Group Motivational Interviewing as a Psychotherapeutic Intervention for Dual Diagnosis Patients Living with a Psychotic Disorder: Critique of the Literature

Studies indicate that 50% of individuals living with a psychotic disorder also meet Diagnostic and Statistical Manual IV Text Revision (DSM-IV-TR) criteria for substance abuse disorder during their lifetime (Green, Drake, Brunette, & Noordsy, 2007; Thornton, Baker, Johnson, Kay-Lambkin, & Lewin, 2011). With such high rates of substance abuse among individuals living with a psychotic disorder the need for empirically based and salient psychotherapeutic interventions such a Motivational Interviewing (MI) cannot be overstated. MI is a person centered approach to psychotherapy that encourages behavior change through the resolution of ambivalence (Miller & Rollnick, 2002; Prochaska & Norcross, 2010). Dual diagnosis patients living with a psychotic present with needs that may make MI difficult to administer therefore, various MI techniques are restructured to better accommodate the multicultural needs of dually diagnosed individuals. The critique of seven studies found that modified MI techniques administered in a group format had a positive effect on reducing substance use and improving overall patient functioning for dually diagnosed patients living with a psychotic disorder. Studies indicate that 50% of individuals living with a psychotic disorder also meet Diagnostic and Statistical Manual IV Text Revision (DSM-IV-TR) criteria for substance abuse disorder during their lifetime (Green, Drake, Brunette, & Noordsy, 2007; Thornton, Baker, Johnson, Kay-Lambkin, & Lewin, 2011). With such high rates of substance abuse among individuals living with a psychotic disorder the need for empirically based and salient psychotherapeutic interventions such a Motivational Interviewing (MI) cannot be overstated. MI is a person centered approach to psychotherapy that encourages behavior change through the resolution of ambivalence (Miller & Rollnick, 2002; Prochaska & Norcross, 2010). Dual diagnosis patients living with a psychotic present with needs that may make MI difficult to administer therefore, various MI techniques are restructured to better accommodate the multicultural needs of dually diagnosed individuals. The critique of seven studies found that modified MI techniques administered in a group format had a positive effect on reducing substance use and improving overall patient functioning for dually diagnosed patients living with a psychotic disorder

Concentration in Hungarian Food Retailing and Supplier-Retailer Relationships

The paper is a summary about the Hungarian retail sector based on the results of different research projects completed in the last five years. From all of these studies and of course the wide ranging domestic and international literature we had to conclude that the retailers have become more and more the exclusive owner of the information about the consumers and with this they become the new "captains" of the food chain. Thus we always started our research with gathering information about the situation of the Hungarian retail sector because we believed if we want to help those who try to adapt (the suppliers) then we have to know much more about those who dictate (the retailers). Analysing the concentration in company and not branch level we can say that the cumulated concentration line of the CR-10 companies are very similar to that of the processing and the retail sector. But there is a very important difference in the absolute numbers. This is a further sign of the size and power difference in favour of retailing.food retailing, concentration, market structure, supplier-retailer relationships, Industrial Organization, D3, L81,

Splitting the sḏm.n⸗f? A Discussion of Written Forms in Coffin Texts: Part 2

The paper discusses the written forms of II.red in Coffin Texts adduced by Wolfgang Schenkel in support of his hypothesis of two morphologically distinct forms of the sḏm.n⸗f. Also examined are the case of ult.n non-II.red, which had only a secondary role in Schenkel's original proposal, and the case of the high-frequency verb wnn, which is special. The conclusion is that none of these written forms supports the hypothesis of two distinct forms of the sḏm.n⸗f, just as none contradicts it. In the course of the argument, various issues of broader interest are touched upon: the representation of verbal morphology in writing, the individual verbs (notably ngigi/ngg "cackle,” originally a N-stem based on an onomatopoietic segment), the morphology of wnn, and aspects of the dynamics of textual variation in Coffin Texts (notably the extraordinarily complex case afforded by CT I 73c-74f; Spell 24

L’héritage de Jean-Jacques Rousseau dans les trois phases de l’oeuvre romanesque de George Sand

