Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.428
Timothy H. Wideman
{"title":"Some Reflections on Whole Person Research","authors":"Timothy H. Wideman","doi":"10.26443/ijwpc.v11i1.428","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.428","url":null,"abstract":"","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"52 45","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.409
Mariana Smith, Camille Piguet, Russia Hà-Vinh-Leuchter, Arnaud Merglen
Increased stress reactivity during adolescence has been associated with vulnerability for psychiatric disorders in adulthood and mindfulness-based interventions (MBI) seem to be an option to stress. However, there is still debate on how to best teach MBI to teenagers. For the last 6 years, authors have been proposing the “Mindfulteen” (MT) to teenagers between 12 and 19 years in Geneva. The MT was first applied in different clinical trials and in a qualitative study and, as the results were encouraging, is now proposed in a clinical context at the University Hospital. Authors aim to share here some lessons learned from this experience: 1. Motivation and curiosity are key to engagement, and this is particularly important in school settings; 2. Even if adaptation is needed for different age groups, the program’s core remains easily the same; 3. Short formal practices with not much silence are needed, and metaphors can help; 4. Clarifying the intention of each practice can improve engagement, and the same explicit attitude can be brought into inquiry; 5. A trauma-sensitive approach is crucial, especially in clinical settings; 7. Proposing different versions of the same practice facilitates home practice; 8. Even if participants are not practicing between sessions, it doesn’t mean that they are not integrating mindfulness into their lives; 9. Creative and playful activities can provide rich mindful moments. In conclusion, there are open questions about teaching mindfulness to adolescents and authors believe that sharing and exchanging experiences is important to find some of the answers.
{"title":"Reflections on teaching mindfulness to teenagers: from research to clinic","authors":"Mariana Smith, Camille Piguet, Russia Hà-Vinh-Leuchter, Arnaud Merglen","doi":"10.26443/ijwpc.v11i1.409","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.409","url":null,"abstract":"Increased stress reactivity during adolescence has been associated with vulnerability for psychiatric disorders in adulthood and mindfulness-based interventions (MBI) seem to be an option to stress. However, there is still debate on how to best teach MBI to teenagers. For the last 6 years, authors have been proposing the “Mindfulteen” (MT) to teenagers between 12 and 19 years in Geneva. The MT was first applied in different clinical trials and in a qualitative study and, as the results were encouraging, is now proposed in a clinical context at the University Hospital. Authors aim to share here some lessons learned from this experience: 1. Motivation and curiosity are key to engagement, and this is particularly important in school settings; 2. Even if adaptation is needed for different age groups, the program’s core remains easily the same; 3. Short formal practices with not much silence are needed, and metaphors can help; 4. Clarifying the intention of each practice can improve engagement, and the same explicit attitude can be brought into inquiry; 5. A trauma-sensitive approach is crucial, especially in clinical settings; 7. Proposing different versions of the same practice facilitates home practice; 8. Even if participants are not practicing between sessions, it doesn’t mean that they are not integrating mindfulness into their lives; 9. Creative and playful activities can provide rich mindful moments. In conclusion, there are open questions about teaching mindfulness to adolescents and authors believe that sharing and exchanging experiences is important to find some of the answers. ","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"100 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.390
Houman Farzin
Despite significant advances in symptom management for patients affected by serious illness, physicians lack effective legal treatments for individuals suffering from demoralization, death anxiety, and existential distress. Psilocybin-assisted psychotherapy employs psilocybin-containing mushrooms or synthetic psilocybin grounded in indigenous traditions and within the context of a therapeutic mindset and environment ("set and setting") to achieve altered states of consciousness that promote healing and psychospiritual growth while reducing suffering. Current research evidence suggests that this form of therapy could serve as a safe and effective therapeutic tool for such patients. This presentation will describe a case series of patients with advanced cancer who received physician-supervised home-based psilocybin-assisted psychotherapy in Montreal, Canada. Our experience postulates the safety and efficacy of this laborious treatment process. By executing this clinical practice in the public healthcare system of Quebec for the first time, we have made an attempt to provide equitable access to these clinical therapies. Having performed these treatments outside the context of clinical trials, we have been able to tailor the therapeutic frame and treatment approach to a more patient-centric and culturally-informed manner. That being said, given the existing societal discrimination and stigma against this form of therapy, including by healthcare professionals, there remain further barriers to overcome in the equitable provision of care, especially to certain segments of the population. The authors will discuss these and potential solutions to addressing them.
