Developing Guidelines and Competencies for the Training of Psychedelic Therapists

2017 ◽  
Vol 57 (5) ◽  
pp. 450-487 ◽  
Author(s):  
Janis Phelps
Keyword(s):  
Clinical Symptoms ◽  
Core Competencies ◽  
Training And Development ◽  
Self Awareness ◽  
Therapist Variables ◽  
Positive Effects ◽  
History Of ◽  
Legal Restrictions ◽  
Complementary Techniques

Research since the 1950s has shown that psychedelic-assisted psychotherapy has had significant positive effects in reductions of specific clinical symptoms and increases in quality of life as measured on a variety of indices. The intensity of focus on evidence-based outcomes, however, has resulted in a paucity of active discussions and research on the core competencies of the therapists themselves. The context of the history of psychedelic research reveals how this neglect of therapist variables occurred. With current discussions of Phase 3 and expanded access research programs for psilocybin-assisted and MDMA-assisted psychotherapies, there will be a great need for competent therapists trained in this clinical specialty. This is particularly the case if less restricted, legal medical use is approved within the next 6 to 10 years. This article is the first review and compilation of psychedelic therapist competencies derived from the psychedelic literature. These six therapist competencies are empathetic abiding presence; trust enhancement; spiritual intelligence; knowledge of the physical and psychological effects of psychedelics; therapist self-awareness and ethical integrity; and proficiency in complementary techniques. A further contribution of this review is a delineation of the 12 fundamental curricular domains of study for the training and development of these therapist competencies. As current legal restrictions evolve, aspects of these training guidelines will develop accordingly.

scholarly journals Secondary education in transition in Nigeria: The question of quality

2000 ◽  
Vol 3 ◽  
pp. 99-109
Author(s):  
R. A. Alani
Keyword(s):  
Secondary Education ◽  
Secondary School ◽  
National Policy ◽  
Training And Development ◽  
Traditional Art ◽  
Material Resources ◽  
The Past ◽  
History Of ◽  
School Curricula

The paper traced the history of the development of secondary education in Nigeria since its inception in J859. The paper noted the emphasis on traditional art and science subjects in the past and the innovations that have been brought into the secondary school curricula by the National Policy 011 Education published in 1977, but revised in J981 and J998. The problems of implementing the curricula were briefly mentioned. The paper finally highlighted steps that could be taken to improve the quality of secondary education, such as provision of physical and material resources, adequate financing of education, teacher training and development, improvement of the conditions of service for teachers and supervision of instruction, among others.

scholarly journals Background Factors Involved in the Epidemiology of Functional Constipation in the Japanese Population

2021 ◽  
Author(s):  
Sayuri Yamamoto ◽  
Wataru Ohashi ◽  
Yoshiharu Yamaguchi ◽  
Shunsuke Inamoto ◽  
Akira Koshino ◽  
...  
Keyword(s):  
Japanese Population ◽  
Elderly Population ◽  
Clinical Symptoms ◽  
Functional Constipation ◽  
The Elderly ◽  
Internet Survey ◽  
Comprehensive Management ◽  
History Of ◽  
Characteristic Features

Abstract Background: Little is known about the prevalence and epidemiology of functional constipation (FC), a functional bowel disorder with symptoms of constipation. This study aimed to examine the prevalence, population composition, lifestyle, quality of life, and clinical characteristics of individuals with and without FC and of individuals with a strong or weak awareness of constipation. Methods: An internet survey revealed that 262 (8.7%) out of 3,000 respondents from the general Japanese population were diagnosed with FC. Moreover, all respondents were classified according to their awareness of constipation (i.e. strong or weak), and their characteristic features were compared. Results: FC occurrence was associated with the elderly population, females, and homemakers. Its onset was associated with a change in the frequency of bowel movement, sensation of incomplete or hardly any evacuation, and the use of manual maneuvers, which are consequential clinical symptoms of FC. Subjects with FC also frequently skipped breakfast, had insufficient sleep, had more severe constipation, and had purchased laxatives in pharmacies or online more often than individuals without FC. A strong awareness of constipation was significantly more prevalent among women and homemakers. A history of anemia and cardiovascular disease was significantly more frequent in the strong awareness group, whereas a history of hypertension was more frequent in the weak awareness group.Conclusions: Based on the understanding of the characteristic features of FC, appropriate and comprehensive management considering the patient’s symptoms and lifestyle should be provided.

