On Our Difficulties Speaking to and About the Dying

2014 ◽  
Author(s):  
David Barnard
Keyword(s):  
Cultural History ◽  
Interpersonal Relationships ◽  
Social Engagement ◽  
Modern Society ◽  
Skills Training ◽  
The Body ◽  
Self Awareness ◽  
Communications Skills

Interactions with dying and bereaved people in modern society are frequently marked by awkwardness, embarrassment, and silence, reactions that influence the patterns of care people receive near the end of life, as well as the quality of their interpersonal relationships. These reactions are usually interpreted in terms of personal psychology and individual behavior, which gives rise to remedies for health professionals in the form of communications skills training and personal self-awareness. From the perspective of social and cultural history, however, these reactions are a manifestation of shame induced by exposure to, or reminders of, the physical body—its functions and its disintegration—that the processes of “civilization” have progressively demanded be kept out of sight and out of consciousness. Changes in behavior from this perspective will depend on long-term social movements that bring the body and its functions within the boundaries of acceptable personal reflection and social engagement.

Integrating Focusing and Differentiation: A Therapeutic Path for Couples in Intimate Relationships

2018 ◽  
Vol 3 ◽  
Author(s):  
Evi Zohar
Keyword(s):  
Couples Therapy ◽  
Therapeutic Potential ◽  
Well Being ◽  
Point Of View ◽  
The Body ◽  
Self Awareness ◽  
Emotional Healing ◽  
Felt Sense ◽  
Inner World

Continuing the workshop I've given in the WPC Paris (2017), this article elaborates my discussion of the way I interlace Focusing with Differentiation Based Couples Therapy (Megged, 2017) under the systemic view, in order to facilitate processes of change and healing in working with intimate couples. This article presents the theory and rationale of integrating Differentiation (Bowen, 1978; Schnarch, 2009; Megged, 2017) and Focusing (Gendlin, 1981) approaches, and its therapeutic potential in couple's therapy. It is written from the point of view of a practicing professional in order to illustrate the experiential nature and dynamics of the suggested therapeutic path. Differentiation is a key to mutuality. It offers a solution to the central struggle of any long term intimate relationship: balancing two basic life forces - the drive for individuality and the drive for togetherness (Schnarch, 2009). Focusing is a body-oriented process of self-awareness and emotional healing, in which one learns to pay attention to the body and the ‘Felt Sense’, in order to unfold the implicit, keep it in motion at the precise pace it needs for carrying the next step forward (Gendlin, 1996). Combining Focusing and Differentiation perspectives can cultivate the kind of relationship where a conflict can be constructively and successfully held in the inner world of each partner, while taking into consideration the others' well-being. This creates the possibility for two people to build a mutual emotional field, open to changes, permeable and resilient.

scholarly journals Developing WHO guidelines: Time to formally include evidence from mathematical modelling studies

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 1584 ◽  
Author(s):  
Matthias Egger ◽  
Leigh Johnson ◽  
Christian Althaus ◽  
Anna Schöni ◽  
Georgia Salanti ◽  
...  
Keyword(s):  
Mathematical Modelling ◽  
The Body ◽  
World Health ◽  
Who Guidelines ◽  
Problem Model ◽  
Assessment Development ◽  
Modelling Studies ◽  
Health Organization

In recent years, the number of mathematical modelling studies has increased steeply. Many of the questions addressed in these studies are relevant to the development of World Health Organization (WHO) guidelines, but modelling studies are rarely formally included as part of the body of evidence. An expert consultation hosted by WHO, a survey of modellers and users of modelling studies, and literature reviews informed the development of recommendations on when and how to incorporate the results of modelling studies into WHO guidelines. In this article, we argue that modelling studies should routinely be considered in the process of developing WHO guidelines, but particularly in the evaluation of public health programmes, long-term effectiveness or comparative effectiveness.  There should be a systematic and transparent approach to identifying relevant published models, and to commissioning new models.  We believe that the inclusion of evidence from modelling studies into the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process is possible and desirable, with relatively few adaptations.  No single “one-size-fits-all” approach is appropriate to assess the quality of modelling studies. The concept of the ‘credibility’ of the model, which takes the conceptualization of the problem, model structure, input data, different dimensions of uncertainty, as well as transparency and validation into account, is more appropriate than ‘risk of bias’.

