scholarly journals An Integrated Intervention for the Treatment of Serious Psychosomatic Illnesses Such As Cancer

Author(s):  
Fabiola Fortuna

Background: The term “psychosomatic”often is improperly used: currently psychosomatic means both the set of morbid states that can create mental illness, and the psychic implications in the aetiopathogenesis of organic diseases. Personally, I think it is more useful to focus on the question from this last point of view. I think also that the real psychosomatic disorders should also include cancer, cardiovascular diseases and multiple sclerosis. This does not imply that the etiopathogenesis of these diseases might solely be of a psychic nature, but we should also hypothesize this possibility, along with hypothesizing the contributing factor of psychological causes. Actually the hypothesis most credible is that the serious organic diseases such as cancer, originate from three main factors: genetic, environmental and psychic. Methods: The N.M.P.M.P. (New Psychotherapeutic Method Psychosomatic Diseases) is a integrate method that consists in individual collogues, psychophysical relaxation techniques and group psicotherapy with analytical psychodrama created by Eugenie and Paul Lemoine. Results: Even though it is not possible to get statisical data, the NMPMP’s results are very promising: the method are generated a significant improvement in health conditions for patients; from alleviation of chemotherapy symptoms to complete remission of the symptoms related to neoplasie. Conclusions: The clinical experience described shows to be strategically indispensable an integrate psychological intervention for patients suffering from serious organic diseases.

2021 ◽  
Vol 11 (2) ◽  
pp. 54-61
Author(s):  
Ruzanna Subbotina ◽  
Anna Akopyan ◽  
Irina Ilina ◽  
Marina Ivashkina ◽  
Ekaterina Bondaruk

The article highlights psychosomatic diseases in gynecology. A review of the literature indicates that the nature of psychosomatic relationships is largely determined by the personality, which should be considered taking into account the characteristics of his socialisation. Many diseases are increasingly viewed from the point of view of experiences, processing of experiences, mental and psychosocial conflicts. In gynecological diseases, in particular, various manifestations of psycho-emotional disorders, disorders of the system of significant relationships are possible. At the same time, the circle of contacts with people is narrowed, the importance of the female and social role, position in relation to all life situations is changing. One of the effective directions in the study of human psychosomatics can be the analysis of psychosomatic disorders, taking into account coping strategies in the period of overcoming stressful situations. An analysis of coping strategies for overcoming stress opens up the possibility of identifying its features that determine the nature of psychosomatic disorders.


Author(s):  
Doriana Landi ◽  
Marta Ponzano ◽  
Carolina Gabri Nicoletti ◽  
Gaia Cola ◽  
Gianluca Cecchi ◽  
...  

AbstractRestrictions in the access to healthcare facilities during COVID-19 pandemic have raised the need for remote monitoring of chronic medical conditions, including multiple sclerosis (MS). In order to enable the continuity of care in these circumstances, many telemedicine applications are currently tested. While physicians’ preferences are commonly investigated, data regarding the patients’ point of view are still lacking. We built a 37 items web-based survey exploring patients’ propensity, awareness, and opinions on telemedicine with the aim to evaluate the sustainability of this approach in MS. Analysing 613 questionnaires out of 1093 that were sent to persons with MS followed at the Multiple Sclerosis Center of Tor Vergata University, Rome, we found that more than half of respondents (54%) were open to having a televisit. Propensity toward telemedicine significantly depended on having a higher income (p = 0.037), living farther from the center (p = 0.038), using computer and tablet (p = 0.010) and using the Internet for other remote activities (p < 0.001), conversely it was not influenced by any specific disease characteristics (i.e. degree of disability). The main advantages and disadvantages of televisit reported by participants were respectively saving time (70%) and impossibility to measure physical parameters (71%). Although the majority of respondents are in favour of televisit, so far this approach is restricted to those displaying better socioeconomic conditions and higher familiarity with technology. Implications of the study are that telemedicine platforms should be better tailored to patients’ demands in order to spread the use of telemedicine, to enhance usability and to increase patients’ adherence.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 411-411
Author(s):  
Michelle Zechner ◽  
Ellen Anderson ◽  
Kenneth Gill

