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Elements of Holistic Integrative Health
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
The Healing Power of Love: The second principle concerns a powerful, sometimes taken for granted, ingredient: the healing power of love. Holistic integrative practitioners strive to relate to patients with grace, kindness, and acceptance. The essence of unconditional love starts with your own self-love and self-acceptance of who you are—just as you are. Unconditional love is about self-care and having compassion for yourself in all kinds of situations. It is the foundation of healing.
Treatment for Depression in Perimenopausal Women: Navigating the Transition to Menopause
Published in Laura H. Choate, Depression in Girls and Women Across the Lifespan, 2019
Mindfulness-Based Stress Reduction (MBSR) has also been studied as a potential treatment for menopause-related symptoms. As reviewed previously in this book, mindfulness training involves learning to recognize and accurately discriminate between thoughts, feelings, and bodily sensations, and learning to develop a non-reactive, non-judgmental stance towards each of these experiences as they occur. Mindfulness can then lead to awareness and acceptance of experience in the present moment, with an attitude of openness, acceptance, and compassion. Mindfulness-Based Stress Reduction is a research-based mindfulness program (Santorelli, Meleo-Meyer, Korbel, & Kabat-Zinn, 2017). Participants meet for 2 hours per week for 8 weeks, with an additional 40 minutes per day of homework exercises. In MBSR, mindfulness is taught through such experiences as the body scan, sitting and walking meditation, and mindful stretching exercises. MBSR training has been shown to be effective in supporting individuals to cope more effectively with a wide range of problems including sleep disturbance, perceived stress, depression, anxiety, and panic (Center for Mindfulness, 2018).
The disruption model of suffering
Published in David Bain, Michael Brady, Jennifer Corns, Philosophy of Suffering, 2019
We can again use grief as an illuminating example. Earlier on I described the different stages of grief, each of which is unpleasantly disruptive to one’s mental life. On the Kübler-Ross model of grief the final stage is acceptance. Acceptance is a kind of mental homeostasis – a sustainable psychological dynamic. This doesn’t mean returning to the same kind of overall mental state you were in before your bereavement: the whole point of the process is to dramatically revise your overall mental state in light of your loss. Instead you find a way of being able to go on despite your loss. This acceptance is achieved because of one’s suffering. You can’t learn of a loss then leap directly to a totally new mental economy that is no longer premised on the presence of your loved one. There’s a process you have to go through – a process that is unpleasantly disruptive – in order to get yourself to this new mental situation. Your suffering only abates once this mental process has run its course.
Relationship between Health Literacy and Frailty in Older Adults with Chronic Kidney Disease
Published in Experimental Aging Research, 2023
Burcu Candemir, Funda Yıldırım, Emre Yaşar, Yasemin Erten, Berna Göker
Acceptance of illness is an important parameter that affects the emotional reaction of individuals against their disease, adaptation to the limitation introduced by their disease, and practice of therapeutic behaviors (Mazurek & Lurbiecki, 2014). It has been shown that limited HL is associated with incorrect use of drugs and inability in the accurate interpretation of health-related information correctly (Berkman et al., 2011). There are various factors affecting the level of acceptance of illness. These include gender, education level, cognitive functions, and social support. In this study, patients with low HL were found to have lower levels of acceptance of illness. This can be explained by the lower education levels, MMSE test scores and the presence of a higher number of female participants. Although advanced CKD patients are treated effectively with renal replasman treatment today, a large number of additional medications are required due to additional comorbidities. Non-adherence to complex medications is a common problem, and its prevalence reaches a median of 50% in the dialysis patients, contributing to excess morbidity and mortality of this population (Schmid, Hartmann, & Schiffl, 2009). In the present study, similar to AIS, patients with low HL had lower MMAS–8 scores indicating lower compliance with medication and treatment. The improvement of modifiable risk factors, such as low HL, is very important to avoid low acceptance of illness and adherence to medications.
Twelve tips for mindful teaching
Published in Medical Teacher, 2022
Often the unexpected may be a clinical outcome different than what had been anticipated. Mindful teaching requires guiding the learner through a reflection on the team’s approach to the patient: was clinical reasoning flawed; was the outcome due to chance; was there an error? This guided reflection is a crucial component in teaching learners mental flexibility as well as helping them build for future patient care (Westberg and Jason 1994). As our learners practice acceptance, they will understand that patients will respond in unique ways, and that very little in medicine is straightforward. Practicing acceptance, they will adapt, developing resiliency to reduce their own likelihood of burnout. Using these same skills, learners will also be better equipped to respond to colleagues’ distress or concerns, further working to reduce collective physician burnout.
Deception and the Clinical Ethicist
Published in The American Journal of Bioethics, 2021
Quite good but not miracle workers: Despite all these good intentions and efforts, irresolvable impasses persist. Even the very best communicators, coming from the most compassionate of motives and using the best rhetorical techniques, will still fall short. Some people are simply unable to hear, let alone act upon, dissonant information,7 particularly when it is about something as vital as a loved one’s impending death. The obstacles to acceptance are many, but include guilt, religious belief, suspicion toward experts, and distrust of an institution—health care—that carries historical legacies of racial, gender and sexual orientation bias. Health care, including bioethics, has further contributed to the problem through decades of overly aggressive disease management. It is a recent, and still only partial, shift for physicians to be willing to say, “enough is enough, quality of life is as important as quantity.” That shift was driven both by economic constraints—the resource allocation for such life extension can no longer be sustained—and by 40 years of bioethics teaching that prioritized qualitative living, autonomy, and shared decision-making. In emphasizing these, however, we now see the flip side: “[I]n our zeal to be sure patients or their surrogates are given the opportunity to refuse CPR … the message has inappropriately been sent that … then they must also have the right to demand it” (Mercurio 2011, 17).