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A butterfly painting its own colours: Enactment, visualisation and differentiation.
Int J Psychoanal
February 2025
Brent Centre for Young People, Laufer House, London, UK.
The clinician's emotional and somatic responses to patients are an essential source of information, but how can we disentangle what belongs to whom? A certain blurring of boundaries is inevitable in psychoanalytic work, with oscillations between more and less differentiated states of mind↔body, patient↔clinician and patient-clinician dyad↔wider institutional setting. In one sense, psychoanalytic work can be conceived as a cycle of repeated regressive enactments, followed by elaboration and differentiation après-coup. Referring to two clinical vignettes with pubertal/young adolescent patients, I reflect on the role of the clinician's visual imagination in this process.
View Article and Find Full Text PDFThe Perceptions of Potential Prerequisites for Artificial Intelligence in Danish General Practice: Vignette-Based Interview Study Among General Practitioners.
JMIR Med Inform
March 2025
Center for General Practice at Aalborg University, Department of Clinical Medicine, Aalborg University, Selma Lagerløfs vej 249, Aalborg, 9260 Gistrup, Denmark, 45 29807944.
Background: Artificial intelligence (AI) has been deemed revolutionary in medicine; however, no AI tools have been implemented or validated in Danish general practice. General practice in Denmark has an excellent digitization system for developing and using AI. Nevertheless, there is a lack of involvement of general practitioners (GPs) in developing AI.
View Article and Find Full Text PDFDevelopment of an Online Scenario-Based Tool to Enable Research Participation and Public Engagement in Cystic Fibrosis Newborn Screening: Mixed Methods Study.
J Particip Med
March 2025
Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King's College London, London, United Kingdom.
Background: Newborn screening aims to identify babies affected by rare but serious genetic conditions. As technology advances, there is the potential to expand the newborn screening program following evaluation of the likely benefits and drawbacks. To inform these decisions, it is important to consider the family experience of screening and the views of the public.
View Article and Find Full Text PDFA Rare Ganglionic Cyst of Medial Collateral Ligament of Knee: A Visual Vignette.
Am J Phys Med Rehabil
March 2025
Department of Physical Medicine and Rehabilitation, R. G. Kar Medical College & Hospital, Kolkata, India.
A Vignette Study to Derive Health-Related Quality-of-Life Weights for Individuals with Steroid Refractory Chronic Graft-versus-Host Disease Receiving Third-Line Therapy in the United Kingdom.
J Health Econ Outcomes Res
February 2025
Acaster Lloyd Consulting Ltd, London, UK.
Chronic graft-versus-host disease (cGvHD) - a potentially debilitating complication of allogeneic hematopoietic stem cell transplantation - is a rare condition. This vignette-based study aimed to generate utility values to inform an economic model via an online survey wherein cGvHD health state (HS) vignettes were valued by the general UK population using the EQ-5D-5L and the EQ-5D-visual analog scale (EQ-5D VAS). This non-interventional health-related quality of life (HRQoL) study was conducted in 3 stages across the UK: the development, validation, and valuation of HS vignettes to generate utility values for cGvHD.
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