The items of MDS-R were categorized according to Likert scale from zero (never) to 4 (often) to assess the frequency of moral distress and from zero (none) to 4 (largely) to assess the intensity of moral distress, which can range from 0 to 16, where the items that are less distressing have low "f" × "i" scores versus more distressing items, which have higher "f" × "i" scores.
She overheard some distressing conversation which made her feel she was getting more attention than she deserved.
Opening the trial, Mr Aylett told jurors: "I'm afraid that this is a distressing case which you will find both terrible and tragic.
"They face unceasing demands that are unsatisfiable, they are working in a distressing context, which can be life-threatening and they are filled with a core fear of personal disintegration," he says.
A MoJ spokesman said the department did not recognise the figures but it was "determined to stamp out this distressing practice which causes property owners untold misery and costs them thousands of pounds in eviction, repair and cleanup costs".
One such distressing image, which appeared on the front page of The Washington Post and was circulated by the armed wing of Hamas, shows Jihad Misharawi, a Palestinian journalist who works for the BBC in Gaza, cradling the dead body of his 11-month-old son, Omar.
In their replies they have drawn on a thoughtful response from Leslie Plommer, a former corrections editor at the Guardian, to criticism of a previous use of pictures that many found distressing, in which she brought a historical perspective to the issue.
Tension-type headache (TTH) is a distressing condition which, when chronic, can affect patients almost daily and can often be difficult to treat effectively [1].
Some individuals with Obsessive Compulsive Disorder (OCD) may experience recurrent intrusive distressing images, which may be emotionally linked to past aversive memories.
Being infected with multidrug resistant organisms (MDROs) and the consequent isolation can be an extremely distressing experience which warrants further investigation.
