Discover what the National Academies are doing in various topic areas to strengthen the fields of science, engineering, and medicine and their capacity to contribute to the well-being of our nation and the world.
mind over medicine epub download
Mind-body therapies are popular and are ranked among the top 10 complementary and integrative medicine practices reportedly used by adults and children in the 2007-2012 National Health Interview Survey. A growing body of evidence supports the effectiveness and safety of mind-body therapies in pediatrics. This clinical report outlines popular mind-body therapies for children and youth and examines the best-available evidence for a variety of mind-body therapies and practices, including biofeedback, clinical hypnosis, guided imagery, meditation, and yoga. The report is intended to help health care professionals guide their patients to nonpharmacologic approaches to improve concentration, help decrease pain, control discomfort, or ease anxiety.
The distress of palliative care patients is a total suffering that is a complicated combination of physical, psychological, social, and spiritual pain, thus whole person care is needed. Psychosomatic medical doctors have the advantage of contributing to palliative care without a stress overload or burnout because of their special training in communication skills to deal with patients from the standpoints of both mind and body.
Palliative care is not a new issue in Indonesia, which has been improving palliative care since 1992 and developed a palliative care policy in 2007 that was launched by the Indonesian Ministry of Health. However, progress has been slow and varied across the country. Future work is needed to build capacity, advocate to stakeholders, and to create care models that provide services in the community and increase the palliative care workforce. Psychosomatic medicine is based on a bio-psychosocial-spiritual model of care and is related to physical and psychosocial factors and to good communication. There are many similarities between psychosomatic and palliative patients. Psychosomatic medical doctors have the advantage of contributing to palliative care without stress overload or burnout because of their special training in communication skills to deal with patients from the standpoints of both mind and body.
In cases ascertained in adolescence, social problems predated the illness in 20% of cases and informed the prognosis, such that cases with social deficits prior to onset at age 15, were found to be impaired 18 years later at follow-up [6, 40]. Experiences of teasing, bullying and criticism, often pertaining to weight/shape and eating, are found before the illness [41]. During the illness social networks are often reduced [42, 43]. In addition, a sense of inferiority in relationship to others can persist post recovery [44]. Thus, a wide variety of behavioural features support the model, in that an avoidant social phenotype is of relevance to the onset and prognosis. In the next section we examine the form of this social phenotype in more detail. A variety of experimental paradigms have been used to examine factors that may underpin social avoidance in people with EDs, [45] including attention, emotional expression and interpretation and theory of mind.
Mind-body medicine uses the power of thoughts and emotions to influence physical health. As Hippocrates once wrote, "The natural healing force within each one of us is the greatest force in getting well." This is mind-body medicine in a nutshell.
Most ancient healing practices, such as Traditional Chinese Medicine and Ayurvedic medicine, emphasize the links between the mind and the body. Western medical views were shaped by systems of thought that emphasized the opposite, that the mind and body are separate.
While phrases such as "mind over matter" have been around for years, only recently have scientists found solid evidence that mind-body techniques actually do fight disease and promote health. In 1989, for example, a clinical study by David Spiegel, M.D. at Stanford University School of Medicine demonstrated the power of the mind to heal. Of 86 women with late stage breast cancer, half received standard medical care while the other half received standard care plus weekly support sessions. In these sessions, the women were able to share both their grief and their triumphs. Spiegel discovered that the women who participated in the social support group lived twice as long as the women who did not. A similar clinical study in 1999 showed that in people with breast cancer, helplessness and hopelessness are associated with lesser chance of survival.
Other studies also show how meditation affects mood and symptoms in people with different conditions (such as high blood pressure, irritable bowel syndrome, and cancer). It also improves quality of life. More recently, researchers have found that 70 primary care physicians who participated in a mindfulness education program over one year showed dramatic improvement in mindfulness skills, burnout, mood, disturbance, and empathy.
