Multifaceted Model Research Articles

Integration of personal psychedelic experiences into clinical practice: A phenomenological study in mental health professionals

AbstractBackgroundWhile psychedelic substances are extensively studied through the lens of various academic disciplines, their impact on the therapeutic practice of mental health professionals is yet to be explored. This firsthand experience is deemed crucial for effectively assisting patients in the process of integrating a psychedelic experience.AimsThe aim of this study was to explore the psychological and spiritual dimensions of psychedelic integration among mental health professionals, focusing on understanding how transformation and insights influence their clinical work.MethodsUtilizing a phenomenological methodology, interviews with eight mental health professionals with substantial first-person experience with psychedelics were conducted.ResultsOur findings indicate a potential, enduring, positive impact of psychedelic meta-integration on the practice of mental health clinicians. The data analysis yielded a multi-faceted model encompassing key aspects of human life including interpersonal and emotional development, relationship with death and nature, concepts of love, meaning, and spirituality, along with elements pertinent to therapeutic work. This comprehensive model integrates these diverse dimensions, offering a holistic understanding of the impact of psychedelics on both personal and professional realms.ConclusionsThe findings of this study lend support to the notion that health professionals involved in clinical work encompassing psychedelic integration should themselves have undergone induced altered states of consciousness, not only for a better empathetic understanding. This might be also predicated on the intrinsic positive transformative effects on their human capacities and as therapists. This dual benefit underscores the importance of personal experience in the effective facilitation of psychedelic integration in clinical settings.

Visualizing and Quantifying Uncertainty in Cut-off Grade Selection

Modern mine planning techniques are advancing at an incredible rate, and mining companies are progressively more interested in quantifying the uncertainty in their business plans. However, for many decision makers and other stakeholders, the leap from tried-and-true deterministic techniques to stochastic methods will be challenging to understand and accept due to the complexity of the work involved. At the 2019 SME Annual Conference, the author introduced a multifaceted model to embrace uncertainty in mine planning (Roos 2019), and at APCOM 2023, the author brought forth some modern data visualization techniques that can be leveraged to achieve this goal (Roos 2023). The purpose of this model is to fill the gap in embracing uncertainty by recommending improvements in visualization and communication techniques to ensure that all mining operations can take steps toward embracing uncertainty quantification. This paper presents a case study leveraging this model to adapt the cut-off grade selection process for an underground gold mine to one that utilizes grade uncertainty and provides the appropriate decision makers with the information they need to embrace the uncertainty in their business plan. The methods presented in this paper do not produce a finite solution to the cut-off grade selection process, but instead provide additional information that can be used in understanding the impact of geological uncertainty on the results of a deterministic study. In this study, the visualization techniques presented here have been useful in identifying areas of the deposit with a higher risk of achieving the estimated grade and also areas where there may be an opportunity to develop future stopes with additional geological information.

How does perceived security influence mobile wallet users' behavior? A SEM investigation

PurposeThe digital disruptions have provided alternative methods of monetary transactions. Despite the digital wave, cash as a payment option has regained its position. The purpose of this research is to investigate behavioral intentions of mobile wallet (m-wallet) users. The paper explores the dynamics of perception, behavioral intention motivation and satisfaction of m-wallet users.Design/methodology/approachThe authors have used a self-administered questionnaire for data collection. A total of 506 responses were analysed using confirmatory factor analysis in conjunction with Structural Equation Modeling, ensuring the validity and reliability of the insights into the behavioral dynamics of m-wallet users.FindingsThe research highlights the direct impact of perceived security on m-wallet users' perceptions, which subsequently influence both direct and indirect behavioral intentions. Moreover, satisfaction emerged as a significant determinant directly shaping behavioral intentions.Originality/valueThis study contributes significantly to the existing literature by offering a comprehensive understanding of the factors driving m-wallet adoption and usage intentions, thereby equipping stakeholders and policymakers with the necessary tools to devise effective strategies to promote mobile payment technologies in North India. The study employs a multifaceted model that incorporates six key elements, providing a comprehensive understanding of the complex interrelationships among these variables.