En virtud de su crítica de la civilización y del racionalismo, abogando por un ideal umano más cercano a la naturaleza, Jean-Jacques Rousseau ha sido considerado acertadamente un precursor del romanticismo; sin embargo, su actitud frente a la emancipación de la mujer permanece controvertida. En Julie ou La Nouvelle Héloïse sale en defensa de la libertad sentimental de la protagonista ante las conveniencias sociales, mientras que en Émile ou De l'éducation actúa como portavoz de una noción muy conservadora del papel de la mujer. En este ensayo se analizará el ascendiente de Rousseau sobre la obra de la feminista George Sand, para comprobar donde ella acepta las ideas de su predecesor y donde sigue su propio camino. - Because of his criticism of civilisation and rationalism, while pleading for a human ideal closer to nature, it is justified to consider Jean-Jacques Rousseau a precursor of romanticism; nevertheless, his attitude towards women's liberation remains controversial. In Julie ou La Nouvelle Héloïse, he defends the emotional freedom of his heroine against social conventions, but in Émile ou De l'éducation he becomes the spokesman of a very conservative concept of women's behaviour. This essay sets out to analyse Rousseau's influence on the works of the feminist writer George Sand, in order to establish where she adopts the ideas of her predecessor and where she goes her own way.En vertu de sa critique de la civilisation et du rationalisme, revendiquant un idéal humain plus proche de la nature, Jean-Jacques Rousseau est à juste titre considéré comme précurseur du romantisme ; mais son attitude à l'égard de l'émancipation de la femme reste controversée. Dans Julie ou La Nouvelle Héloïse, il défend la liberté sentimentale de la protagoniste des conventions de la société, tandis que dans Émile ou De l'éducation il se fait le porte-parole d'une conception très conservatrice du rôle de la femme. Dans cette contribution, on analysera l'influence de Rousseau sur l'oeuvre de la féministe George Sand, pour voir où elle adopte les idées de son prédécesseur et où elle suit son propre chemin

Relating visual and semantic image descriptors

This paper addresses the automatic analysis of visual content and extraction of metadata beyond pure visual descriptors. Two approaches are described: Automatic Image Annotation (AIA) and Confidence Clustering (CC). AIA attempts to automatically classify images based on two binary classifiers and is designed for the consumer electronics domain. Contrastingly, the CC approach does not attempt to assign a unique label to images but rather to organise the database based on concepts

AZ ÉSZLELT STRESSZ KÉRDŐÍV (PSS) MAGYAR VERZIÓJÁNAK JELLEMZŐI

Az Észlelt Stressz Kérdőív (Perceived Stress Scale - PSS) magyar változatának jellemzőit vizsgáltuk 217, stresszkezelő programra jelentkező egyén válaszai alapján. A kérdőív három változata (PSS14, PSS10, PSS4) szorosan korrelál (r = 0,99 és 0,93), mindhárom belső megbízhatósága igen jó (a Cronbach-alfa rendre 0,88; 0,85; 0,79), és a teszt-reteszt megbízhatósága is kiváló (r = 0,90). A nem, az életkor és az iskolai végzettség nem befolyásolta szignifikánsan az összpontszámot, ugyanakkor mintánk egyes alcsoportjainak átlagpontszámai különböztek: a szakemberek (orvos, szakápoló, pszichológus) átlagértékei alacsonyabbak voltak, mint a „normál” és diák csoport értékei, a szomatikus betegcsoport magasabb pontszámot ért el, míg a legmagasabb a pszichiátriai kezelés alatt álló (szorongó) csoport pontszáma volt. A kérdőív validitását más, ismert pszichológiai skálákkal összehasonlítva is igazoltuk. Közepesen szoros összefüggést találtunk a PSS és a szubjektív testi tünetek (PHQ), a WHO Jól-lét Skála, a rövidített Cook-Medley Ellenségesség pontszámok között; szorosabb volt az összefüggés a depresszió (Rövidített Beck Depresszió Kérdőív - BDI) és a szorongás (Spielberger Vonásszorongás Skála - STAI-T) pontszámokkal: a korrelációs együtthatók 0,52-0,85 között voltak. A fentiek jelzik, hogy bár van összefüggés az észlelt stressz és a különböző testi és lelki tünetek között, a PSS által mért változó egy független konstruktum, mely alkalmas a krónikus stressz mint rizikófaktor becslésére