourists who visited historical and cultural sites in the Ivano-Frankivsk and Transcarpathian regions. The originality of the study is that the authors for the first time assessed the attractiveness of material objects of the historical and cultural heritage of the Carpathian region by improving the criteria based on processing the answers of respondents to a questionnaire. As a result, 264 respondents over the age of 18 who visited historical and cultural sites and used tourist services in the Carpathian region gave answers. It was found that 92% of respondents from the total sample are citizens of Ukraine, 31.1% are people aged 30 to 39 years. The largest share of tourists recorded in the city of Ivano-Frankivsk, which is 22% of the total number of surveyed respondents, which indicates that tourists are most attracted by material objects of historical and cultural heritage in the regional city, in second place is Nadvirnyanskyi (Ivano-Frankivsk region) and Rakhiv districts (Transcarpathian ragion). The researchers evaluated the attractiveness of material objects of the historical and cultural heri- tage of the Ivano-Frankivsk and Transcarpathian regions according to 8 criteria, 6 of which are proposed by the authors of the study:cultural and historical value, pricing policy, recreational infrastructure, information availability (incl. in a foreign language), territo- rial accessibility to facilities, as well as service quality. As a result, the respondents gave the largest number of answers according to the rating «excellent» according to the criterion «emotional comfort», which was 70.1% of the surveyed tourists, the least – according to the indicator «information availability» (35%), which indicates the limited information about the historical – cultural objects of the Carpathian region. A list of the most popular historical and cultural objects of the Ivano-Frankivsk and Transcarpathian regions was compiled based on the answers of the respondents, and the main directions of further tourist trips were determined. Nadvirna, Verkhovyna districts and the city of Ivano-Frankivsk, which the surveyed respondents plan to visit in the future, made it to the top 3.
 
 

ACQUAINTANCE OF PRESCHOOL CHILDREN WITH WORKS OF PAINTING

The article is devoted to the problem of familiarization of preschool children with works of art. It has been established that works of fine art directly influence the formation of the system of values and meanings in preschool children. Modern and previous studies of the aesthetic development of preschoolers are analyzed. The article compares and reveals the concept of aesthetic education and the peculiarities of education. It was found that the problem of aesthetic education in pedagogy has always been given a lot of attention. In terms of pedagogical leadership, pictorial activity becomes invaluable for the versatile development of the child, his mental and cognitive processes: perception, performance and creativity, which are inseparable unity and are integral parts of the productive artistic and creative activity of preschool children. For a full artistic and aesthetic development personality in the period of preschool childhood, it is necessary to create optimal conditions, emotional comfort and fill the child's life with interesting activity content.

Storytelling and advice: Constructing the lived experience of eating disorders online

Online peer support groups encourage individuals to tell their stories and to find validation and emotional comfort when reading about the stories of others. Coincidently, lived experiences are the kind of knowledge applied to solicit and to deliver peer advice. This study examines the relationship between storytelling and advice in an English speaking online forum that provides support for those with an eating disorder (ED). The results revealed a range of different types of narratives within the data, from more elaborate testimonials of the ED and the process of recovery to brief personal passages responding to the first poster. The Labovian narrative structure appeared in a number of the first stories, whereas two main configurations, contingent upon the kind of response offered, emerged in second stories: parallel assessments (or snapshots) and success stories. Parallel assessments constituted self-centred stories and did not include any advice provision. Success stories, instead, became an essential component of the advice-giving act since they were remedial. The solution proposed by responders to the problem posed by the first poster was organized either to offer tips (that is, a series of practical recommendations to address a specific ED or recovery issue) or to deliver thoughtful advice through a resolutive story that introduced the state of recovery as a real possibility. Both parallel assessments and resolutive stories included contrasting resonances in relation to the first story. Resolutive stories encompassed resonating elements whose meanings were transformed and (re)signified from the positioning of a subject moving towards recovery. However, snapshots echoed specific key expressions from the initiating post. The goal was to display alignment with the first teller by describing a similar I-perspective experience. Taken together, the individual small stories contributed to the co-construction of a multiple-lived story with regard to the ED in the online community.

