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M Freimuth

Publications and source records attributed to M Freimuth.

4 recordsLinked to original sources
PubMed2000

Integrating group psychotherapy and 12-step work: a collaborative approach.

Group therapists can expect to treat an increasing number of patients who are active in a 12-step program or other addiction-related self-help groups. The value of simultaneous participation in these two modalities has been recognized; 12-step work supports abstinence necessary for the focus on emotional growth in psychotherapy. However, mere simultaneous participation in the two modalities fails to incorporate the benefits of a collaborative relationship where both modalities are used to support both abstinence and emotional growth. The conjoint approach to group and individual treatment is used to (a) argue for the possibility of a collaborative relationship between psychotherapy and a patient's 12-step work, (b) understand the benefits and challenges to collaboration, and (c) provide guidelines for how to work collaboratively with a 12-step program. Illustrations are provided of typical issues raised by this type of collaborative relationship.

Adult↗
PubMed1982

[Exercise echocardiography in dilatative cardiomyopathy].

Using M-mode echocardiography under 2-D control at rest and during ergometer exercise (ex), we examined 15 patients (pat) with angiographically moderate diffuse left ventricular (LV) contraction impairment (mean enddiastolic volume index 115 ml/m2, mean ejection fraction 58%) (group DCM I). The aim of the study was to look for differences in LV behavior under exercise within this patient group, with a view to aiding diagnosis. These pat were compared to 10 normal subjects (N) and 10 pat with advanced dilatative (congestive) cardiomyopathy (enddiastolic volume index 135 ml/m2, ejection fraction 44%) (DCM II). Even at rest, the LV diameters and the fractional shortening (FS) in the group DCM I differed significantly from those in N, and in the case of the mean FS the difference increased on ex (rest p less than 0.05, exertion p less than 0.0005). In none of the three groups did the enddiastolic diameter undergo any significant change on ex. The endsystolic diameter decreased in N by an average of 5.2 mm (p less than 0.0005); at 2.8 mm (p less than 0.005), the decrease (DCM I vs N p less than 0.005) was distinctly slighter to be observed in DCM I; in DCM II it was no longer significant. Within the group DCM I, 4 pat showed a behavior on ex that was not what the values at rest would have suggested. 2 pat showed a physiological reaction on ex despite a restricted function at rest; however, in 2 patients with relatively good values at rest, the FS decreased on ex. According to these findings, a restriction of LV function is to be recognized echocardiographically more clearly on ex than at rest, especially in low-level dilatative cardiomyopathy (DCM). In individual cases, a varying increase in LV functional impairment is to be observed during ex, or even generalized physiological reaction, which would not be expected from the echocardiogram at rest. Thus the results of the examination present a differentiated basis for the observation of the course of the disease, especially in pat with a moderate DCM.

Adult↗
PubMed1979

The influence of lateral organization on the evaluation of paintings.

This study examines the influence of directional properties of lateral organization on evaluation of paintings. Lateral organization, as defined here, has two dimensions: (1) left or right location of the principal figure; and (2) left-to-right or right-to-left sequence of figures represented by the direction of suggested movement, action, or lines. That previous studies have failed to demonstrate consistently a relationship between evaluations and directional properties is attributed to methodological shortcomings involving lack of control of stimulus properties and exposure time. Here, on the basis of a well-defined judging procedure, paintings were distinguished according to whether each dimension of lateral organization depicted one or more than one direction. Under two exposure conditions, 5 and 20 s, three evaluations (general preference, balance, and dynamics) were made for paintings which were presented simultaneously in the artist-created, original view, and the mirror-image, reversed view. It was found that evaluations were influenced by directional properties (sequence of figures) with a 5 s exposure and by more inclusive formal features with a 20 s exposure. Implications of the findings for perception and aesthetics are considered.

Art↗