Preoperative autologous blood donation in Canada has increased in the last decade due to concerns about allogeneic blood safety. As economic policies necessitate the validation of autologous blood donation, it is important to assess potential changes. This study examines the motivations and perceptions of patients participating in a Canadian autologous blood donation programme. The study was conducted at the Ottawa Hospital, Civic Campus. Questionnaires were developed and then administered to 100 consecutive adult autologous blood donors. The questionnaires assessed patient demographics, motivation for participation and perceptions about blood safety. Autologous donation was presented to 82% of patients as an option by their physicians. However, 59% of all patients felt that they were motivated to donate by their own fears. Patients (87%) also felt that directed blood donation should be offered due to their perception that directed donation is safer. Three-quarters of patients would be willing to pay for autologous donation. Patients are concerned about the safety of allogeneic blood and they are motivated to seek other alternatives despite the fact that allogeneic blood is very safe. These perceptions and motivations must be taken into account as health care policy changes are considered.
For over four decades, a continuing thread in the literature has emphasized the unique challenges and impasses in psychotherapy with men. Parallel to this, empirical and clinical research for over four decades has documented men's positive response to a values-based Integrity model of psychotherapy across a wide spectrum of issues. Only recently have other researchers begun focusing on the merits of a strengths-based positive perspective on men and masculinities. This paper offers a theoretical and clinical exploration of an Integrity model, values-based therapeutic perspective in working with men in individual psychotherapy from a strengths-based, gender-sensitive, positive psychology framework. Three case examples—Mark, François and Peter—presenting with significant distress including sexual dysfunction, illustrate the viability of this existential perspective in engaging and working with men in individual psychotherapy.
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