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https://www.readbyqxmd.com/read/29927030/the-mind-electric-challenges-to-clinical-categories-from-a-person-centred-perspective-and-the-possibilities-of-metaphysics-and-art-for-clinician-patient-and-treatment
#1
Alexandra Pârvan
The paper proposes that frameworks typical to metaphysics and art could be used in clinical treatment in somatic and psychiatric contexts to ensure improved care. The concept of the "body electric" of somatic patients which I introduced in previous work is developed further and paired with the "mind electric" of psychiatric patients. Both are defined as a patient's personally generated metaphysical possibility of being healthy-within-illness which is experientially actualized. Both concepts are used here to explore the alternative and the serious challenges to treatment approaches focused on clinical categories, disease, provision, and promotion of standardized or "black-box" therapies...
June 21, 2018: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/29890902/online-communication-settings-and-the-qualitative-research-process-acclimating-students-and-novice-researchers
#2
Katherine Gregory
In the last 20 years, qualitative research scholars have begun to interrogate methodological and analytic issues concerning online research settings as both data sources and instruments for digital methods. This article examines the adaptation of parts of a qualitative research curriculum for understanding online communication settings. I propose methodological best practices for researchers and educators that I developed while teaching research methods to undergraduate and graduate students across disciplinary departments and discuss obstacles faced during my own research while gathering data from online sources...
June 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29866163/language-interpretation-conditions-and-boundaries-in-multilingual-and-multicultural-emergency-healthcare
#3
Christina Lundin, Emina Hadziabdic, Katarina Hjelm
BACKGROUND: With an increasing migrant population globally the need to organize interpreting service arises in emergency healthcare to deliver equitable high-quality care. The aims of this study were to describe interpretation practices in multilingual emergency health service institutions and to explore the impact of the organizational and institutional context and possible consequences of different approaches to interpretation. No previous studies on these issues in multilingual emergency care have been found...
June 5, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29851716/preparing-interprofessional-faculty-to-be-humanistic-mentors-for-medical-students-the-gw-gold-mentor-development-program
#4
Benjamin Blatt, Margaret M Plack, Samuel J Simmens
INTRODUCTION: The GW-Gold Humanistic Mentor Development Program addresses the challenge faced by medical schools to educate faculty to prepare students for humanistic practice. Grounded in Branch's Teaching Professional and Humanistic Values model, the program prepares interprofessional faculty mentoring teams in humanistic communities of practice. The teams consist of physician-psychosocial professional pairs, each mentoring a small student group in their professional development course...
April 2018: Journal of Continuing Education in the Health Professions
https://www.readbyqxmd.com/read/29845119/applying-metacognition-through-patient-encounters-and-illness-scripts-to-create-a-conceptual-framework-for-basic-science-integration-storage-and-retrieval
#5
Eileen F Hennrikus, Michael P Skolka, Nicholas Hennrikus
Problem: Medical school curriculum continues to search for methods to develop a conceptual educational framework that promotes the storage, retrieval, transfer, and application of basic science to the human experience. To achieve this goal, we propose a metacognitive approach that integrates basic science with the humanistic and health system aspects of medical education. Intervention: During the week, via problem-based learning and lectures, first-year medical students were taught the basic science underlying a disease...
January 2018: Journal of Medical Education and Curricular Development
https://www.readbyqxmd.com/read/29813045/-inadequacy-of-the-paradigms-of-special-education-to-subjects-with-severe-and-profound-grade-intellectual-disability-the-need-for-pragmatic-realism-in-psychiatry-and-special-pedagogy
#6
REVIEW
Kasper Sipowicz, Hanna Żuraw, Andrzej Witusik, Łukasz Mokros, Edyta Najbert, Tadeusz Pietras
People with severe and profound grade disabilities are the subject of interest in psychiatry, clinical psychology and special pedagogy. Unfortunately, the paradigmatic approach to special education based on postmodern philosophy is in contrast to the biomedical approach that is based on the positivist and Cartesian models. The paper is an attempt to systematize the similarities and differences between the humanistic approach and the modern biomedical model, which, despite the apparent differences, do not differ so much from each other...
May 25, 2018: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29806903/capacity-for-preferences-respecting-patients-with-compromised-decision-making
#7
Jason Adam Wasserman, Mark Christopher Navin
When a patient lacks decision-making capacity, then according to standard clinical ethics practice in the United States, the health care team should seek guidance from a surrogate decision-maker, either previously selected by the patient or appointed by the courts. If there are no surrogates willing or able to exercise substituted judgment, then the team is to choose interventions that promote a patient's best interests. We argue that, even when there is input from a surrogate, patient preferences should be an additional source of guidance for decisions about patients who lack decision-making capacity...
