Loading [MathJax]/jax/output/SVG/jax.js
Review Topical Sections

Healthcare workers: diminishing burnout symptoms through self-care

  • Being part of the health care system involves facing stress, loneliness and the emotional toll of assisting, listening and caring for patients who come into the office or hospital, and seek or even demand assistance. Healthcare workers, like physicians, nurses and therapists, are trained, on assisting and healing others. They are less effective in taking care of themselves. This article, which aims to heighten clinicians' awareness of the need for self-care, especially now in the post-pandemic era, addresses the demanding nature of medicine and health work, and the resistance that clinicians commonly display in the face of suggestions that they engage in self-care. The consequences of neglecting to care for oneself are delineated. The demanding nature of medicine is reviewed, along with the loneliness and isolation felt by clinicians particularly those in private practice, the professional hazards faced by those caring for others, and the ways that are available to them (should they decide to care for themselves) for the benefit of their clients, their families and, obviously, themselves.

    Citation: Ami Rokach. Healthcare workers: diminishing burnout symptoms through self-care[J]. AIMS Medical Science, 2023, 10(1): 55-68. doi: 10.3934/medsci.2023006

    Related Papers:

    [1] Hui Fang, Yihan Fan, Yanping Zhou . Energy equality for the compressible Navier-Stokes-Korteweg equations. AIMS Mathematics, 2022, 7(4): 5808-5820. doi: 10.3934/math.2022321
    [2] Yasir Nadeem Anjam . The qualitative analysis of solution of the Stokes and Navier-Stokes system in non-smooth domains with weighted Sobolev spaces. AIMS Mathematics, 2021, 6(6): 5647-5674. doi: 10.3934/math.2021334
    [3] Zhaoyue Sui, Feng Zhou . Pointwise potential estimates for solutions to a class of nonlinear elliptic equations with measure data. AIMS Mathematics, 2025, 10(4): 8066-8094. doi: 10.3934/math.2025370
    [4] Yasir Nadeem Anjam . Singularities and regularity of stationary Stokes and Navier-Stokes equations on polygonal domains and their treatments. AIMS Mathematics, 2020, 5(1): 440-466. doi: 10.3934/math.2020030
    [5] Kaile Chen, Yunyun Liang, Nengqiu Zhang . Global existence of strong solutions to compressible Navier-Stokes-Korteweg equations with external potential force. AIMS Mathematics, 2023, 8(11): 27712-27724. doi: 10.3934/math.20231418
    [6] Qingkun Xiao, Jianzhu Sun, Tong Tang . Uniform regularity of the isentropic Navier-Stokes-Maxwell system. AIMS Mathematics, 2022, 7(4): 6694-6701. doi: 10.3934/math.2022373
    [7] Jianlong Wu . Regularity criteria for the 3D generalized Navier-Stokes equations with nonlinear damping term. AIMS Mathematics, 2024, 9(6): 16250-16259. doi: 10.3934/math.2024786
    [8] Jaeyong Choi, Seokjun Ham, Soobin Kwak, Youngjin Hwang, Junseok Kim . Stability analysis of an explicit numerical scheme for the Allen-Cahn equation with high-order polynomial potentials. AIMS Mathematics, 2024, 9(7): 19332-19344. doi: 10.3934/math.2024941
    [9] Joseph L. Shomberg . Well-posedness and global attractors for a non-isothermal viscous relaxationof nonlocal Cahn-Hilliard equations. AIMS Mathematics, 2016, 1(2): 102-136. doi: 10.3934/Math.2016.2.102
    [10] Jingjie Wang, Xiaoyong Wen, Manwai Yuen . Blowup for regular solutions and $ C^{1} $ solutions of the two-phase model in $ \mathbb{R}^{N} $ with a free boundary. AIMS Mathematics, 2022, 7(8): 15313-15330. doi: 10.3934/math.2022839
  • Being part of the health care system involves facing stress, loneliness and the emotional toll of assisting, listening and caring for patients who come into the office or hospital, and seek or even demand assistance. Healthcare workers, like physicians, nurses and therapists, are trained, on assisting and healing others. They are less effective in taking care of themselves. This article, which aims to heighten clinicians' awareness of the need for self-care, especially now in the post-pandemic era, addresses the demanding nature of medicine and health work, and the resistance that clinicians commonly display in the face of suggestions that they engage in self-care. The consequences of neglecting to care for oneself are delineated. The demanding nature of medicine is reviewed, along with the loneliness and isolation felt by clinicians particularly those in private practice, the professional hazards faced by those caring for others, and the ways that are available to them (should they decide to care for themselves) for the benefit of their clients, their families and, obviously, themselves.



    We consider the numerical solution of the following system of nonlinear equations

    F(x)=0, (1.1)

    where F:RnRm is a continuously differentiable function.

    Nonlinear equations of the form (1.1) are often solved as a key ingredient in simulations of many real-world problems. Classic methods for solving (1.1) include the Gauss-Newton method, the inexact Newton method, the Broyden's method and the trust region method [9,13,15]. In actual computations, however, the Gauss-Newton method becomes less competitive when the Jacobian is (nearly) rank-deficient. By adopting a trust-region approach in place of the line search in the Gauss-Newton method, the Levenberg-Marquardt (LM) method circumvents this shortcoming even though it uses the same Hessian approximations as in the Gauss-Newton method.

    In the trial step of the LM method, one needs to solve per step the following linear system

    (JTkJk+λkI)dk=JTkFk, (1.2)

    where λk0, Fk=F(xk), Jk=J(xk) is the Jacobian and IRn×n stands for the identity matrix. If Jk is nonsingular and Lipschitz continuous for the case m=n, the initial guess x0 is close enough to the solution x of (1.1) and the LM parameter λk is updated recursively, then the LM method has a quadratic convergence rate.

    For some applications, the need for a nonsingular Jacobian Jk can be rather stringent. Therefore, it is necessary to come up with numerical methods in the absence of a nonsingular Jacobian. To this end, some efforts have been made recently; for instance, Yamashita et al. propose a local error bound condition which does not requires nonsingularity of the Jacobian [19]. In what follows, we denote by X the nonempty solution set of (1.1) and use to represent the 2-norm of vectors or matrices if there is no ambiguity. Let N(x,b)={x|xxb} be a subset of the n-dimensional vector space such that the intersection XN(x,b) is nonempty. The LM method is shown to have a quadratic convergence rate if there exists a positive constant c satisfying the following local error bound condition [2,6,19]

    cdist(x,X)F(x),forxN(x,b), (1.3)

    where dist(x,X) is the distance from x to X.

    In spite of the advantage of avoiding nonsingularity of the Jacobian, the local error bound condition (1.3) is not always applicable for some ill-conditioned nonlinear equations from application fields like biochemical systems. In light of this, Guo et al. present the Hölderian error bound condition that is more applicable than (1.3) [8]. The {Hölderian error bound condition} is given by

    cdist(x,X)F(x)γ,forxN(x,b), (1.4)

    where c>0 and γ(0,1]. Obviously, the Hölderian error bound condition (1.4) includes the local error bound condition (1.3) as a special case. In fact, the bound (1.4) reduces to (1.3) when γ=1. It should be noted that the Hölderian local error bound condition is also called Hölder metric subregularity which is closely related with the Łojasiewica inequalities; see [14,17] for detail. With the assumption (1.4), the LM method converges at least superlinearly when γ and the LM parameter satisfy certain conditions [1,8,18,21].

    Apart from its application in solving systems of nonlinear equations, the LM method also finds its way into numerical solution of nonlinear least squares problems. To investigate the local convergence of the LM method for the nonlinear least-squares problem with possible nonzero residue, Behling et al. [3] present a local error bound condition characterized by J(x)TF(x), i.e.,

    cdist(x,X)J(x)TF(x),forxN(x,b), (1.5)

    where c>0. We stress that the local error bound condition (1.5) can also be derived from the bound (1.3) [10,Lemma 5.4]. However, the former is more practical than the latter in that it does not require the nonsingularity of the Jacobian. With the assumption (1.5), the LM method is shown to have at least linearly convergence order with suitable choices of the LM parameter [3].

