New Jersey History (NJH - E-Journal)
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Symmetric Complex Boundary Element Scheme for 2-D Stokes Mixed Boundary Value Problem
No full textFor 2-D Stokes mixed boundary value problems we construct a boundaryintegral equation which couples a conventional boundary integral equationfor the velocity with a hypersingular boundary integral equation for thetraction. Expressing terms in the equation by complex variables, we obtain acomplex boundary integral equation and realize symmetrization of boundaryelement scheme by Galerkin method. Applying a boundary limit method, weobtain exact calculation formulae for calculation of hypersingular boundaryintegrals. It is shown that all divergent terms in hypersingular integralscancel each other out
The Case of "Cora": Clinical and Methodological Perspectives
No full textIn this commentary we explore the clinical aspects of Halvorsen, Benum, Haavind, and McLeod’s (2016) compelling case study of “Cora.” We were humbled by the courage and commitment of both the client and the therapist in the case. We begin by providing our perspective on how the therapist’s flexibility regarding certain boundaries helped to build trust between him and the client; and on how this trust in turn allowed the client find the courage to bring the most painful aspects of her experience to therapy. We then comment on certain methodological aspects of the case study. We discuss ways in which the steps describing the choices authors made could have been made more explicit. We question the necessity to present the case in the format of Interpretative Phenomenological Analysis (IPA; Smith, Flowers, & Larkin, 2009). We also question whether “theory building case study” is the best description for this particular study. In addition, we comment briefly on some of the themes reported by the study and share our own interpretative process, pointing out both the significant overlap and also those points where our interpretation may differ from the authors, including the role of transference interpretations and immediacy in the success of the case. Finally, we provide our perspective on the discrepancy between the quantitative versus qualitative outcomes obtained in the case. 
Discontinuous Change Facilitated by Emotional Expression Through Drawing and the Accurate Verbal Responsiveness of the Therapist
No full textMurase’s (2015) case study of Mr. R meticulously examined the process of psychotherapy with a severely disturbed male client who received a variety of diagnoses such as personality disorder, schizoaffective disorder, and nonspecific psychotic disorder. His condition was drastically improved through interaction with the therapist using the medium of drawing. The severity of his condition was shocking enough for me as a psychiatrist in private practice to carefully examine the differences and similarities with the assessment and intervention that I usually practice as a behavior therapist. This case study took the form of a "narrative case study," in which there were no quantitative outcome measurements used; however, there were more similarities than differences with single case experimental design in behavior therapy. Intervention in this case was carried out through communication enabled by drawing. It can be inferred that central to this process were emotional expression through drawing and the accurate verbal responsiveness of the therapist. As the intervention progressed, there emerged discontinuous change in the client without his making conscious efforts to do. I examine the mechanism behind this next. Murase’s intervention seems to be directed at the client’s living and its context itself, while setting the initial condition and constraining condition that determine the new emerging context. This is in sharp contrast to behavior therapy that directs its intervention to facilitate continuous change in a set of behaviors selected by the assessment using functional analysis. In this case study, the initial condition consists of the assessment expressed as "first take the pulse of the situation before you, then apply the method that best conforms to it (p.109)," which enabled two constraining conditions: the framework for self-expression in the form of drawing, and honest attitude and responsiveness with no evasiveness or shakiness. These are core facilitative determinants of this therapy. Finally, I conclude my commentary by discussing how case studies can provide models and guidance for future generations of therapists and therapy researchers. 
Getting into the ACT with Psychoanalytic Therapy: The Case of "Daniel"
No full textDaniel is a 44-year-old Caucasian male who has struggled with chronic depression and extreme sensitivity to feeling judged and criticized. I have seen him for more than ten years in psychoanalytic therapy. While he made significant progress in understanding the childhood determinants of his difficulties and achieved some symptom improvement, Daniel continued to struggle with observing and tolerating his feelings. This case study demonstrates how my decision to integrate techniques from Acceptance and Commitment Therapy (ACT; Hayes, 2005), a contemporary form of cognitive behavioral therapy, broke an impasse in the treatment, allowed the patient to resolve outstanding difficulties, and helped him move towards termination. The case report discusses the challenges of integrating ACT into psychoanalytic work, as well as ways that a psychoanalytic understanding of Daniel’s resistance to ACT techniques made that treatment effective. 
