Evaluation of doctors' experience of psychodynamic psychotherapy training at Leeds and York Partnership NHS Foundation Trust during the COVID‐19 pandemic

Developing psychotherapeutic competencies is an essential part of psychiatric training. All Core Trainees at Leeds and York Partnership NHS Foundation Trust (LYPFT) saw a patient for psychodynamic psychotherapy until 2020. Due to the pandemic, all face‐to‐face appointments at the LYPFT Medical Psychotherapy Service were paused from March 2020. Patients could choose whether to continue therapy remotely or defer therapy. Supervision was also moved to a remote format. Face‐to‐face therapy sessions resumed from August 2020, with new infection control procedures. This project aimed to establish doctors' experience of training in delivering psychodynamic psychotherapy at LYPFT during the pandemic. A two‐step methodology was used: an online survey including qualitative and quantitative analysis of the impact of the pandemic;and semi‐structured interviews with thematic analysis. The online survey had a response rate of 68%. Four patients deferred therapy;the mean deferral length was two months. Ten respondents had sessions cancelled due to infection/self‐isolation. Thirteen respondents (commencing therapy pre‐pandemic) delivered therapy face‐to‐face (without personal protective equipment [PPE]). During the pandemic five respondents delivered therapy via phone, six face‐to‐face with PPE. Thirteen were concerned about attaining psychotherapy competencies. Thematic analysis of the interviews identified three main themes (with subthemes). Challenges of delivering therapy during the pandemic were identified, as well as areas of good practice and opportunities. [ FROM AUTHOR] Copyright of British Journal of Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Close Contact Individual Monitoring Based on Prescribed Social Distance Using Computer Vision

Contact tracing is one of the methods used by the government and organizations for controlling viral diseases like COVID-19, which claimed many human lives. Social distancing is advised to everyone to minimize the virus from spreading. This study aims to build a contact tracing tool that monitors social distancing individually using computer vision in real-time. Object tracking by detection is used for individual monitoring with YOLOv4 (You Only Look Once) as the object detector and SORT (Simple Online and Real-time Tracking) as the object tracker. The combination gained an average streaming and detection frame rate of 26 FPS and 10 FPS on NVIDIA's GTX 1650, respectively. It is expected to have more frame rate when used in a more powerful device. Moreover, the system obtained 98.2% accuracy in measuring the distance between individuals. Furthermore, the performance of the QR scanner used in the study attains a 100% success rate and a 98% accuracy in allocating the QR code to the correct owner from the video stream. © 2022 IEEE.

Key frame extraction method for lecture videos based on spatio-temporal subtitles.

Affected by the Corona Virus Disease 2019 (COVID-19), online lecture videos have witnessed an explosive growth. In the face of massive videos, this paper proposes a method for extracting key frames of lecture videos based on spatio-temporal subtitles, which can efficiently and quickly obtain effective information. Firstly, the spatio-temporal slices of subtitle area of the video sequence are extracted and spliced along the time axis to construct the video spatio-temporal subtitle. Then, the video spatio-temporal subtitle is processed in binarization, and the projection method is used to construct the SSPA curve of the video spatio-temporal subtitle. Finally, a selection method for steady-state key frame is designed, that is, the key frame extraction is realized by combining curve edge detection and subtitle existence threshold, which ensures the robustness of the proposed method. The test results of 8 videos show that the average value of the comprehensive index F1-score of the key frame extracted by the algorithm can reach 0.97, the average precision is 0.97, and the average recall rate is 0.98. It can effectively extract the key frames in lecture videos, and compared with other algorithms, the average running time is reduced to 0.072 of the original, which is helpful to extract video information quickly and accurately.

Lost and Found in Psychotherapy During COVID-19.

The authors discuss the loss of the traditional setting for psychotherapy caused by the COVID-19 pandemic, a natural experiment lasting 2 years, and the finding of new channels of communication for therapy using video and telephone platforms as well as outdoor therapy spaces. The manuscript explores the experience of both patients and therapists with these new channels and investigates how the external features of the therapy frame can be subjectively experienced by different people and within different therapeutic relationships. Through patient surveys, case vignettes, and discussions with colleagues, the authors conclude that for a large group of psychotherapy patients the new channels worked as well as and sometimes even better than the old in-person appointments and that an occasional in-person "booster" session can strengthen the therapeutic alliance of ongoing teletherapy.

Occurrences of similar viral diversity in campus wastewater and reclaimed water of a university dormitory.

