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PubMed2002

[Analgesia during labour: from taboo to evidence-based medicine].

Peripartum care of parturients has contributed a great deal to the development of modern anaesthesia during the past 150 years. The introduction of general and regional anaesthesia provided new options of relieving pain during delivery and preventing suffering. However,provision of effective labor analgesia gave and still gives rise to controversy as to whether interfering with natural events such as delivery was justifiable on a religious,moral or ideological level. A new era of obstetric pain relief was initiated when a study design was devised to define the Minimum Local Analgesic Concentration (MLAC) needed for epidural analgesia. Using the MLAC model as a scientifically based pharmacodynamic measure of analgesia, empirically developed "recipes" can be compared and validated. The importance of this clinical model will be put into a pharmacological context including issues such as the up-down sequential allocation technique, dose-response curves and differential nerve blockade.

Adult↗
PubMed1992

Another taboo bites the dust.

Squeamishness has too often in the recent past inhibited sensible inquiries into the mechanisms by which AIDS is spread through human populations but now there may be proof that these attitudes are changing.

Acquired Immunodeficiency Syndrome↗
PubMed1995

The spirit of Jungian group psychotherapy: from taboo to totem.

Practitioners of analytical psychology were late in coming to the practice of group psychotherapy because Carl Jung effectively forbade the treatment of individuals in stranger groups. This article explores Jung's objections to group therapy and, by way of a conceptual review of the literature, expands on the practice that grew up proximate to his death. It is argued that Jungian theory is especially conducive to collective treatment because it is concerned with the relationship between oppositions (whether in persons or between people) and uses synthetic and symbolic processes to bring about an integration of the one with the many. For Jungians who espouse a theory of symbolic transformation, archetype, and myth, the group is embodied in individuals and can be accessed by working with individuals in groups.

Humans↗