Languages coexistence models in the multicultural environment of Ukraine and the EU

The aim the article is to study the model of coexistence of different languages in the multicultural environment of Ukraine and EU countries (the Czech Republic, Germany, Poland and Italy). Methods. Testing was conducted using the Communicative Attitudes Technique. The degree of satisfaction with the environment was studied. Statistical analysis was performed using t-test, the Kolmogorov-Smirnov test, Pearson’s correlation coefficient. Reliability analysis was performed using Cronbach’s alpha. Results. The adaptability of EU citizens was found to be significantly higher than that of the residents of Ukraine (t=13.24; p < 0.001). The indicators of EU citizens are higher than those of Ukrainians (p<0.001) on a number of qualitative characteristics of adaptability: self-acceptance (t=21.84), acceptance of others (t=4.01), emotional comfort (t=4.49), internal control (t=33.74), external control (t=8.12); consciousness (t=2.58 at p<0.05). Conclusions. The obtained results give grounds to state a high level of communicative tolerance in the multicultural environment. This indicates the existence of effective models of multilingualism both in Ukraine and in the EU countries. Prospects. Further research may focus on identifying universal languages as communicative tools both in Ukraine and in EU countries.

Семейные ценности современной молодежи

The problem of value orientations of the younger generation, including family values, attracts considerable attention of researchers, since they form the core of values of young people, occupying leading positions in the structure of basic value orientations. A certain type of relationship and upbringing is built within the family circle where traditions and life experience are passed on. The study of family values of young people seems to be an urgent task in the context of ongoing socio-economic and political changes in Russian society and the transformation of family values of contemporary youth. The article, on basis of the results of the author's sociological research (2018–2019, 2020, 2020, 2023), reveals the dynamics of basic family values among the youth of Russian regions and considers family traditions, attitudes to marriage, the birth of children and the motives for creating a family. The research materials indicate the importance of the family in the structure of the basic values of young respondents. Despite the fears of a crisis of marriage and family, expressed in the absence of the need for official registration of relations, postponement of the appearance of the firstborn, changing the traditions of the family from basic to modern ones, the respondents still demonstrate a desire to formalize the relationship in future and aim having the firstborn. At the same time, young respondents are primarily looking for emotional connection, comfort, support and love in their future life partner. Young people plan to achieve financial stability and be confident in the future before becoming parents. The current socio-economic state of Russian society needs to preserve the institution of family and marriage with traditional family values.

Gender Features of the Psychosocial State of Students in the Period of Adaptation to the Educational Environment of the Pedagogical University

The article presents the results of psychophysiological and personal characteristics study of first-year students of the Kuibyshev branch of the Novosibirsk State Pedagogical University (59 girls and 35 boys) in various areas of education. To study the personal qualities of students, we used a computer program for assessing the socio-psychological adaptation and personal potential of students, based on the methodology of Rogers and R. Diamond in the adaptation of K. A. Osnitsky. Indicators of the psycho-emotional state were determined by the methods of T. Ehlers, Bass-Darkey, and Ch. D. Spielberger in the adaptation of Yu. L. Khanin. The following psychophysiological parameters were evaluated: speed of a simple visual-motor reaction, reaction to a moving object, and cognitive characteristics (mechanical, semantic and imaginative memory, mental performance, concentration of attention). The results of the study indicate the gender differences in the psychological state, degrees of adaptation to the educational environment of the university and a number of psycho-functional and personal parameters of students. Young men had higher level of self-estimation, emotional comfort, internality, desire for dominance, adaptability, aggressiveness, motivation for success, mechanical memory, speed of visual-motor reaction and reaction to a moving object. The girls showed higher values of reactive and personal anxiety, better indicators of the quality of imaginative memory and attention switching. There were no gender differences in the mobility and productivity of nervous processes, the volume of semantic memory, verbal aggressiveness and hostility. The influence of the specifics of different educational profiles on the psychosocial state of representatives of both sexes was not revealed. It is concluded that gender differences in the psychosocial status and personal psychophysiological qualities of young people are caused not only by biological factors, but also significantly depend on the socio-cultural impact of the environment. In this regard, it is important to further study and analyze the interaction of biological and social factors for a more complete understanding of the gender characteristics of modern youth in the context of the actualization of the educational activities in the university.

Abstract P4-05-02: oncoplastic breast surgery and involvement of plastic surgery improve quality of life by Breast-Q score in breast conserving surgery

