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The negative aspect of trauma: a case study exploring the semiological overlap with fearful attachment and core CPTSD symptoms
No full textThis study illustrates the complex relationships between the negative effects of trauma, attachment patterns, and the symptomatic expressions associated with trauma-related diagnoses (PTSD and CPTSD). The patient’s psychological processes were explored through a clinical semi-structured interview (Adult Attachment Interview) and self-administered questionnaires, including the Relationship Scales Questionnaire (RSQ), the Parental Bonding Instrument (PBI), and the PTSD Checklist Scale (PCLS). Although the patient does not meet diagnostic criteria for PTSD or CPTSD, she exhibits signs related to the negative aspect of trauma as well as a fearful attachment pattern. The expression of the negative aspect of trauma shows some overlap with the fearful attachment pattern and certain core symptoms of CPTSD, while retaining distinct clinical features. This case study offers a detailed examination of how attachment and trauma-informed assessment can deepen our understanding of psychological trauma in a woman with migratory backgrounds who experienced sexual violence. Convergence between negative aspect of trauma, fearful attachment patterns, and core symptoms of CPTSD suggests not merely a correlation, but a deeper structural connection between attachment disturbances and complex trauma. Future research should investigate how integrating the negative aspects of trauma within attachment-informed and psychodynamic frameworks can enhance therapeutic engagement and outcomes in trauma-affected populations
Real-Time Recognition of NZ Sign Language Alphabets by Optimal Use of Machine Learning
No full textThe acquisition of a person’s first language is one of their greatest accomplishments. Nevertheless, being fluent in sign language presents challenges for many deaf students who rely on it for communication. Effective communication is essential for both personal and professional interactions and is critical for community engagement. However, the lack of a mutually understood language can be a significant barrier. Estimates indicate that a large portion of New Zealand’s disability population is deaf, with an educational approach predominantly focused on oralism, emphasizing spoken language. This makes it essential to bridge the communication gap between the general public and individuals with speech difficulties. The aim of this project is to develop an application that systematically cycles through each letter and number in New Zealand Sign Language (NZSL), assessing the user’s proficiency. This research investigates various machine learning methods for hand gesture recognition, with a focus on landmark detection. In computer vision, identifying specific points on an object—such as distinct hand landmarks—is a standard approach for feature extraction. Evaluation of this system has been performed using machine learning techniques, including Random Forest (RF) Classifier, k-Nearest Neighbours (KNN), AdaBoost (AB), Naïve Bayes (NB), Support Vector Machine (SVM), Decision Trees (DT), and Logistic Regression (LR). The dataset used for model training and testing consists of approximately 100,000 hand gesture expressions, formatted into a CSV dataset for model training
Rehabilitation in oncological palliative care, does it exist? A qualitative and multicentre study of healthcare professionals' perceptions
Get PDFObjectiveTo investigate how health professionals working in palliative care services understand rehabilitation related to oncology palliative care in England and Brazil, according to different health system contexts.DesignQualitative study.SettingHospices, hospitals, community-based palliative care centre, palliative care units, nursing care homes in different areas of Brazil and England.ParticipantsThirty-six nurses and occupational therapists experienced in providing palliative care interventions from England and Brazil.InterventionsIndividual interviews with open-ended questions.Main MeasuresIndividual semi-structured, in-depth interviews, analysed using Braun and Clarke's reflexive thematic analysis.ResultsProfessionals in England demonstrated a consolidated and integrated understanding of rehabilitation as part of palliative care, often supported by structured services such as hospices. In contrast, many Brazilian participants expressed uncertainty or perceived rehabilitation as incompatible with end-of-life care, reflecting conceptual misunderstandings, limited training and a lack of service infrastructure. The findings revealed divergence in how rehabilitation in palliative care is conceptualised and implemented in these countries. This divergence is reflected in structural, educational and cultural differences in how palliative care is organised and delivered. However, there is a growing recognition that rehabilitation and palliative care are not separate but complementary approaches.ConclusionsThe findings underscore the urgent need to clarify definitions, develop unified conceptual models and invest in policy and education to ensure that rehabilitation is no longer seen as contradictory to palliative goals, but as a complementary strategy to enhance quality of life in advanced cancer care.© 2025, SAGE. This is an author produced version of a paper published in Clinical Rehabilitation uploaded in accordance with the publisher’s self- archiving policy. The final published version (version of record) is available online at the link. Some minor differences between this version and the final published version may remain. We suggest you refer to the final published version should you wish to cite from it
