scholarly journals New European guidelines for the management of arterial hypertension: the perspective of a clinical psychologist

2019 ◽  
Vol 24 (6) ◽  
pp. 628-630
Author(s):  
A. N. Alekhin ◽  
E. A. Dubinina

The 2018 ESC/ESH European guidelines for the management of arterial hypertension (HTN) include new statements concerning the role of psychosocial factors in the course and the control of HTN. The importance of adherence to treatment is emphasized and efficient interventions that may improve drug adherence in HTN are presented. However, the Guidelines do not reflect the contemporary knowledge on psychosocial aspects of HTN and their meaning is not presented. It is necessary to integrate psychological concepts into the clinical guidelines, and clinical psychologists should take part in the development of such important documents.

Author(s):  
Michael E. Schatman ◽  
Oscar J. Benitez

This chapter reviews adherence to treatment options in pain medicine from the clinician’s point of view. Adherence is discussed in the context of principle-based ethics through the four tenets of autonomy, nonmaleficence, beneficence, and justice. Treatment adherence for pain medicine on the part of the clinician transcends mere compliance with opioid prescriptions and policies. Adherence is addressed as a broad-based approach that can be clinically appropriate when principle-based ethics are followed. The shortage of clinical therapists and the corresponding role of clinical psychologists are discussed. Ways to find a balance between the issues of abuse and underprescribing are also addressed.


2017 ◽  
Vol 34 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Sarah Bérubé ◽  
Audrey Cloutier-Bergeron ◽  
Claudine Amesse ◽  
Serge Sultan

2018 ◽  
Vol 15 (4) ◽  
pp. 8-16
Author(s):  
O D Ostroumova ◽  
A I Kochetkov

The review from the standpoint of the newest European guidelines for the diagnosis and treatment of arterial hypertension discusses the role of highly selective b-blockers and, above all, the superior member of these drugs - bisoprolol in blood pressure lowering therapy in comorbid patients with arterial hypertension. In terms of evidence-based medicine, the benefits of bisoprolol in patients with comorbid coronary heart disease, chronic heart failure, atrial fibrillation, and aortic pathology are discussed. The data on the feasibility and the possibility of including in the therapy highly selective b-adrenergic blockers in patients with chronic obstructive pulmonary disease, peripheral artery disease, diabetes and sexual dysfunction are presented


1999 ◽  
Author(s):  
Joshua M. Smyth ◽  
Jill Hockemeyer ◽  
Adam Hurewitz ◽  
Arthur A. Stone

Author(s):  
Feryad A. Hussain

Radicalisation to violent action is not just a problem in foreign lands. Research has identified numerous politico–psychosocial factors to explain why young people from the UK are now joining terrorist groups such as ISIS. Our understanding has been expanded by the accounts of “returnees” who have subsequently either self-deradicalised or joined a government deradicalisation programme in the role of an Intervention Provider (IP). These individuals are now key to the deradicalisation programme. This article presents the reflections of a clinical psychologist who worked within a social healthcare team managing psychosocial issues related to radicalisation, in conjunction with an allocated IP. The project involved individuals from the Muslim community and, as such, issues discussed are specific to this group. It is acknowledged that the process in general is universally applicable to all groups though specifics may vary (under Trust agreement, details may not be discussed). This article also aims to share basic information on the current Home Office deradicalisation programme and raises questions about the current intervention. It also offers reflections on how the work of IPs may be facilitated and supported by clinical/counselling psychologists and psychotherapists.


2014 ◽  
Author(s):  
Andrew Dwyer ◽  
Jitske Tiemensma ◽  
Richard Quinton ◽  
Diane Morin ◽  
Nelly Pitteloud

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