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Jul 02, 2026Open    Access

Liminal Competence: An Original Construct for Sustainable Threshold-Dwelling in Ongoing Loss

Tim Mussche
Healthcare chaplains and clinicians increasingly encounter patients whose losses do not conclude: those in palliative trajectories, persons with progressive neurological disease, dementia caregivers, displaced persons, and incarcerated individuals. This article is a conceptual contribution that derives its construct from interdisciplinary literature rather than from new empirical data. The dominant resolution paradigm in grief theory—which treats mourning as a problem to be resolved through stag...
Open Access Library J.   Vol.13, 2026
Doi:10.4236/oalib.1115552


Jul 01, 2026Open    Access

Beyond Twelve Months: Prolonged Grief Disorder and the Pathologization of Ongoing Loss

Tim Mussche
The fifth edition, text revision, of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5-TR) introduced prolonged grief disorder (PGD), establishing that grief persisting with sufficient intensity beyond twelve months from a death may constitute a mental disorder. This article advances a conceptual sociology-of-diagnosis critique of the twelve-month criterion. The argument proceeds along three strands. Conceptually, the criterion inherits a teleological model of mourning whose empir...
Open Access Library J.   Vol.13, 2026
Doi:10.4236/oalib.1115553


Nov 24, 2025Open    Access

The Challenge Affecting Early Diagnosis of Intussuscepting in Newborn Baby in Most Limited Resources in Tanzania

Theresia Andrea Karuhanga,Fassil Tekie,Joseph Singo,Rajab Mrutu,Balichene Madoshi,Rahabu Morro,Baltazary Sakurani
Intussusception in newborn is rare and associated with nonspecific features of intestinal obstruction. We present the new born who presented progressive abdominal distension, vomiting, and neonatal jaundice. There was delayed diagnosed and surgical intervention caused by missing diagnosis whereby the initial diagnosis was necrotizing enterocolitis (NEC). The surgical intervention was done at day five after admission, intraoperatively was ileo-ileal intussusception. Post operative management was ...
Open Access Library J.   Vol.12, 2025
Doi:10.4236/oalib.1114463


Jan 11, 2023Open    Access

Nursing Students Knowledge of Palliative Care at a Medical University in China: A Cross-Sectional Study

Meng Cao, Wenxia Li, Miao Wan, Lin Yang, Jun Ma
Purpose: The aim of this study was to investigate palliative care knowledge among nursing students and analyze their influencing factors in China. Methodology: A cross-sectional, questionnaire-based survey consisted of 1168 nursing students, and was surveyed from November 2020 and January 2021 in China. The data were collected by using the “demographic characteristics form” and “Palliative Care Quiz for Nursing” (PCQN). Frequencies and percentages were used to describe the basic demographic vari...
Open Access Library J.   Vol.10, 2023
Doi:10.4236/oalib.1109534


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