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[Developing a health mind-set--description of caritative health promotion].

This investigation describes health promotion from a caring science perspective. Caring is defined as an act of "caritas" c.e. love and mercy (Eriksson 1991). The investigation is theoretical and comes as a result in a model for health education. The model will be empirically tested in the future further on. The research method is qualitative and descriptive consisting of three processes: the abductive, deductive and inductive. This method was created by Charles Peirce (1839-1914). The inductive process will be implemented by testing the model. Abduction is the process of forming an explanatory hypothesis. The abductive hypothesis of this investigation is formed in the following way: "the kind of mood od mind, the kind of health". Main emphasis has been in examining the meaning of the mood of mind for ones health and the possibilities to develop it. The following question were asserted; 1. What is meant by the mood of mind? 2. What attributes are required in order to talk about health's mood of mind? 3. What are the possibilities of developing the mood of mind as a way for health education? The result of this investigation is presented as a model for health promotion. The model is upbuilt by the caritative elements featuring belief, hope, love and the concept of virtue. The model shows the consequences for a human beings daily living. In the case of having too much belief a human being may develop some kind of health fanatism. In the case of having too much belief a human being may develop some kind of health fanatism. In the case of having too much hope a human being puts forward the decisions about health for tomorrow. In the case of having too much love it may lead to a irresponsible lifestyle. An assumption is that a balance between belief, hope and love leads in choosing health, planning for health and living in health.

Attitude to Health↗

Mindfulness meditation-based stress reduction: experience with a bilingual inner-city program.

This article describes a bilingual mindfulness meditation-based stress reduction program in an inner-city setting. Mindfulness meditation is defined, and the practices of breathing meditation, eating meditation, walking meditation, and mindful yoga are described. Data analysis examined compliance, medical and psychologic symptom reduction, and changes in self-esteem, of English- and Spanish-speaking patients who completed the 8-week Stress Reduction and Relaxation Program at the Community Health Center in Meriden, Conn. Statistically significant decreases in medical and psychologic symptoms and improvement in self-esteem were found. Many program completers reported dramatic changes in attitudes, beliefs, habits, and behaviors. Despite the limitations of the research design, these findings suggest that a mindfulness meditation course can be an effective health care intervention when utilized by English- and Spanish-speaking patients in an inner-city community health center. The article includes a discussion of factors to be considered when establishing a mindfulness meditation-based stress reduction program in a health care setting.

Adult↗

A review of mind-body therapies in the treatment of cardiovascular disease. Part 1: Implications for the elderly.

BACKGROUND: A review of research on complementary and alternative treatments, specifically mind-body techniques, was conducted at Stanford University. The goals of the review were to establish a comprehensive literature review and to provide a rationale for future research concerning successful aging. METHODS: Computerized searches were conducted using MEDLINE, PsychInfo, Stanford Library, Dissertation Abstracts, Lexus-Nexus, the Internet, and interviews conducted with practitioners. All studies since 1990 that examined mind-body treatments of cardiovascular disorders in the elderly were included. Mind-body practices evaluated were social support, cognitive-behavioral treatment, meditation, the placebo effect, hope, faith, imagery, spiritual healing, music therapy, hypnosis, yoga, t'ai chi, qigong and aikido. Studies conducted after 1990 were a priority, but when more recent literature was scarce, other studies using randomized, controlled trials were included. RESULTS: Mind-body techniques were found to be efficacious primarily as complementary and sometimes as stand-alone alternative treatments for cardiovascular disease-related conditions. Studies provided evidence for treatment efficacy, but the need for further controlled research was evident. CONCLUSIONS: Reviewers found only a handful of randomized, controlled research studies conducted in the United States. As a result, there is a lack of replicated studies with which to determine appropriate treatment dosage and the mechanisms by which many of the practices work. Compelling anecdotal evidence, the presence of some controlled research, overall cost effectiveness, and the lack of side effects resulting from mind-body treatments make further investigation a high priority.

Aged↗

Body-mind-spirit intervention for IVF women.

BACKGROUND: Literature supports the efficacy of psychosocial intervention for infertile women. An eastern body-mind-spirit group intervention has been developed to help infertile women in the Chinese population cope with the distress arising from IVF treatment. METHODS: The eastern body-mind-spirit group intervention adopts a bio-psycho-social-spiritual health model, recognizing the strong association between mind, body, and spirit. Chinese philosophies and concepts of health will be integrated into the intervention, helping participants to regain balance and harmony both within themselves and between them and the environment. In this paper, a revisiting of assumptions, therapeutic goals, and the therapeutic process underlying this model are outlined. Program evaluation in terms of descriptive literary sketch done by the participants will be listed so as to illustrate the clinical process. CONCLUSIONS: It was shown and reflected that the eastern Body-Mind-Spirit approach could enhance the holistic health of IVF women. Further investigation on the program efficacy is then suggested.