Systematically Reviewing the Efficacy of Mindfulness-Based Interventions for Enhanced Athletic Performance

2015 ◽  
Vol 9 (3) ◽  
pp. 232-262 ◽  
Author(s):  
Ryan Sappington ◽  
Kathryn Longshore
Keyword(s):  
Sport Psychology ◽  
Performance Enhancement ◽  
Assessment Tool ◽  
Skills Training ◽  
Sport Performance ◽  
The Body ◽  
Psychological Skills ◽  
Psychological Skills Training ◽  
Quality Of Research

The field of applied sport psychology has traditionally grounded its performance enhancement techniques in the cognitive-behavioral elements of psychological skills training. These interventions typically advocate for controlling one’s cognitive and emotional processes during performance. Mindfulness-based approaches, on the other hand, have recently been introduced and employed more frequently in an effort to encourage athletes to adopt a nonjudgmental acceptance of all thoughts and emotions. Like many applied interventions in sport psychology, however, the body of literature supporting the efficacy of mindfulness-based approaches for performance enhancement is limited, and few efforts have been made to draw evidence-based conclusions from the existing research. The current paper had the purpose of systematically reviewing research on mindfulness-based interventions with athletes to assess (a) the efficacy of these approaches in enhancing sport performance and (b) the methodological quality of research conducted thus far. A comprehensive search of relevant databases, including peer-reviewed and gray literature, yielded 19 total trials (six case studies, two qualitative studies, seven nonrandomized trials, and four randomized trials) in accordance with the inclusion criteria. An assessment tool was used to score studies on the quality of research methodology. While a review of this literature yielded preliminary support for the efficacy of mindfulness-based performance enhancement strategies, the body of research also shows a need for more methodologically rigorous trials.

The Different Impacts on the Long-Term Survival of Tunneled Internal Jugular Hemodialysis Catheters Based on Tip Position and Laterality

2017 ◽  
Vol 43 (4) ◽  
pp. 315-320 ◽  
Author(s):  
Vedran Premuzic ◽  
Drazen Perkov ◽  
Ranko Smiljanic ◽  
Bruna Brunetta Gavranic ◽  
Bojan Jelakovic
Keyword(s):  
Superior Vena ◽  
Vena Cava ◽  
The Body ◽  
Term Survival ◽  
Catheter Tip ◽  
Tip Position ◽  
The Impact

Background/Aims: The aim of this study was to examine the impact of different catheter tip positions on the life of the catheter, dysfunction, infection, and quality of hemodialysis and possible differences between the access site laterality in jugular-tunneled hemodialysis catheters. Methods: Catheters were evaluated for the following parameters: place of insertion, time of insertion, duration of use, and reason for removal. In all patients, the catheter tip position was checked using an X-ray. Results: The mean duration of implanted catheters with the tip placed in the cavo-atrial junction and right atrium was significantly longer. There were no differences in catheter functionality at follow-up or complications based on catheter laterality for each catheter tip position. Conclusion: According to our results, the localization of the catheter tip in superior vena cava still remains the least preferable method. Our results showed that the main factor responsible for better catheter functionality was not laterality but the depth to which the catheter tip is inserted into the body.

scholarly journals Developing WHO guidelines: Time to formally include evidence from mathematical modelling studies

F1000Research ◽  
2018 ◽  
Vol 6 ◽  
pp. 1584 ◽  
Author(s):  
Matthias Egger ◽  
Leigh Johnson ◽  
Christian Althaus ◽  
Anna Schöni ◽  
Georgia Salanti ◽  
...  
Keyword(s):  
Mathematical Modelling ◽  
The Body ◽  
World Health ◽  
Who Guidelines ◽  
Problem Model ◽  
Assessment Development ◽  
Modelling Studies ◽  
Health Organization