Abstract Introduction: Breast cancer surgery is a life altering event which can have profound consequences on a woman’s physical, mental and emotional health. Breast Surgery creates cosmetic changes which can harm a woman’s emotional well-being and quality of life. Breast reconstruction following mastectomy has been found to improve many quality of life measures and has been well studied. This has been less well studied in breast conserving surgery. The addition of oncoplastic breast surgical techniques and involvement of a plastic surgeon for immediate reconstruction following partial mastectomy can improve the cosmetic outcome for patients, reduce synptoms of breast hypertrophy and improve quality of life. To assess this, we applied the Breast Q scale before and after surgery and found a significant improvement in multiple quality of life indices. Methods: Between January 2020 through May 2022, 136 women undergoing breast conservation were given the Breast Q Version 2.0 Breast conserving therapy module (pre-and postoperative scales) written questionnaire before and again between 3 and 6 months after surgery. The Breast Q survey is a standard tool used by surgeons to assess a variety of quality of life factors following breast surgery. The patients were prospectively studied but not randomized in any specific way. The surgical technique used for the procedure was determined by a discussion between the patient and her breast surgeon. Results were divided into groups based on type of surgery and differences between groups with respect to the Breast-Q questions were analyzed with the student T test for p values. Results: Patients were divided into three categories; simple closure, the control group (20% n=26), oncoplastic closure with internal tissue rearrangement greater than 10 cm² (60% n=79) and patients who had involvement of a plastic surgeon for therapeutic mammaplasty and contralateral symmetry procedure (25% n=31). Significant improvement (p<.05) over the control arm and patients undergoing standard oncoplastic closures without a plastic surgeon was noted in several areas. These include an increase in confidence in a social setting, acceptance of her body, overall attractiveness, overall emotional health, sexual confidence and comfort wearing clothing and/or bra. Relative to the control group, the addition of oncoplastic closure also showed significant improvement in scores over patients without these techniques although the magnitude was smaller than with the use of a plastic surgeon. Conclusion: In breast conserving surgery, the addition of oncoplastic closure and especially the involvement of a plastic surgeon for therapeutic mammaplasty is highly effective at limiting some aspects of the deficits in quality of life and, surprisingly, significantly improved this from baseline in many patients. Where appropriate, these techniques should be employed to enhance individual patients quality of life.. Citation Format: Michael E. Stuntz, Tamara A. Rychkov, Jenna Garcia. oncoplastic breast surgery and involvement of plastic surgery improve quality of life by Breast-Q score in breast conserving surgery [abstract]. In: Proceedings of the 2022 San Antonio Breast Cancer Symposium; 2022 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2023;83(5 Suppl):Abstract nr P4-05-02.

Compassion training: Towards a better understanding of patients through self-exposure.

In healthcare, clinicians are expected to communicate in a compassionate way with patients.1 Although medical training for students at the University of Bern offers communication training, for example, breaking bad news or motivational interviewing, compassion or compassionate behaviour is not yet specifically addressed. An interdisciplinary team (medical education, psychology, communication and palliative care) designed and piloted an elective blended course with 1 day of classroom training to improve sixth-year medical students' compassion in patient–physician communication. The learning goals of the pilot included (a) understanding the role of compassion in the patient-physician relationship; (b) characterise the components of compassion; (c) reflecting one's own emotions and developing self-compassion techniques; (d) demonstrate understanding a patient's situation; and (e) developing a compassionate care plan together with the patient. In order to learn about the existing concepts and the importance of compassion, students (n = 8) received preparatory e-learning material in advance. Its contents were discussed and reflected upon during the classroom training. Preparatory reading included directions regarding self-compassion techniques and two case descriptions to initiate reflection about one's own emotions. These materials were contemplated during the training with an expert input about self-compassion and group discussions about integrating these techniques into daily clinical practice. Using simulation, students then explored their feelings and emotions from a patient perspective through self-exposure to various life conditions, such as physical restrictions (wearing bariatric suits or age simulator) or having stigmatising skin diseases (using a moulage of psoriasis or acne). The goal was to foster a deeper understanding of the patient's situation through own experiences. Based on these experiences (‘how did I feel myself, and what might be the related feeling of my patient?’), students created a communication guide for a conversation with simulated patients (SP). In a second step, students used this guide in SP interactions trying to shift from medical reasoning and counselling to assessing and addressing emotions and individual suffering. The final step in this interaction then was to create a compassionate care plan yielding to integrate medical treatment and emotional comfort. The evaluation of the course included (a) students' verbal feedback immediately after the training, (b) students' written evaluation in respect of content and learning goals as well as methodological and didactic aspects and (c) students' self-assessment of skills in compassionate communication using the Sinclair Compassion Questionnaire (SCQ) prior and after the training (www.compassionmeasure.com). Our interactive compassion training seems to address students' needs and expectations in terms of a high quality and compassionate patient-physician interaction. Students very much appreciated the exchange and the reflections within the group about compassion, communication and their own experiences during simulation. Before the training, the majority rated themselves according to the SCQ in most items as ‘somewhat competent’ or ‘neutral’. After the training, students' ratings were more differentiated, ranging from ‘somewhat lacking competence’ to ‘very competent’. All participants strongly recommended offering this ‘compassion training’ to all medical students as a mandatory class; one student even regarded this training as being one of the most important aspects of medical school. Andrea Lörwald, Seraina Petra Lerch, Daniel Bauer, Steffen Eychmüller and Sibylle Jeanine Felber made substantial contributions to conception and design of the course. Daniel Bauer, Steffen Eychmüller, Sibylle Jeanine Felber, Seraina Petra Lerch, Florence Liaudet and Andrea Lörwald conducted the training and acquired the data for evaluation. Florence Liaudet, Sibylle Jeanine Felber, Steffen Eychmüller, Seraina Petra Lerch and Andrea Lörwald analysed and interpreted the data. Sibylle Jeanine Felber and Andrea Lörwald drafted the manuscript. Daniel Bauer, Steffen Eychmüller and Seraina Petra Lerch revised it critically for important intellectual content. All authors approved the version to be published and agree to be accountable for all aspects of this study.

