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Anna Cierpka

ABSTRACT

The paper presents research conducted within the narrative psychology paradigm. Its main purpose was to explore the relationships between features of adolescents’ identity narratives and their assessments of family functioning and themselves as family members. The choice of subject was motivated by current reports on identity formation difficulties in adolescence. Adolescents’ narratives were subjected to quantitative and qualitative analysis. Associations between specific aspects of self-narratives and participants’ perceptions of how their families functioned and how they functioned in the family system were evaluated. The results confirm the hypothesized relationships between the features of adolescents’ narratives and evaluations of their families and self-assessments of their own functioning in those families. Multi-thematic, content-rich and positively evaluated self-narratives are associated with positive assessments of selected aspects of family functioning and adolescents’ own functioning within the family. The following aspects of family assessment are significant: affective expression, level of emotional involvement in the family, level of control, family role performance and communication. Important factors in the self-assessment were: sense of competence in family role performance, assessment of one’s communication, behavior control and affective expression.

Open access

Anna Cierpka

Abstract

Narrative identity is recognized as a process and viewed in dynamic terms, as an entity subject to constant changes in the course of one’s life. It is assumed that an increasing need to make changes in one’s history of life emerges in middle adulthood. A generative script is revealed, containing a plan to become part of the lives of future generations. The process of creative integration of one’s life story may gather momentum in late adulthood, when individuals explore their identity in the context of their life’s work. In order to test the above assumptions, narratives of participants aged 65-80 years who were wives/mothers/grandmothers or husbands/fathers/grandfathers during their lives were analyzed. Six main themes characteristic of life stories in late adulthood were identified, along with groups of traits, behaviors and values which participants wished to pass on to subsequent generations. The narratives clearly featured a generative motivation and the need to integrate one’s story.

Open access

Robert Król, Krystyna Jaworska, Henryk Karkoszka, Jerzy Chudek, Jacek Ziaja, Joanna Badura, Jacek Pawlicki, Grzegorz Oczkowicz, Artur Caban, Wojciech Marcinkowski, Sylwia Sekta, Jarosław Wilk, Andrzej Gabriel, Zbigniew Gonciarz, Anna Kunsdorf-Wnuk, Franciszek Kokot, Andrzej Więcek and Lech Cierpka

Introduction of Liver Transplant Programme in Upper Silesia

Liver transplantation is the only method of treatment of patients with end stage liver insufficiency. Inadequate number of transplantations in Poland in relation to demands causes a need of new liver transplantation centres formation.

The aim of the study was to present process of introduction of liver transplantation programme and results of the first 12 transplantations.

Material and methods. Preparations to transplantation were based on training of surgical, anaesthetics and nephrological teams in transplant centres in Paris, Birmingham and Warsaw. Own protocols of organ harvesting, recipients' qualification, transplantation and postoperative treatment were worked out; they were a result of experience acquired in teaching centres. From October 16, 2005 to October 2006, 12 liver transplantations were performed in patients with end stage liver insufficiency of different origin. Patients' age varied from 21 to 67 years. The stage of liver failure according to Child-Pough was 8.6±2.8, and MELD 18.6±7.2. All elective operations were performed using Piggyback technique. Immunosuppression regimen was uniform and consisted of tacrolimus and prednisolone.

Results. One patient died due to post reperfusion syndrome with no respond to catecholamine treatment. In 1 patient developed primary lack of the liver graft function that required re-transplantation, which was successfully performed on 2nd postoperative day. Among 10 patients who were discharged from the hospital on mean 31 postoperative day all are alive, and 7 of them returned to full live activity.

Conclusion. Training in famous liver transplant centres and own experience in kidney and pancreas transplantation allowed for successful introduction of liver transplantation programme.