A model of community youth mental health support services in the global South: A description and use of school-based services delivered by a non-governmental organisation in South Africa

ObjectiveYoung people in low- and middle-income countries (LMICs), including South Africa, are disproportionately affected by multiple risk factors for developing mental health problems and there are numerous barriers to accessing mental health care. In such contexts non-governmental organisations (NGOs) play a key role in providing support. We report on the mental health care services provided by NGO Community Keepers in South Africa. MethodCommunity Keepers (CK) offers psychosocial support to young people, parents, and teachers, during regular school hours, and free of charge. At the end of 2019, CK was based at 23 schools in 12 areas in the Western Cape Province, South Africa. In this paper we describe the model of service provision and present descriptive statistics from retrospective observational service data using routinely collected quantitative data from 2019, including details about referrals received, referral sources and reasons, and feedback received from children, parents, and teachers on the psychosocial support CK delivered. ResultsDuring 2019, 34 676 individuals accessed 18169 psychosocial support sessions rendered by CK. The most common referral source of learners to CK was self-referrals (40.6%), and the main referral reasons were emotional (psychological) problems, behaviour problems, or family (community) problems. At termination of therapy 320 (79.2%) learners said they strongly agreed that they would recommend CK to someone at their school. At termination of therapy with learners, 95 (39.3%) teachers rated CK’s services as excellent, 139 (57.4%) teachers gave a rating of good, and 204 (79.7%) parents reported an improvement in their relationship with their children. ConclusionsCK is an example of how psychosocial support can be embedded in schools in a LMIC. CK’s multifaceted model of service delivery could be used by other school-based mental health care service providers in other LMICs to inform and/or refine the services that they wish to offer.

The Mediating Effect of Perceived Social Support and Health Literacy on the Relationship Between Decisional Dilemma and Participation in Shared Decision-Making Among Chinese Parents of Premature Infants.

This research was conducted to explore the mediating effect of perceived social support and health literacy on the relationship between decisional dilemmas and participation in shared decision-making among Chinese parents of premature infants. This cross-sectional study recruited 225 Chinese parents of premature infants in a neonatal ward of a Chinese hospital through convenience sampling. Data were collected from August 2022 to February 2023 using 5 self-administered instruments. Structural equation modeling and multiple mediation tests were applied to explore the interplay among perceived social support, health literacy, decisional dilemmas, and participation in shared decision-making. The study is reported in accordance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Decisional dilemmas were found to negatively impact participation in shared decision-making. Perceived social support and health literacy were identified as partial mediators in this relationship, collectively accounting for a mediation effect of -0.413, which represents 50.0% of the total effect. The findings elucidate a multifaceted model of factors influencing participation in shared decision-making among Chinese parents of premature infants. Prompt recognition of these variables can enable nursing professionals to incorporate tailored management strategies within patient-centered care frameworks, thereby enhancing decisional outcomes.

A Multifaceted Model of the Imago Dei Based on Thomistic Love

A Multifaceted Model of the Imago Dei Based on Thomistic Love

A mathematical modeling approach to analyzing and addressing customer service inefficiencies in an international company

This paper presents a novel and in-depth mathematical approach to analyzing the inefficiencies and shortcomings of customer service in an international company based in China. By employing advanced mathematical concepts such as set theory, graph theory, probability theory, and stochastic processes, we develop a comprehensive and multi-faceted model that captures the various aspects of customer service, including unfairness, bureaucracy, failure to perform duties, irresponsibility, untruthfulness, and untrustworthiness. Our findings suggest that these issues are deeply rooted in the company's organizational structure and culture, and we propose potential solutions to address these problems. We also introduce new mathematical techniques, such as the use of hypergraphs and multi-objective optimization, to provide a more nuanced understanding of the complex dynamics at play within the customer service department.