Abstract People with serious mental illness (SMI) are more likely to experience chronic health conditions at younger ages, which increases the risk of premature death. Co-morbid health conditions and risk for premature death are well-studied in the population, however less is understood about the impact of aging and SMI on functional ability. Research suggests that the population walk less and may have lower fitness levels than other populations (Gill et al., 2016). Specific data exploring functional age of people with SMI is sparse. The authors compared published standardized geriatric functional fitness values for people over 65 to baseline values of a community sample of people living with SMI who participated in a community health promotion intervention. The average age of the sample was 50 (SD=11). Three physical functioning measures were used in the comparison to measure physical functioning; the Sit to Stand Test, 6 Minute Walk, and Single Legged Stance. Results indicated significant differences in mean physical functioning values between the sample and standardized geriatric values. The sample performed at levels 20-30 years older than their chronological age. This finding suggests that mental health and aging services may need to adjust interventions, services and methods to improve physical functioning in middle-aged and older adults living with SMI. Premature functional decline impacts community living skills, independent living, housing choice, vocational options, and may impede personal goal attainment. Recommendations for interventions will be offered, as will suggestions for policies targeting services that cross aging and mental health silos.


2020 ◽  
Vol 4 ◽  
Author(s):  
Deborah Toner ◽  
Clare Anderson ◽  
Shammane Joseph Jackson

This paper examines discussions among physicians, psychologists, public health officials, religious leaders and others who participated in the Caribbean Conferences on Mental Health between 1957 and 1969. Their discussions demonstrate major changes in the understanding of causes, definitions and appropriate treatments of mental health conditions, compared to the late nineteenth century, which saw a wave of major reforms to the management of mental illness in public asylums. Although major shifts in professional understandings of mental health were evident in the mid-twentieth century, the Caribbean Conferences on Mental Health reveal that the problems hindering the implementation of these new approaches were largely similar to those that Guyana and other Caribbean countries continue to face today.


1982 ◽  
Vol 11 ◽  
pp. 74-86 ◽  
Author(s):  
Kaj Björkqvist

The biological study of man is one of today's most rapidly advancing sciences. There is no reason for not utilizing these methodologies of research and the knowledge already gained when studying ecstasy and other similar religious phenomena. Drugs have been used in all parts of the world as an ecstasy technique. Since mental states and physiological correlates always accompany each other, it is obvious that the human mind can be affected by external means, for instance by drugs. But the opposite is also true; mental changes affect the body, as they do in the case of psychosomatic diseases. Ecstasy is often described as an extremely joyful experience; this pleasure must necessarily also have a physiological basis. It is of course too early to say anything for certain, but the discovery of pleasure centres in the brain might offer an explanation. It is not far-fetched to suggest that when a person experiences euphoric ecstasy, it might, in some way or other, be connected with a cerebral pleasure center. Can it be, for example, that religious ecstasy is attained only by some mechanism triggering off changes in the balance of the transmitter substances? Or is it reached only via a change in the hormonal balance, or only by a slowing down of the brain waves, or is a pleasure centre activated? When a person is using an ecstasy technique, he usually does so within a religious tradition. When he reaches an experience, a traditional interpretation of it already exists.


