The frames of the mind of a psychiatrist

2017 ◽  
Vol 37 (2) ◽  
pp. 134-135
Author(s):  
M. O. Huttunen

The structures of our mind may be understood as ‘frames’, which play a key role in our everyday goals, choices and decisions. Understanding these often unconscious processes may help us to understand the complex decisions we make in our clinical practice. Such frames may be many in number, being based, for example, on medical, psychological, social, trauma, or problem-solving models. The ‘frames’ we use in our clinical decisions should be tailored to the needs of our patients, and may need to be adapted at different phases of illness.

2019 ◽  
Vol 18 (3) ◽  
pp. 197-199
Author(s):  
Mariusz Panczyk ◽  
Joanna Gotlib

AbstractIntroduction. Although European healthcare systems differ from country to country, almost all are currently going through profound changes and are becoming increasingly complex. New tasks and growing social expectations towards healthcare build high expectations of medical professionals regarding their competences. Knowledge and skills allowing for choosing the safest and most efficient option for patient care are particularly welcome. The idea of Evidence-based Nursing Practice (EBP) combines the best available research evidence on the one hand and clinical expertise and patients’ expectations on the other, allowing for solving problems in making clinical decisions. EBP is a tool used for making clinical decisions in nursing care that helps to reduce the cost of healthcare by increasing efficiency and safety. Under the Directive 2013/55/EU European Federation of Nurses Associations developed qualifications framework that provides requirements for nursing training, with the ability to apply research evidence in clinical practice being one of its key elements. Despite the aforementioned recommendations, the actual implementation of EBP into clinical practice is hindered by various obstacles. In addition, the existing European resources enhancing EBP teaching for nursing students are very limited.Summary. The EBP e-Toolkit Project is a response to high needs of the academic world and nursing practitioners, involving six institutions whose cooperation and expertise aim to ensure the development and implementation of high-quality learning tools tailored to the educational needs of modern nursing personnel. The six higher education institutions that jointly implement the aforementioned project involve: the University of Murcia (coordinating institution, Spain), Technological Educational Institute of Crete (Greece), University of Modena e Reggio Emilia (Italy), University of Ostrava (Czech Republic), Medical University of Warsaw (Poland), and Angela Boskin Faculty of Health Care (Slovenia).


2021 ◽  
pp. 79-130
Author(s):  
Marc Gopin

The ethical schools of thought are essential to decision-making for peacebuilding and positive social change. The directives emerging from ethical schools often contradict each other, but Compassionate Reasoning can help resolve these contradictions and guide people in a more coherent direction of thinking and acting. The cultivation of compassion is shown to be a glue that bonds schools of ethics into one enterprise of moral reasoning as seen through several lenses. People who reason together are more adept at problem solving than when reasoning alone, but only if they have cultivated caring and compassionate relationships as a group. Moral reasoning in fierce competition with others, by contrast, retards the discovery of solutions to thorny problems. Compassionate Reasoning encourages collective reasoning rather than isolated and selfish reasoning. Excessive obedience to authority is also one of the most dangerous aspects of the human lower brain. A critical antidote is extensive training in taking the perspectives of others through Compassionate Reasoning.