    As observed from (1.2), the LM parameter λk is introduced in case that JTkJk is (nearly) singular. Such practice not only guarantees the uniqueness of solution of (1.2) but also helps to reduce the iteration steps. In this sense, the LM parameter plays a key role in the LM method. Some promising candidates of the LM parameter have been proposed recently; for instance, Yamashita et al. [19] select λk=Fk2 and show that the LM method has quadratically convergence with the assumption (1.3). Fan and Yuan [6] generalize it with the LM parameter λk=Fkδ with δ[1,2]. It is shown that the quadratic convergence is still retained with the assumption (1.3). Dennis and Schnable consider the choice λk=O(JTkFk) [4]. Following this reasoning, Fischer employs λk=JTkFk in [7] which is further generalized to the form λk=JTkFkδ with δ(0,1] in [3]. With the assumtion (1.5), Behling et al. conclude that the LM method converges at least linearly to some solution of (1.1) when δ(0,1) and quadratically when δ=1 [3]. More recent progress in choosing the LM parameter λk can be found in [5,10,11].

    Instead of adopting the choice used in [3], we propose to use the LM parameter λk=JTkFkδ with δ[1,2] in this work. The motivation of our work is clarified as follows. Intuitively, the step size dk is small if JTkFk is too large, which may hamper a fast convergence. Fortunately, it poses no difficulty by considering the following choice, i.e.,

    λk={JTkFkδ, if JTkFk1,JTkFkδ, Otherwise, δ[1,2]. (1.6)

    From the convergence theory, we know JTkFk always converges to 0, hence JTkFk>1 only occurs at beginning finite iterate steps and it is a special case for the numerical method. Since the choice of λk in (1.6) is adaptive, then the variant LM method is called an adaptive Levenberg-Marquardt method (ALMM) in this paper.

    The rest of this paper is organized as follows. In Section 2, the adaptive Levenberg-Marquardt method is introduced. Its convergence rate under the assumption (1.5) is examined. In section 3, the adaptive Levenberg-Marquardt method with Wolfe line search rule as well as its global convergence are investigated. In Section 4, some numerical experiments are used to verify the effectiveness of the new method. Finally, some conclusions are given in Section 5.

    In this section, we consider the adaptive LM method with unit step size and investigate its local convergence near a solution.

    To begin with our discussion, we present the following adaptive LM method:

    dk=(JTkJk+λkI)1JTkFk,xk+1=xk+dk, (2.1)

    where the LM parameter is defined in (1.6).

    To establish the local convergence results for the adaptive LM algorithm, we need the following assumptions throughout the paper.

    Assumption 2.1. (a) The Jacobian J(x) is Lipschitz continuous in a neighborhood N(x,b), i.e., there exists a constant L1>0 such that

    J(x)J(y)L1xy,x,yN(x,b). (2.2)

    (b) We said that J(x)TF(x) provides a local error bound on N(x,b) if there exists a constant c>0 such that

    cdist(x,X)J(x)TF(x),xN(x,b). (2.3)

    To guarantee the initial point x0 is sufficiently close to x, we assume b>0 is sufficient small.

    From Assumption 2.1(a), we note that

    F(x)F(y)J(y)(xy)L1xy2,x,yN(x,b). (2.4)

    By compactness, we have

    J(x)L2 and F(x)β,xN(x,b), (2.5)

    where constants L2>0 and β>0. Therefore, it follows from the mean value inequality that

    F(x)F(y)L2xy,x,yN(x,b). (2.6)

    Denote by ˉxkX which satisfies

    ˉxkxk=dist(xk,X).

    Lemma 2.1. Let the sequence {xk} be generate by the adaptive LM method and Assumptions 2.1 hold. There exists some positive constants c1,˜c1, such that

    ˜c1dist(xk,X)±δλkmin{1,cδ1dist(xk,X)δ}. (2.7)

    Proof. We derive the proof in two cases.

    Case I: JTkFk1. Then λk=JTkFkδ. From Assumption 2.1 (b), the inequality in the left-hand side (2.7) is obtained, i.e.,

    cδdist(xk,X)δλk=JTkFkδ.

    Now, we verify the right-hand side inequality in (2.7).

    It follows from (2.5) and (2.6) that

    J(x)TF(x)J(y)TF(y)=J(x)TF(x)J(x)TF(y)+J(x)TF(y)J(y)TF(y)J(x)TF(x)F(y)+F(y)J(x)TJ(y)TL22xy+βL1xy=c1xy, (2.8)

    where c1=L22+βL1. Since λk=JTkFkδ, then we obtain

    λkcδ1dist(xk,X)δ.

    Case II: JTkFk>1. Then λk=JTkFkδ<1. From (2.8), we also have

    cδ1dist(xk,X)δλk=JTkFkδ.

    Summarizing the above two cases, we obtain the inequality (2.7) with ˜c1=min{cδ,cδ1}. The proof is completed.

    Lemma 2.2. Let the sequence {xk} be generate by the adaptive LM method and Assumptions 2.1 hold. If xkN(x,b/2), there exists a constant c2>0 such that

    dkc2dist(xk,X). (2.9)

    {Proof. From the assumption, we have

    ˉxkxˉxkxk+xkxxkx+xkxb,

    which indicates that ˉxkN(x,b). Define

    φk(d)=Fk+Jkd2+λkd2. (2.10)

    From (2.1) and the convexity of φk(d), we note that dk is not only a stationary point but also a minimizer of φk(d). By using the fact that xk,ˉxkN(x,b), we have from (2.4) and Lemma 2.1 that

    dk2φk(dk)λkφk(ˉxkxk)λk=Fk+Jk(ˉxkxk)2+λkd2λkL21˜c1ˉxkxk4δ+ˉxkxk2(L21˜c1+1)ˉxkxk2.

    It implies that

    dkc2dist(xk,X),

    where c2=L21˜c1+1. The proof is completed.

    Lemma 2.3. Let the sequence {xk} be generate by the adaptive LM method and Assumptions 2.1 hold. Assume xk,xk+1N(x,b/2), then

    cdist(xk+1,X)L1L2(2+3c2+2c22)ˉxkxk2+L1L22(2+c2)(1+c2)2ˉxkxk3+L2c2λkˉxkxk.

    Proof. For all xk,xk+1N(x,b/2), we get from (2.4) and (2.5) that

    JTkF(xk+1)JTkFkJTkJk(xk+1xk)L1Jkxk+1xk2L1L2xk+1xk2,

    and

    JTkF(xk+1)J(xk+1)TF(xk+1)+J(xk+1)TF(xk+1)JTkFkJTkJk(xk+1xk)L1L2xk+1xk2.

