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https://www.readbyqxmd.com/read/28812402/older-persons-experiences-of-a-home-based-exercise-program-with-behavioral-change-support
#1
Marina Arkkukangas, Annelie J Sundler, Anne Söderlund, Staffan Eriksson, Ann-Christin Johansson
BACKGROUND: It is a challenge to promote exercise among older persons. Knowledge is needed regarding the maintenance of exercise aiming at preventing falls and promoting health and well-being in older persons. PURPOSE: This descriptive study used a qualitative inductive approach to describe older persons' experiences of a fall-preventive, home-based exercise program with support for behavioral change. METHODS: Semi-structured interviews were conducted with 12 elderly persons aged 75 years or older, and a qualitative content analysis was performed...
August 16, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28806130/existential-risk-and-cost-effective-biosecurity
#2
Piers Millett, Andrew Snyder-Beattie
In the decades to come, advanced bioweapons could threaten human existence. Although the probability of human extinction from bioweapons may be low, the expected value of reducing the risk could still be large, since such risks jeopardize the existence of all future generations. We provide an overview of biotechnological extinction risk, make some rough initial estimates for how severe the risks might be, and compare the cost-effectiveness of reducing these extinction-level risks with existing biosecurity work...
August 14, 2017: Health Security
https://www.readbyqxmd.com/read/28805127/the-role-of-heroic-doubling-in-ideologically-motivated-state-and-terrorist-violence
#3
Roger Griffin
The psychiatrist Robert Lifton developed his model of 'doubling' to account for the capacity of some human beings to commit atrocities in one compartment of their lives, while continuing to maintain normal social relations in their domestic sphere, a phenomenon which he encountered both in interviews with former Nazi doctors working in concentration camps, and with terrorists belonging to the Japanese Aum Shinrikyo cult. By supplementing this model with a theory of heroization based on existential anthropology and Jung's concept of the Shadow, a composite heuristic explanatory paradigm is formed, 'heroic doubling', which may contribute to the empathetic understanding of acts of extreme violence being carried out by individuals who do not present symptoms of psychiatric disorder and maintain normal existences, yet are prepared to kill and be killed for a cause that confers on their lives a sense of transcendent purpose and sacrality...
August 2017: International Review of Psychiatry
https://www.readbyqxmd.com/read/28805122/the-inear-programme-an-existential-positive-psychology-intervention-for-resilience-and-emotional-wellbeing
#4
Aneta D Tunariu, Rachel Tribe, Dan Frings, Ian P Albery
The aim of this study was to evaluate the effectiveness of a new psychological intervention, the iNEAR, which is a resilience and wellbeing programme consisting of a classroom based set of activities designed to facilitate the formation of positive identities through the acquisition of skills for growth and personal flourishing. Three hundred and fifty-four young people aged 11 and 12, matched for age and gender, were randomly allocated to the intervention (84 girls; 80 boys) and control conditions (93 girls; 96 boys)...
August 2017: International Review of Psychiatry
https://www.readbyqxmd.com/read/28803082/addressing-patient-emotional-and-existential-needs-during-serious-illness-results-of-the-outlook-randomized-controlled-trial
#5
Karen E Steinhauser, Stewart Alexander, Maren K Olsen, Karen M Stechuchak, Jennifer Zervakis, Natalie Ammarell, Ira Byock, James A Tulsky
CONTEXT: Few interventions exist to address patients' existential needs. OBJECTIVE: Determine whether an intervention to address seriously-ill patients' existential concerns improves preparation, completion (elements of quality-of-life at end-of-life) and reduces anxiety and depression. METHODS: A randomized control trial comparing: 1)Outlook intervention, 2)Relaxation meditation (RM); and 3)Usual care (UC). Measures included: primary - quality-of-life (QUAL-E) and secondary - FACT-G, anxiety (POMS), depression (CES-D), and spiritual well-being (FACIT-sp)...