China↗

Weaving medicine back together: mind-body medicine in the twenty-first century.

In the past century, the medical profession has taken pride in the rapid and often effective advancement of diagnostic technology, surgical interventions, and pharmaceutical remedies. However, it has also witnessed the unraveling of the woven connection among mind, body, and the human soul. The history of the fall and rise of the concept of mind-body medicine is discussed, along with a review of the recent laboratory and clinical studies providing evidence of the direct connection between mind, body, and belief systems. Relevant components of a mind-body skills group program for clinical practices are addressed.

Attitude of Health Personnel↗

Theory of mind and the self.

This paper will discuss one aspect of the self, the ability to reflect on one's own inner states, in relation to recent work on the cognitive and neural basis of "theory of mind." Are the same representational resources required for "reading" one's own and other minds? Relevant literature from the study of normal development of theory of mind will be reviewed, along with research on a developmental disorder characterized by an apparent inability to think about thoughts: autism. Functional neuroimaging studies of theory of mind will be discussed as will studies that may tap the neural basis of self-reflection. From these different strands of evidence the speculative suggestion will be made that reflecting on one's own thoughts is not a privileged process, but rather relies on-and may have evolved from-the same cognitive and neural functions used for attributing thoughts to others.

Autistic Disorder↗

The mind's self-portrait.

Scientific psychology and neuroscience are taking increasingly precise and comprehensive pictures of the human mind, both in its physical architecture and its functional processes. Meanwhile, each human mind has an abbreviated view of itself, a self-portrait that captures how it thinks it operates, and that therefore has been remarkably influential. The mind's self-portrait has as a central feature the idea that thoughts cause actions, and that the self is thus an origin of the body's actions. This self-portrait is reached through a process of inference of apparent mental causation, and it gives rise to the experience that we are consciously willing what we do. Evidence from several sources suggests that this self-portrait may often be a humble and misleading caricature of the mind's operation-but one that underlies the feeling of authorship and the acceptance of responsibility for action.

Ego↗

'Atamai, fakakaukau and vale: 'mind', 'thinking' and 'mental illness' in Tonga.

This paper explores the concepts of "mind", "thinking" and "mental illness" from a Tongan perspective. Their old Tongan equivalents are 'atamai, fakakaukau and vale. Of specific interest is mental illness. A specific state of mind, mental illness is investigated, firstly, in the conflicting relationships of mind and thinking and, secondly, in the context of the dialectical relationships between traditional forms of disease and illness and medicinal and healing concepts and practices. Their inherently clear spatio-temporal basis gives them a sense of realism. This realistic sense is much more revealing when they are positioned in the context of ta and va, Tongan for "time" and "space". Ontologically, time and space are the common medium of existence of all things, in a single level of reality. On the epistemological level, time and space are social constructs, deriving from their relative arrangement across cultures. Conflicts inevitably arising from the time-space, form-content transformation of types of human activity, create symmetries and asymmetries in the natural, mental and social realms. By integrating time and space, a general tă-vă theory could be developed, so that we can better understand the complexity surrounding nature, mind and society.

Attitude to Health↗

Triunism: a transmaterial train--mind theory.

Triunism postulates that the mind is a unity with the following three structural elements so essential that the absence of any one will prevent its existence: (1) Brain cells and pathways possessing material and transmaterial properties. (2) A flow of environmental information, coded and transduced at the sensory receptors and forming part of the working brain through modifications of its anatomy and physiology. (3) Detectable manifestations derived from (1) and (2) which are expressed inward as perceptions and outward as behaviour. The outside world enters through the senses and becomes a material and functional part of the maturing brain. Without a brain, the mind cannot exist. Without sensory inputs, the mind will not be structured and cannot appear. Without manifestations of inner perceptions and outward motor expression, the mind cannot be recognized by the individual or the environment. Transmaterial entities require the existence of supporting matter and may be represented by patterns of material organization or by temporal or functional relations between parts of the material substratum. They may transcend the existence of specific materials, changing carriers while preserving their nonmaterial identity, but do not possess intrinsic properties of matter such as mass and energy. Transmaterial aspects of reality, including material substratum patterning, and relative temporal, and functional characteristics may be subjects of experimental research.

Animals↗

Mindfulness-based cognitive therapy for prevention of recurrence of suicidal behavior.

