Pub Date : 2023-11-29DOI: 10.21926/obm.icm.2304056
Eli Cwinn, Tobyn Bell, James Kirby
This paper reviews key theories underlying the interpersonal process in Compassion Focused Therapy (CFT) and links these to purported mechanisms of action in CFT. The paper goes on to provide a concrete practice example of an exampled dialogue between a clinician and client and narrates the interpersonal processes and mechanisms of action in an attempt to elucidate how interpersonal processes can be leveraged to facilitate therapeutic change. In so doing, this paper seeks to advance scholarship on precise mechanisms of change in psychotherapy, especially interpersonal processes in psychotherapy. Furthermore this paper seeks to provide a useful account of how interpersonal theory can be enacted in a clinical interaction.
{"title":"Theory and Interpersonal Processes in Compassion Focused Therapy","authors":"Eli Cwinn, Tobyn Bell, James Kirby","doi":"10.21926/obm.icm.2304056","DOIUrl":"https://doi.org/10.21926/obm.icm.2304056","url":null,"abstract":"This paper reviews key theories underlying the interpersonal process in Compassion Focused Therapy (CFT) and links these to purported mechanisms of action in CFT. The paper goes on to provide a concrete practice example of an exampled dialogue between a clinician and client and narrates the interpersonal processes and mechanisms of action in an attempt to elucidate how interpersonal processes can be leveraged to facilitate therapeutic change. In so doing, this paper seeks to advance scholarship on precise mechanisms of change in psychotherapy, especially interpersonal processes in psychotherapy. Furthermore this paper seeks to provide a useful account of how interpersonal theory can be enacted in a clinical interaction.","PeriodicalId":413918,"journal":{"name":"OBM Integrative and Complementary Medicine","volume":"329 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139211968","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 : 2023-11-21DOI: 10.21926/obm.icm.2304055
Daicia Price, Yatesha Robinson, Hurley Riley, Julie Ribaudo, Christopher Giang, Todd I. Herrenkohl, Alison Miller
Adverse and traumatic childhood experiences can have profound negative health and mental health consequences across the lifespan. Prevention and early intervention strategies to mitigate such impacts and foster resilience are essential, yet extant approaches often do not consider the systemic nature of trauma exposure, particularly among communities most impacted by the COVID-19 pandemic and historic disinvestment. Addressing the impacts of trauma early in life is critical in order to mitigate their long-term effects on child development. The current project worked with a community Head Start/Early Head Start partner to adapt, deliver, and conduct a formative evaluation of Trauma-Informed Programs and Practices in Schools-Early Childhood (TIPPS-EC), a systems-focused professional development approach to creating and maintaining trauma-informed early childhood development and learning contexts serving children ages 0-5 years and their families. Training materials were designed to highlight community and systemic sources of trauma exposures; acknowledge teacher stress and burnout; and present research-based information on trauma exposure, how effects may manifest, and the impacts of trauma exposures on very young children and the adults in their lives. Data were collected to evaluate participants' responses to TIPPS-EC and solicit their input regarding implementing systems-focused, trauma-informed approaches in EC settings (n = 56 Head Start/Early Head Start professionals). Participants were satisfied with TIPPS-EC and endorsed greater knowledge of trauma-informed approaches and systemic trauma after the professional development sessions. Participants made multiple suggestions for next steps for implementing systemic approaches in EC settings. TIPPS-EC presents a framework for understanding systemic trauma exposures as they manifest in EC contexts, and for identifying systems-level strategies that can support EC professionals to help mitigate the impacts of trauma on the children and families they serve. Implications for addressing stress, burnout, and trauma impacts specifically in EC educational settings are discussed.