{"title":"Psilocybin-assisted psychotherapy for cancer patients","authors":"Houman Farzin","doi":"10.26443/ijwpc.v11i1.390","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.390","url":null,"abstract":"Despite significant advances in symptom management for patients affected by serious illness, physicians lack effective legal treatments for individuals suffering from demoralization, death anxiety, and existential distress. Psilocybin-assisted psychotherapy employs psilocybin-containing mushrooms or synthetic psilocybin grounded in indigenous traditions and within the context of a therapeutic mindset and environment (\"set and setting\") to achieve altered states of consciousness that promote healing and psychospiritual growth while reducing suffering. Current research evidence suggests that this form of therapy could serve as a safe and effective therapeutic tool for such patients. \u0000This presentation will describe a case series of patients with advanced cancer who received physician-supervised home-based psilocybin-assisted psychotherapy in Montreal, Canada. Our experience postulates the safety and efficacy of this laborious treatment process. By executing this clinical practice in the public healthcare system of Quebec for the first time, we have made an attempt to provide equitable access to these clinical therapies. Having performed these treatments outside the context of clinical trials, we have been able to tailor the therapeutic frame and treatment approach to a more patient-centric and culturally-informed manner. That being said, given the existing societal discrimination and stigma against this form of therapy, including by healthcare professionals, there remain further barriers to overcome in the equitable provision of care, especially to certain segments of the population. The authors will discuss these and potential solutions to addressing them.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140490082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.397
Nicola O'Sullivan
Providing nursing care to people who have experienced child sexual abuse, assault and rape is a highly specialised and psychologically demanding task. Necessarily much focus is on the technical aspects of the task of providing care to patients. The specialist administrative and nursing team in the Sexual Assault and Treatment Units (SATUs) in Ireland provide complex treatment to a particularly vulnerable group of people from various backgrounds in Irish Society. The service is open to all genders and gender identities, aged 14 and over. The care is free and it is a recognised safe place to go to if you have been raped or sexually assaulted. In the Department of Health’s Policy Review of the SATUs in Ireland they recognised the challenging nature of the work and recommended the provision of high quality emotional supports for all staff (core and on-call). This paper considers the provision of reflective practice to members of the SATU team, with a particular emphasis on their emotional and psychological experience at work. The introduction of reflective practice into a nursing setting will be discussed including opportunities and challenges that emerged, and how the service gained momentum over a year. The paper will reflect on one case example in the form of a supervisee/supervisor relationship in an effort to deepen and broaden our understanding of the need for professional spaces in which to consider ones experience at work.
为遭受过儿童性虐待、性侵犯和强奸的人提供护理服务是一项高度专业化、心理要求极高的任务。 为患者提供护理服务的工作重点必然主要集中在技术方面。 爱尔兰性侵犯和治疗单位（SATUs）的专业行政和护理团队为爱尔兰社会中来自不同背景的特别弱势群体提供复杂的治疗。这项服务面向 14 岁及以上的所有性别和性别认同者。治疗是免费的，如果你遭到强奸或性侵犯，这里是公认的安全场所。在卫生部对爱尔兰 SATU 的政策审查中，他们认识到这项工作的挑战性，并建议为所有员工（核心员工和待命员工）提供高质量的情感支持。本文探讨了为 SATU 团队成员提供反思性实践的问题，特别强调了他们在工作中的情感和心理体验。本文将讨论在护理环境中引入反思性实践的过程，包括出现的机遇和挑战，以及该服务如何在一年的时间里获得发展势头。本文将以被督导者/督导者关系的形式对一个案例进行反思，以加深和拓宽我们对专业空间的需求的理解，在专业空间中思考自己的工作经验。
{"title":"Invitations to think and feel in forensic nursing; the role of clinical supervision and reflective practice","authors":"Nicola O'Sullivan","doi":"10.26443/ijwpc.v11i1.397","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.397","url":null,"abstract":"Providing nursing care to people who have experienced child sexual abuse, assault and rape is a highly specialised and psychologically demanding task. Necessarily much focus is on the technical aspects of the task of providing care to patients. The specialist administrative and nursing team in the Sexual Assault and Treatment Units (SATUs) in Ireland provide complex treatment to a particularly vulnerable group of people from various backgrounds in Irish Society. The service is open to all genders and gender identities, aged 14 and over. The care is free and it is a recognised safe place to go to if you have been raped or sexually assaulted. In the Department of Health’s Policy Review of the SATUs in Ireland they recognised the challenging nature of the work and recommended the provision of high quality emotional supports for all staff (core and on-call). \u0000This paper considers the provision of reflective practice to members of the SATU team, with a particular emphasis on their emotional and psychological experience at work. The introduction of reflective practice into a nursing setting will be discussed including opportunities and challenges that emerged, and how the service gained momentum over a year. The paper will reflect on one case example in the form of a supervisee/supervisor relationship in an effort to deepen and broaden our understanding of the need for professional spaces in which to consider ones experience at work. ","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"43 31","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.399