Water reuse from wastewater sources still remain some critical safety concerns associated with treacherous contaminants like pathogenic viruses. In this study, viral diversities in campus wastewater (CWW) and its reclaimed water (RCW) recycled for toilet flushing and garden irrigation of a university dormitory were assessed using metagenomic sequencing for acquisition of more background data. Results suggested majority (>80%) of gene sequences within assembled contigs predicted by open reading frame (ORF) finder were no-hit yet believed to be novel/unrevealed viral genomic information whereas hits matched bacteriophages (i.e., mainly Myoviridae, Podoviridae, and Siphoviridae families) were predominant in both CWW and RCW samples. Moreover, few pathogenic viruses (<1%) related to infections of human skin (e.g., Molluscum contagiosum virus, MCV), digestion system (e.g., hepatitis C virus, HCV), and gastrointestinal tract (e.g., human norovirus, HuNoV) were also noticed raising safety concerns about application of reclaimed waters. Low-affinity interactions of particular viral exterior proteins (e.g., envelope glycoproteins or spike proteins) for disinfectant ligand (e.g., chlorite) elucidated treatment limitations of current sewage processing systems even with membrane bioreactor and disinfectant contactor. Revolutionary disinfection approaches together with routine monitoring and new regulations are prerequisite to secure pathogen-correlated water quality for safer reuse of reclaimed waters.

Stakeholder perspectives of adaptations of a burnout intervention for special education teachers

The high attrition and turnover rates of qualified special education teachers (SETs) is a significant concern exacerbated by COVID-19. Unfortunately, there are limited studies available on research-based interventions to decrease burnout. The purpose of this study was to describe our processes and results for adaptations and modifications of BREATHE, a burnout intervention originally developed for community mental health workers, into Burnout Reduction: Enhanced Awareness, Tools, Handouts, and Education: Evidence-based Activities for Stress for Educators (BREATHE-EASE) for special educators with guidance from the Framework for Reporting Adaptation and Modifications to Evidence-Based Interventions (FRAME). We applied the FRAME within a hybrid Type 1 trial for characterizing our approach. Four focus groups (N = 30;83% female) were conducted separately according to job title (SETs;school administrators), with semi-structured questions tailored to each group. Emergent thematic analysis was used to identify core themes related to adaptations, and results were presented to a subset of focus group members. Modifications involved content, context, and implementation changes for the adapted intervention, with most changes identified for content. FRAME was helpful for providing a systematic approach to integrate stakeholder-informed adaptations of a burnout intervention, addressing significant concerns of SET stress, burnout, and attrition.

Rationality in social science: Foundations, norms, and prosociality

The concept of rationality and its significance for theory and empirical research in social science are key topics of scholarly discussion. In the tradition of an analytical as well as empirical approach in social science, this volume assembles novel contributions on methodological foundations and basic assumptions of theories of rational choice. The volume highlights the use of rational choice assumptions for research on fundamental problems in social theory such as the emergence, dynamics, and effects of social norms and the conditions for cooperation and prosociality. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Fachmedien Wiesbaden GmbH, part of Springer Nature 2021.

COVID-19 Pandemic as an Opportunity or Challenge: Applying Psychological Distance Theory and the Co-Benefit Frame to Promote Public Support for Climate Change Mitigation on Social Media

The current study employs psychological distance theory and the co-benefit frame to explore message framing strategies on social media to promote public support in climate change mitigation during the COVID-19 pandemic. This online 2 x 2 x 2 experiment recruited 708 Chinese college students to examine the effect of temporal distance (2025 vs. 2050), spatial distance (China vs. the global), and the co-benefit frame (present vs. absent) on behavioral intentions to mitigate climate change and policy support in climate change mitigation. Unexpectedly, the MANOVA results showed that the co-benefit frame of COVID-19 and climate change did not have main or interaction that affect behavioral intention and policy support. However, close temporal distance increases support for climate change mitigation. Meanwhile, temporal and spatial distance have an interaction on behavioral intention. Our results suggest that strategies to reduce psychological distance on social media are effective, especially on temporal distance, but bonding two events through psychological distance to promote support for climate change mitigation must be reconsidered.