May 2018: Hastings Center Report
https://www.readbyqxmd.com/read/29771100/-people-living-with-chronic-asthma-needs-and-expectations-regarding-the-accompaniment-offered-by-belgian-health-professionals
#8
Jehan Seret, Magali Pirson, Florence Penson, Hélène Lefebvre, Dan Lecocq
INTRODUCTION: Asthma remains a major public health problem, with 300 million people affected worldwide and a low rate of adherence to treatment. CONTEXT: Few authors have considered one of the determinants of asthmatic patients' adherence to treatment : the accompaniment offered by health care professionals. AIM: To describe the expectations and needs of people living with chronic asthma regarding their accompaniment. METHODS: A descriptive qualitative approach with reasoned sampling...
March 2018: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/29740361/-gold-standards-plurality-and-monocultures-the-need-for-diversity-in-psychotherapy
#9
Falk Leichsenring, Allan Abbass, Mark J Hilsenroth, Patrick Luyten, Thomas Munder, Sven Rabung, Christiane Steinert
For psychotherapy of mental disorders, presently several approaches are available, such as interpersonal, humanistic, systemic, psychodynamic or cognitive behavior therapy (CBT). Pointing to the available evidence, proponents of CBT claim that CBT is the gold standard. Some authors even argue for an integrated CBT-based form of psychotherapy as the only form of psychotherapy. CBT undoubtedly has its strengths and CBT researchers have to be credited for developing and testing treatments for many mental disorders...
2018: Frontiers in Psychiatry
https://www.readbyqxmd.com/read/29701934/a-commentary-on-existential-psychopharmacologic-clinical-practice-advocating-a-humanistic-approach-to-the-med-check
#10
S Nassir Ghaemi, Ira D Glick, James M Ellison
No abstract text is available yet for this article.
April 24, 2018: Journal of Clinical Psychiatry
https://www.readbyqxmd.com/read/29676687/christopher-hitchens-public-dying-toward-a-secular-humanist-ars-moriendi
#11
Michael Brennan
This article explores the public dying of journalist, writer, provocateur, public intellectual, and renowned atheist, Christopher Hitchens. It does so primarily through an analysis of television interviews given by Hitchens following his diagnosis with esophageal cancer in June 2010. Four key themes are identified as emerging from analysis of the interviews: (a) Hitchens' explicit sense of mission in challenging myths and superstitions surrounding cancer, dying, and death; (b) the personal experience of terminal illness and dying and the particular way (or style of dying) by which it is approached; (c) issues of regret and a life well lived; and (d) questions surrounding religion, the afterlife, and possibility of deathbed conversion...
June 2018: Omega
https://www.readbyqxmd.com/read/29619664/constructing-critical-thinking-in-health-professional-education
#12
Renate Kahlke, Kevin Eva
INTRODUCTION: Calls for enabling 'critical thinking' are ubiquitous in health professional education. However, there is little agreement in the literature or in practice as to what this term means and efforts to generate a universal definition have found limited traction. Moreover, the variability observed might suggest that multiplicity has value that the quest for universal definitions has failed to capture. In this study, we sought to map the multiple conceptions of critical thinking in circulation in health professional education to understand the relationships and tensions between them...
April 4, 2018: Perspectives on Medical Education
https://www.readbyqxmd.com/read/29616577/collaborative-group-testing-improves-learning-and-knowledge-retention-of-human-physiology-topics-in-second-year-medical-students
#13
Mario Vázquez-García
The present study examined the relationship between second-year medical students' group performance and individual performance in a collaborative-learning environment. In recent decades, university professors in the scientific and humanistic disciplines have successfully put into practice different modalities of collaborative approaches to teaching. Essentially, collaborative approach refers to a variety of techniques that involves the joint intellectual effort of a small group of students, which encourages interaction and discussion among students and professors...
June 1, 2018: Advances in Physiology Education
https://www.readbyqxmd.com/read/29561106/-technicization-of-surgery-a-real-danger
#14
Amandine Klipfel
Technicized medicine foreshadows a dehumanisation of care : patients are seen as tools for progress, and doctors are focused on the therapeutical means to be developed. Therefore, surgeons are torn between their desires, as technicians, to improve their tech-nical skills, and their duty, as doctors, to look after each patient who needs care. The advent of laparaoscopy has changed the way doctors consider their patients' bodies. The current state of surgery is in crisis insofar as humanist surgery can no longer meet the aspirations of modern surgery...