In recent years, the number of mathematical modelling studies has increased steeply. Many of the questions addressed in these studies are relevant to the development of World Health Organization (WHO) guidelines, but modelling studies are rarely formally included as part of the body of evidence. An expert consultation hosted by WHO, a survey of modellers and users of modelling studies, and literature reviews informed the development of recommendations on when and how to incorporate the results of modelling studies into WHO guidelines. In this article, we argue that modelling studies should routinely be considered in the process of developing WHO guidelines, but particularly in the evaluation of public health programmes, long-term effectiveness or comparative effectiveness.  There should be a systematic and transparent approach to identifying relevant published models, and to commissioning new models.  We believe that the inclusion of evidence from modelling studies into the Grading of Recommendations Assessment, Development and Evaluation (GRADE) process is possible and desirable, with relatively few adaptations.  No single “one-size-fits-all” approach is appropriate to assess the quality of modelling studies. The concept of the ‘credibility’ of the model, which takes the conceptualization of the problem, model structure, input data, different dimensions of uncertainty, as well as transparency and validation into account, is more appropriate than ‘risk of bias’.

Patterns of Change following Parent Death in Midlife Adults

1991 ◽  
Vol 22 (2) ◽  
pp. 123-137 ◽  
Author(s):  
Joan Delahanty Douglas
Keyword(s):  
Interpersonal Relationships ◽  
Parent Death ◽  
Men And Women ◽  
Midlife Adults ◽  
Early Parent ◽  
Long Term Impact ◽  
Grief Reactions ◽  
Loss Of A Parent

Forty midlife adults, twenty-two women and eighteen men, who had experienced the loss of a parent were interviewed in order to study the long-term impact of parent death. The sample included thirty-six father deaths and eleven mother deaths. Findings suggest that the quality of the early parent-child bond was related to later grief reactions. Gender differences were found in degree of response to death of the father-women demonstrated greater affect than men-while both men and women demonstrated strong affect following the death of the mother. Parent death preceded a time of upheaval and transition for most of the sample, and this upheaval was related to themes of personal mortality and to changes in interpersonal relationships. The event of parent death was an important symbolic event for midlife adults and merits further study.

scholarly journals Urban Mining of e-Waste and the Role of Consumers

2021 ◽  
Author(s):  
Dimitris Georgantzis Garcia ◽  
Sven Kevin van Langen
Keyword(s):  
Consumer Behaviour ◽  
Final Section ◽  
Keyword Search ◽  
Survey Methods ◽  
The Body ◽  
Urban Mining ◽  
Closed Loop Supply Chains

This chapter adds to the body of literature on the Circular Economy (CE), urban mining, and their intersection with consumer behaviour, by first providing a review of existing and emergent EU regulations aimed towards enhancing the collection rate of household WEEE. The fast growth of the EEE waste stream and its potential for Urban Mining as well as the inability of WEEE collection to keep up with the growth of the EEE industry is showcased with statistical data. The final section critically analyses the literature the intersection between consumer behaviour and closed-loop supply chains for EEE, identified through a systematic keyword search to ensure replicability. The findings point at a lack of theoretical, methodological and product-case heterogeneity among the identified sources, with most of them employing the Theory of Planned Behaviour and survey methods and focusing on mobile phones or general WEEE. While the literature suggests important behavioural differences across EEE categories, this was not representatively explored. The final section contributes to filling this gap by developing a taxonomy of EEE categories based on characteristics that may predispose consumer behaviour. The identified dimensions are: size, involvement, long-term reliability expectations, value type, internet access, multifunctionality, the quality of being outdated and social meaning.