2018 ◽  
Vol 5 (2) ◽  
pp. 108-117
Author(s):  
Лариса Засєкіна

Expressed Emotion (EE) is a well-validated measure of the family environment of individuals with mental and physical conditions that examines relatives’ critical, hostile and emotionally overinvolved attitudes towards a family member with a condition. This review focuses on studies of EE on containing data of the impact of Expressed Emotion on the course of chronic illnesses and clinical outcomes in mental and physical health conditions. The structural literature review is based on the search of articles in peer-reviewed journals from 1991 to November, 2018 in the databases Psyc-Info and PubMed. Taken together, these results suggest that there is an association between EE towards patients with both physical and mental conditions and  a poor clinical and personal recovery. Interestingly, the lower levels of EE towards individuals with a condition were observed  in partners comparatively with parents, adult children and relatives. However, the results have been obtained only from two populations with dementia and Type I diabetes and have been considered as important issue for future research.   References Ayilara, O., Ogunwale, A., & Babalola, E. (2017). Perceived expressed emotion in relatives of patients with severe mental illness: A comparative study. Psychiatry research, 257, 137-143. Bogojevic, G., Ziravac, L., & Zigmund, D. (2015). Impact of expressed emotion on the course of schizophrenia. European Psychiatry, 30, 390. Brown, G. W., Birley, J. L. T., & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry, 121, 241–258. Chan, K. K., & Mak, W. W. (2017). The content and process of self-stigma in people with mental illness. American Journal of Orthopsychiatry, 87(1), 34-43. Cherry, M. G., Taylor, P. J., Brown, S. L., & Sellwood, W. (2018). Attachment, mentalisation and expressed emotion in carers of people with long-term mental health difficulties. BMC Psychiatry, 18(1), 257. Coomber, K., & King, R. M. (2013). Perceptions of carer burden: differences between individuals with an eating disorder and their carer. Eating Disorders, 21(1), 26-36 Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129-136. Flanagan, D. A., & Wagner, H. L. (1991). Expressed emotion and panic fear in the prediction of diet treatment compliance. British Journal of Clinical Psychology, 30, 231–240. Hooley, J. M., & Parker, H. A. (2006). Measuring expressed emotion: An evaluation of the shortcuts. Journal of Family Psychology, 20(3), 386. Rienecke, R. D., Lebow, J., Lock, J., & Le Grange, D. (2015). Family profiles of expressed emotion in adolescent patients with anorexia nervosa and their parents. Journal of Clinical Child & Adolescent Psychology, 46(3), 428-436. Safavi, R., Berry, K., & Wearden, A. (2018). Expressed emotion, burden, and distress in significant others of people with dementia. Journal of Family Psychology, 32(6), 835. Romero-Gonzalez, M., Chandler, S., & Simonoff, E. (2018). The relationship of parental expressed emotion to co-occurring psychopathology in individuals with autism spectrum disorder: A systematic review. Research in developmental disabilities, 72, 152-165. Wearden, A. J., Tarrier, N., Barrowclough, C., Zastowny, T. R., & Rahill, A. A. (2000). A review of expressed emotion research in health care. Clinical Psychology Review, 20(5), 633-666. Wearden, A. J., Tarrier, N., & Davies, R. (2000). Partners' expressed emotion and the control and management of Type 1 diabetes in adults. Journal of Psychosomatic Research, 49(2), 125-130.


Author(s):  
Анжелика Дубасова

The article analyses experimental studies of lexical ambiguity (polysemy and homonymy). In total, 42 papers published between 1981 and 2017 were selected for analysis. Selected works were analyzed from the point of view of a) interaction of the main factors of lexical ambiguity resolution (meaning dominance and context), b) modularity/interactivity of language systems. The choice of these issues was caused by the fact that, despite a significant number of papers addressing them, a common theoretical model of lexical ambiguity resolution is still missing. The analysis concluded that none of the existing models could be chosen as the only true one. I believe that it is more promising to combine all models into one; in this case, we should not talk about “models” but about “algorithms” or “strategies”. This merge is compatible with the results of studies of hemispheric asymmetry, which showed that the right and left hemispheres differently process ambiguous words. This difference is projected on the difference between the two main points of view on language processing, interactive and modular. Also, as a result of the analysis, the properties of meaning dominance and context as the main factors influencing the perception of ambiguity are summarized, and the ways and possibilities of their interaction are determined. These factors can participate in the process of resolving ambiguity autonomously or together, with different functions, speed, and levels of perception.


Author(s):  
Torbjörn Tännsjö

The maximin/leximin theory is applied in real medical life. The general result, in relation to any welfare state assuming its global obligations, is that more resources ought to be directed to the care and cure of people suffering from mental illness; less should be spent on marginal life extension (especially among elderly patients).The urgency of mental health, when the matter is assessed from the point of view of the maximin/leximin theory, has to do with the fact that people often suffer for very long time from mental disease rendering it plausible to assume that many people in this category garner throughout their lives a net deficit in terms of happiness. Hence they are the patients who are worst off. The problem with marginal life extension among elderly patients has to do with the fact that many among them have throughout their long lives already garnered a lot of happiness. Now these people have to stand back when there is fierce competition for available medical resources.


Author(s):  
Lauren Mizock ◽  
Zlatka Russinova

This chapter explores the unique barriers and facilitators to acceptance that men with serious mental illness may experience. The values associated with traditional masculinity are discussed as they pertain to the process of accepting mental illness. Barriers specific to men in our research studies are detailed, including avoidance of help-seeking and self-medication with substance abuse. In addition, the literature on misdiagnosis and underdiagnosis of mental health conditions among men is presented. Facilitators to the process of acceptance for men in the present research are discussed, including accessing supportive relationships and other mental health resources. Several participant case narratives are provided in order to demonstrate the impact of various masculinities on the process of acceptance. A clinical strategies list, discussion questions, activities, the “Men’s Acceptance of Mental Health Worksheet,” and an explanatory table are included at the close of the chapter.


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