Dataset Information

Dreams and Trauma Changes in the Manifest Dreams in Psychoanalytic Treatments - A Psychoanalytic Outcome Measure.

ABSTRACT: Although psychoanalysts are interested in symptom reduction as an outcome, they are looking for instruments to measure sustaining changes in the unconscious mental functioning. In this article it is discussed that conceptually well-founded transformation of manifest dreams analyzed with precise empirical methods could be considered as a promising indicator for such therapeutic changes. We are summarizing a dream generation model by Moser and von Zeppelin which has integrated a large interdisciplinary knowledge base of contemporary dream and sleep research. Based on this model the authors have developed a valid and reliable coding system for analyzing manifest dreams, the Zurich Dream Process Coding System (ZDPCS). One exemplary dream from the beginning and one from the third year of a severely traumatized, chronic depressed patient from the LAC Depression Study collected in psychoanalytic sessions as well as in the sleep laboratory have been analyzed applying the ZDPCS. Authors hypothesize that transformation in dreams as measured with the ZDPCS is the result of memory processes of traumatic embodied memories in the state of dreaming.

SUBMITTER: Fischmann T

PROVIDER: S-EPMC8476791 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

Dreams and Trauma Changes in the Manifest Dreams in Psychoanalytic Treatments - A Psychoanalytic Outcome Measure.

Fischmann Tamara T Ambresin Gilles G Leuzinger-Bohleber Marianne M

Frontiers in psychology 20210914

Although psychoanalysts are interested in symptom reduction as an outcome, they are looking for instruments to measure sustaining changes in the unconscious mental functioning. In this article it is discussed that conceptually well-founded transformation of manifest dreams analyzed with precise empirical methods could be considered as a promising indicator for such therapeutic changes. We are summarizing a dream generation model by Moser and von Zeppelin which has integrated a large interdiscipl ...[more]

PMID: 34594260

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Project description:BackgroundAdherence to care processes and surgical outcomes varies by population subgroups for the same procedure. Enhanced recovery after surgery pathways are intended to standardize care, but their effect on process adherence and outcomes for population subgroups is unknown.ObjectiveThis study aims to demonstrate the association between recovery pathway implementation, process measures, and short-term surgical outcomes by population subgroup.DesignThis study is a pre- and post-quality improvement implementation cohort study.SettingThis study was conducted at a tertiary academic medical center.InterventionA modified colorectal enhanced recovery after surgery pathway was implemented.PatientsPatients were included who had elective colon and rectal resections before (2013) and following (2014-2016) recovery pathway implementation.Main outcome measureThirty-day outcomes by race and socioeconomic status were analyzed using a difference-in-difference approach with correlation to process adherence.ResultsWe identified 639 cases (199 preimplementation, 440 postimplementation). In these cases, 75.2% of the patients were white, and 91.7% had a high socioeconomic status. Groups were similar in terms of other preoperative characteristics. Following pathway implementation, median lengths of stay improved in all subgroups (-1.0 days overall, p ≤ 0.001), but with no statistical difference by race or socioeconomic status (p = 0.89 and p = 0.29). Complication rates in both racial and socioeconomic groups were no different (26.4% vs 28.8%, p = 0.73; 27.3% vs 25.0%, p = 0.86) and remained unchanged with implementation (p = 0.93, p = 0.84). By race, overall adherence was 31.7% in white patients and 26.5% in nonwhite patients (p = 0.32). Although stratification by socioeconomic status demonstrated decreased overall adherence in the low-status group (31.8% vs 17.1%, p = 0.05), white patients were more likely to have regional pain therapy (57.1% vs 44.1%, p = 0.02) with a similar trend seen with socioeconomic status.LimitationsData were collected primarily for quality improvement purposes.ConclusionsDifferences in outcomes by race and socioeconomic status did not arise following implementation of an enhanced recovery pathway. Differences in process measures by population subgroups highlight differences in care that require further investigation. See Video Abstract at http://links.lww.com/DCR/A386.

Dataset Information

Dreams and Trauma Changes in the Manifest Dreams in Psychoanalytic Treatments - A Psychoanalytic Outcome Measure.

Publications

Dreams and Trauma Changes in the Manifest Dreams in Psychoanalytic Treatments - A Psychoanalytic Outcome Measure.

Similar Datasets

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