Eliana Rohr, Rob Whitley
Previous research has shown that minority groups tend to underuse healthcare services. One community whose experiences remain particularly under-researched in the Western world is Haredi Jews- a diverse group of individuals committed to traditional Talmudic and Halakhah teachings and observances. This presentation aims to enhance participants' understanding of mental health-seeking behaviours and challenges faced by Haredi individuals. We conducted a qualitative study that involved in-depth interviews with 24 adults who identified as Haredi and used mental health services, as well as informal consultations with local rabbis and community leaders. Interviews were transcribed and analyzed using thematic analysis techniques. Analysis revealed several important themes, including: (1) Strength of religious practices, community, and relationship with God as a factor determining mental well-being. (2) Implications of devotion to religion within the patient-physician encounter. (3) Stigma and acknowledged lack of awareness surrounding mental health in Haredi communities. These themes will be explored in the presentation, which will aim to bring light to participants’ lived experiences. We hope to address the proverbial "elephant in the room" often ignored or overlooked, as encountered by Haredi community members and their interactions with the healthcare system. We will present the unique strengths and challenges related to mental health encountered by Haredi Jews in our study, while discussing potential measures that can produce better health outcomes and culturally sensitive care for Haredi individuals.
{"title":"Into the looking glass on cultural and religious competent care: optimizing healthcare for Haredi individuals with mental illness","authors":"Eliana Rohr, Rob Whitley","doi":"10.26443/ijwpc.v11i1.399","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.399","url":null,"abstract":"Previous research has shown that minority groups tend to underuse healthcare services. One community whose experiences remain particularly under-researched in the Western world is Haredi Jews- a diverse group of individuals committed to traditional Talmudic and Halakhah teachings and observances. This presentation aims to enhance participants' understanding of mental health-seeking behaviours and challenges faced by Haredi individuals. We conducted a qualitative study that involved in-depth interviews with 24 adults who identified as Haredi and used mental health services, as well as informal consultations with local rabbis and community leaders. Interviews were transcribed and analyzed using thematic analysis techniques. Analysis revealed several important themes, including: (1) Strength of religious practices, community, and relationship with God as a factor determining mental well-being. (2) Implications of devotion to religion within the patient-physician encounter. (3) Stigma and acknowledged lack of awareness surrounding mental health in Haredi communities. These themes will be explored in the presentation, which will aim to bring light to participants’ lived experiences. We hope to address the proverbial \"elephant in the room\" often ignored or overlooked, as encountered by Haredi community members and their interactions with the healthcare system. We will present the unique strengths and challenges related to mental health encountered by Haredi Jews in our study, while discussing potential measures that can produce better health outcomes and culturally sensitive care for Haredi individuals. ","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"45 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140487656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.424
Sandra Derghazarian
{"title":"Flickers","authors":"Sandra Derghazarian","doi":"10.26443/ijwpc.v11i1.424","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.424","url":null,"abstract":"","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"24 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140489404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.419
Ayumi Kihara, Kou Fujii, Yasuo Shimonouchi, T. Kambayashi
Background Self-awareness among medical professionals is becoming more important. However, it is difficult to practice self-awareness unless consciously. We held in-hospital learning sessions to enhance self-awareness and to support self-care of medical professionals. The session introduced mindfulness, meditation, and self-care from the perspectives of "psychological safety" and "end-of-life care." Objective To investigate the effects of sessions based on participants' reactions. Methods A self-administered questionnaire was distributed to 128 medical professionals who participated in the sessions, and the free description was analyzed according to the qualitative coding procedure. Results As a result of analyzing the contents of 97 entries described in the free description of the questionnaire. Six categories were generated in the end: Stressful experience, Active practice of meditation, The need for self-care, Knowledge of mindfulness, Healing through narrative, Self-awareness through the learning session. Discussion Stressful experience about "psychological safety" and "end-of-life care" were narrated. We found that they are receptive to mindfulness, meditation, and self-care, and want to actively incorporate it. The experience of self-awareness was enhanced through the learning sessions. Introducing meditation, mindfulness, and self-care as methods of coping with specific stresses in clinical settings was effective in enhancing self-awareness among medical professionals.
