This study aims to further the understanding of how innovative moments (IMs), which are exceptions to a client's problematic self-narrative in the therapy dialogue, progress to the construction of a new self-narrative, leading to successful psychotherapy. The authors' research strategy involved tracking IMs, and the themes expressed therein (or protonarratives), and analysing the dynamic relati...

implant-supported craniofacial prostheses are made to restore defective areas in the face and cranium. this clinical report describes a technique for fabrication of an orbital prosthesis with three adjacent implants in the left lateral orbital rim of a 60-year-old woman. selection of appropriate attachment system (individual magnetic abutments versus bar-clip attachment) for implant-supported o...

According to the narrative approach, change in self-narratives is an important part of successful psychotherapy. In this view, several authors have highlighted the usefulness of narrating new experiences (like actions, thoughts, and stories) during therapy in contrast with maladaptive client self-narratives. These new experiences are termed here innovative moments (IMs), and different types can...

The Assimilation of Problematic Experiences Scale (APES) and the Innovative Moments Coding System were applied to transcripts of a successful case of linguistic therapy of evaluation independently by different research groups. Assimilation theory and research suggest that higher APES scores reflect therapeutic gains, with a level of approximately 4.0 separating good from poor outcome cases. The...

According to the author's narrative model of change, clients may maintain a problematic self-stability across therapy, leading to therapeutic failure, by a mutual in-feeding process, which involves a cyclical movement between two opposing parts of the self. During innovative moments (IMs) in the therapy dialogue, clients' dominant self-narrative is interrupted by exceptions to that self-narrati...

A 68 year old gentleman suffered subarachnoid and intra-ventricular hemorrhage due to a basilar artery aneurysm, which was clipped. He needed multiple changes of external ventricular drain and Ommaya reservoir due to blocks. This led to nosocomial Candida albicans meningitis which was worsening despite 10 days of treatment with L AmB and 5FC to which the organism was susceptible. The susceptibi...