{"title":"Start Early: Providing Trauma-Informed, Systems-Focused Professional Development in Early Childhood Development and Learning Contexts","authors":"Daicia Price, Yatesha Robinson, Hurley Riley, Julie Ribaudo, Christopher Giang, Todd I. Herrenkohl, Alison Miller","doi":"10.21926/obm.icm.2304055","DOIUrl":"https://doi.org/10.21926/obm.icm.2304055","url":null,"abstract":"Adverse and traumatic childhood experiences can have profound negative health and mental health consequences across the lifespan. Prevention and early intervention strategies to mitigate such impacts and foster resilience are essential, yet extant approaches often do not consider the systemic nature of trauma exposure, particularly among communities most impacted by the COVID-19 pandemic and historic disinvestment. Addressing the impacts of trauma early in life is critical in order to mitigate their long-term effects on child development. The current project worked with a community Head Start/Early Head Start partner to adapt, deliver, and conduct a formative evaluation of Trauma-Informed Programs and Practices in Schools-Early Childhood (TIPPS-EC), a systems-focused professional development approach to creating and maintaining trauma-informed early childhood development and learning contexts serving children ages 0-5 years and their families. Training materials were designed to highlight community and systemic sources of trauma exposures; acknowledge teacher stress and burnout; and present research-based information on trauma exposure, how effects may manifest, and the impacts of trauma exposures on very young children and the adults in their lives. Data were collected to evaluate participants' responses to TIPPS-EC and solicit their input regarding implementing systems-focused, trauma-informed approaches in EC settings (n = 56 Head Start/Early Head Start professionals). Participants were satisfied with TIPPS-EC and endorsed greater knowledge of trauma-informed approaches and systemic trauma after the professional development sessions. Participants made multiple suggestions for next steps for implementing systemic approaches in EC settings. TIPPS-EC presents a framework for understanding systemic trauma exposures as they manifest in EC contexts, and for identifying systems-level strategies that can support EC professionals to help mitigate the impacts of trauma on the children and families they serve. Implications for addressing stress, burnout, and trauma impacts specifically in EC educational settings are discussed.","PeriodicalId":413918,"journal":{"name":"OBM Integrative and Complementary Medicine","volume":"601 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139252502","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 : 2023-11-20DOI: 10.21926/obm.icm.2304054
Gerhard Litscher
In today's high-tech-driven times, traditional ways are getting a digital upgrade, and Chinese medicine is part of this change. Mixing ancient healing know-how with modern high technology has created digital Chinese medicine (DCM). It could change healthcare worldwide. This editorial aims to explore this new area and look at its possibilities, challenges, and how it might affect healthcare in the future. It lists some essential topics that need to be considered in the future within the digital transformation of Chinese Medicine.
{"title":"‘Digital Chinese Medicine (DCM)’: From Acupuncture to Algorithms and the Digital Transformation of Traditional Chinese Medicine (TCM)","authors":"Gerhard Litscher","doi":"10.21926/obm.icm.2304054","DOIUrl":"https://doi.org/10.21926/obm.icm.2304054","url":null,"abstract":"In today's high-tech-driven times, traditional ways are getting a digital upgrade, and Chinese medicine is part of this change. Mixing ancient healing know-how with modern high technology has created digital Chinese medicine (DCM). It could change healthcare worldwide. This editorial aims to explore this new area and look at its possibilities, challenges, and how it might affect healthcare in the future. It lists some essential topics that need to be considered in the future within the digital transformation of Chinese Medicine.","PeriodicalId":413918,"journal":{"name":"OBM Integrative and Complementary Medicine","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255845","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 : 2023-11-20DOI: 10.21926/obm.icm.2304053
Kazandra Lopez Hernandez, John V. Rider