{"title":"Exploring effective learning sessions to enhance self-awareness and promote interest in self-care among medical professionals","authors":"Ayumi Kihara, Kou Fujii, Yasuo Shimonouchi, T. Kambayashi","doi":"10.26443/ijwpc.v11i1.419","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.419","url":null,"abstract":"Background \u0000Self-awareness among medical professionals is becoming more important. However, it is difficult to practice self-awareness unless consciously. We held in-hospital learning sessions to enhance self-awareness and to support self-care of medical professionals. The session introduced mindfulness, meditation, and self-care from the perspectives of \"psychological safety\" and \"end-of-life care.\" \u0000Objective \u0000To investigate the effects of sessions based on participants' reactions. \u0000Methods \u0000A self-administered questionnaire was distributed to 128 medical professionals who participated in the sessions, and the free description was analyzed according to the qualitative coding procedure. \u0000Results \u0000As a result of analyzing the contents of 97 entries described in the free description of the questionnaire. Six categories were generated in the end: Stressful experience, Active practice of meditation, The need for self-care, Knowledge of mindfulness, Healing through narrative, Self-awareness through the learning session. \u0000Discussion \u0000Stressful experience about \"psychological safety\" and \"end-of-life care\" were narrated. We found that they are receptive to mindfulness, meditation, and self-care, and want to actively incorporate it. The experience of self-awareness was enhanced through the learning sessions. Introducing meditation, mindfulness, and self-care as methods of coping with specific stresses in clinical settings was effective in enhancing self-awareness among medical professionals. \u0000 ","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"7 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140489229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.422
Kathleen Lefevre
This presentation outlines the work I did as a Service Aid at the Montreal Children’s Hospital (MCH) from January 2022 to May 2022. I discuss the benefits and setbacks of the work I did with adolescent patients in the MCH psychiatry ward as the “art and play lady”. I also discuss the staff resistance I experienced in this role of offering therapeutic recreation with an embedded social (as opposed to more traditionally clinical) approach. As a teacher with an MA in art education, I also talk about how I was not treated as a professional by a number of the staff who told me I was “just a teacher”. This is not formal research but is instead an anecdotal and narrative account of my experiences in a role with a less traditional, socially based, patient-centered approach to patient care. The presentation also offers interesting examples of patient artwork that resulted from this experience. Overall, my story points toward the need for greater shifts in the hospital culture to occur to make it more feasible for therapeutic recreation to be available to patients. My story also suggests that more funding and education are needed to make social approaches to patient care more accepted by hospital systems.
{"title":"Clinical vs social approaches to pediatric patient care: the benefits and resistance of therapeutic recreation","authors":"Kathleen Lefevre","doi":"10.26443/ijwpc.v11i1.422","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.422","url":null,"abstract":"This presentation outlines the work I did as a Service Aid at the Montreal Children’s Hospital (MCH) from January 2022 to May 2022. I discuss the benefits and setbacks of the work I did with adolescent patients in the MCH psychiatry ward as the “art and play lady”. I also discuss the staff resistance I experienced in this role of offering therapeutic recreation with an embedded social (as opposed to more traditionally clinical) approach. \u0000As a teacher with an MA in art education, I also talk about how I was not treated as a professional by a number of the staff who told me I was “just a teacher”. This is not formal research but is instead an anecdotal and narrative account of my experiences in a role with a less traditional, socially based, patient-centered approach to patient care. The presentation also offers interesting examples of patient artwork that resulted from this experience. \u0000Overall, my story points toward the need for greater shifts in the hospital culture to occur to make it more feasible for therapeutic recreation to be available to patients. My story also suggests that more funding and education are needed to make social approaches to patient care more accepted by hospital systems.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"40 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140488953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.418
Ezra Schwartz
If the pressure of patient flow limits a doctor’s visit to fifteen minutes, the importance of the early encounter is increasing. My proposal is dedicated to the first moment of the intersubjective encounter (with art or otherwise), that defined by the unconscious assessment a priori to conscious interpretation, its authority in the clinical encounter, and how to address this moment in medical education.The dynamics between observer and artwork occur in two stages. First, the observer’s senses are attacked, indeed overwhelmed, by the work. Our adaptive unconscious uses reflexive techniques (e.g. thin-slicing) to triage and resolve this information to a more manageable load. Because pattern collection, discovery, and comparison are under unconscious control, the question arises concerning accountability for snap judgments. By studying the patterns that thin-slicing utilizes and our immediate reaction given these patterns, the conscious self can predict—or at least become more accountable—for these judgments.Second, uncomfortable as the victim of a sensory attack, the observer dominates the artwork through the act of interpretation. The observer’s intellect and desire to interpret (both under conscious control) dissolve the uncertainty of the encounter by categorizing it into a comfortable system. Once attuned to this conscious power reversal, we can restrain the unconscious desire prompting the reversal and maintain space in the intersubjective encounter.As visual art is a strong vehicle to discuss the theory behind the dynamics of the early encounter, it is also the appropriate method by which to coach medical students through the early medical encounter.