Once suicidal thoughts have emerged as a feature of depression they are likely to be reactivated as part of a suicidal mode of mind whenever sad mood reappears. This article reviews the methods and the usefulness of mindfulness-based cognitive therapy (MBCT) as a treatment for the prevention of the reactivation of the suicidal mode. MBCT integrates mindfulness meditation practices and cognitive therapy techniques. It teaches participants to develop moment-by-moment awareness, approaching ongoing experience with an attitude of nonjudgment and acceptance. Participants are increasingly able to see their thoughts as mental events rather than facts (metacognitive awareness). A case example illustrates how mindfulness skills develop with MBCT and how they relate to the cognitive processes that fuel suicidal crises. An ongoing controlled trial will provide further evidence, but pilot work suggests that MBCT is a promising intervention for those who have experienced suicidal ideation in the past.

Adult↗

Mind as a force field: comments on a new interactionistic hypothesis.

The survival and development of consciousness in biological evolution call for an explanation. An interactionistic mind-brain theory seems to have the greatest explanatory value in this context. An interpretation of an interactionistic hypothesis, recently proposed by Karl Popper, is discussed both theoretically and based on recent experimental data. In the interpretation, the distinction between the conscious mind and the brain is seen as a division into what is subjective and what is objective, and not as an ontological distinction between something immaterial and something material. The interactionistic hypothesis is based on similarities between minds and physical forces. The conscious mind is understood to interact with randomly spontaneous spatio-temporal patterns of action potentials through an electromagnetic field. Consequences and suggestions for future studies are discussed.

Action Potentials↗

Thinking about mind and matter from biology.

In biology, man is an object of research; therefore the question might be asked whether inspirations can go from biological data to the reflections on the mind-matter relation in man. The social aspect of man, as treated by sociobiology, is left out of consideration. The knowledge that man is mind, or has a mind, is no result of biological research. It is a datum from philosophy. The biologist, however, is living in a culture which knows about the mental character of man, and this is incorporated in his investigations. He knows that mental activities are connected with processes in the central nervous system and that, especially in the brain, localizations of mental activities are found. As a result of the split-brain experiments with patients and animals, some have arrived at the conclusion that there is a double consciousness. An approach from biology can lead to statements of a philosophical character, as, for example, statements about the unity, or even identity, of mind and matter. The theories of identity meet with great interest in scientific circles, and the truth value of identity statements is investigated. The system theory is taken into consideration. On a philosophical level a revaluation of the concept of matter can lead to a different sort of identity theory.

Biological Evolution↗

The locked-in syndrome and the behaviorist epistemology of other minds.

In this paper, the problem of correct ascriptions of consciousness to patients in neurological intensive care medicine is explored as a special case of the general philosophical 'other minds problem'. It is argued that although clinical ascriptions of consciousness and coma are mostly based on behavioral evidence, a behaviorist epistemology of other minds is not likely to succeed. To illustrate this, the so-called 'total locked-in syndrome', in which preserved consciousness is combined with a total loss of motor abilities due to a lower ventral brain stem lesion, is presented as a touchstone for behaviorism. It is argued that this example of consciousness without behavioral expression does not disprove behaviorism specifically, but rather illustrates the need for a non-verificationist theory of other minds. It is further argued that a folk version of such a theory already underlies our factual ascriptions of consciousness in clinical contexts. Finally, a non-behaviorist theory of other minds for patients with total locked-in syndrome is outlined.

Behavior↗

Mind and body: concepts of human cognition, physiology and false belief in children with autism or typical development.

This study examined theory of mind (ToM) and concepts of human biology (eyes, heart, brain, lungs and mind) in a sample of 67 children, including 25 high functioning children with autism (age 6-13), plus age-matched and preschool comparison groups. Contrary to Baron-Cohen [1989, Journal of Autism and Developmental Disorders, 19(4), 579-600], most children with autism correctly understood the functions of the brain (84%) and the mind (64%). Their explanations were predominantly mentalistic. They outperformed typically developing preschoolers in understanding inner physiological (heart, lungs) and cognitive (brain, mind) systems, and scored as high as age-matched typical children. Yet, in line with much previous ToM research, most children with autism (60%) failed false belief, and their ToM performance was unrelated to their understanding of. human biology. Results were discussed in relation to neurobiological and social-experiential accounts of the ToM deficit in autism.

Autistic Disorder↗

Externalizing and personalizing biases in persecutory delusions: the relationship with poor insight and theory-of-mind.