    By the triangle inequality, the above inequality yields

    J(xk+1)TF(xk+1)JTkFkJTkJk(xk+1xk)L1L2xk+1xk2+(JkJ(xk+1))TF(xk+1). (2.11)

    For all ˉxkXN(x,b), we obtain

    (JkJ(xk+1))TF(xk+1)=(JkJ(ˉxk)+J(ˉxk)J(xk+1))TF(xk+1)(JkJ(ˉxk))TF(xk+1)+(J(ˉxk)J(xk+1))TF(xk+1)(JkJ(ˉxk))T(F(ˉxk)+J(ˉxk)(xk+1ˉxk)+L22xk+1ˉxk2)+(J(ˉxk)J(xk+1))T(F(ˉxk)+J(ˉxk)(xk+1ˉxk)+L22xk+1ˉxk2)L1L2xkˉxkxk+1ˉxk+L1L22xkˉxkxk+1ˉxk2+L1L2xk+1ˉxk2+L1L22xk+1ˉxk3. (2.12)

    Similarly, using the triangle inequality yields

    J(xk+1)TF(xk+1)JTkFkJTkJk(xk+1xk)J(xk+1)TF(xk+1)JTkFk+JTkJk(xk+1xk). (2.13)

    It follows from (1.2), (2.11) and (2.13) that

    J(xk+1)TF(xk+1)J(xk+1)TF(xk+1)JTkFkJTkJk(xk+1xk)+JTkFk+JTkJk(xk+1xk)L1L2dk2+(JkJ(xk+1))TF(xk+1)+JTkFk+JTkJkdkL1L2dk2+(JkJ(xk+1))TF(xk+1)+L2λkdk. (2.14)

    From Lemma 2.2, we have dkc2ˉxkxk, which implies that

    xk+1ˉxkxk+1xk+xkˉxk(1+c2)ˉxkxk. (2.15)

    Since ˉxkXN(x,b) and δ[1,2], together with Assumption 2.1 (b), (2.12), (2.14) and (2.15), we obtain

    cdist(xk+1,X)J(xk+1)TF(xk+1)L1L2c22ˉxkxk2+L1L2(1+c2)xkˉxk2+L1L22(1+c2)2ˉxkxk3+L1L2(1+c2)2ˉxkxk2+L1L22(1+c2)3ˉxkxk3+L2c2λkˉxkxkL1L2(2+3c2+2c22)ˉxkxk2+L1L22(2+c2)(1+c2)2ˉxkxk3+L2c2λkˉxkxk.

    The proof is completed.

    Henceforth, according to the choices of the LM parameter, namely JTkFk1 and JTkFk>1, we divide the convergence analysis in two cases.

    Case 1: JTkFk1

    Firstly, we consider the convergence rate of the adaptive LM method with the LM paramter JTkFk1 in this subsection.

    Lemma 2.4. Let the sequence {xk} be generate by the adaptive LM method and Assumptions 2.1 hold. If xk,xk+1N(x,b/2) and JTkFk1, then there exists a positive constant c3 such that

    dist(xk+1,X)c3dist(xk,X)2. (2.16)

    Proof. From Lemmas 2.1 and 2.3, we have

    cdist(xk+1,X)L1L2(2+3c2+2c22)ˉxkxk2+L1L22(2+c2)(1+c2)2ˉxkxk3+L2c2λkˉxkxkL1L2(2+3c2+2c22)ˉxkxk2+L1L22(2+c2)(1+c2)2ˉxkxk3+L2c2cδ1ˉxkxk1+δ.

    Since δ[1,2], then Lemma 2.4 holds with c3=c1(L1L2(2+3c2+2c22)+L2c2cδ1+L1L22(2+c2)(1+c2)2). The proof is completed.

    Lemma 2.4 shows that if xkN(x,b/2) for all k, then {dist(xk,X)} converges to zero quadratically. Next, we show that the latter theory holds if x0 is sufficiently close to x. Let

    r=min{b2(1+2c2),12c3}. (2.17)

    Lemma 2.5. Let the sequence {xk} be generate by the adaptive LM method and Assumptions 2.1 hold. If x0N(x,r) with r given by (2.17), then for all k, we have xkN(x,b/2).

    Proof. We show the proof by induction. It follows from Lemma 2.2 that

    x1xx0x+d0x0x+x0ˉx0(1+c2)rb/2.

    It indicates that x1N(x,b/2). Assume for i=2,,k, xiN(x,b/2). It follows from Lemma 2.4 that

    dist(xi,X)c3dist(xi1,X)2c2i13x0x2ir(12)2i1,

    where the last inequality is derived from x0xr and r1/2c3. Therefore, we have from Lemma 2.2

    dic2dist(xi,X)c2r(12)2i1c2r(12)2i1, (2.18)

    for i=1,,k. It then follows from (2.17) that

    xk+1xx1x+ki=1di(1+c2)r+c2rki=1(12)2i1(1+c2)r+c2ri=1(12)i(1+2c2)rb2,

    which indicates that xk+1N(x,b/2). The proof is completed.

    Theorem 2.1. Let Assumption 2.1 hold and {xk} be the LM sequence which is generated by the adaptive LM method with x0N(x,r), where r is given by (2.17). If JTkFk1, then the sequence {dist(xk,X)} converges to zero quadratically. Moreover, {xk} converges to a solution of (1.1).

    Proof. Lemma 2.4 and 2.5 indicates that the sequence {dist(xk,X)} converges to 0 quadratically. So, we only have to prove the second part.

    According to the assumption, we have xkN(x,b/2) for all k. Then we only have to prove that {xk} converges to some solution ˉxX. In fact, for any p,qN+ (let pq, we also obtain the same result for p<q), from (2.18), we have

    xpxqp1i=qdii=qdic2ri=qc2r(12)2i1=43c2r(12)2q1. (2.19)

    The above inequality indicates that the sequence {xk} is a Cauchy sequence, and hence {xk} converges. The proof is completed.

    Theorem 2.1 shows that the sequence {dist(xk,X)} converges to zero quadratically and {xk} converges to the solution set X. However, little is known about the behaviour of the sequence {xk}. In the following theorem, we will see that the sequence {xk} converges to a solution ˉx of (1.1), and that the rate of convergence is also locally quadratic.

    Theorem 2.2. Let Assumption 2.1 hold, {xk} be the LM sequence which is generated by the adaptive LM method with x0N(x,r) where r is given by (2.17), and limit point ˆxXN(x,b/2). If JTkFk1, then the sequence {xk} converges to ˆx quadratically.

    Proof. In view of Theorem 2.1, we have dist(xk+1,X)12dist(xk,X) for all sufficiently large k. By letting p in (2.19), we deduce from Lemma 2.2 and 2.4 that

    ˆxxqi=qdic2i=qdist(xi,X)c2i=q(12)iqdist(xq,X)2c2dist(xq,X)2c2c3dist(xq1,X)22c2c3ˆxxq12,

    where the last inequality follows from the definition of dist(xk,X). Hence, the sequence {xk} converges to ˆx quadratically. The proof is completed.

    Case 2: JTkFk>1

    Now, we consider the convergence rate of adaptive LM method with the LM paramter JTkFk>1.

    Lemma 2.6. Let the sequence {xk} be generate by the adaptive LM method and Assumptions 2.1 hold. Assume JTkFk>1, if xk,xk+1N(x,b/2) and dist(xk,X)r<1, where

    r=min{b2(1+c21c4),cL2c2L1L2(2+3c2+2c22)+L1L22(2+c2)(1+c2)2} (2.20)

    with c>L2c2, then there exists a positive constant c4(0,1) such that

    dist(xk+1,X)c4dist(xk,X). (2.21)

    Proof. From Lemma 2.1, we have λk<1. Together with Lemma 2.3, we obtain

    cdist(xk+1,X)L1L2(2+3c2+2c22)ˉxkxk2+L1L22(2+c2)(1+c2)2ˉxkxk3+L2c2λkˉxkxk((L1L2(2+3c2+2c22)+L1L22(2+c2)(1+c2)2)r+L2c2)ˉxkxk,

    which indicates that Lemma 2.6 holds with c4=c1(L1L2(2+3c2+2c22)+L1L22(2+c2)(1+c2)2)r+c1L2c2.

    The proof is completed.

    Lemma 2.7. Let the sequence {xk} be generate by the adaptive LM method and Assumptions 2.1 hold. If x0N(x,r) with r given by (2.20), then for all k, we have xkN(x,b/2) and dist(xk,X)r.

    Proof. Since the proof is analogous to the one of Lemma 2.5, we only verify the inductive step, i.e., assume Lemma 2.7 holds with i=k and consider the next step.