GENERAL PRINCIPLES OF USE OF DOSED PHYSICAL EXERCISE IN PATIENTS WITH HEMODIALYSIS

2018 ◽  
Vol 22 (4) ◽  
pp. 102-107 ◽  
Author(s):  
K. A. Vishnevsky ◽  
A. Sh. Rumyantsev ◽  
N. Yu. Korosteleva
Keyword(s):  
The Body ◽  
Energy Deficiency ◽  
Physical Exercises ◽  
Protein Energy ◽  
Training Mode ◽  
Long Term Follow Up ◽  
Almost All

The article reflects modern ideas about the causes and mechanisms of the physical functioning disorders in patients with chronic kidney  disease receiving program hemodialysis. Various types of physical  activity are considered and the rationale for their use in dialysis  patients is justified. The diagnostics possibilities of the protein- energy deficiency main variants are presented. Possible directions  for their correction are outlined. The possibilities and methods of  regular physical training in such a complex cohort of patients with  changes in almost all the basic systems of the body are described in  detail. For patients who cannot perform physical exercises in a  training mode, a new rehabilitation technique was developed and  tested on a representative sample, and a new rehabilitation  technique that was not previously used in nephrology – a cutaneous  bilateral electrostimulation of the muscles of the lower extremities –  was justified and considered in detail. The authors give their own data on long-term follow-up of patients, which confirm the  possibilities of the presented methods not only in terms of improving physical performance, but also in improving the adequacy  of dialysis and the quality of life.

EFFECT OF NEURODYNAMIC TECHNIQUES IN DIABETIC NEUROPATHY PATIENTS ON WEIGHT BEARING ASYMMETRY OF LOWER EXTRIMITY

2021 ◽  
pp. 52-53
Author(s):  
Arpita Gehlot ◽  
Anand Misra ◽  
Deepti Garg
Keyword(s):  
Physical Therapy ◽  
Sciatic Nerve ◽  
Diabetic Neuropathy ◽  
Weight Bearing ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
The Body ◽  
Group A

Diabetes is a long-term (chronic) disease in which the body cannot regulate the amount of sugar in the blood. Diabetic peripheral neuropathy (DPN), a microvascular complication of diabetes, is associated with considerable mortality, morbidity and diminished quality of life. The aim of this study is to measure effect of Neurodynamic techniques on weight bearing asymmetry of lower extremity in diabetic neuropathic patients. Method: - We have screened 35 patients and out of that 28 were fullled the inclusion criteria that deemed t as a sample. However, 20 patients were randomly selected as subjects using simple random sampling technique (Lottery method). In the subject experimental (A=10) patients were treated by sciatic nerve mobilization with conventional physical therapy. In the control (B=10), only conventional physical therapy was applied to diabetic neuropathy patients and both group assess weight bearing by foot print and ROM (exion and extension). Group A and B were treated 5 days a week for 4weeks. The m RESULT: ean differences in Clarke's Angel, ChippauxSmirak and Staheli indexes at left and right sides of diabetic neuropathy patient of experimental group between pre and post administration of modality were statistically highly signicant (p<0.001). Conclusion: Sciatic nerve mobilization with conventional physical therapy was more effective for lower limb function than conventional physical therapy alone in patient with diabetic neuropathy patients

Oral health and mouth diseases

2017 ◽  
pp. 1097-1104
Author(s):  
Michael I. MacEntee
Keyword(s):  
Long Term Care ◽  
Salivary Flow ◽  
The Body ◽  
Breast Cancers ◽  
Successful Ageing ◽  
Term Care ◽  
Mouth Diseases ◽  
Care Facilities

The mouth contributes to nutrition, respiration, and communications but it also contains potential pathogens that threaten other parts of the body. It is readily accessible to spot early signs of immune, endocrine, haematological, gastrointestinal, metabolic, and neoplastic disorders. Teeth are destroyed rapidly by the sugar-laden diets and poor oral hygiene that are common occurrences among residents of long-term care facilities. Moreover, the adverse effect of rampant dental caries from medications that disturb salivary flow is too often overlooked by physicians and pharmacists. Oral cancer causes more deaths than each of colorectal, gastric, prostate, and breast cancers, while oral mucositis can be an excruciatingly painful side effect of chemotherapy and radiotherapy. Overall, impairments and disabilities of the mouth and teeth influence physical and cognitive homeostasis and frailty, whereas effective management of oral disorder is an essential component of good geriatric care for successful ageing and quality of life in old age.

Sign in / Sign up

Export Citation Format

Share Document