Culture and Anonymity in GSS Meetings

2011 ◽  
pp. 156-167 ◽  
Author(s):  
Moez Limayem ◽  
Mohamed Khalifa ◽  
John Coombes
Keyword(s):  
Social Psychology ◽  
Group Support Systems ◽  
Self Awareness ◽  
Cultural Groups ◽  
Evaluation Apprehension ◽  
Positive Effects ◽  
Cultural Differentiation ◽  
Psychology Literature ◽  
Overall Effectiveness

Anonymity is an important aspect of group support systems (GSS). However, as to the overall effectiveness of the use of anonymity, findings have been inconclusive. Some studies show positive effects in the number of ideas generated, quality of ideas, and uniqueness of ideas, whereas other studies show negative or neutral effects. An examination of social psychology literature indicates that the effect of public self-awareness on evaluation apprehension in different cultural groups may play a crucial role. Thus, social psychology and Hofstede’s model of cultural differentiation are used in this chapter to explain the different effects of anonymity on the behavior of Hong Kong and Canadian groups during GSS sessions. It is hoped that understanding the effects of anonymity in different cultural contexts will better inform the design and facilitation of GSS in increasingly diverse global settings.

The influence of rifaximin on diverticulitis rate and quality of life in patients with diverticulosis

2017 ◽  
Vol 89 (1) ◽  
pp. 22-31 ◽  
Author(s):  
Tomasz Banasiewicz ◽  
Wojciech Francuzik ◽  
Adam Bobkiewicz ◽  
Łukasz Krokowicz ◽  
Maciej Borejsza-Wysocki ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Symptoms ◽  
Virtual Colonoscopy ◽  
Developed Countries ◽  
Control Group ◽  
Uncomplicated Diverticulitis ◽  
Group I ◽  
Clinical Consequences ◽  
History Of

Diverticulosis, its associated symptoms and complications are one of the most common pathologies of the gastrointestinal tract in more economically developed countries. Presence of diverticuli and their clinical consequences can be divided into four categories: 1) diverticulosis, i.e. an asymptomatic presence of diverticuli that are usually found by accident 2) symptomatic uncomplicated diverticulosis 3) diverticulitis (acute uncomplicated diverticulitis) 4) complications of diverticulitis (conditions requiring hospital stay). The aim of this study was to retrospectively analyze the efficacy of rifaximin in preventing diverticulitis in patients visiting proctology clinics. The diagnostic criterium for diverticulosis was confirmation by colonoscopy, barium enema or CT colography (virtual colonoscopy) as well as history of at least one documented episode of diverticulosis. History of diverticulosis was evaluated based on medical records, clinical symptoms, elevated level of CRP (>5.0) and/or diagnostic imaging (ultrasound, CT). After setting strict exclusion criteria, 248 patients were qualified for the study out of 686, and they were later divided into two groups: control group (group I – 145 patients) and studied group (group II – 103 patients receiving rifaximin prophylaxis). Diverticulitis rate was comparable in both groups over a period of 6 months before study (p = 0.1306) and 6 months of treatment (p=0.3044). Between the 6th and 12th month of treatment, a significantly lower rate of diverticulitis was noted in the group receiving rifaximin compared to control group (p<0.0001). Patients receiving rifaximin reported higher quality of life (which was assessed using the VAS scale) compared to control group after 12 months. The results confirmed the efficacy of riaximin in prevention of diverticulitis, even in the scheme of repeated courses every 3 months. Not only did application of rifaximin lower the rate of diverticulitis and its complications in patients after an episode of diverticulitis, but also it improved the patients’ quality of life. It seems that diverticulitis prophylaxis based on rifaximin can be economically efficient, however, it requires further research.

