Interpretation and Working through Contemptuous Facial Micro-Expressions Benefits the Patient-Therapist Relationship.

Introduction: The significance of psychotherapeutic micro-processes, such as nonverbal facial expressions and relationship quality, is widely known, yet hitherto has not been investigated satisfactorily. In this exploratory study, we aim to examine the occurrence of micro-processes during psychotherapeutic treatment sessions, specifically facial micro-expressions, in order to shed light on their impact on psychotherapeutic interactions and patient-clinician relationships.

Methods: In analyzing 22 video recordings of psychiatric interviews in a routine/acute psychiatric care unit of Vienna General Hospital, we were able to investigate clinicians' and patients' facial micro-expressions in conjunction with verbal interactions and types.

Transference and countertransference: A review.

Originally a psychodynamic concept, the therapeutic relationship (also therapeutic alliance, helping alliance or simply alliance) has become a pan-theoretical model for the professional relationship between a therapist and his or her client (Kivlighan, 1995). With the development of this concept in the latter half of the 20th century, psychotherapeutic theory and practice saw a paradigm shift away from strict adherence to technique with little room for responsive, individual behavior from the therapist and toward the "authentic" human relationship at the core of therapy. This meant that more consideration was given to the idea of mutual influence from patient and therapist to the success of therapy (Safran & Muran, 2006).

Empathy in Psychoanalysis and Medical Education - what can we learn from each other?

Background: Several research areas, including medical education (ME), focus on empathy as an important topic in interpersonal relationships. This focus is central to the use of communication skills related to empathy and even more crucial to provide information in a way that makes patients feel more involved in the treatment process. Psychoanalysis (PA) provides its initial concept of empathy based on affective aspects including findings from neuroscience and brain research.

Dimensions of Activity in Countertransference and Therapist Reactions: Therapist Reactions During Sessions with Depressed Patients.

Objectives: This paper presents the interaction structure between the therapist's countertransference and the patient's affect based on identified dimensions of how therapists feel and react during sessions with depressed patients.

Methods: 639 sessions were audio-recorded and rated by trained raters. These recordings were obtained from the Munich Psychotherapy Study and analyzed with the PQS, the AREQ, and the TRQ/CTQ.

Effects of carvedilol on right ventricular function in chronic heart failure.

This study investigated the effects of carvedilol on right ventricular (RV) volume and systolic function in chronic heart failure patients. Carvedilol treatment resulted in a significant improvement of RV ejection fraction and systolic performance, which paralleled the improvement of systolic function demonstrated in the left ventricle.

Effects of carvedilol on systolic and diastolic left ventricular performance in idiopathic dilated cardiomyopathy or ischemic cardiomyopathy.

Recent evidence has shown that improvement in left ventricular (LV) systolic function in patients with New York Heart Association class II to III heart failure occurs with beta-adrenergic blocking agents. However the specific effects on LV diastolic function have been subjected to only limited examination. This study investigated the effects of the combined beta blocker/vasodilator, carvedilol, on systolic and diastolic LV performance in dilated cardiomyopathy.

Use of computer conferencing to allow view box-style teaching sessions with residents at outlying hospitals.

Rationale And Objectives: Health care reform is placing new pressures on radiology faculty members to use their time more efficiently. We implemented a computer conferencing technique that allows one faculty member to perform a simultaneous view box-style teaching session with residents at local and outlying hospitals.

Methods: The system simultaneously displays digital images on computer screens at the local and outlying hospitals; an on-screen pen allows the instructor or the participants to point to findings on the images.

Abdominal abscess detection: gallium, 111In-, and 99mTc-labeled leukocytes, and polyclonal and monoclonal antibodies.

Computed tomography (CT) and magnetic resonance imaging (MRI) are excellent modalities for imaging patients with localizing signs of an intra-abdominal abscess. However, radionuclide techniques have an advantage over CT and MRI because they can evaluate the entire body for infection. In addition, radionuclides can noninvasively differentiate infection and inflammation from benign fluid collections.

Biodistribution and dosimetry of indium-111-polyclonal IgG in normal subjects.

Unlabelled: Indium-111-polyclonal IgG is a new imaging agent of infection and inflammation that has been developed as a possible replacement for radiolabeled leukocytes. We undertook a study to determine the safety, biodistribution and dosimetry of the agent in normal subjects.

Methods: Twelve normal male volunteers with an average age of 34 yr (range 21-55 yr) were studied.

A transmission-map-based scatter correction technique for SPECT in inhomogeneous media.

In this paper a method of modeling the distribution of scattered events in emission projection data is developed and applied. This method is based on the use of a transmission map to define the inhomogeneous scattering object. The key point is the use of the set of line integrals calculated as part of the attenuation correction technique, as the basis of a model of the distribution of scattered events.