August 9, 2017: Journal of Pain and Symptom Management
https://www.readbyqxmd.com/read/28799437/development-of-the-emap-tool-facilitating-existential-communication-between-general-practitioners-and-cancer-patients
#6
Elisabeth Assing Hvidt, Dorte Gilså Hansen, Jette Ammentorp, Lars Bjerrum, Søren Cold, Pål Gulbrandsen, Frede Olesen, Susanne S Pedersen, Jens Søndergaard, Connie Timmermann, Helle Timm, Niels Christian Hvidt
BACKGROUND: General practice recognizes the existential dimension as an integral part of multidimensional patient care alongside the physical, psychological and social dimensions. However, general practitioners (GPs) report substantial barriers related to communication with patients about existential concerns. OBJECTIVES: To describe the development of the EMAP tool facilitating communication about existential problems and resources between GPs and patients with cancer...
August 11, 2017: European Journal of General Practice
https://www.readbyqxmd.com/read/28799170/mothers-experiences-of-having-a-premature-infant-due-to-pre-eclampsia
#7
Inger Emilie Vaerland, Kari Vevatne, Berit Støre Brinchmann
AIM: Pre-eclampsia can lead to premature birth aimed at saving mothers' and infants' lives. Few studies have addressed how women with serious pre-eclampsia experience to become mothers to a premature infant. The aim was to describe the phenomenon of mothers' experience of being a seriously ill with pre-eclampsia and on the same time becoming a mother of a premature infant. METHODOLOGY: A reflective phenomenological lifeworld approach with a descriptive design was used...
August 10, 2017: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/28793852/trust-in-the-early-chain-of-healthcare-lifeworld-hermeneutics-from-the-patient-s-perspective
#8
Gabriella Norberg Boysen, Maria Nyström, Lennart Christensson, Johan Herlitz, Birgitta Wireklint Sundström
PURPOSE: Patients must be able to feel as much trust for caregivers and the healthcare system at the healthcare centre as at the emergency department. The aim of this study is to explain and understand the phenomenon of trust in the early chain of healthcare, when a patient has called an ambulance for a non-urgent condition and been referred to the healthcare centre. METHOD: A lifeworld hermeneutic approach from the perspective of caring science was used. Ten patients participated: seven female and three male...
December 2017: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/28783462/a-person-centred-approach-in-medicine-to-reduce-the-psychosocial-and-existential-burden-of-chronic-and-life-threatening-medical-illness
#9
Luigi Grassi, Juan E Mezzich, Maria Giulia Nanni, Michelle B Riba, Silvana Sabato, Rosangela Caruso
The psychiatric, psychosocial, and existential/spiritual pain determined by chronic medical disorders, especially if in advanced stages, have been repeatedly underlined. The right to approach patients as persons, rather than symptoms of organs to be repaired, has also been reported, from Paul Tournier to Karl Jaspers, in opposition and contrast with the technically-enhanced evidence-based domain of sciences that have reduced the patients to 'objects' and weakened the physician's identity deprived of its ethical value of meeting, listening, and treating subjects...
August 7, 2017: International Review of Psychiatry
https://www.readbyqxmd.com/read/28782351/life-satisfaction-and-its-relationship-with-spiritual-well-being-and-religious-practice-in-iranian-adolescent-girls
#10
Fariba Alizadeh Sharajabad, Sakineh Mohammad-Alizadeh Charandabi, Mojgan Mirghafourvand
Introduction During recent years, special attention has been given to spiritual well-being and religious practice in the field of health. This study aimed to determine the predictors of life satisfaction among adolescent girls in Tabriz, Iran, 2015. Materials and methods This cross-sectional study was conducted on 520 female students studying in high schools who were selected using the cluster sampling method. Data collection was carried out through the questionnaires of socio-demographic characteristics, spiritual well-being (SWBS), religious practice (Arcury and colleagues) and life satisfaction (SWLS)...