scholarly journals Study of risk factors and clinical features of hemorrhoids

2017 ◽  
Vol 4 (6) ◽  
pp. 1936 ◽  
Author(s):  
S. Asif Ali ◽  
Mohammad Fazelul Rahman Shoeb
Keyword(s):  
Risk Factors ◽  
Clinical Symptoms ◽  
Psychological Disturbances ◽  
High Incidence ◽  
Healthy Life Style ◽  
Male Preponderance ◽  
History Of ◽  
Bleeding Per Rectum ◽  
One Year

Background: Hemorrhoids are very common diseases of the anal region and creates physical and psychological disturbances and significantly affects the quality of life. This study was aimed to determine the risk factors and clinical symptoms associated with it.Methods: The study was conducted in Krishnarajendra Hospital, Mysore, for a period of one year from January 1984 to December 1984. A total of 40 patients with hemorrhoids were included in the study. The risk factors and clinical symptoms associated with incidence of hemorrhoids were noted in detailed and analysed.Results: Male preponderance was seen in the study (85%). Patients with age group between 20-39 years were found of high incidence of hemorrhoids (55%). Out of 40, 15 (37.5%) males and 2 (5%) females had habitual constipation and 7 (17.5%) males had occasional constipation. Farmers were found to the most commonly affected people with hemorrhoids (60%) followed by students (15%), households (15%) and business man (10%). The common clinical symptom observed was bleeding per rectum and mass per rectum in 85% of patients, pain during defecation in 77.5%, soiling of clothes observed in 22.5% and history of pruritus in 12.5% of males.Conclusions: The patients suffering with hemorrhoids were suggested to adopt healthy life style and modifications at their occupations accordingly.

scholarly journals Facts and dates in the history of domestic ethics which have been implemented in the present and could anticipate the future (ethical commentary)

2021 ◽  
Author(s):  
OI Kubar
Keyword(s):  
Historical Memory ◽  
Quality Of Education ◽  
Self Awareness ◽  
Previous Issue ◽  
The Future ◽  
Depth Study ◽  
Special Request ◽  
History Of ◽  
The Subject

This work is the author's commentary on events and documents that are important for the correct interpretation of the history on bioethics and the search for a moral basis for preventing ethical catastrophes in the future. The real reason for turning to the subject of the article was an in-depth study of the roots of the formation of ethical self-awareness and ethical legal awareness in Russia, which we presented earlier in the previous issue of the journal of Medical Ethics (2021, V. 9, No. 1.). The historical memory of the Nuremberg trial and the realities of the humanitarian catastrophe of the COVID-19 pandemic certainly give a special impetus to the development of this topic. Important issue is a special request of the journal editors to write this particular article. The reason is the author's discovery and presentation of the unique and forgotten documents of extraordinary importance, as well as the strategic focus of the journal's policy on an objective presentation of the facts of national ethics / bioethics in order to form the integrity of the role and influence of Russia and to improve the quality of education in this area.

Probiotics in gastroenterology – from a different angle

2013 ◽  
Vol 154 (8) ◽  
pp. 294-304 ◽  
Author(s):  
György Miklós Buzás
Keyword(s):  
Side Effects ◽  
Beneficial Effect ◽  
Analytical Data ◽  
Well Being ◽  
Gastrointestinal Diseases ◽  
Convincing Evidence ◽  
Probiotic Treatment ◽  
History Of ◽  
Irritable Bowel

After a short overview of the history of probiotics, the author presents the development of human intestinal microflora based on the newest genetic data and the microbiological features of main probiotics. The indications of probiotic administration have been defined and extended in recent years. The author reviews significant results of probiotic treatment in some gastrointestinal diseases based on meta-analytical data. Probiotics are useful in preventing and treating diarrhoea caused by antibiotics and Clostridium difficile caused diarrhoea. In the treatment of Helicobacter pylori infection, preparations containing certain Lactobacillus,Bifidobacterium strains or Saccaromyces boulardii could enhance by 5–10% the rate of successful eradication and reduce the incidence and severity of the side effects. Some symptoms of irritable bowel syndrome and thus the quality of life can be improved by probiotics. Their beneficial effect in ulcerative colitis was proven, while in Crohn’s disease has not yet been defined. The use of probiotics is not included in guidelines, with the exception of the Maastricht IV/Florence consensus. For each disease it is advisable to use probiotics containing strains only with proven beneficial effect. The efficiency of preparations containing mixed strains has not yet been properly investigated. The author reviews the rare but potentially serious side effects of probiotics. In Hungary, there are many probiotic preparations available which can be purchased in pharmacies without prescription: their use is more empirical than evidence-based. The European Food Safety Authority has recently rejected claims for probiotics to be classed as medicines given the lack of convincing evidence on the effects of probiotics on human health and well-being. Clearly, further research is needed to collect evidence which could be incorporated into the international guidelines. Orv. Hetil., 2013, 154, 294–304.