Research on Design System of Offshore Platform Accommodation Cabin Based on Kansei Engineering

_ Accommodation cabin is a living place for operators, and it should play a role in alleviating the fatigue and stress. This paper focuses on the problem of monotony and lack of emotional care in the design of accommodation, and develops a design system to meet the emotional needs of operators based on Kansei Engineering. First, the key design elements affecting emotional comfort are extracted and the virtual reality experimental platform is established. Second, the affective factors are extracted, constituting the semantic space. Third, the mapping relationship between affective factors and design elements is established. Finally, the design system of accommodation cabin based on the emotional needs is developed. The system can output and evaluate the design scheme through virtual reality technology, so it makes the design process more intuitive and efficient. It has a certain reference value for improving the comfort experience of operators and the design level of accommodation cabin. Introduction Offshore platform is an important guarantee for territorial development and utilization of marine resources. As offshore platform is relatively special, it has particular structure that is different from buildings on land. It is made of steel and equipped with a lot of large equipment, so it is relatively closed. During offshore operation, operators need to work and life on offshore platforms for a long time. Monotonous working condition and long-term alienation from terrestrial landscape and relatives will have impact on their physical and mental health (Xu et al. 2013). According to the survey, about 13% of the workers who have worked on the platform for more than 10 years will have psychologic or behavioral abnormalities (Wu 2015). It has affected their normal life, and even increased the safety risk.

Syrian refugee men in ‘double waithood’: ethnographic perspectives on labour and marriage in Jordan’s border towns

This paper discusses the socio-economic integration and marriage prospects of young Syrian refugee men in Jordan. Linguistic, cultural and religious similarities with Syrian culture in Jordanian border towns such as Ramtha and Irbid hold the promise of social inclusion and offer emotional comfort. Yet, this familiarity is combined with experiences of social alienation and labour exploitation. Based on qualitative research and ethnography, I propose the notion of ‘double waithood’ to capture the two main socio-economic axes that structure opportunities and the activities young men engage in. Apart from the time spent waiting for regulated residency status, young men wait to fulfil the economic requirements that enable them to marry and have a family of their own. While waiting for certainty, many are driven to informal and underage labour to help provide for their families. At the same time, migration as a rite of passage can enable young adolescents to transition to adulthood earlier, as many aspire to fulfil the criteria of the hegemonic figure of the economically self-sufficient male refugee.

ЖИТТЄСТІЙКІСТЬ ЯК АДАПТАЦІЙНИЙ РЕСУРС ОСОБИСТОСТІ У РЕАЛЬНОСТІ НЕВИЗНАЧЕНОСТІ ЖИТТЯ

Uncertainty and instability are two main things what we face every day in our new reality. Life-sustaining beliefs certainly influence the assessment of the situation because it is perceived as less traumatic due to its willingness to act actively and confidence in the ability to influence the situation. Theoretical substantiation and empirical research of the features of personality sustainability in critical living conditions became the purpose of this study. The significance of the hardiness of the person in today’s changing conditions (the creation of the basis of internal harmony, complete mental health and high capacity for life) has been established. The essence of hardiness as a resource for the adaptation of the individual in society has been revealed. As a result of the conducted research, it has been established that the general level of hardiness affects self-development, passion, optimism, and adaptability. It has been determined that the indicators of adaptation have positive significant relationships with all components of hardiness and its general indicator. It has been confirmed that “involvement” as a component of hardiness has significant relationships with emotional comfort and close to significant relationships with self-acceptance and internal control. It has been established that indicators of “risk acceptance” are inversely proportional to the indicator of maladaptation. Statistical analysis has proved that the indicator “control” is significantly positively correlated with the indicators: “conditions of self-development” and “optimism”. The higher the indicator of person’s hardiness, the more clearly expressed the indicators of self-acceptance and emotional comfort. It has been found that a medium level of hardiness contributes to the optimal experience of uncertain situations and includes the individual’s choice of coping strategies that allow him to face new challenges in his professional and personal life. Respondents with high indicators of hardiness have a high level of adaptation efficiency.