scholarly journals Attachment-Based Treatment of Chronic Medical Disorders: Learning from Stress-Based Mental Health Conditions

2021 ◽  
Vol 4 (1) ◽  

Adaptation to stressful conditions has been considered as a cause of chronic medical disorders for many years. However, the failure of adaptation involved in the genesis of these disorders has never been connected to mental health conditions that have the same adaptation failures to stress. A failure in the type of attachment in which parents help their children adapt to fearful conditions, which involves the hippocampus and amygdala regions in the brain, might be an underlying cause for both chronic medical disorders and mental health conditions. This paper will provide evidence for the underlying continuity of these conditions, as they relate to a similar type of attachment failure, as it impedes successful adaptation to stress. To demonstrate this continuity, case material is provided on patients with both conditions who are given model treatments that resolve each sequentially, indicating that they have a common attachment-based root. The importance of treating patients’ attachment-based deficits for both their medical and mental health issues concurrently supports using alternative, holistic medical strategies and attachment-based psychotherapy, in which the therapist can experience the fear of the patient and then advocate for them to help them resolve their problems for both types of conditions. The importance of using these therapies in treating chronic medical and mental health conditions is strongly supported by this evidence. These interventions are not adjunctive to the medical treatments but are as primary as the medical interventions in developing more pervasive resolution of the conditions.

2020 ◽  
Vol 4 (1) ◽  
pp. 70-74
Author(s):  
Jeffrey Overall

High enterprise failure rates, the need to pivot, and fleeting runways are contributing to mental health issues among entrepreneurs. To treat a myriad of mental health conditions, western medical practitioners are acknowledging the effectiveness of consciousness and mindfulness tools, like yoga and meditation that have been practiced by indigenous people and eastern cultures for millennia. Some entrepreneurs are starting to use consciousness practices as not only a tool to balance the mind-body connection, but they are also using them to optimize performance. Implications for practice are discussed.


2021 ◽  
Author(s):  
Paras Bhatt ◽  
Jia Liu ◽  
Yanmin Gong ◽  
Jing Wang ◽  
Yuanxiong Guo

BACKGROUND Artificial Intelligence (AI) has revolutionized healthcare delivery in recent years. There is an increase in research for advanced AI techniques, such as deep learning to build predictive models for the early detection of diseases. Such predictive models leverage mobile health (mHealth) data from wearable sensors and smartphones to discover novel ways for detecting and managing chronic diseases and mental health conditions. OBJECTIVE Currently, little is known about the use of AI-powered mHealth settings. Therefore, this scoping review aims to map current research on the emerging use of AI-powered mHealth (AIM) for managing diseases and promoting health. Our objective is to synthesize research in AIM models that have increasingly been used for healthcare delivery in the last two years. METHODS Using Arksey and O’Malley’s 5-point framework for conducting scoping reviews, we review AIM literature from the past two years in the fields of Biomedical Technology, AI, and Information Systems (IS). We searched three databases - informs PubsOnline, e-journal archive at MIS Quarterly, and ACM Digital Library using keywords such as mobile healthcare, wearable medical sensors, smartphones and AI. We include AIM articles and exclude technical articles focused only on AI models. Also, we use the PRISMA technique for identifying articles that represent a comprehensive view of current research in the AIM domain. RESULTS We screened 108 articles focusing on developing AIM models for ensuring better healthcare delivery, detecting diseases early, and diagnosing chronic health conditions, and 37 articles were eligible for inclusion. A majority of the articles were published last year (31/37). In the selected articles, AI models were used to detect serious mental health issues such as depression and suicidal tendencies and chronic health conditions such as sleep apnea and diabetes. The articles also discussed the application of AIM models for remote patient monitoring and disease management. The primary health concerns addressed relate to three categories: mental health, physical health, and health promotion & wellness. Of these, AIM applications were majorly used to research physical health, representing 46% of the total studies. Finally, a majority of studies use proprietary datasets (28/37) rather than public datasets. We found a lack of research in addressing chronic mental health issues and a lack of publicly available datasets for AIM research. CONCLUSIONS The application of AIM models for disease detection and management is a growing research domain. These models provide accurate predictions for enabling preventive care on a broader scale in the healthcare domain. Given the ever-increasing need for remote disease management during the pandemic, recent AI techniques such as Federated Learning (FL) and Explainable AI (XAI) can act as a catalyst to increase the adoption of AIM and enable secure data sharing across the healthcare industry.


