Since urine from the first bladder drainage is old urine, and urine from the second drainage represents urine that may have emptied from the kidneys, the third and most recent urine specimen is usually the most reliable for analysis. LUTO testing continued in Milwaukee, including a series of three serial bladder taps performed over the course of four days. "We found out that while there were a lot of issues, something could be done if certain criteria were met," says Anne. While undergoing additional LUTO testing at a children's hospital in Milwaukee, the Grahls were put in touch with experts in managing keyhole bladder: the Center for Fetal Diagnosis and Treatment at The Children's Hospital of Philadelphia (CHOP). Her local obstetrician told them there was no hope: the baby probably wouldn't survive the pregnancy. The result can be severe kidney damage (renal dysplasia) and underdevelopment of the lungs ( pulmonary hypoplasia), both life-threatening conditions. It involves obstruction of the fetal urine flow into the amniotic fluid. También se comentan las direcciones clínicas y científicas futuras.Their unborn baby boy had a rare birth defect called lower urinary tract obstruction (LUTO), sometimes referred to as keyhole bladder. En este artículo, analizamos cómo estos modelos pueden integrarse y aplicarse a las necesidades dinámicas de las familias que se están adaptando a una pérdida. El modelo de reconstrucción de significado y la terapia centrada en las emociones ofrecen estrategias terapéuticas orientadas al proceso para facilitar interacciones interpersonales que fomentan una conexión relacional profunda y la transformación de la identidad propia. Si bien los terapeutas sistémicos han enfatizado uniformemente el papel fundamental que desempeñan las relaciones familiares a la hora de fomentar la resiliencia mediante un significado construido interpersonalmente, queda la necesidad de aclarar los procesos específicos por los cuales esto ocurre. Sin embargo, los complicados procesos interactivos de la creación de significado interpersonal plantean nuevos desafíos mientras los familiares intentan corregular las experiencias de duelo de cada uno. Los enfoques de la terapia de duelo orientados al significado han hecho aportes significativos mediante la definición de los procesos internos de la creación de significado y, más recientemente, los investigadores clínicos han incorporado enfoques relacionales como medio para continuar los vínculos con el fallecido y aumentar el apoyo social para el doliente. Future clinical and research directions are also discussed. In this article, we explore how these models can be integrated and applied to the dynamic needs of families who are adjusting to loss. The Meaning Reconstruction Model and Emotionally Focused Therapy provide process-oriented therapeutic strategies for facilitating interpersonal interactions that foster deep relational connection and self-identity transformation. While systemic therapists have consistently emphasized the essential role of familial relationships in fostering resilience through interpersonally constructed meaning, there remains a need for clarity in terms of the specific processes by which this occurs. However, the complicated interactive processes of interpersonal meaning-making pose added challenges as family members attempt to coregulate each other's grief experiences. Meaning-oriented approaches to grief therapy have made substantial contributions by defining the internal processes of meaning-making and, more recently, clinical scholars have introduced relational approaches as means for continuing bonds with the deceased and increasing social support for the bereaved.
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5/2/2024 11:02:29 pm
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