The presence of externalizing bias (EB) for negative events together with personalizing bias (PB) (a bias to blame others rather than circumstances) may jointly constitute a vulnerability to develop persecutory delusions (PDs). Whereas EB purportedly serves to defend a vulnerable self-concept by avoiding negative self-attributions and might therefore exacerbate poor insight, PB may reflect cognitive deficits, including theory-of-mind impairment. We investigated these proposals in 34 schizophrenic patients with a history of PDs and 21 healthy controls. Patients with moderate- to severe-PDs and patients without a current PD showed excessive EB which was, surprisingly, absent in patients with mild persecutory delusions (mild-PDs). That EB might wax and wane with fluctuating delusional intensity was interpreted in accord with a new dynamic model of attribution self-representation cycles. As predicted, EB exacerbated poor insight. However, counter to predictions, theory-of-mind impairment did not increase PB, which was marked in all participants, whether clinical or non-clinical; instead, theory-of-mind impairment was also correlated with poor insight. Our findings indicate multiple pathways to poor insight, one of which is a theory-of-mind difficulty, impairing the capacity to simulate other perspectives for the purpose of critically evaluating one's own beliefs and circumstances.

Adult↗

A test of the interactive effects of anxiety sensitivity and mindfulness in the prediction of anxious arousal, agoraphobic cognitions, and body vigilance.

The present investigation sought to examine the interactive effects of anxiety sensitivity [AS; Reiss, S., & McNally, R. J. (1985). Expectancy model of fear. In S. Reiss, & R. R. Bootzin (Eds.), Theoretical issues in behavior therapy (pp. 107-121). San Diego: Academic Press] and mindfulness [Brown, K. W., & Ryan, R. M. (2003). The benefit of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822-848] in predicting panic-relevant processes. A community sample of 248 individuals participated in the study by completing a battery of self-report instruments. Consistent with prediction, the interaction between AS and mindfulness significantly predicted anxious arousal symptoms and agoraphobic cognitions, above and beyond the individual main effects, and did not significantly predict anhedonic depression symptoms. Contrary to prediction, the AS by mindfulness interaction did not significantly predict body vigilance. Theoretical implications are discussed and future directions are delineated.

Adolescent↗

The evolution of the human mind and logic--mathematics structures.

The evolution of the human mind is discussed based on: (i) the fact that living beings interchange matter, energy and information with their environment, (ii) an ontological interpretation of the "reality" of the quantum world, of which logic-mathematics structures are considered constitutive parts, (iii) recent theories according to which living beings are considered as dynamic complex systems organized by information, and (iv) the fact that the evolution of living beings is guided by information about the environment and by intrinsic information on living systems (auto-organization). Assuming the evolution of vision as a model we observe that the driving forces that directed the evolution of the eyes, as dynamic complex systems, are the information about the environment supplied by sunlight and the intrinsic information-gaining mechanism of living organisms. Thus, there exists a convergence toward a visual system with the greatest ability to obtain light information, like the human eye, and also a divergence that leads to the development of specific qualities in some species. As in the case of vision the evolution of the human mind-brain cannot be a consequence of factors unrelated to the object of its own functioning. The human mind was structured for the acquisition from reality of the logic-mathematics structures that underlie the whole universe and consequently of an internal representation of the external world and of its own self. Thus, these structures are, together with the intrinsic capacity for auto-organization of the human brain, the predominant driving force of the human mind evolution. Both factors are complementary.

Biological Evolution↗

Proverb comprehension reconsidered--'theory of mind' and the pragmatic use of language in schizophrenia.

BACKGROUND: For decades, impaired proverb comprehension has been regarded as typical of schizophrenic thought disorder. Testing patients' proverb understanding has widely been abandoned, however, due to poor reliability and validity of the assessment procedures. Since the underlying cognitive deficit of impaired proverb interpretation remained obscure, this study sought to determine the relation of proverb understanding with other cognitive domains, particularly 'theory of mind' or 'mindreading', in schizophrenia. METHODS: 31 patients diagnosed with schizophrenia were assessed using a novel German Proverb Test [Barth, A., Küfferle, B., 2001. Die Entwicklung eines Sprichworttests zur Erfassung konkretistischer Denkstörungen bei schizophrenen Patienten. Nervenarzt 72, 853-858.], a 'theory of mind' test battery, a variety of executive functioning tests and verbal intelligence. Psychopathology was measured using the PANSS [Kay, S.R., Opler, L.A., Lindenmayer, J.P., 1989. The Positive and Negative Syndrome Scale (PANSS): rationale and standardisation. Br. J. Psychiatry 158 (suppl. 7), 59-67.]. Patients' task performance was compared to a group of healthy control persons. RESULTS: 'Theory of mind', executive functioning and intelligence were strongly correlated with patients' ability to interpret proverbs correctly. In a regression analysis 'theory of mind' performance predicted, conservatively estimated, about 39% of the variance of proverb comprehension in the patient group. CONCLUSIONS: The ability to interpret such metaphorical speech that is typical of many proverbs crucially depends on schizophrenic patients' ability to infer mental states. Future studies may further address differences between schizophrenia subtypes or the relation to specific symptom clusters.

Adolescent↗