CME : Your SA Journal of CPD - Volume 26, Issue 1, 2008
Volume 26, Issue 1, 2008
Author Patricia LuckSource: CME : Your SA Journal of CPD 26, pp 6 –7 (2008)More Less
Author C Trevor ModlinSource: CME : Your SA Journal of CPD 26, pp 8 –11 (2008)More Less
- Suppressed memories unavailable to the logical mind may play a critical role in the development and maintenance of many psychological and physical disorders.
- The emotional voltage of suppressed memories supercedes logic.
- The primary function of the subconscious mind is survival of the individual, although there is a priority of survival issues.
- It is the survival imperative of the subconscious that may influence somatic function directly, or probably via epigenetic RNA interference machinery, to effect physiological and pathological change.
- Hypnotic phenomena such as regression and control of physiological functioning open doors to effective management of many diseases.
- Traditional hypnotic suggestion, metaphor and imagery are utilised in palliation or in facilitation of conventional medical and surgical interventions.
- Analytical hypnotherapy has a documented record in the successful management of various diseases by first resolving the causative subconscious issues of anxiety, fear, guilt and shame.
- Medical hypnoanalysis is a systematic approach unique in its recognition and management of spiritual and guilt issues.
Author Simon WhitesmanSource: CME : Your SA Journal of CPD 26, pp 12 –16 (2008)More Less
- Mindfulness practice exists at the convergence of human consciousness and science investigation.
- Mindfulness practices emerge out of the desire to reduce human suffering.
- Mindfulness is both a specific meditative form and a way of being.
- Mindfulness is not the same as relaxation, although mindfulness-based techniques may elicit the relaxation response.
- The three core cognitive components of mindfulness are intention, attention and attitude.
- The cognitive meta-process results in a disidentifying from the contents of consciousness.
- Neural correlates underpinning mindfulness are being elucidated in brain regions associated with interception and emotional regulation in particular.
- Mindfulness-based stress reduction (MBSR), the most widely utilised mindfulness-based intervention, has shown promising clinical results in initial trials.
- Mindfulness-based cognitive therapy (MBCT) results in significant reduction in relapse in patients with 3 or more episodes of major depression.
- The mindful practitioner, grounded in self-awareness, is effective in attending to the full range of patients' needs as well as retaining sensitivity to their own well-being.
Mind, immunity and health - the science and clinical application of psychoneuroimmunology : main articleAuthor Margo De KookerSource: CME : Your SA Journal of CPD 26, pp 18 –20 (2008)More Less
- Psychoneuroimmunology (PNI) is a multidisciplinary field spanning immunology, psychology and neuro-endocrinology.
- The bi-directional communication occurs between the brain, endocrine and immune systems reflects a functional 'psychosomatic network'.
- Chronic stress influences all aspects of the psychosomatic network.
- Various psychosocial factors impact on immunity and resistance, their impact depends on the resilience of the individual who encounters these factors.
- Hardiness, self-complexity and balanced emotional expression are important buffers against stress and immune dysfunction.
- Mood, adaptive coping, continued life involvement, emotional processing, social support, doctor-patient relationship and spirituality, are all variables that can influence disease progression from a PNI perspective.
- Managing stress, identifying relevant psychosocial factors and promoting self-efficacy, optimism and resilience is an important facet of comprehensive health care.
Author Anil RamjeeSource: CME : Your SA Journal of CPD 26, pp 22 –26 (2008)More Less
- Modern lifestyle and stress are distancing the thinking mind (verbal, rational, analytical) from the emotional mind (emotional, intuitive and non-verbal).
- Compared with the thinking mind, the emotional mind is closely linked to autonomic and immune physiology.
- Our bodies react to our perception of a stressful stimulus rather than the stimulus itself.
- Therapeutic touch can modulate neuroendocrine and immune processes.
- There is a physiological basis for belief (placebo), a phenomenon once thought to be 'all in the mind'.
- Our experiences, culture and meaning are closely linked to our biology.
- Placebos may modulate peripheral immune reactivity.
- Acutely stressful psychosocial factors are linked to cardiac morbidity and mortality.
- No single psychosocial factor has been implicated in cancer development.
- Everything we think, feel and do is mirrored in physiological processes.
- Genes and immunity are modulated by psychobiological states of everyday life.
Author Sylvia RodriguesSource: CME : Your SA Journal of CPD 26, pp 28 –30 (2008)More Less
- Up to 83% of patients with cancer diagnoses use CAM.
- Integrative medicine emphasises relationship-centred care and develops an understanding of the patient's culture and beliefs to help to facilitate the healing process.
- Cancer patients require symptomatic control that encompasses control of their psychological distress.
- Evidence from multiple studies with various types of cancer patients suggests that mind-body interventions can improve mood, quality of life and coping, as well as ameliorate disease and treatment-related symptoms, such as chemotherapy-induced nausea and vomiting and pain.
- These interventions include meditation, hypnosis and guided imagery, yoga, prayer, psychosocial interventions and music and art therapy.
Author Victoria Ives-DeliperiSource: CME : Your SA Journal of CPD 26, pp 32 –33 (2008)More Less
In 1994 Nobel prize winner Francis Crick presented what he described as an astonishing hypothesis: 'You, your joys and your sorrows, your memories and your ambitions, your sense of personal identity and free will are, in fact, nothing more than the behaviour of a vast assembly of nerve cells and their associated molecules.'
Author Maura kennySource: CME : Your SA Journal of CPD 26 (2008)More Less
The term 'mindfulness' appears in a variety of recent psychological treatment modalities, which include dialectical behaviour therapy (DBT), acceptance and commitment therapy (ACT), mindfulnessbased stress reduction (MBSR) and mindfulness-based cognitive therapy (MBCT).
Source: CME : Your SA Journal of CPD 26, pp 35 –36 (2008)More Less
- Supportive therapy, including assisted ventilation, is the mainstay of managing organophosphate pesticide poisoning.
- Atropine is the cornerstone of medical therapy.
- The role of oximes has been controversial for many years with insufficient evidence for benefit or harm. However, a recent RCT showed that higher doses of pralidoxime resulted in better outcomes than standard doses. Early administration of the oximes (within 2 hours) is therefore recommended in patients with major toxicity.
- In South Africa, an IV bolus of 250 mg obidoxime, followed by an infusion of 750 mg over 24 hours is now recommended. Although this is off-label, i.e. different dosing instruction from the package insert, this recommendation is consistent with WHO guidelines and the recent RCT showing a favourable response to high-dose early therapy.
Source: CME : Your SA Journal of CPD 26 (2008)More Less
Udani Samarasekera, writing in The Lancet, reports that health service funding is being stopped for some homeopathic hospitals in the UK, following an active campaign by doctors and scientists. He asks if this signals the end of homeopathy in the UK's National Health Service.