DenseNet201 Model for Robust Detection on Incorrect Use of Mask

In 2022, the COVID-19 pandemic is still occurring. One of the optimal prevention efforts is to wear a mask properly. Several previous studies have classified the use of masks incorrectly. However, the accuracy resulting from the classification process is not optimal. This research aims to use the transfer learning method to achieve optimal accuracy. In this research, we used three classes, namely without a mask, incorrect mask, and with a mask. The use of these three classes is expected to be more detailed in detecting violations of the use of masks on the face. The classification method used in this research uses transfer learning as feature extraction and Global Average Pooling and Dense layers as classification layers. The transfer learning models used in this research are MobileNetV2, InceptionV3, and DenseNet201. We evaluate the three models' accuracy and processing time when using video data. The experimental results show that the DenseNet201 model achieves an accuracy of 93%, but the processing time per video frame is 0.291 s. In contrast to the MobileNetV2 model, which produces an accuracy of 89% and the processing speed of each video frame is 0.106 s. This result is inversely proportional to accuracy and speed. The DenseNet201 model produces high accuracy but slow processing time, while the MobileNetV2 model is less accurate but has faster processing. This research can be applied in the crowd center to monitor health protocols in the use of masks in the hope of inhibiting the transmission of the COVID-19 virus. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

Computer-aided comprehensive explorations of RNA structural polymorphism through complementary simulation methods

While RNA folding was originally seen as a simple problem to solve, it has been shown that the promiscuous interactions of the nucleobases result in structural polymorphism, with several competing structures generally observed for non-coding RNA. This inherent complexity limits our understanding of these molecules from experiments alone, and computational methods are commonly used to study RNA. Here, we discuss three advanced sampling schemes, namely Hamiltonian-replica exchange molecular dynamics (MD), ratchet-and-pawl MD and discrete path sampling, as well as the HiRE-RNA coarse-graining scheme, and highlight how these approaches are complementary with reference to recent case studies. While all computational methods have their shortcomings, the plurality of simulation methods leads to a better understanding of experimental findings and can inform and guide experimental work on RNA polymorphism.Copyright ©

Healthcare workers' acceptance of the integrated tuberculosis-COVID-19 screening in central Java Private Hospitals, Indonesia.

Objective: COVID-19 pandemic has negatively impacted the diagnosis and management of tuberculosis (TB) cases, and TB-COVID-19 integrated screening was introduced as a strategy to overcome these problems. This study determined the acceptability of the TB-COVID-19 integrated screening by healthcare workers (HCWs) and its impact on achievement of the TB program. Methods: This was a mixed-method study with an embedded design. Data on hospital TB program coverage from the national TB information system for all Muhammadiyah and Aisyiyah Hospitals (MAHs) in Central Java were compared before and after the implementation of TB-COVID-19 integrated screening. The informants consisted of HCWs from 21 MAHs in Central Java. Focus group discussions (FGDs) were carried out with 7 hospital TB, 19 emergency room, 10 outpatient, 6 inpatient, and 4 managerial staff. In-depth interview (IDIs) were also performed with the Technical Officer TB Recovery Head of the Muhammadiyah Center. All IDIs and FGDs were recorded, transcribed verbatim, and subjected to thematic analysis guided by the theoretical framework of acceptability (TFA). Result: Implementation of the TB-COVID-19 integrated screening program led to an increase in the number of new TB case diagnoses at the Central Java Hospitals. Moreover, the program was acceptable based on seven indicators from TFA. Despite the obstacles faced by HCWs during the implementation process, the program still managed to meet the standards. Conclusion: Acceptance by HCWs is a critical factor in the successful implementation of programs, including the TB-COVID-19 integrated screening. Furthermore, a multifaceted and cross-sectoral approach is required to address the constraints associated with the process.