    It follows from Lemma 2.6 that

    dist(xk+1,X)c4dist(xk,X)c4r<r (2.22)

    and

    dist(xk+1,X)c4dist(xk,X)ck+14dist(x0,X)ck+14r<r. (2.23)

    Thus, from Lemma 2.2 and (2.20), we have

    xk+1xx1x+ki=1dix1x+ki=1c2dist(xi,X)(1+c2)r+c2ri=1ci4(1+c21c4)rb2,

    which indicates that xk+1N(x,b/2). The proof is completed.

    Theorem 2.3. Let Assumption 2.1 hold and {xk} be the LM sequence which is generated by the adaptive LM method with x0N(x,r), where r is given by (2.20). If JTkFk>1, then the sequence {dist(xk,X)} converges to zero linearly. Moreover, the sequence {xk} converges to a solution ˆxXN(x,b/2) linearly.

    Proof. The proof is similar to the proofs of Theorems 2.1 and 2.2.

    To establish the global convergence of the adaptive LM method, we employ some line search rules such as Armijo rule, Goldstein rule and Wolfe rule [15] etc. Consider the merit function

    Φ(x)=12F(x)2.

    At iteration k, the next step is computed by

    xk+1=xk+αkdk,

    where dk is a direction from (2.1) and αk is a step size satisfying certain line search conditions. The Wolfe line search is one of commonly used inexact line search which requires αk>0 satisfies

    F(xk+αkdk)2F(x)2+σ1αkFTkJkdk

    and

    F(xk+αkdk)TJ(xk+αkdk)dkσ2FTkJkdk. (3.1)

    Here σ1σ2 are two constants in (0,1).

    Algorithm 3.1 (The adaptive LM method with Wolfe line search).

    Step 1: Given x0Rn, δ[1,2], η(0,1), σ1(0,1/2), σ2(σ1,1), k:=0.

    Step 2: If JTkFk=0, stop. Set λk as (1.6); determine dk by computing (2.1).

    Step 3: If dk satisfies

    F(xk+dk)ηF(xk), (3.2)

    set xk+1=xk+dk, and go to step 5. Otherwise, go to step 4.

    Step 4: Set xk+1=xk+αkdk, where αk is determined by Wolfe line search.

    Step 5: Set k:=k+1; go to Step 2.

    Theorem 3.1. Assume F(x) is continuously differentiable. Let {xk} be a sequence generated by Algorithm 3.1. Then any accumulation point x of {xk} is a stationary point of Φ.

    Proof. From [20,Eq (2.10)], the inequality (3.1) implies that

    F(xk+1)2Fk2σ1σ3(FTkJkdk)2dk2, (3.3)

    where σ3 is some positive constant. Together with Steps 3 of Algorithm 3.1, the sequence {f(xk)} is monotonically decreasing and bounded from below, and thus converges to zero. Hence {xk} converges to a stationary point x of Φ. The proof is completed.

    Theorem 3.2. Under Assumption 2.1, let {xk} be a sequence generated by Algorithm 3.1 and has an accumulation point x. If x is a solution of system of nonlinear Eq (1.1), then the sequence {xk} converges to x at least linearly.

    Proof. It is sufficient to show that F(xk+dk)ηF(xk) holds for all large k.

    If JTkFk1. Since the sequence {xk} converges to a stationary point x which is a solution of system of nonlinear Eq (1.1), we have that

    F(xK)c2ηL32c3 (3.4)

    and

    xKxr,

    hold for all sufficiently large KN, where r is defined by (2.17), and c, c3 and L2 are given in Section 2.

    Let sequence {yk} be generated by the adaptive LM method with unit step size and y0=xK. Then, by the result of Theorem 2.1, the sequence dist(yl,X) quadratic converges to zero. Hence, we only have to prove that xK+l=yl for all lN, i.e., the sequence {yl} satisfies

    F(yl+1)ηF(yl).

    Let ˉyl+1X such that dist(yl+1,X)=ˉyl+1yl+1. Then we obtain from Assumption 2.1(b), Lemma 2.4, (2.6) and (3.4) that

    F(yl+1)=F(ˉyl+1)F(yl+1)L2dist(yl+1,X)L2c3dist(yl,X)2L2c3c2J(yl)TF(yl)2L32c3c2F(yl)2L32c3F(yl)c2F(yl)ηF(yl)

    holds for η(0,1) and all l. The above inequality indicates that the step size αk=1 holds for all large k in Algorithm 3.1. We conclude that (3.2) holds for all kK. Consequently, by mathematical induction, Algorithm 3.1 reduces to the adaptive LM method for all kK. Thus, we have that {xk} converges to the solution x quadratically.

    Similar to the above process, when JTkFk>1, we obtain that {xk} converges to the solution x linearly.

    The proof is completed.

    In this section, we carry out some numerical experiments to verify the effectiveness of the proposed adaptive Levenberg-Marquardt method (ALMM). The Levenberg-Marquardt method (LMM) given by Behling et al. [3] is used for comparison. The first test is a nonlinear least squares problem while the second are some systems of nonlinear equations.

    Example 4.1. Consider the nonlinear least squares problem [3]

    minxRnΦ(x)=12F(x)2, (4.1)

    where F(x)=(x31x1x2+1,x31+x1x2+1)T.

    Consider X={(0,ξ),ξR} be the non-isolated set of minimizers such that dist(x,X)=|x1|. Then the rank of the Jacobian will be 0 at the origin, 1 at x with x1=0 for x20, and 2 for x10. Thus the Jacobian is not always of full rank at the stationary points. The starting point is set to be x0=(0.008,2)T. All methods terminate if JTkFk<1010. The results are tabulated in Table 1.

    Table 1.  Numerical results for nonlinear least-squares problem.
    LMM ALMM
    δ Iters dist(xk,X) JTkFk δ Iters dist(xk,X) JTkFk
    104 0 8.0000e-03 6.4385e-02 1 0 8.0000e-03 6.4385e-02
    2 9.3495e-05 7.4799e-04 1 1.6286e-05 1.3029e-04
    5 1.2786e-07 1.0228e-06 2 6.6308e-11 5.3046e-10
    8 1.7465e-10 1.3972e-09 3 1.0899e-17 0
    10 2.1481e-12 1.7185e-11
    0.5 0 8.0000e-03 6.4385e-02 1.5 0 8.0000e-03 6.4385e-02
    1 1.9951e-04 1.5963e-03 1 3.1845e-05 2.5477e-04
    2 9.6178e-07 7.6941e-06 2 7.7713e-10 6.2174e-09
    3 3.3268e-10 2.6613e-09 3 7.4217e-17 8.8818e-16
    4 2.1187e-15 1.6875e-14
    1 0 8.0000e-03 6.4385e-02 2 0 8.0000e-03 6.4385e-02
    1 1.6286e-05 1.3029e-04 1 4.5185e-05 3.6159e-04
    2 6.6308e-11 5.3046e-10 2 1.5793e-09 1.2639e-08
    3 1.0899e-17 0 3 5.0847e-18 0

     | Show Table
    DownLoad: CSV

    As illustrated, ALMM generally converges to the required accuracy with less iterations than LMM. Besides, distances between xk obtained from ALMM and the solution set X are shorter than those from LMM.

    Example 4.2. Consider systems of nonlinear equations adapted from the nonsingular problems given in [12,16]

    ˆF(x)=F(x)J(x)A(ATA)1AT(xx)=0,

    where F(x) is the standard nonsingular test function, x is its root, and ARn×k has full column rank with 1kn. It is easy to check that ˆF(x)=0 and the rank of ˆJ(x)=J(x)(IA(ATA)1AT) is nk. A disadvantage of these problems is that ˆF(x) may have roots that are not roots of F(x). We present two sets of singular problems with the rank of ˆJ(x) being n1 and n2, respectively. The corresponding matrices of A and AT are given by

    ARn,AT=(1,1,,1)

    and

    ARn×2,AT=(111111111±1).

    Note that the size of the original problem which has n+2 equations in n unknowns is reduced by eliminating the (n1)st and the nth equations.

