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Biomedical subjects

K Nespor

Publications and source records attributed to K Nespor.

At least 19 recordsLinked to original sources

[Pathologic gambling].

The author presents a review on pathological gambling. Similarly as in other addictive diseases, early therapeutic intervention is important. The latter may include: 1: Evaluation of the problem 2. Recommendation that the subject should avoid places where the gambling is pursued. He should not have larger financial sums on him. 3. Recommendations pertaining to lifestyle and prevention of excessive stress. 4. Handling of printed material (the author mentions the text issued to his patients). In the paper therapeutic procedures are described, incl. the author's experience such as the foundation of the group of Gamblers anonymous. Prevention is also considered. It is important that gambling should be less readily available and the demand for it should be smaller.

Behavior, Addictive

[Alcohol and drugs in Central Europe--problems and possible solutions].

The high alcohol consumption and increasing abuse of other addictive inducing substances in Central Europe calls for broadley conceived preventive programmes and cheap and widely applicable therapeutic strategies (early treatment at the first contact level, self-help manuals, self-aid organizations). Social instability along with greater availability of alcohol and drugs create a dangerous combination. In addition to strategies of stress prevention at the societal level also strategy at the individual level is important (e.g. relaxation training, yoga, psychotherapy). It is also important to change the "image" of western society and commercial interests of those who make profits on alcohol and drugs should be under control and advertising should be greatly restricted if not prohibited. Prevention of problems caused by alcohol and drugs in particular in youths must be combined and really effective strategies should be used such as peer programmes. The authors mention also their own preventive programme FIT IN and print materials oriented specifically on certain population groups.

Alcohol Drinking

[Use of yoga in psychiatry].

The author gives an account of his experience with the application of yoga in prevention and treatment of alcohol and drug related problems, in psychosomatic medicine, sexuology, treatment of neuroses, in gerontopsychiatry etc. The problem when using yoga in psychiatry is active cooperation; systemic interactions must be foreseen, it is important to warn against competitiveness and specific indications and contraindications of different yoga exercises must be respected. Yoga is also a suitable element of prevention of professional stress in the health services.

Humans

[Approaches in the treatment of pathologic gambling].

In the treatment of pathological gambling the diagnosis, treatment of the accessory psychopathology and the somatic condition are important. Motivation training, behavioural and reality-oriented therapy, modification of the lifestyle relaxation techniques and yoga proved useful. There is also experience with dynamically oriented treatment techniques self-esteem reinforcement, training of social skills, strategies which promote impulse control, artetherapy, group therapy, provision of relevant information etc. Family therapy is important both for a pathological gambler and his/her relatives. Very important is contact with the family of the pathological gambler for his own treatment and with regard to the needs of his/her relatives. A therapeutic approach common abroad is participation in a self-help group, Gamblers Anonymous.

Compulsive Behavior

The substance specificity of psychosocial correlates of alcohol, tobacco, coffee and drug use by Czech women.

The paper reports results of an analysis based on face-to-face interviews with two samples of Prague women aged 20-49: (1) a probabilistic sample (n = 718) of the Prague female population; and (2) a sample of 152 inpatients treated for substance dependence/abuse. Of the inpatients, 79% were diagnosed as alcohol dependent only, 15% as both alcohol dependent and drug dependent/abusers, 6% as drug dependent only. With very few exceptions, those with drug problems among the inpatients abused analgesics, hypnotics, or anxiolytics. With data obtained from the general population sample, two-stage hierarchical logistic regression was run with each of the eleven differently defined substance uses as dependent variables. Four demographic variables were entered as predictors into the regression equations in the first stage. From the seven potential risk factors of substance use statistically significant predictors were entered stepwise in stage two. The major result of the study is the specificity of the pattern of predictors related to each of the eleven considered substance uses. It is also found that in the general population the use of a particular substance is generally uncorrelated with the use of other substances. Alcohol use (even heavy alcohol use) has no relation to smoking, to the use of analgesics, hypnotics, anxiolytics--and is connected with a specific pattern of predictors.

Adult

Twelve years of experience with yoga in psychiatry.

The author describes his experience with the use of yoga in the prevention and treatment of alcohol and drug related problems, in psychosomatics, neuroses, geriatric psychiatry, and in some other areas. He deals with problems of the use of yoga in psychiatry like compliance, systems aspect, competitiveness and respecting specific indications in regard to health status and contraindications with personal differences. The usefulness of yoga in the prevention of stress and burn-out in health care professionals is emphasized.

Adult

Pain management and yoga.

The use of yoga and yoga related techniques in pain management is reviewed and discussed. Self-awareness, relaxation, approaches which use respiration, increased self-understanding and self-acceptance, changed context of pain, increased control, life style improvements, group and social support proved beneficial. The use of yoga in pain management has its transpersonal and philosophical dimensions. Independence and self-confidence of suffering people may be protected in this way.

Arousal

[Occupational stress in health personnel and its prevention. Possible use of yoga].

The paper summarizes some non-specific stress factors of work in the health services (e.g. shift work) and some relatively specific stressing factors (e.g. contact with grief, intense negative emotion and death). It deals also with the consequences of excessive stress, incl. the "burnout syndrome". It gives a brief account of possible preventive measures at the individual level and at the level of the organization. In the conclusion the author mentions the possibility to use yoga in the prevention of occupational stress in the health services. Work in the health services although, associated with considerable stress, is at the same time an opportunity for personality development and self-realization.

Health Occupations

Treatment needs of alcohol-dependent women.

Research has suggested specific features of alcohol-dependent women in comparison with men. The women usually display: (1) solitary drinking; (2) neurotic and family problems; (3) risk of early health impairment; and (4) abuse of other drugs. These factors should be taken into account in therapy. The in-patient program described is based on the principles of a therapeutic community and systems theory. It includes group and family therapy, education, relaxation training, yoga, a therapeutic club for former in-patients, and use of drugs such as disulfiran. Alcohol-dependence in women has become a growing problem. Adequate therapy is needed, but prevention is even more important.

Alcoholism

Psychosomatics of back pain and the use of yoga.

In this article, a review is given of the psychosomatic aspect of back pain and the use of multi-dimensional methods of managing back pain. Major emphasis is given to the techniques of yoga.

Back Pain