Cognitive and social-cognitive factors as mediators of aggression using structural equation modeling

ABSTRACT Violence and aggression continue to be both public health and economic concerns. In an effort to better understand, predict, and prevent violence and aggression, a number of models have been proposed that include both static and dynamic risk factors and indicators. Despite research demonstrating links between cognitive and social-cognitive factors with violence and aggression, their role in understanding violence is still unclear. The current study developed a multi-faceted model of aggression including social-cognitive, cognitive, personality, and psychiatric factors. A community, male sample (N = 1,192) collected through Amazon’s Mturk responded to a series of self-report measures and a cognitive task. Utilizing structural equation modeling (SEM), we created a latent variable path analysis model predicting aggression. Several important paths were significant including from entity theory to aggression, mediated by hostile attribution bias, schizotypy to aggression, mediated by both hostile attribution bias and disinhibition, substance use to aggression mediated by disinhibition, and psychopathy to aggression directly. This model provides a framework for future research that focuses on process factors of violence and aggression, including social-cognitive and cognitive, that may eventually prove valuable for risk reduction.

Advanced theoretical-applied model based on the PD approach in the light of healthcare-associated infections: what have we achieved so far?

Healthcare-associated infections remain a persistent concern despite decades of research and intervention efforts. Adherence to infection prevention and control guidelines by health professionals remains a challenge, necessitating innovative strategies. The Positive Deviance (PD) approach, rooted in harnessing localized solutions, holds promise but lacks comprehensive frameworks and empirical validation to bolster its theoretical underpinnings. This perspective article serves a dual purpose: first, to examine the unique challenges of applying the PD approach in the context of HAIs; and second, to introduce a robust theoretical-applied model developed in response to these challenges. This article addresses these gaps through a multi-faceted model developed in a mixed-methods study across three Israeli governmental hospitals and comprises four essential components that address the identified gaps in existing research. This article enriches the dialog on PD's applicability in HAIs by providing a robust model that not only offers solutions but reshapes the approach to healthcare hygiene and safety. It responds to critical gaps highlighted in the literature, offering tailored interventions by practical, context-specific solutions to improve adherence to IPC guidelines in the long term. Methodological clarity is also a key focus, offering a toolkit for practical implementation. This bottom-up approach empowers HPs to drive change, fostering a culture of innovation and improvement in healthcare settings.

Physiotherapists' moral distress: Mixed-method study reveals new insights.

Moral distress is a well-recognized term for emotional, cognitive, and physical reactions of professionals, when facing conflicts between perceived obligations and institutional constraints. Though studied across medical roles, limited research exists among physiotherapists. What factors contribute to Moral distress among physiotherapists and how do they cope? To develop and test a multifaceted model of Moral distress and gain an in-depth understanding of the phenomena. A 2017-2022 mixed-methods study: (1) Survey of 407 physiotherapists quantitatively testing a literature-based model analyzing relationships between Moral distress, Moral sensitivity, Locus of control, Self-efficacy, Ethical climate perceptions and demographics, analyzed by descriptive and inferential statistics, multiple comparisons and structural equation modelling (SPSS26, SAS, AMOS); (2) Semi-structured interviews with 21 physiotherapists examining Moral distress experiences using meticulous phenomenological analysis. Israeli physiotherapists from various occupational settings recruited via professional networks. The Haifa University Ethics Committee authorized the study. Informed consent was obtained for the anonymous survey and before interviews regarding recording, and quote use. Quantitative results showed moderately high average Moral distress, significantly higher among women and paediatric physiotherapists, positively correlating with Moral sensitivity. Qualitative findings revealed intense emotions around Moral distress experiences, inner conflicts between care ideals and constraints, and coping strategies like reflective skills. Senior therapists, despite higher self-efficacy and moral sensitivity, still reported persistent high distress. Moral distress has complex links with moral sensitivity, self-efficacy, perceived professional autonomy and organizational support. A renewed framework emerged explaining relations between moral distress and personal, professional and organizational factors. Multidimensional insights help identify Moral distress causes and coping strategies among physiotherapists, advancing theory. Conclusions can shape ethics training programs and competencies.

