Specification of gamma-ray brachytherapy sources: by National Council on Radiation Protection and Measurements

By National Council on Radiation Protection and Measurements

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Extra resources for Specification of gamma-ray brachytherapy sources: Recommendations of the National Council on Radiation Protection and Measurements (NCRP report)

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The stories difficult clients could tell of their own growing up are sobering, hair-raising, and frightening. They come by these behaviors out of survival and practice. Summary This chapter provided an overview for working with difficult partners in couple therapy. With support for how this work can be so demanding, guidelines about how to begin this work, and a model for working with the essence of the difficult partner’s behavior, we now have the skeleton. Next, we need the meat on the bones, the content to fill in the structure.

However, I would only recommend this step if you have built some alliance with the other partner and have made it clear that you see the issues as part of the couple system. There is always the risk of losing the other partner and being co-opted by the difficult one. 8. When possible, bring humor to the sessions. Beck et al. (2004) write of working with clients with personality disorders, “The art of therapy involves the judicious use of humor …” (p. 76). Hanna (2002) describes how humor can be effective: “If a difficult client can be helped to see the humor in his or her situation or behaviors, the aura of seriousness and tragedy can diminish and make it easier to confront” (p.

For example, “In order for us to get anywhere in these sessions, I need to be the one in control. You need to let me guide the session. ” 4. Ask the couple to agree to letting you be the one guiding the session (in reality you are addressing the difficult client). If both will agree, you can then remind them of this when necessary. If not, you cannot do therapy. 5. As appropriate, set specific ground rules and boundaries, such as no interrupting, no walking out of the room (Hanna, 2002). 6. Stop difficult partners with specific and consistent action after you have laid the above groundwork.

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Specification of gamma-ray brachytherapy sources: by National Council on Radiation Protection and Measurements
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