Clinical Pragmatism and Therapeutic Action

Introduction. One of the main tools of an osteopath are soft tissue techniques, which have a number of particular qualities such as minimization of force and duration of indirect techniques with an emphasis on muscle and ligamentous structures; combination of gestures, tendency to maximal relaxation and exclusion of direct action on pathological symptoms such as tension, overtone and pain. Minimization of the force applied during the performance of soft tissue techniques often invites a question whether there are differences between the usual touch and the therapeutic touch of an osteopath.Goal of research - to reveal the changes in the bioelectrical activity of the cerebral cortex arising in the process of osteopathic treatment in order to prove its speciﬁ city in comparison with nonspeciﬁ c tactile stimulation (neutral touch).Materials and methods. 75 people were examined with the use of multiparameter analysis of multichannel EEG in different times. 25 patients were clinically healthy adults, whereas 50 patients had signs of somatic dysfunctions.Results. Computer encephalography permits to perceive the difference between the neutral touch and the therapeutic action. An identiﬁ cation reaction is a response to the neutral touch (changes in brain bioelectrical activity with an increase in statistically signiﬁ cant connections in the temporal lobes), whereas the therapeutic action provokes the state of purposeful brain activity during still point (intensiﬁ cation of frontooccipital interactions).Conclusions. Osteopathic action causes additional tension in the processing of incoming information, which requires participation of different brain regions, including interhemispheric mechanisms associated with analysis, maintenance of attention and regulation of targeted activities.

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Thinking about Publishing? On Seeking Patient Consent to Publish Case Material

Couple and Family Psychoanalysis ◽

10.33212/cfp.v5n2.2015.168 ◽

2015 ◽

Vol 5 (2) ◽

Author(s):

Christopher Clulow ◽

Ernest Wallwork ◽

Caroline Sehon

Keyword(s):

Ethical Dilemmas ◽

Professional Community ◽

Case Material ◽

Clinical Material ◽

Duty Of Care ◽

Therapeutic Action ◽

Scientific Advancement ◽

Patient Consent ◽

Ethical Responsibilities

The onus on therapists to seek the consent of their patients before publishing clinical material may be one reason why so few decide to write about their experience. There are inevitable and unavoidable tensions in balancing the duty of care to patients with other ethical responsibilities, including the needs of the professional community for education and scientific advancement. In this paper, we explore the context and dynamics of seeking consent from couples and families to publish material relating to their therapy and propose a way to manage some of the ethical dilemmas involved in writing about patients that is in keeping with the contemporary analytic literature on the interpersonal unconscious between patient and therapist, and the interpsychic/interpersonal dimensions of therapeutic action. Throughout this paper, the term “patient” is used to designate couples and families as well as individuals.

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Pharmaconutrition: pharmacological approach to nutrition therapy

Orvosi Hetilap ◽

10.1556/oh.2014.29974 ◽

2014 ◽

Vol 155 (51) ◽

pp. 2021-2027

Author(s):

István Télessy

Keyword(s):

Fatty Acids ◽

Nutritional Support ◽

Pharmacological Action ◽

Nutrition Therapy ◽

Therapeutic Agents ◽

Therapeutic Action ◽

Treatment Results ◽

Research Activity ◽

Therapeutic Modalities ◽

The Everyday

Reviewing the literature of nutrition therapy one can conclude that during the last decade the pharmacological action of several nutrients has been demonstrated. However, research activity is still at the beginning and it could be verified in a restricted number of nutrients only that in which conditions (illnesses), dose and duration we can expect therapeutic effect in addition to nutrition. The examples of glutamine, arginine, taurine, leucine, ω-3 fatty acids, however, support the possibility that complex reactions and treatment results observed in certain patients are not purely due to nutritional support but the consequence of additional pharmacological action as well. Evaluation of results of therapeutic intervention is especially difficult because in the everyday practice physicians try to use several therapeutic modalities that can be beneficial for the patient. Therefore, retrospective separation of beneficial components of the therapeutic agents is almost impossible. Only well designed, randomized and multicentric studies can verify specific therapeutic action of certain ingredients ie. nutrients. Orv. Hetil., 2014, 155(51), 2021–2027.

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