July 26, 2017: International Journal of Adolescent Medicine and Health
https://www.readbyqxmd.com/read/28780728/predictive-model-of-complexity-in-early-palliative-care-a-cohort-of-advanced-cancer-patients-palcom-study
#11
Albert Tuca, Mónica Gómez-Martínez, Aleix Prat
PROPOSAL: Model of early palliative care (PC) integrated in oncology is based on shared care from the diagnosis to the end of life and is mainly focused on patients with greater complexity. However, there is no definition or tools to evaluate PC complexity. The objectives of the study were to identify the factors influencing level determination of complexity, propose predictive models, and build a complexity scale of PC. PATIENTS AND METHOD: We performed a prospective, observational, multicenter study in a cohort of advanced cancer patients with an estimated prognosis ≤ 6 months...
August 6, 2017: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/28776784/the-international-phase-4-validation-study-of-the-eortc-qlq-swb32-a-stand-alone-measure-of-spiritual-well-being-for%C3%A2-people-receiving-palliative-care-for-cancer
#12
B Vivat, T E Young, J Winstanley, J I Arraras, K Black, F Boyle, A Bredart, A Costantini, J Guo, M E Irarrazaval, K Kobayashi, R Kruizinga, M Navarro, S Omidvari, G E Rohde, S Serpentini, N Spry, H W M Van Laarhoven, G M Yang
The EORTC Quality of Life Group has just completed the final phase (field-testing and validation) of an international project to develop a stand-alone measure of spiritual well-being (SWB) for palliative cancer patients. Participants (n = 451)-from 14 countries on four continents; 54% female; 188 Christian; 50 Muslim; 156 with no religion-completed a provisional 36-item measure of SWB plus the EORTC QLQ-C15-PAL (PAL), then took part in a structured debriefing interview. All items showed good score distribution across response categories...
August 4, 2017: European Journal of Cancer Care
https://www.readbyqxmd.com/read/28768678/a-concept-map-of-death-related-anxieties-in-patients-with-advanced-cancer
#13
Sigrun Vehling, Carmine Malfitano, Joanna Shnall, Sarah Watt, Tania Panday, Aubrey Chiu, Anne Rydall, Camilla Zimmermann, Sarah Hales, Gary Rodin, Christopher Lo
OBJECTIVES: Fear of death and dying is common in patients with advanced cancer, but can be difficult to address in clinical conversations. We aimed to show that the experience of death anxiety may be deconstructed into a network of specific concerns and to provide a map of their interconnections to aid clinical exploration. METHODS: We studied a sample of 382 patients with advanced cancer recruited from outpatient clinics at the Princess Margaret Cancer Centre, Toronto, Canada...
August 2, 2017: BMJ Supportive & Palliative Care
https://www.readbyqxmd.com/read/28758763/psychodynamizing-and-existentializing-cognitive-behavioral-interventions-the-case-of-behavioral-activation-ba
#14
Golan Shahar, Aner Govrin
From the point of view of Cognitive-Existential Psychodynamics (Shahar, 2015a, 2016; Shahar & Schiller, 2016; Ziv-Beiman & Shahar, 2016), active techniques-primarily cognitive-behavioral therapy ones-might not only reduce distress but also bolster the therapeutic relationships and serve as powerful vehicles for self-discovery and growth. This, however, is contingent upon therapists' ability to view, and present to patients, the psychodynamic and existential nature of active techniques. Our focus herein is on behavioral activation, an intervention that consists of encouraging patients to participate in enjoyable and meaningful activities, in the face of depressive anhedonia...