Gastric emptying response to variable oral erythromycin dosing in diabetic gastroparesis.

Intravenous erythromycin has been shown to improve gastric emptying in diabetic gastroparesis. Oral erythromycin also accelerates gastric emptying, but to a lesser degree. To determine if this is a dose-dependent phenomenon, gastric emptying was measured in 10 insulin-requiring diabetic patients with gastroparesis after administration of either 250 mg or 1000 mg of erythromycin or placebo.

Bilateral fatigue fractures of the radial shaft in a gymnast.

A 24-year-old female gymnast had a 3-month history of bilateral forearm pain. A Tc-99m MDP bone scan demonstrated focally increased activity in the radial shafts on blood pool and delayed images, characteristic of fatigue fractures. Fatigue fractures commonly occur in the lower extremities.

Redirection of client/server relationship of X Window system as a simple, low-cost, departmental picture archiving and communication system solution for nuclear medicine.

Picture archiving and communication systems (PACS) offer significant advantages over current film-management techniques. However, PACS are complex and expensive, factors that have limited their entry into the radiology and nuclear medicine communities. We present a simple, low-cost PACS solution that allows viewing of images from different computer systems by redirection of the X Window system.

Image analysis and categorization of ventilation-perfusion scans for the diagnosis of pulmonary embolism using an expert system.

Unlabelled: An expert system was developed that interprets ventilation-perfusion lung scans. The use of such scans for suspected pulmonary embolism is ideal for computer-assisted diagnosis by expert systems. The data are digital, only a single disease entity is diagnosed or excluded, and well-established diagnostic criteria already exist for visual interpretation that can be easily integrated into an expert system.

Scintigraphic appearance of bone during external beam irradiation.

Separate imaging studies employing Tc-99m MDP, In-111 labeled leukocytes, and Tc-99m SC were performed in a patient receiving external beam radiation therapy to the mediastinum and left hemithorax. The leukocyte scan demonstrated greatly increased activity at the site of the radiation port. The bone marrow (sulfur colloid) scan was normal and the bone scan demonstrated only minimally increased activity in the irradiated region.

Indium-111-labeled leukocytes for the detection of infection: current status.

Several chelates are available for leukocyte labeling. Studies indicate that cells labeled with any of the chelates have a sensitivity for infection of 90% to 95% when imaged at 24 hours postinjection. The sensitivity of 111In-labeled leukocytes at earlier imaging times is more controversial.

Kinetic modeling of teboroxime using dynamic SPECT imaging of a canine model.

Unlabelled: The tomographic utility of 99mTc-labeled teboroxime has been limited because of its fast washout from the heart, which requires rapid data acquisitions that have not been feasible until the recent development of multidetector SPECT systems.

Methods: Using a three-detector SPECT system to acquire dynamic tomographic data every 10.2 sec, we investigated the potential of modeling the kinetics of teboroxime to develop a sensitive and quantitative measure of cardiac perfusion.

The efficacy of indium-111-polyclonal IgG for the detection of infection and inflammation.

Unlabelled: The purpose of this study was to determine the efficacy of 111In-polyclonal immunoglobulin (IgG) for the diagnosis of infection or inflammation.

Methods: Fifty-three patients with suspected infection were prospectively studied. Each underwent an 111In-polyclonal IgG study; biopsy, surgery, additional nuclear medicine scans and radiographic studies were used to confirm the IgG scan results.

Application of convergent-beam collimation and simultaneous transmission emission tomography to cardiac single-photon emission computed tomography.

Single-photon emission computed tomography (SPECT) is the most commonly performed imaging technique for perfusion studies of the heart and brain. However, these organs are much smaller than the crystal surface of gamma cameras. SPECT sensitivity and resolution can be improved by using fan- and cone-beam collimators to magnify the image of these organs over a larger portion of the crystal face.

Distribution of gallium-67 in normal and hypotransferrinemic tumor-bearing mice.

The mechanism by which 67Ga accumulates in tumors is controversial. The most popular theory is that 67Ga binds to transferrin and gains access to cells by the transferrin receptor. However, substantial evidence suggests that uptake of 67Ga may not be universally mediated by transferrin in tumors.

Enrichment for metallothionein does not confer resistance to cisplatin in transfected NIH/3T3 cells.

Evidence has been presented both that metallothionein does and does not produce resistance to cisplatin. The metallothionein-enriched cells described in most previous studies have been selected for resistance to heavy metals, such as cadmium, or have been maintained in a medium enriched for the metals. Exposure to toxic metals could alter the cells in many ways.