THE SPIKE OF SARS-CoV-2 VARIANTS ALLOWS FOR MORE EFFICIENT COUNTERACTION OF BST2

Background: BST2/Tetherin is an interferon-stimulated gene with antiviral activity against enveloped viruses. Particularly, BST2 tethers virions at their site of assembly, preventing their release and spread. In addition to this primary role, BST2 is as an important bridge between the innate and adaptive immune system, since (i) BST2 routes tethered particles to lysosomes, which generates viral breakdown products that engage pattern recognition receptors;and (ii) trapped virions facilitate antibody-dependent cell-mediated cytotoxicity (ADCC). In turn, viruses have evolved mechanisms to bypass BST2, either by targeting BST2 for proteasomal/lysosomal degradation or by removing BST2 from sites of virion assembly. However, the role of BST2 in SARS-CoV-2 replication, spread, evolution, and pathogenesis remains largely unknown. Method(s): The antiviral potential of BST2 against SARS-CoV-2 was investigated by infecting different SARS-CoV-2 isolates (Hong Kong, Alpha, Beta, Delta, and Omicron) in BST2+ and BST2- cells. Culture supernatants were collected to assess virion production by ELISA and infectivity by TCID50. Infected cells were analyzed by western blot and flow cytometry to examine viral and cellular protein levels, including BST2. Transfection of individual SARS-CoV-2 ORFs and mutagenesis studies allowed us to identify the genes that the virus uses to downregulate BST2. Immunoprecipitation assays revealed protein-protein interactions and changes in ubiquitination patterns. Experiments with proteasomal and lysosomal inhibitors furthered our mechanistic understanding of how SARS-CoV-2 counteracts BST2. Finally, fluorescence microscopy studies uncovered changes in the subcellular distribution of BST2 in SARS-CoV-2 infected cells. Result(s): While BST2 reduces virion release, SARS-CoV-2 has evolved to counteract this effect. Specifically, SARS-CoV-2 uses the Spike to interact with BST2, sequester the protein at perinuclear locations, and ultimately route it for lysosomal degradation. By surveying different SARS-CoV-2 variants of concern (Alpha-Omicron), we found that each variant is more efficient than the previously circulating strain at downregulating BST2 and facilitating virion production, and that mutations in the Spike account for their enhanced BST2 antagonism. Conclusion(s): As part of its adaptation to humans, SARS-CoV-2 is improving its capacity to counteract BST2, highlighting that BST2 antagonism is important for SARS-CoV-2 infectivity and transmission.

Pneumomediastinum and pneumothorax as extrapulmonary complications of pneumonia due to SARS-CoV-2.

BACKGROUND: Barotrauma is a lesion generated for changes in the pressure and/or volume within a specific anatomic way;pneumo-mediastinum and pneumothorax are clear samples of this effect, frequently related to infectious symptoms. CLINICAL CASES: Two clinical cases are presented, 34 and 44 years old, that had pneumonia due to COVID-19, with subsequent exacerbation of the symptoms caused by barotrauma. Patients were evaluated at emergency unit of the Hospital Angeles Pedregal, Mexico City;their clinical presentation was similar and was unleashed by repeated cough in the context of pneumonia due to SARS-CoV-2. CONCLUSION(S): Now there is more experience on the complications associated during COVID-19, although more cases must be study to know their prognostic meaning and, in case it becomes a progression marker of the illness, to establish specific measures and therapeutic recommendations. The presentation of pneumonia stands out despite the vaccination, having to get the general population make consciousness of continuing with measures of respiratory isolation.Copyright © 2022 Comunicaciones Cientificas Mexicanas S.A. de C.V.. All rights reserved.

Feasibility of a pain informed movement program for people with symptomatic knee osteoarthritis