October 13, 2017: Journal International de Bioéthique et D'éthique des Sciences
https://www.readbyqxmd.com/read/29508203/-the-rowdy-ones-configurations-of-difference-in-a-private-psychiatric-hospital
#15
Seth Donal Hannah
Drawing on participant-observation and semi-structured interviews, this paper examines the local forms of clinical practice in a 26-bed acute psychiatric inpatient unit located within a private psychiatric hospital in the Northeastern United States. It focuses on how clinicians, staff, and management understand and utilize the concepts of culture, race, and ethnicity in their daily work, finding that a humanistic approach to care that that treats patients as "individuals" was dominant. Clinicians and staff categorized patients using descriptive, behavior based categories including language, propensity for violence, and whether patients are "from the streets...
March 5, 2018: Culture, Medicine and Psychiatry
https://www.readbyqxmd.com/read/29501208/-precision-medicine-a-major-step-forward-in-specific-situations-a-myth-in-refractory-cancers
#16
REVIEW
Nicolas Albin, Anne Mc Leer, Linda Sakhri
In recent years, high-throughput sequencing techniques have been developed for cancerology and many clinical trials are currently structured around biomarkers that can guide specific treatment choices. This approach is characteristic of precision medicine, which is actually a concept initiated several decades ago with, for example, retinoic acid in promyelocytic leukemia. This paper will review the different types of molecular alterations and « -omics » biological analyses, bioinformatics tools, coupled drug/biomarkers already validated, the ethical issues of whole genomic sequencing of an individual as part of an inclusion in a clinical trial and finally the first results of precision medicine trials...
April 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/29490528/persistent-influence-of-a-narrative-educational-program-on-physician-attitudes-regarding-patient-care
#17
Jennifer N Stojan, Eleanor Y Sun, Arno K Kumagai
PURPOSE: Educational approaches involving patient stories aim at enhancing empathy and patient-centered care; however, it is not known whether the influence of such programs on physician attitudes persists beyond medical school. MATERIALS AND METHODS: The Family Centered Experience (FCE) paired preclinical medical students with patient families over two years and engaged students in reflective dialogs about the volunteers' stories. This study examined possible long-term influences on attitudes toward medicine and doctoring...
February 28, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29466928/mapping-patterns-of-change-in-emotion-focused-psychotherapy-implications-for-theory-research-practice-and-training
#18
Jeanne C Watson
An important objective in humanistic-experiential psychotherapies and particularly emotion-focused psychotherapy (EFT) is to map patterns of change. Effective mapping of the processes and pathways of change requires that in-session processes be linked to in-session resolutions, immediate post-session changes, intermediate outcome, final therapy outcome, and longer-term change. This is a challenging and long-term endeavour. Fine-grained descriptions of in-session processes that lead to resolution of specific interpersonal and intrapersonal issues linked with longer-term outcomes are the foundation of EFT, the process-experiential approach...
May 2018: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/29429022/a-new-path-for-humanistic-medicine
#19
Juliette Ferry-Danini
According to recent approaches in the philosophy of medicine, biomedicine should be replaced or complemented by a humanistic medical model. Two humanistic approaches, narrative medicine and the phenomenology of medicine, have grown particularly popular in recent decades. This paper first suggests that these humanistic criticisms of biomedicine are insufficient. A central problem is that both approaches seem to offer a straw man definition of biomedicine. It then argues that the subsequent definition of humanism found in these approaches is problematically reduced to a compassionate or psychological understanding...
February 2018: Theoretical Medicine and Bioethics
https://www.readbyqxmd.com/read/29388278/walls-or-bridges-no-gobbledygook-the-international-psycho-oncology-society-2017-sutherland-award-lecture
#20
Matthew J Loscalzo
Illness, health, and wellness happen in social contexts. The present political environment is highly divisive and plays to the most primitive fears of people. Never have the stakes been so high. History is replete with putative leaders who create walls that separate people in ways that inevitably leads to dehumanization, suffering, and eventually violence. Timely and openly shared psychosocial insights by experts in mental health into the evil consequences of "wall builders" are essential to the physical, mental, and spiritual health of individuals and nations...
February 1, 2018: Psycho-oncology
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