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Clinical Research
Published in Gary M. Matoren, The Clinical Research Process in the Pharmaceutical Industry, 2020
Cooperativeness is best achieved with investigators when expectations are delineated very early during interaction. There are some investigators who are not willing to enter into a cooperative interaction with clinical monitors, who do not wish to share their ideas with others whom they see as competitors, who do not wish to give up some autonomy in order to be part of a team, or who do not consider clinical monitors as experts in applied clinical research and therefore wish to dictate the terms of the study [5].
Historical Notes
Published in Albert A. Kurland, S. Joseph Mulé, Psychiatric Aspects of Opiate Dependence, 2019
Albert A. Kurland, S. Joseph Mulé
If urine testing is indeed a Hobson’s choice, then it may be more meaningful to err on the side of surveillance, since it offers a means for enhancing the therapeutic interaction. Moreover, the experiences originating from the monitoring would tend to suggest that it may be somewhat supportive. The patient’s cooperativeness can also be increased by working through the resentment over the monitoring. This may be attempted by thoroughly discussing the role and significance of the monitoring procedure in terms of the therapeutic intent. The case for monitoring might be reinforced with the analogy of the thermometer, used to determine the presence of fever, or by convincing the addict that its usefulness as a deterrent is not the primary objective and that deterrence by itself accomplishes little – a fact that the patient’s experiences can readily acknowledge. At the same time, since most of these individuals do not see themselves as being ill, the episodes of detected opiate use can be interpreted as reflecting a need of some type within the patient and are made the basis for initiating a therapeutic dialogue. With continued efforts, the episodic interaction may eventually lead to an acknowledgment that there may be personality difficulties and a greater willingness to engage in the therapeutic endeavors. Finally, the monitoring is a procedure that can be reduced when the patient is doing well and increased if there are indications that the patient is encountering difficulties.
Antidepressants: Predicting Response/Maximizing Efficacy
Published in Mark S. Gold, R. Bruce Lydiard, John S. Carman, Advances in Psychopharmacology: Predicting and Improving Treatment Response, 2018
Irl Extein, A. L. C. Pottash, Mark S. Gold, Richard Goggans, R. Bruce Lydiard
It is the severity of symptoms such as poor nutritional status, psychosis, suicidality, and presence of family supports and cooperativeness of the patient that go into the decision whether to treat the patient as an outpatient or inpatient. In view of the generally favorable response to treatment of depression, it is best in uncertain cases to err on the side hospitalization.
Forgiving lark, resentful owl: Self-control mediates the relationship between chronotype and forgiveness
Published in Chronobiology International, 2023
The present studies also provide broad educational and societal implications. Human beings need to cooperate with others in the social group for their very survival. However, conflict and even wars are becoming a global phenomenon and pervade the daily life of every member of many societies (McCullough 2008). We encourage business negotiation skills program and trainers to recognize students’ chronotype profiles as an essential component in education. Modifying and adapting the delivery of instructional methods and course curriculum design to students with an evening-oriented preference would make the learning environments more inclusive and supportive of student engagement. This, in turn, could encourage students to handle conflict in a healthy way and develop an improved understanding of the concerns because they can keep in mind the importance of forgiveness and cooperativeness.
Distinct temperament and character traits in patients with hyperemesis gravidarum
Published in Gynecological Endocrinology, 2020
Erson Aksu, Yakup Albayrak, Elmas Beyazyüz, Nihan Potas, Ferit Durankuş, Burçak Tenel, Murat Beyazyüz
Our results indicated that patients with HG had different character traits compared with healthy pregnant women. Firstly, HG patients scored significantly lower in cooperativeness score than controls. People who have higher cooperativeness scores are defined as empathetic, tolerant, compassionate, supportive, fair, and principled individuals. They tend to be a good partner in teamwork as well as other areas of life. In contrast, lower scores of cooperativeness score indicate that decreased empathy and also can have communication problems with other [22,23]. HG patients also scored significantly lower on SD dimension compared with controls. People who are high on SD are certain of their purposes. They tend to accept responsibility for their attitudes and behavior. In contrast clinicians commonly define people who have lower scores on SD as having a personality disorder. HG patients had also lower scores on self-transcendence dimension. Self-transcendent people are defined as satisfied, patient, creative and spiritual. These individuals seem to tolerate ambiguity and uncertainty. High Self-Transcendence has adaptive advantages when a person is confronted with suffering and death, which is inevitable with advancing age. In contrast lower scores on ST attributes that tend to intolerate uncertainty and ambiguity [22–24]. We can say that HG patients globally different character traits compared with healthy pregnant women. Our result is the first to demonstrate different character traits in patients with HG.
Physical performance and physical activity of patients under compulsory forensic psychiatric inpatient care
Published in Physiotherapy Theory and Practice, 2020
Henrik Bergman, Thomas Nilsson, Peter Andiné, Alessio Degl’Innocenti, Roland Thomeé, Annelie Gutke
Character maturity was measured by means of two of the character dimensions, Self-Directedness and Cooperativeness, from Cloninger’s Temperament and Character Inventory (TCI) (Cloninger, Svrakic, and Przybeck, 1993). Self-Directedness measures how an individual estimates him- or herself with regard to self-understanding, the ability to assume responsibility and comply with conceived goals and values. Cooperativeness covers an individual’s ability to identify with and accept other people, and thus measures how an individual understands and handles his or her social context. Scale scores are provided as t-scores with a mean of 50 and a SD of 10. This instrument has been translated and adapted to Swedish conditions; it is found to be both valid and reliable (Brändström et al., 1998).