July 31, 2017: Psychotherapy
https://www.readbyqxmd.com/read/28746010/beyond-nature-and-culture-fromm-s-existentialism
#15
Donald L Carveth
Though commonly seen as a member of the so-called "culturistic" school of psychoanalysis that rejected Freudian drive theory and embraced an "oversocialized" conception of human nature, Fromm's qualified essentialism and neo-Marxist existentialism significantly transcend both biological and social determinism (although he succumbs to the latter in regard to his theory of the Oedipus complex). His existential Freudo-Marxism contributes to the integration of psychoanalysis and social science. In place of the authoritarian superego and the pseudo-objective stance of the classical Freudians, Fromm offers conscientious, egalitarian, personalistic, and humane values...
August 2017: Psychoanalytic Review
https://www.readbyqxmd.com/read/28746004/is-fromm-relevant-for-relational-approaches-in-psychoanalysis
#16
Mauricio Cortina
This paper provides an overview of how Erich Fromm's work influenced contemporary relational and intersubjective approaches. It stresses Fromm's humanistic and existential sensibility, his explanation of how different socioeconomic and cultural contexts mold different character types, and how his center-to-center relatedness in clinical work all contribute to psychic change. The author shows how these dimensions intersect and add to current interests in relational psychoanalysis.
August 2017: Psychoanalytic Review
https://www.readbyqxmd.com/read/28745949/short-term-psychodynamic-therapy-for-obsessive-compulsive-disorder-a-manual-guided-approach-to-treating-the-inhibited-rebel
#17
Falk Leichsenring, Christiane Steinert
Obsessive-compulsive disorder (OCD) is a chronic disabling disorder characterized by recurrent obsessions and uncontrolled compulsions. Recent research on anxiety disorders suggests that manual-guided short-term psychodynamic therapy (STPP) may be a promising approach. Building on this, a model of STPP for OCD was developed based on Luborsky's supportive-expressive (SE) therapy. Treatment consists of 12 modules, which include the characteristic elements of SE therapy, that is, a focus on the Core Conflictual Relationship Theme (CCRT) associated with OCD symptoms and on establishing a secure alliance...
July 26, 2017: Bulletin of the Menninger Clinic
https://www.readbyqxmd.com/read/28738189/surgical-landmarks-to-locating-the-main-trunk-of-the-facial-nerve-in-parotid-surgery-a-systematic-review
#18
Yisi D Ji, R Bruce Donoff, Zachary S Peacock, Eric R Carlson
PURPOSE: The purpose of this study was to describe distances from commonly used anatomic landmarks to the main trunk of the facial nerve during parotid surgery. MATERIALS AND METHODS: A systematic search of the published literature was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All studies from January 1, 1990 to January 1, 2017 that measured distances to the main trunk of the facial nerve from common anatomic landmarks were eligible...
June 30, 2017: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/28736789/spiritual-distress-and-spiritual-care-in-advanced-heart-failure
#19
REVIEW
Ronald Gillilan, Sameena Qawi, Audrey J Weymiller, Christina Puchalski
As patients face serious and chronic illness, they are confronted with the realities of dying. Spiritual and existential issues are particularly prominent near the end of life and can result in significant distress. It is critical that healthcare professionals know how to address patients' and families' spiritual concerns, diagnose spiritual distress and attend to the deep suffering of patients in a way that can result in a better quality of life for patients and families. Tools such as the FICA spiritual history tool help clinicians invite patients and families to share their spiritual or existential concerns as well as sources of hope and meaning which can help them cope better with their illness...
July 24, 2017: Heart Failure Reviews
https://www.readbyqxmd.com/read/28725846/living-with-man-s-fate-away-from-home
#20
Hilda Wong, Edward Nilges
Edward Nilges is a former software consultant who came from Chicago to Hong Kong in 2005, and has since worked as a teacher. Having been residing in Hong Kong for all these years, Edward fell ill with cancer and its complications. He choose to receive medical treatment in Hong Kong, where both the dominant culture and medical system were foreign to him. Here, he gives an account of his physical, psychological, social and existential experience, in quest of meaning away from home, while his physician discusses the clinician's perspective...
December 2016: Journal of patient experience
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