EXPLORING HEALTHCARE ARCHITECTURE THROUGH THE MEDIUM OF FILM: Motives and Techniques

2014 ◽  
Vol 8 (1) ◽  
pp. 29
Author(s):  
Stephen Verderber
Keyword(s):  
Real World ◽  
The Real ◽  
Healthcare Settings ◽  
Interdisciplinary Field ◽  
Body Of Knowledge ◽  
Behavior Setting ◽  
Physical Environments ◽  
Scant Attention ◽  
History Of

The interdisciplinary field of person-environment relations has, from its origins, addressed the transactional relationship between human behavior and the built environment. This body of knowledge has been based upon qualitative and quantitative assessment of phenomena in the “real world.” This knowledge base has been instrumental in advancing the quality of real, physical environments globally at various scales of inquiry and with myriad user/client constituencies. By contrast, scant attention has been devoted to using simulation as a means to examine and represent person-environment transactions and how what is learned can be applied. The present discussion posits that press-competency theory, with related aspects drawn from functionalist-evolutionary theory, can together function to help us learn of how the medium of film can yield further insights to person-environment (P-E) transactions in the real world. Sampling, combined with extemporary behavior setting analysis, provide the basis for this analysis of healthcare settings as expressed throughout the history of cinema. This method can be of significant aid in examining P-E transactions across diverse historical periods, building types and places, healthcare and otherwise, otherwise logistically, geographically, or temporally unattainable in real time and space.

Quality of training of paramedical staff - basis for health care development

2020 ◽  
pp. 5-9
Author(s):  
Sergey Dvoynikov
Keyword(s):  
Health Care ◽  
Postgraduate Education ◽  
Training And Development ◽  
Talent Pool ◽  
Paramedical Staff ◽  
Care Development

The article set priorities for the formation of the talent pool of paramedical staff, their training and development at the level of secondary vocational and postgraduate education.

Organization of restrictive quarantine measures to prevent especially dangerous infections

2020 ◽  
pp. 6-11
Author(s):  
Petr Ilyin
Keyword(s):  
Infectious Diseases ◽  
Clinical Symptoms ◽  
International Health ◽  
World Health ◽  
The World ◽  
History Of ◽  
Entire History ◽  
Health Organization ◽  
Former Ussr ◽  
Health Regulations

Especially dangerous infections (EDIs) belong to the conditionally labelled group of infectious diseases that pose an exceptional epidemic threat. They are highly contagious, rapidly spreading and capable of affecting wide sections of the population in the shortest possible time, they are characterized by the severity of clinical symptoms and high mortality rates. At the present stage, the term "especially dangerous infections" is used only in the territory of the countries of the former USSR, all over the world this concept is defined as "infectious diseases that pose an extreme threat to public health on an international scale." Over the entire history of human development, more people have died as a result of epidemics and pandemics than in all wars combined. The list of especially dangerous infections and measures to prevent their spread were fixed in the International Health Regulations (IHR), adopted at the 22nd session of the WHO's World Health Assembly on July 26, 1969. In 1970, at the 23rd session of the WHO's Assembly, typhus and relapsing fever were excluded from the list of quarantine infections. As amended in 1981, the list included only three diseases represented by plague, cholera and anthrax. However, now annual additions of new infections endemic to different parts of the earth to this list take place. To date, the World Health Organization (WHO) has already included more than 100 diseases in the list of especially dangerous infections.

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