Concept PaperEmpowering Patients, Enriching Outcomes: An Integrative and Occupational Approach to Addressing Chronic Pain in Primary CareKazandra Lopez Hernandez *, John V. Rider School of Occupational Therapy, Touro University Nevada, 874 American Pacific Dr., Henderson, NV, USA; E-Mails: kazandralopezhernandez@gmail.com; jrider@touro.edu* Correspondence: Kazandra Lopez Hernandez; E-Mail: kazandralopezhernandez@gmail.comAcademic Editor: Enrica SantarcangeloSpecial Issue: Occupational Therapy Interventions for the Treatment of PainOBM Integrative and Complementary Medicine2023, volume 8, issue 4 doi:10.21926/obm.icm.2304053Received: July 26, 2023Accepted: November 15, 2023Published: November 20, 2023AbstractChronic pain imposes significant personal and societal challenges. The concerning impact across all population levels has led to several federal agencies dedicating considerable efforts to developing clinically guiding recommendations to improve how chronic pain is addressed, specifically in primary care practice. These guidelines recognize and emphasize the importance of comprehensive evaluation, appropriate diagnosis, and treatment interventions that target multifactorial influences of pain for improved quality of life outcomes through function and participation in activities of daily living. Similarly, guideline recommendations encourage optimizing nonpharmacologic and non-opioid interventions and thorough risk assessment before initiating opioid treatment therapy. This paper proposes a clinical practice pathway demonstrating the integration of occupational therapy (OT) into primary care practice to address chronic pain through an interprofessional, collaborative, patient-centered approach that recognizes biopsychosocial components of chronic pain. Keywords Biopsychosocial; evaluation; occupational therapy; pain; primary care; treatment
概念论文增强患者能力，丰富治疗结果：Kazandra Lopez Hernandez *, John V. Rider School of Occupational Therapy, Touro University Nevada, 874 American Pacific Dr., Henderson, NV, USA; E-Mails: kazandralopezhernandez@gmail.com; jrider@touro.edu* Correspondence：Kazandra Lopez Hernandez；电子邮件：kazandralopezhernandez@gmail.com 学术编辑：Enrica Santarcangelo特刊：职业疗法干预治疗疼痛OBM Integrative and Complementary Medicine2023，第 8 卷第 4 期 doi:10.21926/obm.icm.2304053Received：2023年7月26日接受：接受：2023 年 11 月 15 日出版：2023 年 11 月 20 日摘要摘要：慢性疼痛给个人和社会带来了巨大挑战。慢性疼痛对所有人群的影响令人担忧，这促使一些联邦机构投入大量精力制定临床指导建议，以改善慢性疼痛的治疗方法，特别是在初级保健实践中。这些指南承认并强调了全面评估、适当诊断和治疗干预的重要性，这些干预措施针对疼痛的多因素影响，通过改善功能和参与日常生活活动来提高生活质量。同样，指南建议鼓励优化非药物和非阿片类药物干预措施，并在开始阿片类药物治疗前进行全面的风险评估。本文提出了一个临床实践路径，展示了职业治疗（OT）与初级保健实践的整合，通过跨专业、协作、以患者为中心的方法，认识到慢性疼痛的生物心理社会因素，从而解决慢性疼痛问题。关键词 生物心理社会；评估；职业疗法；疼痛；初级保健；治疗
{"title":"Empowering Patients, Enriching Outcomes: An Integrative and Occupational Approach to Addressing Chronic Pain in Primary Care","authors":"Kazandra Lopez Hernandez, John V. Rider","doi":"10.21926/obm.icm.2304053","DOIUrl":"https://doi.org/10.21926/obm.icm.2304053","url":null,"abstract":"Concept Paper<strong>Empowering Patients, Enriching Outcomes: An Integrative and Occupational Approach to Addressing Chronic Pain in Primary Care</strong>Kazandra Lopez Hernandez <sup>*</sup>, John V. Rider School of Occupational Therapy, Touro University Nevada, 874 American Pacific Dr., Henderson, NV, USA; E-Mails: <a href=\"mailto:kazandralopezhernandez@gmail.com\">kazandralopezhernandez@gmail.com</a>; <a href=\"mailto:jrider@touro.edu\">jrider@touro.edu</a>* <strong>Correspondence:</strong> Kazandra Lopez Hernandez; E-Mail: <a href=\"mailto:kazandralopezhernandez@gmail.com\">kazandralopezhernandez@gmail.com</a> <strong>Academic Editor: </strong>Enrica Santarcangelo<strong>Special Issue</strong>: <a href=\"https://www.lidsen.com/journals/icm/icm-special-issues/occupational-therapy-interventions-treatment-pain\">Occupational Therapy Interventions for the Treatment of Pain</a><em>OBM Integrative and Complementary Medicine</em>2023, volume 8, issue 4 doi:10.21926/obm.icm.2304053<strong>Received:</strong> July 26, 2023<strong>Accepted:</strong> November 15, 2023<strong>Published:</strong> November 20, 2023AbstractChronic pain imposes significant personal and societal challenges. The concerning impact across all population levels has led to several federal agencies dedicating considerable efforts to developing clinically guiding recommendations to improve how chronic pain is addressed, specifically in primary care practice. These guidelines recognize and emphasize the importance of comprehensive evaluation, appropriate