    Several choices of the LM parameter are considered in the two LM methods. In accordance with the range of δ defined in LMM and ALMM, we use δ=104, 0.5 and 1 associated with λk=JTkFkδ for LMM and employ δ=1, 1.5 and 2 for ALMM. All algorithms are terminated if JTkFk<106 or the number of the iterations exceeds 100(n+1). Numerical results for the rank n1 case and the rank n2 case are listed in Table 2 and in Table 3, respectively. The values 1, 10 and 100 in the third column associate with starting points with x0, 10x0, and 100x0, where x0 is the option suggested in [12]. The symbol "–" is used if the corresponding method fails to reach the required accuracy within the prescribed maximum iterations. To ensure the numerical stability, we use the MATLAB function pcg (the preconditioned conjugate gradient method) to solve the inner linear system (1.2).

    Table 2.  Numerical results of the first singular test with rank(F(x))=n1.
    Function n x0 LMM ALMM
    δ=104 δ=0.5 δ=1 δ=1 δ=1.5 δ=2
    Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times
    Rosenbrock 2 1 145/1.0994e-04/0.05 31/5.2121e-05/0.01 21/6.3319e-05/0.02 13/8.1986e-05/0.01 11/1.6249e-04/0.01
    10 165/1.0996e-04/0.05 64/5.9032e-05/0.02 17/3.5338e-04/0.01 15/1.3638e-04/0.00 14/1.8112e-04/0.00
    100 215/1.1005e-04/0.06 291/3.1076e-04/0.07 24/4.0893e-05/0.01 19/1.4436e-04/0.01 17/1.6579e-04/0.01
    Powell badly scaled 2 1 46/2.1150e-05/0.02 16/1.6882e-05/0.01 17/2.0346e-06/0.01 22/3.0992e-08/0.01
    10 43/5.9893e-05/0.01 3/4.3848e-08/0.00 3/4.3848e-08/0.00 3/4.3848e-08/0.00
    100 3/4.1815e-08/0.00 3/4.1815e-08/0.00 3/4.1814e-08/0.00
    Wood 4 1 68/8.2258e-05/0.03 26/2.5450e-04/0.01 16/1.0639e-04/0.01 22/2.6387e-07/0.01 19/3.4455e-07/0.01
    10 73/8.4198e-05/0.03 79/1.1002e-04/0.02 19/9.3086e-05/0.01 25/2.0022e-07/0.01 22/3.7076e-07/0.01
    100 94/8.6162e-05/0.03 23/1.5300e-04/0.01 27/4.8468e-07/0.02 25/4.7057e-07/0.01
    Helical valley 3 1 395/8.2335e-05/0.18 36/1.7042e-05/0.02 22/1.6542e-05/0.01 14/2.2764e-07/0.01 11/2.2832e-08/0.00 10/2.9028e-11/0.00
    10 396/8.2458e-05/0.15 39/2.3758e-05/0.02 37/1.7814e-05/0.01 13/3.8763e-09/0.00 10/1.2850e-08/0.00 9/2.3258e-09/0.00
    100 386/8.3458e-05/0.25 40/1.0493e-05/0.01 138/6.9960e-09/0.02 13/1.2005e-09/0.01 9/3.8526e-06/0.00 9/7.9799e-10/0.00
    Brown almost-linear 10 1 323/1.7755e-04/0.09 11/1.4159e-04/0.00 9/1.3099e-04/0.00 7/1.3034e-04/0.00 7/9.2295e-05/0.00 7/8.2906e-05/0.00
    10 327/1.7624e-04/0.06 25/1.3093e-04/0.01 35/1.0117e-04/0.01 22/1.2089e-04/0.00 22/9.7275e-05/0.01 22/9.1952e-05/0.01
    100 349/1.7616e-04/0.05 47/1.2040e-04/0.01 200/1.1852e-04/0.03 44/9.6552e-05/0.01 44/7.6970e-05/0.01 44/7.2340e-05/0.01
    Discrete boundary value 10 1 59/1.7216e-04/0.03 6/1.6987e-04/0.01 3/1.6852e-04/0.00 3/1.6852e-04/0.00 4/1.3377e-05/0.00 2/1.2224e-04/0.00
    10 306/1.7513e-03/0.14 21/3.2163e-04/0.02 19/2.3639e-04/0.01 11/1.1817e-05/0.01 9/5.4119e-06/0.01
    100 77/7.0660e-05/0.03 62/8.1935e-07/0.02 20/4.6172e-05/0.01 14/5.9162e-09/0.01 11/6.4234e-06/0.01
    Discrete integral equation 30 1 31/9.2503e-04/0.05 7/1.1033e-04/0.02 7/1.1033e-04/0.02 6/1.1846e-05/0.02 5/1.3736e-05/0.01
    10 109/9.2782e-04/0.15 24/9.2831e-05/0.04 22/6.1841e-05/0.05 14/8.2706e-06/0.03 11/1.2210e-05/0.02
    100 49/1.5445e-05/0.07 22/4.7434e-07/0.03 97/1.1979e-06/0.12 12/1.2250e-08/0.03 10/2.3696e-06/0.02 10/3.0014e-09/0.02
    Variably dimensioned 10 1 30/4.3266e-05/0.02 13/3.0661e-05/0.00 16/1.0323e-05/0.00 13/2.2903e-05/0.01 13/2.2553e-05/0.01 13/2.2472e-05/0.01
    10 44/1.9588e-04/0.02 15/1.2677e-04/0.01 35/2.4191e-05/0.01 15/1.1615e-05/0.01 15/1.1407e-05/0.00 15/1.1345e-05/0.01
    100 29/2.0406e-04/0.02 249/1.3347e-05/0.05 18/3.8117e-05/0.01 18/3.7443e-05/0.01 18/3.7241e-05/0.01
    Broyden tridiagonal 30 1 1676/4.0928e-04/1.49 25/3.5494e-04/0.03 12/1.9277e-05/0.02 10/2.9073e-05/0.01 9/1.6273e-05/0.02 9/1.1863e-05/0.02
    10 1681/4.0933e-04/1.48 31/3.7621e-04/0.03 66/3.0745e-05/0.04 15/2.8837e-05/0.02 14/1.4125e-05/0.01 14/9.5072e-06/0.02
    100 1685/4.0919e-04/1.50 35/3.6087e-04/0.03 564/2.0700e-05/0.15 18/3.8010e-05/0.03 17/1.7068e-05/0.01 17/1.0588e-05/0.02
    Broyden banded 30 1 468/2.1508e-04/0.37 17/1.0301e-04/0.02 15/3.3592e-06/0.02 13/2.6804e-06/0.03 12/1.7694e-06/0.02 12/1.3777e-06/0.02
    10 474/2.1511e-04/0.37 23/1.1049e-04/0.02 71/6.8476e-06/0.04 19/3.0285e-06/0.04 18/2.0737e-06/0.02 18/1.6308e-06/0.02
    100 480/2.1493e-04/0.38 29/9.8317e-05/0.02 571/5.1853e-06/0.19 24/5.9445e-06/0.03 23/4.5273e-06/0.02 23/3.4937e-06/0.02