Author(s):  
Allan M Cyna ◽  
Suyin GM Tan

Many of the communications commonly encountered in anaesthetic practice elicit subconscious responses, and, because this is so, they frequently go unrecognized. This form of communication involves verbal and non-verbal cues also known as suggestions that can elicit automatic changes in perception or behaviour. Much of this chapter is based on language structures that are thought to make subconscious changes in perception, mood or behaviour more likely, both with patients and anaesthetists themselves. Recognizing subconscious responses will facilitate communication. As is discussed later, anaesthetists can communicate with patients and colleagues in ways that utilize subconscious functioning. To all intents and purposes this looks like intuitive communication, when in reality it has structure and therefore can be learned and taught. The conscious and unconscious states are familiar to all anaesthetists. However, it is frequently unappreciated that all patients, whether in an unconscious or conscious state, will also be functioning subconsciously. In the unconscious patient it is well recognized that subconscious activities still occur—for example, in implicit awareness. Most people would appreciate that there are times during consciousness when they switch off the ‘logical brain’ and enter ‘daydream’-type thinking or they ‘tune out’. People including anaesthetists tend to function subconsciously most of the time—for example, during routine activities such as driving home on ‘autopilot’ and arriving home without realizing it consciously. The ability we all have to function automatically—that is, subconsciously—frees up the conscious part of the mind to focus on other things such as planning tomorrow’s ‘neuro’ case. The teleological basis for this ability lies in being able to filter the massive amount of information continuously presented to the individual. This allows the conscious mind to focus on what it perceives to be important—facilitating learning, logical thinking and problem solving. During activities where logical thinking is not a requirement, the subconscious comes to the fore. This is characterized by dissociation from the external environment—being ‘in your own world’. Paradoxically, at times of extreme stress, the subconscious tends to take over when the conscious part of the mind becomes so overwhelmed by external inputs it ceases to function logically.


Author(s):  
H. Carl Haywood

Cognitive early education, for children between ages 3 and 6 years, is designed to help learners develop and apply logic tools of systematic thinking, perceiving, learning, and problem-solving, usually as supplements to the content-oriented preschool and kindergarten curricula. Key concepts in cognitive early education include metacognition, executive functions, motivation, cognition, and learning. Most programs of cognitive early education are based on conceptions of cognitive development attributed to Jean Piaget, Lev S. Vygotsky, A. R. Luria, and Reuven Feuerstein. Piagetians and neoPiagetians hold that children must construct their personal repertoire of basic thinking processes on the basis of their early experience at gathering, assimilating, and reconciling knowledge. Vygotskians and neoVygotskians believe that cognitive development comes about through adults’ mediation of basic learning tools, which children internalize and apply. Adherents to Feuerstein’s concepts likewise accord a prominent role to mediated learning experiences. Followers of Luria believe that important styles of information processing underlie learning processes. Most programs emphasize, to varying degrees, habits of metacognition, that is, thinking about one’s own thinking as well as selecting and applying learning and problem-solving strategies. An important subset of metacognition is development and application of executive functions: self-regulation, management of one’s intellectual resources. Helping children to develop the motivation to learn and to derive satisfaction from information processing and learning is an important aspect of cognitive early education. Widely used programs of cognitive early education include Tools of the Mind, Bright Start, FIE-Basic, Des Procedures aux Concepts (DPC), PREP/COGENT, and Systematic Concept Teaching.


2008 ◽  
Vol 32 (2) ◽  
pp. 319 ◽  
Author(s):  
Robin Mortimer ◽  
Sunil Lakhani

While there has been a strong history of pathology in understanding disease, in recent years we have seen less appreciation of the value of pathology in clinical practice. Divisions at the clinical level, with pathology delivered from isolated buildings at the periphery of hospitals rather than within the heart of it, confirms in the mind of the new graduate the lack of importance of the discipline, despite using the service daily. We argue that it is time for a reintegration of pathology services.


Author(s):  
Ahmad Ayed ◽  
Mosab Amoudi

Physical therapy students will be exposed to stressors across clinical practice. The aggregate stress conveys to the new behavioral responses occur through the clinical training. The study aimed to examine the stress sources faced by physical therapy students and behaviors of coping used in their clinical practice. A cross-section study with a sample of 83 physical therapy students. Data were collected through Perceived Stress Scale and Coping Behavioral Inventory Scale. The mean of perceived stress by the respondents was 66.3 (standard deviation [SD] = 17.01) and the coping behaviors mean was 35.15 (SD = 9.67). The most common type of factor stressors perceived was looking for care of patients (M = 16.6 ± 4.4) and the most common coping behavior was problem solving (M = 13.8±6.6). The study confirmed that the perceived stress and coping behaviors of physical therapy students were moderate in clinical practice. Stress from the care of patients is the greatest stressful, and problem solving was the greatest coping.


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