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PubMed1982

[Conscience, psychic phenomenons and mental health.].

The position of the mental health practitioner remains fundamentally uncomfortable confronted with a testimony of experienced facts which contredict or surpass our understanding of common sense. Neither scientific rationalism, institutional religion, orthodox freudian psychiatry, or orthodox behaviourism permits one to openly receive this type of experience without its being subject to excessive deformation by their analytical or reading-based framewords. Recent work in the psychology of consciousness, based on psychophysiological, neuro psychological and psychobiological approaches reconstitute the limits of ordinary consciousness and the consensual perception of sensory reality. They also identify the physiological substrata and the cognitive mechanisms which ally themselves to another, equally as valuable, apprehension of reality. According to this latter, psi phenomena become exceptional, but normal, experiences. It is a question from then on not to discredit but to recognize their place in personal experience, and to assist, if need be, their harmonization. Having said this, much remains to be done to soundly evaluate these experiences and to attempt to understand their real physical substrata. This does not negate the need for mental health professionals to have the courage not to abuse psychopathological frameworks or pharmacological treatment, and to give ourselves perspectives founded truly on human development and mental health.

English Abstract↗
PubMedDate not supplied

[Short near-fainting in children with or without loss of conscience].

Short near-faints with or without loss of consciousness have different etiologies and pathogenesis and, according to these, they recur with various frequency. This subject was reported on several publications and here is again examined with the contribute of personal experience and the description of distinct cases. The following causes were examined: vagal hypertonia, digestive troubles (gastroesophageal reflux), metabolic troubles (cyclic ketosis, hypoglycemia and hypocalcemia with peculiar clinic manifestations). Among the neurological causes were examined: epilepsy, benign paroxysmal vertigos and, particularly, the so called breath-holding spells and the migraine, about that were reported a few examples of "migraine accompagnée". Among the cardiovascular causes (ischaemic cerebral crisis), -particular attention was dedicated to orthostatic hypotension syncope. A short hint about hysteria ends the exposition of psychical causes of short near-faints.

Age Factors↗
PubMed1990

The conscience of the specialty.

The American College of Obstetricians and Gynecologists (ACOG) has a two-pronged Quality Assurance program for use by practitioners. The Voluntary Review of Quality Care Program allows hospital departments of obstetrics and gynecology to be reviewed, at their own request, by a team of trained reviewers. The Quality Assurance in Obstetrics and Gynecology Manual, published in May 1989, provides clinical indicators and clinical criteria to be used within a department to establish its own quality assurance program. It allows evaluation of a departmental practice; development of physician profiles, department profiles, and practice trends; and identification of educational needs. The planning of these programs is difficult. Setting standards and establishing quality assurance programs carries some risk, but certainly not the risk incurred by hearing, seeing, and doing nothing. We must provide a quality assurance program that changes appropriately and continuously with proven advances in science and technology.

Female↗