2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Esme Fuller-Thomson ◽  
Gail P. Hamelin ◽  
Stephen J. R. Granger

Introduction. This study investigated the relationship between suicidal ideation and demographic characteristics, health conditions, depression, and health care utilization patterns among adolescents. Methods. Secondary analysis of the regionally representative Canadian Community Health Survey conducted in 2000/2001 (response rate 85%). Adolescents aged 15 to 19 who reported suicidal ideation in the previous year (n=260) were compared with their peers who did not (n=5528). The association between suicidal ideation and socio-demographic and health characteristics were investigated. Findings. Almost three-quarters (73%) of suicidal adolescents had not spoken with any health professional about mental health issues in the preceding year. Despite the fact that 80% of suicidal adolescents had regular contact with their family doctor, only 5% had consulted with them about mental health issues. In addition to the well-known risk factors of depression and stress, suicidal ideation was highly elevated in adolescents with two or more chronic health conditions, self-reported poor health, migraines, and back pain and those whose activities were prevented by pain (P<.05). Other characteristics significantly correlated with suicidal ideation included smoking, living in single parent families, and having lower levels of social support. Conclusions. Family physicians should regularly screen for suicidal thoughts in their adolescent patients with these characteristics.


2019 ◽  
Vol 43 (5) ◽  
pp. 195-200 ◽  
Author(s):  
Lambros Malafouris

SummaryConsensus is growing, in many areas of the humanities and social sciences, that aspects of the material world we live in have causal efficacy on our minds – the major dynamic being the plasticity of the brain linked to the affordances of our bodily engagements with things. The implications of that on how we approach and understand important mental health issues have not been adequately addressed. This paper proposes a material engagement approach to the study of the processes by which different forms of materiality achieve their effects. Focusing on the example of dementia, I propose that a collaboration between archaeology, anthropology, philosophy and psychiatry could help us to fill this gap in our knowledge, allowing us to understand the exact effects of everyday objects, personal possessions and forms of material engagement on people with dementia.


2020 ◽  
Vol 4 (3) ◽  
pp. 14
Author(s):  
Sarah Grace Glover

Katherine Omerod’s Why Social Media Is Ruining Your Life takes a cursory look into social networks and their effects on mental health and day-to-day life. As a fashion blogger who uses Instagram as the main source of her business, Omerod uses both personal accounts and academic research to address current issues and bad behaviors developed through frequent social network use. Omerod’s main argument is that social media exaggerates self-esteem and mental health issues. She discusses how social networking sites such as Facebook and Instagram interact with the brain like an addiction.


2021 ◽  
Author(s):  
Rui Abrunhosa Gonçalves ◽  
Joana Andrade

During imprisonment, inmates face many difficulties to adapt to prison life well depicted in either classical works or recent research. They usually face many struggles related to the lack of contact with their families. For instance, the less the number of prison visits, the higher levels of aggressiveness and, consequently, the lower levels of adaptation. Additionally, this population is already problematic in “normal conditions” of their imprisonment. When facing crisis – such as the Covid-19 pandemic – their mental and emotional conditions become even worst. Inmates may experience higher levels of anxiety and stress due to the uncertain and high-risk circumstances they are all living. In addition, the deprivations of the support from their families, combined with the higher risk they are exposed due to the danger of Covid-19 virus’ contamination, substantially increase their concerns and could contribute to their lack of adjustment. The present chapter refers to the policies implemented by the Portuguese Prison Administration to deal with the Covid-19 pandemic and a provisional balance of its effects after one year of implementation. Besides information regarding inmate’s mental health conditions during pandemic, data on recidivism rates and criminal activity will also be discussed concerning their implication for future penitentiary policies.


