The Making of a Narcissist

In discussing the etiology of Narcissistic Personality Disorder, faulty parenting or disturbed object relations is a common causal theme in most writings. However, the question remains as to its specificity. In this author's experience, faulty parenting is ubiquitous in all psychological disturbance. This paper postulates that the specific fault lies in the caretaker's failure to provide optimal frustrating experiences necessary to enable the child to develop a more realistic self-image. Clinical case examples reveal some common personality characteristics in the parents and parenting styles conducive to the child's development of a narcissistic disorder. A brief, informal comparison is made between these cases and over 100 other cases of poor, welfare children who were seen in psychoanalytic treatment by this author.     

Bootstrap inference in local polynomial regression of time series

In this paper we consider the inferential aspect of the nonparametric estimation of a conditional function , where X _t,m represents the vector containing the m conditioning lagged values of the series. Here is an arbitrary measurable function. The local polynomial estimator of order p is used for the estimation of the function g, and of its partial derivatives up to a total order p. We consider α-mixing processes, and we propose the use of a particular resampling method, the local polynomial bootstrap, for the approximation of the sampling distribution of the estimator. After analyzing the consistency of the proposed method, we present a simulation study which gives evidence of its finite sample behaviour.     

Hospitality in Family Therapy Practice: A Further Engagement with Jacques Derrida

Derrida's concept of hospitality has been proposed by some authors working from a collaborative perspective as an interesting tool to reflect on the therapeutic relationship as an ethical relationship in which the therapist develops a welcoming openness to the client. In this paper, we engage with this recent emphasis on the therapist's ethical position of welcoming the client's otherness and turn to Jacques Derrida's original texts with the aim of developing an in‐depth understanding of what exactly is at stake in this therapeutic position of hospitality. This reading evolves into an understanding of how Derrida's notion of hospitality invites clinicians to identify how the therapeutic position intricately intertwines healing and violence. The concept of hospitality calls on therapists to accept the complexity of therapeutic responsibility as a form of supportive presence that necessarily and simultaneously involves the violence of appropriation and power difference.     

Characteristic function-based inference for GARCH models with heavy-tailed innovations

We consider estimation and goodness-of-fit tests in GARCH models with innovations following a heavy-tailed and possibly asymmetric distribution. Although the method is fairly general and applies to GARCH models with arbitrary innovation distribution, we consider as special instances the stable Paretian, the variance gamma, and the normal inverse Gaussian distribution. Exploiting the simple structure of the characteristic function of these distributions, we propose minimum distance estimation based on the empirical characteristic function of properly standardized GARCH-residuals. The finite-sample results presented facilitate comparison with existing methods, while the new procedures are also applied to real data from the financial market.     

Exposure diversity as a design principle for recommender systems

Personalized recommendations in search engines, social media and also in more traditional media increasingly raise concerns over potentially negative consequences for diversity and the quality of public discourse. The algorithmic filtering and adaption of online content to personal preferences and interests is often associated with a decrease in the diversity of information to which users are exposed. Notwithstanding the question of whether these claims are correct or not, this article discusses whether and how recommendations can also be designed to stimulate more diverse exposure to information and to break potential ‘filter bubbles’ rather than create them. Combining insights from democratic theory, computer science and law, the article makes suggestions for design principles and explores the potential and possible limits of ‘diversity sensitive design’.     

Comprehensive maternity support and shared care in Switzerland: Comparison of levels of satisfaction

Background

According to the woman-centred care model, continuous care by a midwife has a positive impact on satisfaction. Comprehensive support is a model of team midwifery care implemented in the large Geneva University Hospitals in Switzerland, which has organised shared care according to the biomedical model of practice. This model of care insures a follow up by a specific group of midwives, during perinatal period.

A National Survey of the Provision of Sexual Health Clinical Services by Public Health in Canada: First Insights

Objectives: Data documenting the scope of sexual health clinical services offered as public health in Canada are unavailable. This article provides first insights into the scope of STI and clinical sexual health services available nationally. Methods: Data were gathered using an online survey of 113 Canadian public health units. Results: Almost half of the clinics were not providing expedited partner therapy, one third were not providing point of care testing for HIV and one third were not using syndromic management of sexually transmitted infections (STIs). Low rates of physician support were evident. Conclusion: Given the ever-higher rates of STIs, findings from this study identify important challenges to providing comprehensive services.     

Beyond Division: Convergences Between Postmodern Qualitative Research and Family Therapy

Starting from examples of postmodern research and therapeutic practice, we raise the question on the role of the research-therapy dichotomy within these approaches. The article aims to show the profound convergence between postmodern ethnographic research and constructionist, collaborative therapeutic approaches on a double, epistemological and practice level. First, we point out their converging development toward narrative and constructionist epistemologies. Second, an inquiry into the core features of these disciplinary activities' goal, process, and expert role reveals their profound convergence into a dialogical practice in which the boundaries between research and therapy are radically transgressed. We conclude by questioning the implications and acceptability of this convergence for researchers' and therapists' understanding of their practices.     

The effect of job rotation intervals on muscle fatigue--lactic acid

This study is a job rotation comparative that aims to define the properly scheme to be in use at the time it is performed. As fatigue plays directly against the work results this comprehensive study about the action of lactic acid over workers at different jobs and strength demand was realized to find the best methodology to maximize those rotations.