Такемная аттракция в текстовом информативном коде когнитивного сценария (на материале романов Д. Брауна «Инферно» и M. Бюсси «Черные кувшинки»)

The aim of the research is to identify the universal and unique mechanisms of haptemic attraction in the textual informative code of the background terminal of cognitive scripts in literary works written in different languages. The scientific originality of the research lies in the fact that the authors substantiate the existence of two types of models of text worlds in which the components of the text informative code are located in the central-peripheral zone, create their own algorithm for the study of haptemic attraction in the textual informative code of the background terminal of a cognitive script, determine the specifics of haptemic attraction in the textual informative code. As a result, the paper shows the existence of a multifaceted model of a text world as a central-peripheral structure with proximal-temporal vectors and a simplified model of a text world as a central-peripheral structure without proximal-temporal vectors. The research reveals the existence of five types of the universal mechanisms of haptemic attraction in the informative code of background terminals of cognitive scripts in the studied novels written in different languages. The development and implementation of a new approach have supplemented the theoretical and methodological base of the theory of text worlds with two new types of models. The theory of modelling textual cognitive constructs has been supplemented with an algorithm for studying haptemic attraction in the textual informative code of the background terminal of a cognitive script. New terms have been introduced into the scientific thesaurus: “a multifaceted model of a text world”, “a simplified model of a text world”, “haptemic attraction”.

Coronary computed tomography angiography imaging features combined with computed tomography-fractional flow reserve, pericoronary fat attenuation index, and radiomics for the prediction of myocardial ischemia

BackgroundThis study aimed to predict myocardial ischemia (MIS) by constructing models with imaging features, CT-fractional flow reserve (CT-FFR), pericoronary fat attenuation index (pFAI), and radiomics based on coronary computed tomography angiography (CCTA). Methods and resultsThis study included 96 patients who underwent CCTA and single photon emission computed tomography-myocardial perfusion imaging (SPECT-MPI). According to SPECT-MPI results, there were 72 vessels with MIS in corresponding supply area and 105 vessels with no-MIS. The conventional model [lesion length (LL), MDS (maximum stenosis diameter × 100% / reference vessel diameter), MAS (maximum stenosis area × 100% / reference vessel area) and CT value], radiomics model (radiomics features), and multi-faceted model (all features) were constructed using support vector machine. Conventional and radiomics models showed similar predictive efficacy [AUC: 0.76, CI 0.62–0.90 vs. 0.74, CI 0.61–0.88; p >0.05]. Adding pFAI to the conventional model showed better predictive efficacy than adding CT-FFR (AUC: 0.88, CI 0.79–0.97 vs. 0.80, CI 0.68–0.92; p <0.05). Compared with conventional and radiomics model, the multi-faceted model showed the highest predictive efficacy (AUC: 0.92, CI 0.82–0.98, p <0.05). ConclusionpFAI is more effective for predicting MIS than CT-FFR. A multi-faceted model combining imaging features, CT-FFR, pFAI, and radiomics is a potential diagnostic tool for MIS.

The psychological drivers of self-reported risk preference.

Why are some people more willing than others to take risks? While behavioral tasks (e.g., monetary lotteries) are often regarded as a gold standard for capturing a person's risk preference, recent studies have found stated preferences (e.g., responses to hypothetical scenarios) to exhibit higher reliability, convergent validity, and test-retest stability. Yet, little is known about the psychological drivers of stated preferences. Central to the stated preference approach, the psychological risk-return model conceptualizes a person's propensity to engage in an activity or behavior as a tradeoff between their risk perceptions and expected benefits. To cast a light on the psychological drivers of risk preference within the psychological risk-return framework, in a series of studies participants reported how they evaluated the risks and benefits of activities and their propensity to engage. Individual differences in analytic and intuitive thinking dispositions were also measured. Some participants referred explicitly to risks and rewards of activities when deriving their risk propensity, which was associated with sensitivity to their risk perception and expected benefit ratings. Associations with thinking dispositions indicated that participants who considered risks and rewards were more disposed to analytic thinking. Participants' reports also revealed a broad repertoire of psychological drivers (e.g., intuition, imagination, and feeling) of their evaluations of activities. These were stable over time, associated with thinking dispositions, and influenced their risk preference. The findings provide support for the psychological risk-return model of risk preference. A multifaceted model of preference is urged by the findings to acknowledge the multiple co-occurring psychological drivers of risk preference. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

The integrative model of resiliency in higher education seekers in war conditions