In an analysis of mind-body studies, researchers found that cognitive behavioral therapy is the most long-lasting treatment for tinnitus (ringing in the ears). Relaxation techniques, hypnosis, and biofeedback also helped. Some researchers believe that chronic fatigue syndrome, which affects the immune system, can be treated with mind-body medicine.
Mind-body medicine is generally very safe and works well when combined with conventional medical care. Each mind-body technique may have its own risks and side effects. Talk with your health care provider about any concerns you may have.
Sierpina VS, Kreitzer MJ, Brodsky M, et al. Innovations in integrative healthcare education: mind-body faculty development at UCLA and the symposium for portland area research on complementary and alternative medicine. Explore (NY). 2006;2(6):547-9.
Ventegodt S, Thegler S, Andreasen T, et al. Clinical holistic medicine (mindful, short-term psychodynamic psychotherapy complemented with bodywork) in the treatment of experienced impaired sexual functioning. Scientific World Journal. 2007;7:324-9.
Our focus on decolonization stemmed from community discussions on underlying issues of healthcare provision and transformation efforts in on-reserve communities with effectively developed community-based primary healthcare models. First Nation active involvement and leadership in the research program shed light on elements of healthcare provision that constitute First Nation governance. Within effectively developed, community-based healthcare models was ample consideration to community-informed direction and interests, social determinants of health, holistic programming, traditional medicine, and jurisdictional bridging. By their very participation and involvement, solutions to complex and persistent issues seemed straightforwardly solvable.
The iPHIT program, developed in partnership between FNHSSM and the University of Manitoba, built upon engagement and the capacities of the First Nations with the following overall goals in mind: 1) to describe community-based primary healthcare provision in First Nation communities by focusing on their strengths, key factors and innovations in healthcare to maintain wellness of community members; 2) to explore First Nation perspectives regarding why mainstream approaches to health may be failing; 3) to compare governance models, community engagement and delivery processes in and between the communities; and 4) to build collaborative relationships with communities and decision-makers in support of community-based primary healthcare innovation implementation to improve overall wellness of First Nations (see also [24]). These questions guided the qualitative study from which multiple articles have already and are in the process of being published [15, 24, 41, 43, 44, 46]. For the iPHIT team, the process of collaborative and respectful engagement was pivotal for implementation of a decolonizing methodology.
Joint analyses and interpretation of the findings between researchers and First Nation people revealed substantial evidence that the communities were looking profoundly into the problems of poorly delivered healthcare services and health inequities. Issues brought to the fore were consistent with those highlighted by national and international commissions regarding reconciliation, health and wellbeing, Indigenous rights and liberties. What the community members generated through the interviews could be described aptly as substance to conceptual images conceived in central discursive circles. Essentially, we were all on the same page regarding it being high time colonialism and all it entails be brought to its head. However, the work that the communities were doing was providing an actual ground upon which to build a decolonizing, and therefore, transformative agenda. A culmination of work that can be described as dissecting decolonizing into pieces of not only coming out of a colonized mindset but re-entering into and revival of traditions, that included values, aspirations, and ways of doing health work that were outside of what has for over a century been shaped by colonial and, inside of that, biomedical power and control.
Reconnecting after colonization was seen as pivotal to reclaiming health and healthcare. Traditional medicine and healing activities presupposed human-ecological interconnection. Importantly, what was interrupted with by the colonial regime was still accessible to the people, it may be hidden, in need of rediscovery, but discoverable, ready to be revitalized, nonetheless.
AccessMedicine is an innovative online resource that provides students with access to more than 98 digital medical titles from the best minds in medicine, updated content, hundreds of photos and illustrations, a self-assessment feature, diagnostic tools, a comprehensive search platform, and the ability to download content to a mobile device. Updated frequently by world-renowned physicians and expanded continuously. In order to make use of the mobile site, users need to register for a My AccessMedicine profile from any on-site computer. Once they have done so, they will be able to log on to the mobile site using their My AccessMedicine username and password. 2ff7e9595c
Comentários