Purpose: Disability in knee osteoarthritis (KOA) is known to be largely due to pain, the mechanism of which is complex and multidimensional with alterations in nociceptive processing in the peripheral and central nervous system (CNS) leading to persistent pain. Current clinical practice guidelines for KOA provide strong recommendations for education and exercise including land-based or mind-body approaches. However, individually these strategies are only moderately effective. One potential reason for this is a lack of understanding of their underlying mechanisms and how their combination might impact nervous system modulation. Neuromuscular exercise is known to improve lower extremity strength. Mind-body approaches as well as pain neuroscience education (PNE) are uniquely positioned to potentially reverse CNS adaptations by inducing positive neuroplastic changes and improving descending modulation of pain resulting in decreased pain. To our knowledge, neuromuscular exercise, mind-body techniques, and PNE have not been studied in combination. We therefore aimed to establish the feasibility of an intervention consisting of these three elements referred to as Pain Informed Movement (PIM). The results of this study will inform necessary modifications for a two-arm pilot randomized controlled trial (RCT). Method(s): This study was a single-arm feasibility trial with a nested qualitative component and the primary feasibility outcome of complete follow up. Inclusion criteria: age >= 40 years, KOA clinical diagnosis or people fulfilling the NICE diagnostic criteria, and average pain intensity >=3/10 on the numeric pain rating scale. PIM consisted of twice weekly in-person exercise sessions and a third home exercise session for 8 weeks. In addition, PNE, provided as online videos, covered the following topics: purpose of pain, neurophysiological changes associated with pain, movement guidelines when pain persists, mind-body techniques to impact neurophysiology and support moving with ease that included breath awareness and regulation, muscle tension regulation, awareness of pain related thoughts and emotions, and relaxation. The mind-body techniques and the PNE topics were implemented during the group exercise sessions that included evidence-based neuromuscular exercises aimed at improving sensorimotor control and functionality of the knee joint. Participants completed questionnaires and in-person assessments at baseline and at program completion. Assessments included weight and height, chair stands as a measure of functional leg strength, and conditioned pain modulation to assess efficiency of the descending modulatory pathways. Participants also had their blood drawn to monitor changes in brain derived neurotrophic factor (BDNF), a marker of neuroplasticity. Questionnaires included the Pain Catastrophizing Scale, Hospital Anxiety and Depression Scale, the Knee Injury and Osteoarthritis Outcome Score - function and pain subscales, Chronic Pain Self Efficacy scale, pain intensity rated in the past 24 hours, the past week, and worst pain in the past 24 hours. Secondary feasibility outcomes included acceptability of the intervention, burden of assessments, recruitment rate, compliance rate, adherence rate, and self-reported adverse events. Feasibility findings were evaluated against a-priori success criteria. In the qualitative component, participants were invited to an online focus group and were asked about their experience and perceptions of the program. Interview recordings were analyzed using thematic content analysis to identify suggestions for program modification. Result(s): In total, 19 participants (mean age 63.3 years (SD 10.5), 73% female) were enrolled, with a complete follow up rate of 74% (n=14) for our primary objective, indicating that modifications would be needed to proceed. Of the 5 dropouts, only one was study related. We will be adding additional inclusion criteria of: ability to get up and down from the floor independently, and no use of mobility aids. Adherence to in-person treatment sessions was 91%, hich indicates proceeding with the protocol for the next phase (i.e., pilot RCT). Some absences were due to unmodifiable factors (e.g., COVID-19). We will make protocol amendments for the purpose of improving the adherence rate to include 'no planned absences'. All other success criteria were met: recruitment rate, compliance to exercise sessions, program acceptability, duration, frequency, and delivery, likelihood of recommending the program to others and taking the program again, burden, and adverse events (Table 1). Analysis of the focus groups revealed that the video content pertaining to the mind-body techniques would benefit from on screen demonstrations by the instructor to assist with participants' execution of breath and muscle tension regulation. The majority of participants improved in most of the physical assessment outcomes and questionnaires (Table 2). Conclusion(s): The PIM program is feasible, acceptable, not burdensome, does not cause adverse events, and had an excellent compliance rate. Minor modifications are needed to optimize enrolment and adherence rates. Although improvements in pain, function, and psychological measures were observed, the feasibility nature of this study precludes any conclusions regarding efficacy. A pilot two-arm RCT will be conducted to establish the feasibility and explore potential effects of PIM when compared to conventional neuromuscular exercise and standard OA education. [Formula presented] [Formula presented]Copyright © 2023

Covid -19 Social Distance Analysis Using Machine Learning

According to the Ministry of Global Health, social distance is one of the most effective defenses against COVID-19 and helps to prevent its spread. Governments have imposed many safety orders on citizens and facilities to limit social distancing and slow the spread of the virus. As a result, there has been an increase in interest in technologies to research and control the spread of COVID-19 in various settings. This research aims to investigate the results of several machine learning approaches to find cases when the physical distance between people has been violated. The method first identifies the instance of the human in the video frame, tracks the movements, computes the distance with other humans on the same frame and thus estimates the number of people who violate the social distance. Compares the approach to performing the performance using Yolo, SSD and Faster R- CNN. Videos that are used in this approach are collected from the wild, considering different camera settings, indoor and outdoor scenes, and recorded from various angles. Comparing the three methods Yolo, SSD and Faster RNN, the results show Yolo has a better performance in detecting humans from the current videos and thus in determining the violation of the distance between humans. © 2023 IEEE.

Effects of risk messages on tourists' travel intention: Does distance matter?