     | Show Table
    DownLoad: CSV
    Table 3.  Numerical results of the second singular test with rank(F(x))=n2.
    Function n x0 LMM ALMM
    δ=104 δ=0.5 δ=1 δ=1 δ=1.5 δ=2
    Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times Iters/Fun./Times
    Rosenbroc 2 1 191/1.3540e-04/0.04 12/7.5794e-05/0.00 12/1.2508e-04/0.00 10/6.1241e-05/0.03 10/5.2300e-05/0.00 10/4.9886e-05/0.01
    10 194/1.3508e-04/0.03 14/1.2086e-04/0.00 27/3.6441e-05/0.01 12/1.3200e-04/0.01 12/1.1282e-04/0.00 12/1.0763e-04/0.00
    100 197/1.3524e-04/0.03 18/6.8028e-05/0.00 139/6.3285e-05/0.02 16/4.4471e-05/0.01 16/3.7792e-05/0.00 16/3.5998e-05/0.01
    Powell badly scaled 2 1 24/2.1152e-03/0.01 15/1.8965e-03/0.01 9/2.0698e-03/0.00 9/1.8361e-03/0.01
    10 2/3.3652e-05/0.00 2/3.3652e-05/0.00 2/3.3652e-05/0.00 2/3.3652e-05/0.00 2/3.3648e-05/0.00 2/3.3541e-05/0.00
    100 2/9.9781e-03/0.00 2/9.9781e-03/0.00 2/9.9781e-03/0.00 4/8.8941e-03/0.00 3/6.0819e-05/0.00 3/4.0610e-05/0.00
    Wood 4 1 244/1.5339e-04/0.10 15/6.9391e-05/0.01 20/2.7220e-06/0.01 13/6.7353e-06/0.01 13/4.0105e-06/0.01 13/3.7030e-06/0.02
    10 247/1.5336e-04/0.09 18/6.7864e-05/0.01 62/3.7183e-06/0.02 16/6.2995e-06/0.02 16/3.7303e-06/0.01 16/3.4399e-06/0.02
    100 250/1.5354e-04/0.08 21/7.8180e-05/0.01 448/6.9661e-06/0.07 19/9.5795e-06/0.01 19/5.9123e-06/0.01 19/5.5402e-06/0.02
    Helical valley 3 1 74/9.6343e-05/0.03 26/7.3446e-05/0.01 16/6.9973e-05/0.01 19/1.1355e-06/0.01 16/5.2337e-07/0.01
    10 80/9.8653e-05/0.03 40/1.7523e-04/0.01 15/1.3215e-05/0.01 11/3.3338e-09/0.01 10/2.0070e-06/0.01
    100 97/9.6417e-05/0.03 166/1.3437e-04/0.03 11/3.5474e-07/0.01 10/1.0864e-07/0.01 10/1.1739e-07/0.01
    Brown almost-linear 10 1 323/1.7755e-04/0.05 11/1.4159e-04/0.00 9/1.3099e-04/0.00 7/1.3034e-04/0.01 7/9.2295e-05/0.00 7/8.2906e-05/0.01
    10 327/1.7624e-04/0.05 25/1.3093e-04/0.01 35/1.0117e-04/0.01 22/1.2089e-04/0.01 22/9.7275e-05/0.01 22/9.1952e-05/0.02
    100 349/1.7616e-04/0.05 47/1.2040e-04/0.01 200/1.1852e-04/0.03 44/9.6552e-05/0.01 44/7.6970e-05/0.02 44/7.2340e-05/0.02
    Discrete boundary value 10 1 52/1.7225e-04/0.02 6/1.7033e-04/0.01 3/1.6895e-04/0.00 3/1.6895e-04/0.00 4/1.3268e-05/0.01 2/1.2316e-04/0.00
    10 307/1.7442e-03/0.15 21/2.9159e-04/0.02 18/3.3749e-04/0.03 11/1.0832e-05/0.02 9/5.5811e-06/0.02
    100 96/1.7953e-04/0.04 63/5.2469e-06/0.02 21/1.0307e-04/0.03 14/4.2442e-06/0.01 12/1.0017e-07/0.02
    Discrete integral equation 30 1 31/9.2504e-04/0.05 7/1.1033e-04/0.02 7/1.1033e-04/0.03 6/1.1846e-05/0.02 5/1.3736e-05/0.02
    10 109/9.2784e-04/0.16 24/9.2835e-05/0.04 22/6.1844e-05/0.10 14/8.2708e-06/0.04 11/1.2211e-05/0.04
    100 98/4.5114e-03/0.15 112/1.5727e-03/0.13 22/2.3434e-03/0.06 19/1.6518e-05/0.06 14/2.9746e-05/0.05
    Variably dimensioned 10 1 30/4.2924e-05/0.02 13/3.0590e-05/0.01 16/1.0322e-05/0.01 13/2.2897e-05/0.01 13/2.2549e-05/0.01 13/2.2469e-05/0.01
    10 32/4.1881e-05/0.01 15/2.2471e-05/0.01 35/1.6634e-05/0.01 15/1.1612e-05/0.01 15/1.1406e-05/0.02 15/1.1344e-05/0.02
    100 36/4.1593e-05/0.01 22/1.1535e-05/0.01 246/1.7497e-05/0.04 18/3.8108e-05/0.01 18/3.7440e-05/0.01 18/3.7239e-05/0.02
    Broyden tridiagonal 30 1 1676/4.0925e-04/1.45 25/3.5485e-04/0.03 12/1.9268e-05/0.02 10/2.9527e-05/0.02 9/1.6388e-05/0.03 9/1.1923e-05/0.03
    10 1681/4.0930e-04/1.48 31/3.7612e-04/0.03 66/3.0634e-05/0.04 15/2.8724e-05/0.03 14/1.4120e-05/0.03 14/9.5108e-06/0.04
    100 1685/4.0916e-04/1.49 35/3.6079e-04/0.03 564/2.0621e-05/0.15 18/3.7836e-05/0.02 17/1.7045e-05/0.03 17/1.0580e-05/0.03
    Broyden banded 30 1 468/2.1499e-04/0.40 17/1.0294e-04/0.03 15/3.3561e-06/0.02 13/2.6796e-06/0.02 12/1.7692e-06/0.04 12/1.3776e-06/0.04
    10 474/2.1502e-04/0.38 23/1.1041e-04/0.02 71/6.8405e-06/0.04 19/3.0266e-06/0.03 18/2.0731e-06/0.03 18/1.6305e-06/0.04
    100 480/2.1484e-04/0.39 29/9.8244e-05/0.02 571/5.1799e-06/0.22 24/5.9415e-06/0.03 23/4.5260e-06/0.04 23/3.4930e-06/0.04

     | Show Table
    DownLoad: CSV

    Some remarks are in order. In all tests, ALMM converges to the required accuracy within the maximum iterations while LMM fails for some cases; see, for instance, Powell badly scaled problem in Table 2 and Discrete integral equation problem in Table 3. Furthermore, the number of iteration step required by ALMM is less than that by LMM. For this reason, we conclude that ALMM is a competitive variant of the Levenberg-Marquardt method.

    We present a Levenberg-Marquardt method with an adaptive LM parameter for solving systems of nonlinear equations. We have analyzed its local and global convergence under a new error bound condition of function, which can be derived from the local error bound condition, and Lipschitz continuity of the Jacobian. These properties hold in many applied problems, as they are satisfied by any real analytic function. The effectiveness of the adaptive Levenberg-Marquardt method is validated by the numerical examples.

    The work of Lin Zheng was supported by the Natural Science Foundation of the Higher Education Institutions of Anhui Province grant KJ2020A0017. The work of Liang Chen was supported by the Abroad Visiting of Excellent Young Talents in Universities of Anhui Province grant GXGWFX2019022 and the Natural Science Foundation of the Higher Education Institutions of Anhui Province grant KJ2020ZD008. The work of Yanfang Ma was supported by the Natural Science Foundation of Anhui Province grant 2108085MF204 and the Natural Science Foundation of the Higher Education Institutions of Anhui Province grant KJ2019A0604. Part of this work was done while Liang Chen and Yanfang Ma were visiting scholars at Department of Mathematics, the University of Texas at Arlington from August 2019 to August 2020. They would like to thank Prof. Ren-Cang Li for his hospitality during the visit.

    The authors declare no conflict of interest.



    Conflict of interest



    The author declares no conflicts of interest in this paper.