{"title":"The early encounter: shallow looking and the manifest presence in medical education","authors":"Ezra Schwartz","doi":"10.26443/ijwpc.v11i1.418","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.418","url":null,"abstract":"If the pressure of patient flow limits a doctor’s visit to fifteen minutes, the importance of the early encounter is increasing. My proposal is dedicated to the first moment of the intersubjective encounter (with art or otherwise), that defined by the unconscious assessment a priori to conscious interpretation, its authority in the clinical encounter, and how to address this moment in medical education.The dynamics between observer and artwork occur in two stages. First, the observer’s senses are attacked, indeed overwhelmed, by the work. Our adaptive unconscious uses reflexive techniques (e.g. thin-slicing) to triage and resolve this information to a more manageable load. Because pattern collection, discovery, and comparison are under unconscious control, the question arises concerning accountability for snap judgments. By studying the patterns that thin-slicing utilizes and our immediate reaction given these patterns, the conscious self can predict—or at least become more accountable—for these judgments.Second, uncomfortable as the victim of a sensory attack, the observer dominates the artwork through the act of interpretation. The observer’s intellect and desire to interpret (both under conscious control) dissolve the uncertainty of the encounter by categorizing it into a comfortable system. Once attuned to this conscious power reversal, we can restrain the unconscious desire prompting the reversal and maintain space in the intersubjective encounter.As visual art is a strong vehicle to discuss the theory behind the dynamics of the early encounter, it is also the appropriate method by which to coach medical students through the early medical encounter.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"170 1-2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140490163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29DOI: 10.26443/ijwpc.v11i1.392
Carmelina D'Arro
Many health care communication models have been proposed, yet previous models have focused on the consultation and omit the communication needs of patients during procedures. Consider the challenges of communicating during a dental procedure, for example, in which the patient cannot talk or is experiencing anxiety or pain. How does the health care provider convey care and respect during such encounters? A new communication model, ISLEEP, fosters patient-centered interactions for consults and procedures. There are six categories of actionable, observable behaviors in ISLEEP: introduce/interconnect, solicit, listen, empathize, explain, and affirm the power of the patient. Here, we discuss the basics of each ISLEEP skill as well as the applications of these skills for each phase of care, including consultations, immediately before procedures, during procedures, after procedures, and health counseling. Several included videos demonstrate the ISLEEP skills during live patie nt encounters.
{"title":"A new communication model for procedure-oriented health care professionals","authors":"Carmelina D'Arro","doi":"10.26443/ijwpc.v11i1.392","DOIUrl":"https://doi.org/10.26443/ijwpc.v11i1.392","url":null,"abstract":"Many health care communication models have been proposed, yet previous models have focused on the consultation and omit the communication needs of patients during procedures. Consider the challenges of communicating during a dental procedure, for example, in which the patient cannot talk or is experiencing anxiety or pain. How does the health care provider convey care and respect during such encounters? \u0000A new communication model, ISLEEP, fosters patient-centered interactions for consults and procedures. There are six categories of actionable, observable behaviors in ISLEEP: introduce/interconnect, solicit, listen, empathize, explain, and affirm the power of the patient. Here, we discuss the basics of each ISLEEP skill as well as the applications of these skills for each phase of care, including consultations, immediately before procedures, during procedures, after procedures, and health counseling. Several included videos demonstrate the ISLEEP skills during live patie nt encounters.","PeriodicalId":348245,"journal":{"name":"The International Journal of Whole Person Care","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140489113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：