This study aims to examine how distance to risk center in the COVID-19 context moderates the effects of two contrasting risk message frames (amplifying vs. attenuating) on tourists' post-pandemic travel intention via the mediation of ontological security threat and perceived coping efficacy. Two experiments were designed to test the proposed conceptual model. Results of experiment 1 showed that risk messages predicted tourists' ontological security threat, perceived coping efficacy, and travel intention. Results of experiment 2 showed that ontological security threat and perceived coping efficacy partially mediated the effects of risk messages on travel intention. Moreover, distance to risk center moderated the relationships between risk message frames and travel intention via ontological security threat and perceived coping efficacy, demonstrating different patterns (i.e., "ripple effect”, "psychological typhoon eye effect”, "marginal zone effect”). This study contributes to an enhanced understanding of the effect of risk message framing in the COVID-19 context by clarifying the role of geographic distance, which is beneficial for destinations to adopt differentiated risk communication strategies for different pandemic areas and levels of pandemic severity. © 2023 The Authors

Surviving or solidarity? Crisis responses of small and medium-sized enterprises during the Covid-19 pandemic

The Covid-19 pandemic posed a serious threat to small and medium-sized enterprises (SMEs). This explorative qualitative study of 100 SMEs from 20 industries and 21 countries investigates how entrepreneurs responded to the Covid-19 pandemic and which cognitive frames guided their actions. Observed cognitive frames prioritize either business survival, conversion of business and stakeholder interest, or acceptance of conflicting social and financial goals. These cognitive frames influence the choice of crisis response without determining it. Four response patterns were found: weathering the storm, bricolage, solidarity and support, and social innovation. Strategic innovation creating access to new markets is the most successful response. The findings support a more encompassing definition of the concept of organizational resilience and shed light on motivations for acts of solidarity and social innovation as crisis responses. © 2023 The Author. Business Ethics, the Environment & Responsibility published by John Wiley & Sons Ltd.

Characterizing Asians in violence: a comparative analysis of English- and Chinese-language media's crime news coverage during the pandemic

This study examined variances in crime news involving Asian perpetrators and Asian victims in a mainstream English-language daily USA Today, and an ethnic newspaper Qiao Bao. Our quantitative content analysis focused on (a) the volume of crime stories published about Asians (as perpetrators and victims respectively), and (b) the news frames used to cover crime incidents involving Asians (as perpetrators and victims respectively). Our results revealed that relative to USA Today, the Chinese-language newspaper Qiao Bao not only reported more violent incidents involving Asians, but also placed less emphasis on thematic frames when covering violent incidents about Asians. On the other hand, the English-language newspaper USA Today published more articles emphasizing the consequences of violence when the crime incidents involved Asians (as either offenders or victims). We theorize that these differences arise due to the nature of ethnic news, as well as structural differences between the two outlets. Situated within the COVID-19 context, this study also found that the volume of crime news about Asian victims significantly grew during the pandemic in Qiao Bao's coverage but remained unchanged in the USA Today, indicating that Asian victims are more newsworthy to ethnic media and their readers. © AMIC/WKWSCI-NTU 2023.

Practicing in a time of covid loss and threat: Parallel processes on the yellow brick road of trauma, healing, trust and belonging

We are always practicing in a time of threat and loss, but what changes is the nature of the threat and the loss: is it shared or not shared, known, or not known, disclosed by force or disclosed by choice? This paper explores the themes of trust and belonging as the essence of the psychoanalytic frame and the parallel processes of how our own traumas, as psychoanalysts, warp and weave through our relationships with our patients over time. The pandemic has gifted us with a perfect storm of shared traumas and created new opportunities for navigating, negotiating, rupturing and repairing, and healing, as the frame was forcefully bent, broken, and rebuilt in the context of this global crisis. The pandemic has emphasized the importance of lifting the veil of secrecy and bringing those of us who live these complex lives of service, as both healers and suffering strangers, into community and dialogue. To illustrate these themes, this paper explores the parallels between "Jennifer” my patient of 14 years and my own journey through life and analysis. © 2023 Taylor & Francis Group, LLC.

The notion of the setting and the extinction drive

The author describes the analysis of a woman patient in the absence of the analytic setting during the long period of confinement due to Covid-19. Bleger's distinctions between the analytic process and the frame are explored in this context, and Green's formulation on the function of the framing structure in the construction and elaboration of phantasy life, as well the function of the hallucinatory wish fulfilment in the movement towards symbolization. The production of a sculpture during this time is on the pathway towards the elaboration of the work of mourning. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Abstract (French) L'auteur decrit l'analyse d'une patiente, par telephone, dans le contexte du confinement du a la Covid-19, alors que la dimension physique du cadre analytique est absente. Elle interroge la theorie de Bleger et sa distinction entre cadre et processus analytiques ainsi que celle de Green sur la fonction de la structure encadrante et la fonction de l'accomplissement hallucinatoire de souhait dans le mouvement vers la symbolisation. La production d'une sculpture pendant l'analyse amorce l'elaboration d'un travail de deuil. (PsycInfo Database Record (c) 2023 APA, all rights reserved)