The article presents the results of the study of “The Integrative Model of Resiliency” in higher education seekers in war conditions. 174 higher education seekers were examined, among them: 144 students of the 4th-6th year of the medical faculty and the faculty of medicine and pharmacy of the Dnipro State Medical University, majoring in 222 “Medicine” (main group) and 30 students of the 4th-5th year of the Ukrainian State University of Science and Technology (comparison group). The aim of the study was to determine the modalities of resiliency in higher education seekers in the war condition. A psychodiagnostic method with the integrative model of resiliency “BASIC Ph” was used in the research. The distribution of modalities, their degree of expression (scoring), gender features of the distribution of modalities and their correlations were studied. In the vast majority of higher education seekers, one modality of resiliency dominated (94% in the main group, 100% in the comparison group), which was cognitive modality (64% in the main group, 67% in the comparison group) as the most mature, adaptive and constructive way of overcoming the crisis, especially during the war. In 6% of the investigated ones in the main group, the dominance of two modalities was found, among which the cognitive strategy was once again the leading one (89%). Some gender features of the use of stress coping strategies were revealed. Thus, a statistically significant difference was observed between the indicators of the modalities “Belief”, “Emotions” and “Social support” among males and females of the main group and “Emotions” and “Imagination” in the comparison group (p&lt;0.05). Analyzing the gender characteristics of the correlations of resiliency modalities, a more multifaceted model was found in medical students of male gender. The obtained data contribute to a deeper understanding of own personal strengths and the involvement of less developed ones by higher education seekers, aimed at strengthening and enriching their resources to overcome resiliency of war crisis. Thus, the results of the study should be taken into account when developing psychoeducational and psychocorrective measures and conducting psychological support for of higher education seekers in the conditions of war and post-war time.

Digital Marketing Communication Model for Encouraging Tourism Visits in Langkat Regency, Indonesia

The purpose of this research is to examine the digital marketing communication model as well as the driving and inhibiting factors in promoting tourist destinations in Langkat Regency, Indonesia. This study employed a qualitative approach with the data collected through in-depth interviews and focus groups. Purposive sampling was used to select informants from the Langkat Regency government, the Ministry of Tourism of Medan city, and the surrounding community. Based on the findings, it is concluded that the Tourism and Culture Board (TCB) of Langkat Regency should strategically adopt a comprehensive digital marketing communication model to amplify tourism promotion efforts effectively. To this end, the integration of social media marketing, content marketing, and search engine optimization (SEO) emerges as a compelling approach. This multifaceted model harnesses the power of modern communication platforms to engage diverse audiences, showcase Langkat Regency's attractions, and create a vibrant online presence. The recommendation of this study includes the action should be taken by TCB to focus on creating diverse and captivating content that highlights the unique cultural heritage, natural landscapes, and local experiences that Langkat Regency offers.

Pricing of European call options using generalized Wishart processes

&lt;p&gt;This study explores a multiple-security, high-risk pricing model where the implied volatility has been portrayed through Generalized Wishart affine processes. The presence of dual dependency matrices distinctively characterizes this multifaceted model. These matrices encapsulate the relationship between the generalized Wishart processes and the evolving dynamics of several securities. The adaptability of the proposed model makes it a perfect fit for high-frequency market data, whether dealing with either long or short-term maturities of calls. The main objective paper is on its derivation and addressing the call option pricing problem within the context of the volatility mode using generalized Wishart stochastic. A combination of Fourier transforms techniques and perturbation methods are utilized, mainly focusing on pricing European call options. The model proposed in this study is theoretical and practical, showcasing the strong potential for real-world applications within the financial derivative market.&lt;/p&gt;

Development and validation of the Exteroceptive Body Awareness (EBA-q) questionnaire.

