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Living Healthfully - April 2010

Brief Focal Psychotherapy (Tavistock-Malan)

April 14th 2010 04:33
Focus
-Internal conflict present since childhood
Goal
-Clarify nature of the defense, anxiety, and impulse
Link the present, the past, and the transference
Duration
-Up to 1 year
-Mean, 20 sessions
Termination
-Set definite date at beginning of treatment



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Brief Psychotherapy and Crisis Intervention

April 12th 2010 04:27
-Recent trend
-Help people deal with current problems and crises
-From psychoanalytic and learning theories
-Short term
-Great pressure on health professionals to contain treatment cost
-1946, Franz Alexander and Thomas French
-Therapeutic experience
-Put px at ease
-Manipulate transference
-Flexible use trial interpretations
-Develop corrective emotional experience capable of repairing traumatic events
-Convince px that new ways of thinking, feeling, and behaving are possible

Types of Brief Psychotherapy
-Brief Focal Psychotherapy (Tavistock-Malan)

-Time-Limited Psychotherapy (Boston University-Mann)
-Short-Term Dynamic Psychotherapy (McGill University-Davanloo)
-Short-Term Anxiety-Provoking Psychotherapy (Harvard University-Sifneos)
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Assessment of the Knee 5

April 6th 2010 04:22
If px has hx of knee pain, do patello-femoral grinding test
-Compress the patella against the underlying femur.
-Push patella distally and ask the px to tighten knee.
-Flex and extend the knee and note for pain and crepitus. This might indicate osteoporosis.

For Screening of meniscal injuries:
-Feel for tenderness along tibial margin by flexing the knee to about 90 deg and with the thumb press tibiofemoral joint.
-If positive>>>o Mc murray’s test.


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Assessment of the Knee 4

April 4th 2010 04:16
Inspect for Knee Alignment
-Q-angle- 7-8 degrees

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Assessment of the Knee3

April 2nd 2010 04:08
Passive Structures (cartilages and ligaments)

Medial and lateral meniscus


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