2020 ◽  
Vol 3 (3) ◽  
pp. 89-114
Author(s):  
Wilfred Ewing Graham ◽  

There are few technologies which offer the potential to disrupt the prevailing biomedical paradigm. The author discusses the existence of the first technology to be based upon a precise and sophisticated simulation of how the brain regulates the autonomic nervous system and associated structures which has the potential to significantly disrupt the prevailing biomedical paradigm through the emergent neurological paradigm i.e. by understanding how the brain works and how this can be applied with diagnostic and/or therapeutic effect. Known commonly by the trade name ‘Strannik’ the associated package of Strannik software programmes have been shown in initial research, in 15-20 clinical studies conducted over the period 1997-2017, that Strannik Virtual Scanning (SVS) is able to determine the onset and progression of the complete spectrum of pathologies 2%-23% more accurately than the current plethora of medical tests; screen pathological onset from the presymptomatic level; define each pathology in terms of its genotype and phenotype; determine ca. 5-15 pathologies in each of 30+ organs, provide results in ca. 10 minutes - 15 minutes; more safely/non-invasively than contemporary methods of diagnosing and treating disease; achieve therapeutic outcomes with the neuromodulation technique Strannik Light Therapy (SLT) which initial studies indicate is 75%-96% therapeutic effectiveness i.e. which appear to exceed that which is possible using biomedicine; and to do as at considerably lower cost by comparison with biomedical tests and treatments. The author discusses the limitations of biomedicine and how such a neurological approach, in the form of the Strannik technology, could be applied to address such limitations and provide an alternative and cost-effective approach to the provision of healthcare, in particular (but not exclusively), regarding the management of lifestyle-related mental health conditions.


2017 ◽  
Vol 10 (3) ◽  
pp. 163-173 ◽  
Author(s):  
Alan M. Delamater ◽  
Adriana Guzman ◽  
Katherine Aparicio

Purpose The purpose of this paper is to consider mental health issues in children and adolescents with chronic illness or health conditions, including their treatment, and issues related to delivery of services. Design/methodology/approach A selective review of the literature was conducted to highlight significant mental health issues and their treatment in youth with various types of chronic illness. Findings A significant portion of youth experience mental health problems related to their chronic health conditions. While evidence-based treatments are available to address these problems, significant barriers exist that impede the delivery of psychological and behavioral interventions for many youth. Research limitations/implications More controlled studies are needed to demonstrate the effectiveness and cost offset of delivering psychological and behavioral interventions for the population of youth with various types of chronic health conditions, particularly in clinical and community settings. Social implications Policy reform can ensure that mental health issues are effectively addressed for children with chronic illness. Policy is needed that promotes integrated health care, whereby psychological and behavioral interventions are delivered in health care settings along with medical interventions to reduce barriers to care. Originality/value Significant numbers of children and adolescents have chronic health conditions and many experience mental health problems related to their conditions. While evidence-based treatments are available to address these problems, significant barriers impede the delivery of psychological and behavioral interventions for many youth. Health care policy promoting integrated health care to deliver psychological and behavioral interventions in health care settings along with medical interventions should reduce barriers to care and improve both physical and mental health outcomes for youth.


Author(s):  
Gia Merlo

Physicians suffer from mental health issues, particularly depression, at higher rates than the general population, due to many of the same factors that contribute to burnout. However, there is a stigma within the profession that prevents them from getting help. This stigma can be based on feedback from self, colleagues, hospitals/medical systems, and licensing boards. Self-criticism by physicians may lead to self-stigmatization. Colleagues may be afraid to broach the topic of mental health and fail to refer their peers to professional help. Hospitals/medical systems often label physicians suffering from mental health issues as ”unprofessional.” Lastly, licensing boards may discriminate against physicians who disclose prior psychiatric history. Major depressive disorder is the most common diagnosis among physicians. Anxiety disorders have been less well-studied but are likely also to be a major problem. Approximately 300 to 400 physicians are estimated to die from suicide each year, and untreated mental health conditions are a significant risk factor. Action at individual, institutional, and organizational levels is necessary to combat the stigma of mental illness.


Nutrients ◽  
2020 ◽  
Vol 12 (8) ◽  
pp. 2333 ◽  
Author(s):  
James J. DiNicolantonio ◽  
James H. O’Keefe

Most of the global population is deficient in long-chain marine omega-3s. In particular, docosahexaenoic acid (DHA), a long-chain omega-3 fatty acid, is important for brain and eye development. Additionally, DHA plays a significant role in mental health throughout early childhood and even into adulthood. In the brain, DHA is important for cellular membrane fluidity, function and neurotransmitter release. Evidence indicates that a low intake of marine omega-3s increases the risk for numerous mental health issues, including Attention Deficit Hyperactivity Disorder (ADHD), autism, bipolar disorder, depression and suicidal ideation. Studies giving supplemental marine omega-3s have shown promise for improving numerous mental health conditions. This paper will review the evidence surrounding marine omega-3s and mental health conditions.


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