    [1] Luther L, Gearhart T, Fukui S, et al. (2017) Working overtime in community mental health: associations with clinician burnout and perceived quality of care. Psychiatr Rehabil J 40: 252-259. https://doi.org/10.1037/prj0000234
    [2] Pope KS, Tabachnick BG (1993) Therapists' anger, hate, fear, and sexual feelings: national survey of therapist responses, client characteristics, critical events, formal complaints, and training. Prof Psychol Res Pr 24: 142-152. https://doi.org/10.1037/0735-7028.24.2.142
    [3] Hadjipavlou G, Halli P, Hernandez CAS, et al. (2016) Personal therapy in psychiatry residency training: A national survey of Canadian psychiatry residents. Acad Psychiatry 40: 30-37. https://doi.org/10.1007/s40596-015-0407-9
    [4] Woo T, Ho R, Tang A, et al. (2020) Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res 123: 9-20. https://doi.org/10.1016/j.jpsychires.2019.12.015
    [5] Salyers MP, Bonfils KA, Luther L, et al. (2017) The relationship between professional burnout and quality and safety in healthcare: A meta-analysis. J Gen Intern Med 32: 475-482. https://doi.org/10.1007/s11606-016-3886-9
    [6] Skovholt TM, Trotter-Mathison M (2016) The resilient practitioner: Burnout and compassion fatigue prevention and self-care strategies for the helping professions. New York: Routledge.
    [7] Segall A, Goldstein J (1989) Exploring the correlates of self-provided health care behaviour. Soc Sci Med 29: 153-161. https://doi.org/10.1016/0277-9536(89)90163-9
    [8] Norcross JC, VandenBos GR (2018) Leaving it at the office: A guide to therapist self-care. NY: Guilford Press.
    [9] Kushnir T, Rabin S, Azulai S (1997) A descriptive study of stress management in a group of pediatric oncology nurses. Cancer Nurs 20: 414-421. https://doi.org/10.1097/00002820-199712000-00005
    [10] Di Martino V (1992) Preventing stress at work. Overview and analysis. Conditions of work digest. Geneva: International Labor Office (p. 11).
    [11] Mosolova E, Chung S, Sosin D, et al. (2020) Stress and anxiety among healthcare workers associated with COVID-19 pandemic in Russia. Psychiatr Danub 32: 549-556. https://doi.org/10.24869/psyd.2020.549
    [12] CMPA (Canadian Medical Protective Association)Physician health: putting yourself first (2022). Available from: https://www.cmpa-acpm.ca/en/advice-publications/browse-articles/2015/physician-health-putting-yourself-first
    [13] Rokach A, Sha'ked A (2013) Together and lonely: Loneliness in intimate relationships—Causes and coping. NY: Nova Science Publishers.
    [14] Rokach A (2019) The Psychological Journey to and from Loneliness: development, causes, and effects of social and emotional isolation. Cambridge, MA: Academic Press.
    [15] Soler-Gonzalez J, San-Martín M, Delgado-Bolton R, et al. (2017) Human connections and their roles in the occupational well-being of healthcare professionals: A study on loneliness and empathy. Front Psychol 8: 1475. https://doi.org/10.3389/fpsyg.2017.01475
    [16] Karaoglu N, Pekcan S, Durduran Y, et al. (2015) A sample of paediatric residents' loneliness-anxiety-depression-burnout and job satisfaction with probable affecting factors. J Pak Med Assoc 65: 183-191.
    [17] Gündoğan H Meaning-making process of psychotherapists on feelings of incompetence through the framework of the professional self-development: sources, consequences, and defense mechanisms (2017). (Doctoral dissertation, Middle East Technical University, Ankara, Turkey)
    [18] Levitt DH, Jacques JD (2005) Promoting tolerance for ambiguity in counselor training programs. J Humanist Counse Educ Dev 44: 46-54. https://doi.org/10.1002/j.2164-490X.2005.tb00055.x
    [19] Preti E, Di Mattei V, Perego G, et al. (2020) The psychological impact of epidemic and pandemic outbreaks on healthcare workers: rapid review of the evidence. Curr Psychiatry Rep 22: 43. https://doi.org/10.1007/s11920-020-01166-z
    [20] Del Castillo DM Male Psychotherapists' Masculinities: A Narrative Inquiry into the Intersection Between Gender and Professional Identities (2010). (Doctoral dissertation, Miami University, Oxford, USA).
    [21] Nelson W, Pomerantz A, Howard K, et al. (2007) A proposed rural healthcare ethics agenda. J Med Ethics 33: 136-139. https://doi.org/10.1136/jme.2006.015966
    [22] Simpson S, Simionato G, Smout M, et al. (2018) Burnout amongst clinical and counselling psychologists: the role of early maladaptive schemas and coping modes as vulnerability factors. Clin Psychol Psychother 26: 35-46. https://doi.org/10.1002/cpp.2328
    [23] Guy JD (1987) The personal life of the psychotherapist. New York: Wiley.
    [24] Firew T, Sano ED, Lee JL, et al. (2020) Protecting the front line: a cross-sectional survey analysis of the occupational factors contributing to healthcare workers' infection and psychological distress during the COVID-19 pandemic in the USA. BMJ Open 10: e042752. https://doi.org/10.1136/bmjopen-2020-042752
    [25] Que J, Shi L, Deng J, et al. (2020) Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr 33: e100259. https://doi.org/10.1136/gpsych-2020-100259
    [26] García-Zamora S, Pulido L, Miranda-Arboleda AF, et al. (2022) Aggression, micro-aggression, and abuse against health care providers during the COVID-19 pandemic. A Latin American survey. Curr Probl Cardiol 47: 101296. https://doi.org/10.1016/j.cpcardiol.2022.101296
    [27] Maroda KJ (2010) Psychodynamic techniques: Working with Emotion in the Therapeutic Relationship. New York: Guilford Press.
    [28] Walters M The client's explicit expression of anger towards their therapist: a grounded theory study of female trainee therapists (2018). (Doctoral dissertation, Middlesex University, London, England). Available from: http://eprints.mdx.ac.uk/25925/
    [29] Burns EM When patients attack: The experience of inpatient mental health counselors after a physical attack from a patient (2018). (Doctoral dissertation, University of Tennessee, Knoxville, USA). Available from: https://trace.tennessee.edu/utk_graddiss/5251/
    [30] Reuben A Secondary trauma: When PTSD is contagious. The Atlantic (2015). Available from: https://www.theatlantic.com/health/archive/2015/12/ptsd-secondary-trauma/420282/
    [31] Pearlman LA, Saakvitne KW (1995) Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. New York: Norton.
    [32] Trumello C, Bramanti SM, Ballarotto G, et al. (2020) Psychological adjustment of healthcare workers in Italy during the COVID-19 pandemic: differences in stress, anxiety, depression, burnout, secondary trauma, and compassion satisfaction between frontline and non-frontline professionals. Int J Environ Res Public Health 17: 8358. https://doi.org/10.3390/ijerph17228358
    [33] Thomas JT (2005) Licensing board complaints: minimizing the impact on the psychologist's defense and clinical practice. Prof Psychol Res Pr 36: 426-433. https://doi.org/10.1037/0735-7028.36.4.426
    [34] Rupert PA, Stevanovic P, Hunley HA (2009) Work-family conflict and burnout among practicing psychologists. Prof Psychol Res Pr 40: 54-61. https://doi.org/10.1037/a0012538
    [35] Lai CC, Shih TP, Ko WC, et al. (2020) Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and coronavirus disease-2019 (COVID-19): The epidemic and the challenges. Int J Antimicrob Agents 55: 105924. https://doi.org/10.1016/j.ijantimicag.2020.105924
    [36] Miller RD, Giffin JA (2019) Parallel pregnancies: The impact on the supervisory relationship and art therapy practice. Arts Psychother 63: 94-101. https://doi.org/10.1016/j.aip.2018.12.007