From Queen's College to Rutgers College
No full textWhy is Rutgers University named for a wealthy bachelor who resided in New York City? What was his involvement with the institution of higher learning we now call Rutgers, The State University of New Jersey? To understand why this lifelong New Yorker supported a small denominational college in New Brunswick, we must examine what took place following the American Revolution and during in the early years of the 19th century. 
Integrating Early Childhood Mental Health and Trauma-Informed Care for Homeless Families With Young Children
No full textRogers, Bobich, and Heppell’s (2016) case study illustrating the successful application of an "Incredible Years" intervention with a 4-year-old girl and her family in the context of a homeless shelter provides an opportunity to consider the intersecting perspectives of infant and early childhood mental health and trauma-informed care. Cathy’s exposure to intimate partner violence, her mother’s chronic depression, and her homelessness occurred during the critical developmental stages of prenatal development and the first four years of life, impacting her developing understanding of relationships and her emotion regulation. A trauma-informed perspective provides an understanding of the links between Cathy’s history of trauma and her presenting symptoms of tantrums, aggression, and "moodiness," leading to recommended parenting strategies that support co-regulation and eventually self-regulation of emotions. Although the Incredible Years intervention was successful in reducing Cathy’s symptoms, the addition of trauma-focused interventions may have the added benefit of helping Cathy to directly play and talk about her experience, together with her mother, so that both can understand and integrate their traumatic experiences and her mother can restore her role as a "protective shield" for her family. Finally, the opening provided by implementation of a successful parenting intervention could lead to a broader consultation aimed at creating a trauma-informed organization within the transitional living shelter
Narrative Case Studies and Practice-Based Learning: Reflections on the Case of "Mr. R"
No full textNarrative case studies tell the story of therapy from the point of view of the client or therapist. Murase's (2015) case of "Mr. R" provides a powerful example of the potential of this form of case inquiry, as a means of enabling reflection and deeper understanding around the practice and process of therapy. The distinctive contribution of the case of Mr. R is discussed in relation to the personal learning of the author in respect of a series of domains: working with the contextual and cultural meaning of the clien
事例研究特集号——はじめに 日本における事例研究:2つの方法,2つの世界観 Part2
No full text本特集の目的は大きく異なる事例研究のスタイルを提示し,それらの方法的特徴を比較し,最終的にはそれぞれの強みを組み合わせた事例研究の方法を探究することであった。2編の事例論文は,日本における臨床実践と事例研究の幅を実感できる内容であった。またそれに続く国内外からの4編のコメント,および事例論文著者の回答による対話が起こり,事例研究を通した臨床的学びの場を作り出した。その対話を通して,それぞれの事例研究の特徴がさらに浮かび上がってきた。ここでは,簡潔に2つの事例論文とコメントを振り返り,事例研究の方法論的課題,そして文化の問題について検討したい
Considering "Cora"
No full textThis discussion examines Halvorsen, Benum, Haavind, and McLeod’s (2016) case study of “Cora,” from a perspective both appreciative and at times critical of certain mixed-study methods it employs. While impressed with the clinical alliance it illustrates between therapist and challenging client, we find the study raises more theoretical questions than it answers in terms of our ability to enumerate the conceptual elements necessary to convey valuable clinical truths. The case study does indeed provide systematic data on the presence of dyadic courage, persistence, and symbolic expressions of trust during treatment from which there is much to be learned. As readers we were left marveling at an account of a therapist’s clinical acumen with a client who had faced unbearable childhood trauma, and at the same time wondering how much more we might have learned about how to actually do such work from a comprehensive narrative written in his own voice
The Role of Context in the Case of Taro
No full textMuto and Mitamura (2015) are to be highly commended for publishing the case study of Taro. The article is notable for its emphasis on documenting what is behaviorally observable and reliably quantifiable. The authors’ commitment to scientific rigor is laudable. Japanese psychotherapists are strongly advised to use this article as a model of evidence-based treatment in their descriptions of psychotherapy sessions. On the other hand, the reviewer would have liked to see more discussions on contextual factors around Taro, his presenting problems, and his therapy, including therapeutic relationships, Taro’s emotions in therapy sessions and the therapist’s responses to them, possible conflicts in Taro’s family, as well as organizational issues around Taro and his symptoms in his workplace. Measurement tools are available to reliably quantify these variables. Incorporating these measures into the therapist’s work with Taro would help readers better understand the therapeutic process and illuminate the mechanisms of change in the case study