Transforming Disability Into Ability: An Explainable Vision-to-Voice Image Captioning Framework Using Transformer Models and Edge Computing
No full textProject Management Capability and Resistance in Cloud Transformation: Configurational Evidence from African E-Commerce
Get PDFThis paper investigates resistance patterns in cloud-based digital transformation within African e-commerce contexts, examining how project management capabilities moderate the relationship between infrastructural constraints and transformation outcomes. Through a mixed-methods study of 180 organisations across eight African countries, we employ fuzzy-set qualitative comparative analysis (fsQCA), necessary condition analysis (NCA), and polynomial regression to identify multiple pathways to transformation success and failure. Our findings reveal that resistance emerges through five distinct configurations, with project management capabilities serving as a critical moderating factor. We identify a ‘capability paradox’ where organisations with moderate project management maturity experience higher resistance than those with either low or high maturity, suggesting non-linear relationships between capabilities and outcomes. The study contributes to the digital transformation literature by developing a contextually grounded resistance framework that accounts for infrastructure volatility, institutional voids, and the unique characteristics of African e-commerce ecosystems. We propose the concept of ‘adaptive resistance’ as a functional response to resource constraints, challenging assumptions that resistance purely represents opposition to change. Practical implications include the need for hybrid project management approaches that balance structure with flexibility and policy recommendations for infrastructure investment prioritisation
The Rise of the Female Voiceover in 21st Century Television: The Feminised, Televisual Acousmêtre in Desperate Housewives
No full textCorticospinal Excitability During Explosive Voluntary Contractions and Its Association With Rapid Torque Production
Get PDFWe investigated relationships between rapid torque and corticospinal excitability (denoted by motor‐evoked potential; MEP) and inhibition (denoted by silent period duration; SPD) during explosive voluntary contractions, as well as differences in MEP and SPD between different phases of explosive contractions and at maximum voluntary contraction (MVC) plateau. In 14 adults, and across multiple repeated trials, quadriceps muscle MEP and SPD were measured at the early, middle and late phases of knee‐extensor isometric explosive contractions, and at the MVC plateau, using transcranial magnetic stimulation (TMS). Torque at equivalent time points was also measured on trials without TMS. Using repeated measures correlation applied to early phase data from TMS trials, we found MEP and torque (measured just prior to MEP) were correlated across trials within participants (r = 0.43, p < 0.001). Using Spearman rho correlations to investigate correlations across participants for each phase, we found MEP (averaged across phases up to the phase of interest) and torque (measured on non‐TMS trials) to be significantly correlated for the middle phase only (rho = 0.73, p = 0.004). Linear mixed effects models were used to investigate the effect of phase (three explosive phases and MVC plateau) on MEP and SPD. Absolute MEP, MEP normalised to maximal M‐wave and SPD all increased across the phases of explosive contraction and up to MVC plateau (fixed effects of phase, p < 0.025). Our results suggest corticospinal excitability may be an important determinant of rapid torque. Further, corticospinal inhibition and excitability both increase throughout the rising torque‐time curve and up to MVC plateau
Young people's perceptions of therapist interpersonal skills and alliance:How distinct are they?
Get PDFThe aim of this study was to investigate the degree of commonality between young people's perceptions of the alliance and the therapist interpersonal skills (TIS) of empathy, unconditional positive regard, and congruence. Participants were 152 young people (aged 13-16 years old; 114 female, 70 of minoritized ethnicities) who were experiencing moderate to severe levels of emotional symptoms and participated in up to 10 sessions of school-based humanistic counseling. At 6 weeks postrandomization, TIS and the alliance were assessed using the Barrett-Lennard Relationship Inventory: Form OS-40: T-S (Student Form, Version 3) and the Working Alliance Inventory Short Form, respectively. Structural equation modeling was used to identify latent constructs. A model with two correlated second-order factors and a hierarchical model with one third-order general factor exhibited the best data fit. The general factor, which we named youth-perceived relationship quality, explained a substantial amount of variance for TIS (81%) and alliance (98%). TIS and alliance effects, treated independently, explained an additional 3% and 1.4% of variance in satisfaction with care and psychological difficulties after therapy, respectively, as compared with general youth-perceived relationship quality. While therapeutic relationship factors-in clinical practice, training, and research-are often considered distinct, we found a high degree of commonality in how young people perceived the alliance and TIS. Further research is warranted on youth-perceived relationship quality as an integrated variable in youth psychotherapy. (PsycInfo Database Record (c) 2025 APA, all rights reserved). </p