    [37] Bienen M (1990) The pregnant therapist: Countertransference dilemmas and willingness to explore transference material. Psychother Theory Res Pract Train 27: 607-612. https://doi.org/10.1037/0033-3204.27.4.607
    [38] Locker-Forman A (2005) When real meets pretend: An exploration of the impact of the therapist's pregnancy on child psychotherapy.City University of New York.
    [39] Zackson J The impact of primary maternal preoccupation on therapists' ability to work with patients (2012). (Doctoral dissertation, City University of New York)
    [40] Das S, Singh T, Varma R, et al. (2021) Death and mourning process in frontline health care professionals and their families during COVID-19. Front Psychiatry 12: 624428. https://doi.org/10.3389/fpsyt.2021.624428
    [41] Norris DM, Gutheil TG, Strasburger LH (2003) This couldn't happen to me: boundary problems and sexual misconduct in the psychotherapy relationship. Psychiatr Serv 54: 517-522. https://doi.org/10.1176/appi.ps.54.4.517
    [42] Romero J Therapists' experiences with illness, injury, and disability: effects on the therapist's subjectivity and the therapeutic relationship (2018). (Doctoral dissertation, The State University of New Jersey)
    [43] Myran DT, Cantor N, Rhodes E, et al. (2022) Physician health care visits for mental health and substance use during the COVID-19 pandemic in Ontario, Canada. JAMA Netw Open 5: e2143160. https://doi.org/10.1001/jamanetworkopen.2021.43160
    [44] Lasky R (2005) The training analysis in the mainstream Freudian model. The psychotherapist's own psychotherapy. Oxford: Oxford University Press.
    [45] Goldfried MR (2001) Conclusion: A perspective on how therapists change. Washington, DC: American Psychological Association. https://doi.org/10.1037/10392-017
    [46] Freud S (1933) Fragment of an analysis of a case of hysteria. Collected papers of Sigmund Freud. London: Hogarth. (Original work published 1905)
    [47] Chodron P (1994) Start where you are: A guide to compassionate living. Boston: Shambhala.
    [48] Kazak AE, Noll RB (2004) Child death from pediatric illness: conceptualizing intervention from a family/systems and public health perspective. Prof Psychol Res Pract 35: 219-226. https://doi.org/10.1037/0735-7028.35.3.219
    [49] Skovholt TM, Jennings L (2004) Master therapists: Exploring expertise in therapy and counseling. Boston, MA: Allyn & Bacon.
    [50] Florio Pipas C (2020) Caring for me is caring for you: the power of physician self-care and personal transformation. Fam Pract Manag 27: 17-22.
    [51] Fjorback LO, Arendt M, Ornbøl E, et al. (2011) Mindfulness-based stress reduction and mindfulness-based cognitive therapy: A systematic review of randomized controlled trials. Acta Psychiatr Scand 124: 102-119. https://doi.org/10.1111/j.1600-0447.2011.01704.x
    [52] Fessell DP, Goleman D (2020) How health care workers can take care of themselves.Harvard Business Reviw, Analytic Services.
    [53] Irwin MR, Cole JC, Nicassio PM (2006) Comparative meta-analysis of behavioral interventions for insomnia and their efficacy in middle-aged adults and in older adults 55+ years of age. Health Psychol 25: 3-14. https://doi.org/10.1037/0278-6133.25.1.3
    [54] Bush AD (2015) Simple self-care for therapists: Restorative practices to weave through your workday. New York: Norton.
    [55] Field TM (1998) Massage therapy effects. Am Psychol 53: 1270-1281. https://doi.org/10.1037/0003-066X.53.12.1270
    [56] Hou W, Chiang P, Hsu T, et al. (2010) Treatment effects of massage therapy in depressed people: A meta-analysis. J Clin Psychiatry 71: 894-901. https://doi.org/10.4088/JCP.09r05009blu
    [57] Pope KS Exercise's effects on psychological health, well-being, disorders, cognition, & quality of life (2017). Available from: https://kspope.com/ethics/exercise-meta-analyses.php
    [58] Neuhaus M, Eakin EG, Straker L, et al. (2014) Reducing occupational sedentary time: a systematic review and meta-analysis of evidence on activity-permissive workstations. Obes Rev 15: 822-838. https://doi.org/10.1111/obr.12201
    [59] Augustin S, Morelli A (2017) Psychotherapy office designs that support treatment objectives. Handbook of private practice: keys to success for mental health practitioners. New York: Oxford University Press.
    [60] Korn L (2014) How food improves mood: bringing nutrition into the consulting room. Psychotherapy Networker : pp. 30-32. Available from: https://www.psychotherapynetworker.org/magazine/article/146/in-consultation
    [61] Knapp S, Sternlieb JL (2012) Stirring the “emotional soup.”. Pennsylvania Psychologist 76: 9-10.
    [62] Johnson WB, Barnett JE, Elman NS, et al. (2013) The competence constellation model: A communitarian approach to support professional competence. Prof Psychol Res Pract 44: 343-354. https://doi.org/10.1037/a0033131
    [63] Turner JA, Edwards LM, Eicken IM, et al. (2005) Intern self-care: an exploratory study into strategy use and effectiveness. Prof Psychol Res Pract 36: 674-680. https://doi.org/10.1037/0735-7028.36.6.674
    [64] Norcross JC, Dryden W, DeMichele JT (1992) British clinical psychologists and personal therapy: What's good for the goose?. Clin Psychol Forum 44: 29-33.
    [65] Orlinsky DE, Norcross JC, Rønnestad MH, et al. (2005) Outcomes and impacts of psychologists' personal therapy: A research review. The psychologist's own psychotherapy. Oxford: Oxford University Press.
    [66] Gold SH, Hilsenroth MJ, Kuutmann K, et al. (2015) Therapeutic alliance in the personal therapy of graduate clinicians: relationship to the alliance and outcomes of their patients. Clin Psychol Psychother 22: 304-316. https://doi.org/10.1002/cpp.1888
    [67] Unadkat S, Farquhar M (2020) Doctors' wellbeing: self-care during the covid-19 pandemic. BMJ 368: m1150. https://doi.org/10.1136/bmj.m1150
    [68] Johnson WB, Barnett JE, Elman NS, et al. (2012) The competent community: toward a vital reformulation of professional ethics. Am Psychol 67: 557-569. https://doi.org/10.1037/a0027206
    [69] Welfel ER (2015) Ethics in counseling & psychotherapy. London: Cengage Learning.
    [70] Gottlieb MC, Handelsman MM, Knapp SJ (2013) A model for integrated ethics consultation. Prof Psychol Res Pract 44: 307-313. https://doi.org/10.1037/a0033541
    [71] Wilcox MM, Franks DN, Taylor TO, et al. (2020) Who's multiculturally competent? Everybody and nobody: A multimethod examination. Couns Psychol 48: 466-497. https://doi.org/10.1177/0011000020904709
    [72] Welch ID (1998) The path of psychotherapy: Matters of the heart. New York: Brooks/Cole.
  • This article has been cited by:

    1. Haiming Liu, Jiajing Miao, Extended Legendrian Dualities Theorem in Singularity Theory, 2022, 14, 2073-8994, 982, 10.3390/sym14050982
    2. Ibrahim AL-Dayel, Emad Solouma, Meraj Khan, On geometry of focal surfaces due to B-Darboux and type-2 Bishop frames in Euclidean 3-space, 2022, 7, 2473-6988, 13454, 10.3934/math.2022744
    3. Xiaoyan Jiang, Jianguo Sun, Local geometric properties of the lightlike Killing magnetic curves in de Sitter 3-space, 2021, 6, 2473-6988, 12543, 10.3934/math.2021723
  • Reader Comments
  • © 2023 the Author(s), licensee AIMS Press. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0)
通讯作者: 陈斌, bchen63@163.com
  • 1. 

    沈阳化工大学材料科学与工程学院 沈阳 110142

  1. 本站搜索
  2. 百度学术搜索
  3. 万方数据库搜索
  4. CNKI搜索

Metrics

Article views(2352) PDF downloads(190) Cited by(0)

Other Articles By Authors

/

DownLoad:  Full-Size Img  PowerPoint
Return
Return

Catalog