Hierarchy again: on accepting limitations.
Explore the source record for details and available documents.
Family Therapy↗
Biomedical subjects
G M Simon
Publications and source records attributed to G M Simon.
Revisiting the notion of hierarchy.
The traditional definition of hierarchy in terms of power has rendered the image of the hierarchical therapist a fit subject for constructionist critiques. This essay uses an alternative definition of hierarchy, cast in temporal and developmental terms, as the basis for a revised understanding of the role of hierarchy in the therapeutic process. It is argued that when therapy is constructed as a "framing-developing hierarchy," rather than as a "power hierarchy," then constructionist aspirations to create a therapy that is nonjudgmental, nonpathologizing, and noncontrolling are realized.
Family↗
Use of magnesium hydroxide and low magnesium dialysate does not permit reduction of aluminum hydroxide during continuous ambulatory peritoneal dialysis.
In an effort to reduce the ingestion of aluminum in phosphate-binding antacids, we treated seven patients on continuous ambulatory peritoneal dialysis (CAPD) with low magnesium dialysate and phosphate binders containing both aluminum and magnesium hydroxide. The total amount of phosphate binders prescribed was adjusted to maintain the serum phosphorus at normal levels. The dose of magnesium hydroxide was limited by intolerable gastrointestinal side effects in six of the seven patients. One patient also developed symptomatic hypermagnesemia. When magnesium hydroxide was prescribed in tolerable doses, the mean aluminum dose was not significantly decreased compared with the dose when taking aluminum hydroxide alone. We conclude that substitution of magnesium hydroxide for aluminum hydroxide as a phosphate binder fails to reduce the dose of aluminum in most patients on CAPD.
Adult↗