The conscious processing of body signals influences higher-order psychological and cognitive functions, including self-awareness. Dysfunctions in the processing of these signals has been connected to neurological and psychiatric disorders characterized by altered states of self-consciousness. Studies indicate that perceiving the body through interoceptive signals (e.g., from internal organs such as heartbeat and breathing) is distinct from perceiving the body through exteroceptive signals (e.g., by relying on visual, tactile and olfactory cues). While questionnaires are available for assessing interoception, there are no validated self-report instruments for measuring bodily exterception. To fill this gap, we performed three studies to develop and validate a novel scale designed to assess bodily self-consciousness based on the processing of exteroceptive bodily signals. Exploratory factor analysis (Study 1, N = 302) led to an 18-item questionnaire comprised of four factors. We called this instrument Exteroceptive Body Awareness questionnaire (EBA-q). Confirmatory factor analysis (Study 2, N = 184) run on a second sample showed an acceptable fit for a bifactor model, suggesting researchers may use the questionnaire as a unidimensional scale reflecting exteroceptive bodily self-consciousness, or use each of its four sub-scales, reflecting "visuo-tactile body awareness", "spatial coordination", "awareness of body changes" and "awareness of clothing fit". Overall EBA-q showed good internal consistency. Convergent and divergent validity were assessed via cross-validation with existing body awareness questionnaires (Study 3, N = 366) and behavioral measures (Study 3, N = 64) of exteroceptive and interoceptive bodily self-consciousness. Research applications are discussed within a multi-faceted model of exteroception and interoception as distinct, but at the same time interconnected, dimensions of bodily self-consciousness.

The Resistance of the Ethnic Communities to the Business Onslaught in the Colombian Bajo Atrato, Seen from a Companion

ABSTRACT This article provides an account of the destruction of the social fabric of Afro-descendant, indigenous, peasant, and mestizo rural communities in Colombia from the perspective of a human rights worker of the Interfaith Commission of Justice and Peace (JyP). The community resistance that led to revelation of truth of what happened to the world is discussed. A description of the JyP’s multifaceted model of accompaniment, the strategies for return developed and implemented by the displaced families and communities, the associated legal actions and decisions, and knowledge generated from these very significant experiences of resistance in Colombia are also discussed.

Refining a Multifaceted Model of Perceived Utility of Genomic Sequencing Results

Introduction: Research on the perceived utility of genomic sequencing has focused primarily on pediatric populations and on individuals and families with rare genetic diseases. Here, we evaluate how well a multifaceted perceived utility model developed with these populations applies to a diverse, adult population aged 18–49 at risk for hereditary cancer and propose new considerations for the model. Methods: Participants received clinical genomic sequencing in the Cancer Health Assessments Reaching Many (CHARM) study. Semi-structured qualitative interviews were conducted with a subset of participants at 1 and 6 months after results disclosure. We used an approach influenced by grounded theory to examine perceptions of the utility of genomic sequencing and analyzed how utility in CHARM mapped to the published multifaceted perceived utility model, noting which domains were represented or absent and which were most salient to our population. Results: Participants’ discussions of utility often involved multiple domains and revealed the variety of ways in which receiving sequencing results can impact one’s life. Results demonstrated that an individual’s perception of utility can change over the life course when sequenced at a relatively young age and may be influenced by the resources available to them to act on the results. Conclusion: Our findings demonstrate the relevance of a multifaceted perceived utility model for a diverse adult population at risk for hereditary cancer. We identified refinements that could make the model more robust, including emphasizing the overlapping nature of the domains and the importance of life stage and personal resources to the perception of utility.

Numerical analysis of axial compressed multifaceted concrete-filled tube elements

The object of study is multifaceted steel concrete- filled poles. The subject of research is the bearing capacity and parameters of the stress-strain state of multifaceted steel concrete- filled poles. The purpose of the research is to numerically study the features of the operation of multifaceted concrete-filled structures under axial compression. Are discussed the features of creating a computational finite element model of such structures in ANSYS APDL. Analytical methods are described for determining the parameters of the nonlinearity of the materials used, as well as the physical and mechanical characteristics of concrete operating under compression conditions. On specific examples the change in the bearing capacity for the object of study under various conditions of materials adhesion (friction coefficient μ varied within 0.1...0.6 with step 0.1). Is analyzed the "unified" analytical method for determining the bearing capacity of steel multifaceted concrete-filled structures, indicating the degree of variability of ultimate compressive load depending on the variation in the number of faces and thickness of the metal wall of the multifaceted model. The considered features of creating a computational model in the ANSYS APDL finite element analysis system, using various laws of deformation of steel and concrete, made it possible to determine the qualitative and quantitative levels of variability of their bearing capacity, which in combination will allow designers of such structures to reach a qualitatively new level when creating structures based on pipe concrete elements.