A variety of therapeutic interventions can help couples develop the tools for a successful relationship. Yet many practitioners begin seeing couples without extensive training in couples work. To fill this gap in their therapeutic repertoires, noted couples therapist Michele Harway brings together other well-known experts in marriage and family therapy to offer the Handbook of Couples Therapy, a comprehensive guide to the study and practice of couples therapy.
One of the main tasks in the psychological individuation process is the reconciliation of opposites, especially the opposition between consciousness and the unconscious. Dreams create a bridge between these two worlds. Jung sees the dream as the steady endeavor of the unconscious to create the best possible equilibrium in the psyche. Dreams are a means to establish a homeostatic balance, or at least to show the dreamer what would be necessary to achieve this balance. Psychotherapists of many different schools use dreams in individual therapy, but very few use them in counseling couples.
Thus, in living cells, the rates of anterograde and retrograde transport between the two
organelles appear to have a substantial effect on the morphology of the Golgi. The effect of
the balance between anterograde and retrograde transport on the morphology of the ER
remains to be explored. Recently, increasing evidence has suggested that alteration in Golgi
morphology during mitosis is not a passive process but rather an active one, which is highly
coordinated with entry into mitosis and its progression.
In recent years, there have been noticeable shifts in the age of onset of symptoms and
in the clinical presentation of CD, changes that seem to be associated with a delayed
introduction of gluten coupled with its reduced amount in the complications in the
diet. Another controversial topic concerns the complications of untreated CD.
Over the past three decades, considerable effort has been devoted to assessing the importance
of spatial mismatch in determining racial and ethnic differences in employment outcomes. The
hypothesis posits that persistent racial housing segregation in U.S. metropolitan areas coupled with
the spatial decentralization of employment have left black and, to a lesser extent, Latino workers
physically isolated from ever-important suburban employment centers.
industry in India currently employs about 12,000 animation workers with nearly 3,000 working as
An extensive number of labor pool – which is one of the strengths of India as an outsourcing
destination – is not required in the animation industry (and process per se). However, with this in
consideration, the Indian animation industry still managed to position itself to be a major market
player in the animation outsourcing industry with only 12,000 employees working full-time for the
The rapid erosion of privacy poses numerous puzzles. Why is it occurring, and why do
people care about it? This paper proposes an explanation for many of these puzzles in terms of
the increasing importance of price discrimination. Privacy appears to be declining largely in order to
facilitate di®erential pricing, which o®ers greater social and economic gains than auctions or shopping
Niederhoffer (1971) explore the effect of headline news appearing in the New York Times and the Los Angeles
Times on the stock market from 1950 to 1966. He group headline news into various classes, and as good or bad.
There are also a couple of commercially available software applications and services focusing on news processing
with text analysis methods. Reuters NewsScope Sentiment Engine processes a stream of Reuters news items,
producing sentiment data for a list of customer determined target companies
Treatment of pellagra consists of oral supplementation of 100–200 mg of nicotinamide or nicotinic acid three times daily for 5 days. High doses of nicotinic acid (2 g/d in a time-release form) are used for the treatment of elevated cholesterol and triglyceride levels and/or low high-density lipoprotein (HDL) cholesterol level (Chap. 350).
Toxicity Prostaglandin-mediated flushing due to binding of the vitamin to a G protein–coupled receptor has been observed at daily doses as low as 50 mg of niacin when taken as a supplement or as therapy for dyslipidemia.
Infertility is a disease of the reproductive system that impairs one of the
body's most basic functions: the conception of children. In the United States,
infertility affects about 7.3 million women and their partners, or about 12%
of the reproductive-aged population. For many of these couples, the answer
lies in conventional medical therapy, such as drug treatment or surgery to
repair reproductive organs. Since 1978, ART has provided another solution
for many would-be parents.
Female Sexual Dysfunction: Treatment
General An open discussion with the patient is important as couples may need to be educated about normal anatomy and physiologic responses, including role of orgasm in sexual encounters. Physiologic changes associated with aging and/or disease should be explained. Couples may need to be reminded that clitoral stimulation rather than coital intromission may be more beneficial.
Behavioral modification and nonpharmacologic therapies should be a first step. Patient and partner counseling may improve communication and relationship strains.
Screening In contrast to patients who present with advanced disease, patients with early ovarian cancers (stages I and II) are commonly curable with conventional therapy. Thus, effective screening procedures would improve the cure rate in this disease. Although pelvic examination and CA-125 can occasionally detect early disease, these are relatively insensitive screening procedures. Transvaginal sonography is often used, but significant false-positive results are noted, particularly in premenopausal women.
Recent reductions in cancer mortality are
due in part to risk reduction behaviors like
smoking cessation and more strongly to early
detection of cancer coupled with appropriate
therapy. Yet, there are no validated molecular
biomarker tests for the early detection of any
cancer (see Table I). Among the list of Food
and Drug Administration (FDA)-approved
biomarkers, none have been approved for
cancer early detection and screening.