diagnosis, and treatment interventions that target multifactorial influences of pain for improved quality of life outcomes through function and participation in activities of daily living. Similarly, guideline recommendations encourage optimizing nonpharmacologic and non-opioid interventions and thorough risk assessment before initiating opioid treatment therapy. This paper proposes a clinical practice pathway demonstrating the integration of occupational therapy (OT) into primary care practice to address chronic pain through an interprofessional, collaborative, patient-centered approach that recognizes biopsychosocial components of chronic pain. Keywords Biopsychosocial; evaluation; occupational therapy; pain; primary care; treatment","PeriodicalId":413918,"journal":{"name":"OBM Integrative and Complementary Medicine","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139255929","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 : 2023-11-16DOI: 10.21926/obm.icm.2304052
Darcy Harris
In the past several decades, new understandings about grief have emerged. In the same time frame, a substantial body of literature has explored the components of compassion and their potential application to various clinical contexts. Compassion evolved from caring motivation associated with the evolutionary challenges of reproduction that involved the necessary care for offspring. Grief also has an evolutionary background that is rooted in core aspects of attachment and the assumptive world construct. Compassion Focused Therapy (CFT) translates the concepts of compassion into a form of therapy, which has the potential to address grief in an experiential and non-pathologizing way. Foundational components of CFT include a model of emotion regulation, experiential practices that enhance compassion-based responses, and the cultivation of wisdom and discernment regarding the nature of suffering. These aspects of CFT provide a uniquely oriented way to support those who grieve losses of all types. Compassion training enables clinicians to cultivate wisdom and discernment to accompany their intention and motivation to relieve suffering, including the grief that follows significant losses.
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Pub Date : 2023-11-15DOI: 10.21926/obm.icm.2304051
Saba Tanveer, A. Alsubaie, Rezzan Khan, Hajra Ahmed, Mahpara Safdar, Zainab BiBi, Sadaf Yousaf, Bismillah Sehar, Iftikhar Alam, Aiman Hadayat, Falak Zeb
Nutrition counseling may assist liver transplant patients in controlling weight gain, addressing micronutrient deficiencies, and maintaining metabolic status. This study aimed to determine the effect of nutritional counseling on nutritional status, liver profile, and serum electrolytes of liver transplant patients. In this case-control study, 100 patients were recruited from Shifa International Hospital, Islamabad, who were potential liver transplant candidates. They were divided into two groups: a case group, who were given nutrition counseling (n = 50), and a control group, who were not provided nutrition counseling (n = 50). Data was collected about patients' socio-economic status, medical history, anthropometric, biochemical and dietary profiles. Independent t-tests, chi-square tests for qualitative frequency distribution, and paired t-tests were used. At baseline, the weight and BMI of the case and control were comparable, but there was a non-significant difference. Nutrition counseling was effective in improving biochemical variables (potassium at preoperative, sodium and albumin during illness; p-value < 0.05), Liver function (ALT at preoperative and postoperative, AKT at preoperative, during sickness and postoperative; p-value < 0.05) and macronutrient profile (fat intake during illness and protein intake during postoperative stage; p-value < 0.05) in case group as compared to control. Effective nutrition counseling improves liver transplant patients' nutritional status, liver function, and serum electrolytes.
营养咨询可帮助肝移植患者控制体重增加、解决微量营养素缺乏问题并维持新陈代谢状态。本研究旨在确定营养咨询对肝移植患者的营养状况、肝功能和血清电解质的影响。在这项病例对照研究中，研究人员从伊斯兰堡希法国际医院招募了 100 名可能接受肝移植的患者。他们被分为两组：接受营养咨询的病例组（50 人）和未接受营养咨询的对照组（50 人）。研究人员收集了患者的社会经济状况、病史、人体测量、生化和饮食概况等数据。采用独立 t 检验、定性频率分布的卡方检验和配对 t 检验。基线时，病例和对照组的体重和体重指数相当，但差异不显著。与对照组相比，营养咨询能有效改善病例组的生化变量（术前的钾、患病期间的钠和白蛋白；P值<0.05）、肝功能（术前和术后的ALT、术前、患病期间和术后的AKT；P值<0.05）和宏量营养素谱（患病期间的脂肪摄入量和术后阶段的蛋白质摄入量；P值<0.05）。有效的营养咨询可改善肝移植患者的营养状况、肝功能和血清电解质。
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