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The health care environment is chaotic, with many threats and problems. Despite nursing's resulting discomfort, being able to see the opportunities and the potential within such complexity is freeing. The author illustrates the use of creative thinking in formulating deliberate responses to the unpredictability of chaos. With such innovative actions, the essential nature of professional nursing can be reaffirmed.
Organisms constitute wholes as a result of a network of organizing relations between the parts. In animals, this network has a morphological as well as a psychological aspect, and it regulates morphogenesis as well as behaviour. It is pointed out that closed networks of higher order, that have the characteristics of single organisms (communities of ants, termites and bees, cases of symbiosis, and perhaps even the Earth), could also possess that regulating aspect. In the case of humans, the network can be associated with creativity and the structure of knowledge. Individuation (as defined in Jung's psychology) refers to the assimilation of the network into consciousness. The theory developed in the present paper could give rise to a multi-disciplinary approach to the study of life.
Conscious and unconscious determinants of the wish for a child deriving from early childhood are demonstrated. In this context the elaboration of phase-specific narcissistic mortifications in connection with the recognition or repression of ambivalence is given prime importance. The acceptance of the ambivalence and triangulation have the effect that the creative aspects in the later wish for a child are more powerful than the narcissistic or depressive parts.
The development of this clinical case, that of a young mother who was a painter, illustrates the link between motherhood and sublimated creativity. The importance of male identifications, the difficulties of identification with the mother and the guilt connected with penis envy are emphasized. Castration anxiety is attached to the child, experienced as a penis equivalent. Anal fixation also plays a crucial part, aggravating the refusal of an excessively guilt-ridden genital sexuality. The vicissitudes and conditions of female sublimation are discussed.
The following case studies provide insight into the effectiveness and methodology of the facilitation of insight technique in psychotherapy. This technique has been successful in reducing the incubation process, which is the second of four stages in Wallas's Stage Model of Creativity, i.e., Preparation, Incubation, Illumination and Verification. The application of this technique in other areas of human endeavor are discussed.
Drawing on different schools of thought, the author illustrates how more unconventional methods can be introduced to stimulate creativity and innovation in product design and engineering.
A Southwest Louisiana group has found some creative solutions to the problems HIV staff have with trying to identify high-risk rural populations for HIV testing and counseling.
BACKGROUND: Visual art is an expression of neurological function and how it organizes and interprets perception. The art is predominantly in the right hemisphere, in contrast, the left side, have inhibitory effects on artistic expression. In normal subjects, inhibitory and excitatory mechanisms could interact in a complex harmony, reflecting a paradoxical functional facilitation. Brain diseases such as dementia could change this harmony and then, alter the artistic abilities. OBJECTIVE: Evaluate the art expression in the degenerative diseases. PATIENTS AND METHODS: Artistic abilities of 3 painters with degenerative diseases were assessment. RESULTS: Patient 1: A 83 - year old right handed female, diagnosis: Alzheimer's disease. Artistic description: low productivity, simplified versions of earlier and alteration of the visuospatial organization. Patient 2: A 78-year-old right handed female, diagnosis: Primary Progressive Aphasia (PPA); Artistic description: oversimplified drawings which maintaining overall spatial organization, without impair artistic skills. Patient 3: A 68 year-old right handed woman, diagnosis: Fronto-Temporal Dementia (FTD). Artistic description: Increased artistic activity, originality, freedom, utilization of intense colours with perseverative and repetitive copying of similar paintings of her own work. CONCLUSIONS: Visual art in Alzheimer's disease is a consequence of visuospatial and constructive disabilities. In contrast, the conservation of this cognitive functions and left asymmetrical involved, in FTD and PPA respectively, suggest artistic preservation, independently of the language injury. The disproportionate functional prevalence of the right over the left could lead to a release of novelty - seeking in art and can contribute to emergent creativity. These observations suggest an organization for art in the brain and proposed bases for further investigations in dementias.
Laura Bayliss, lighting designer with BDP Lighting, questions the quantitative approach to lighting for healthcare - and makes the case for creative lighting design. This article was originally published in the Institution of Lighting Engineers' The Lighting Journal in summer 2005, after winning the ILE-sponsored "Best Written Paper" in the 2005 Young Lighters Awards.
The personal grief experienced by a mother who has lost her child is profound. Coping with the sadness and incomprehensibility of the loss predisposes her to feelings of increased vulnerability and isolation. As the woman externalizes her internal experience of grief, she is better able to manage and deal with the situational crises that surround and emerge from the pregnancy loss. This article presents a number of creative, non-traditional approaches that can be utilized to bring about wholeness and well-being in the mother as she shares her loss story.
The use of creative teaching techniques in nursing staff development generates enthusiasm for learning in both the learner and the educator. We report the process used to develop alternative teaching approaches and examples of these programs. A cost analysis of a traditional versus an innovative program is provided. Advantages and disadvantages of these approaches are reviewed.
The author contrasts the creative urbane Goethe with the unempathic, self-absorbed, and extravagant Goethe. The latter, though seized upon by the bourgeoisie as an exponent of its values, did not all fit into its social-normative schemes.
Summarized is a several years' experience of the out-patient psychotherapy of 312 psychopathologic patients of different clinical groups manifesting defensive disorders (psychasthenic, asthenic, defensive cycloid, schizoid, epileptoid, defensive hysterical psychopathic, anankastic personalities) and patients with defensiveness due to slowly progressing schizophrenia. The described technique allowed steady remissions and compensation in 80.1% of the cases. The results of the 2-5-year therapy included the psychotherapeutically raised creative inspiration and capacity of seriously and efficiently coping with the patients' own pathology and everyday life problems through the knowledge of life and human nature.
Seeking ways to produce new products, processes, and programs that would result in cost savings or increased revenue for nursing services and the institution, as well as attracting and retaining bright, creative nursing employees, the authors developed a pilot program to allow intrapreneurs to "run with" their ideas. The authors discuss the mechanics of their program development, implementation, and evaluation as well as examples of innovative projects under development by nursing employees.
This article attempts to demonstrate the relations of alexithymia (no words for emotions) to hemispheric specialization and affect. In addition, it also points to alexithymia as a deficiency in the area of human feelings, and as such of being the opposite of creativity. The terms "affect," "emotion," and "feeling" are defined, and possible etiologic factors of the phenomenon of alexithymia are discussed, with special reference to primary and secondary alexithymia. The article concludes with a presentation of the kinds of therapeutic interventions that might be offered to alexithymic individuals, as well as with an appeal for an integration of scientific and clinical investigations.
The possibility has to be considered that the infant, in danger of overwhelming himself with his own excitement, forms object-representations in ways dictated by expediency. It is necessary for survival to establish in one's mind an all-powerful and loving object-representation that contains in it major parts of the self-representation. In fact, all the vital and affective functions are attributed to the parenting object and are used only under a "franchise-like" illusion. From infancy we are just like the "hypnotized" person or the patient who has received a placebo and carries out self-caring or self-soothing functions under the illusion that he/she is not doing it on their own but the transference object is doing it. In considering the challenge of creating a coherent self-representation within the amazing world of perceptions and affects, it can be readily seen that it is very easy to overwhelm oneself, even for an adult just trying to imagine it. It is most helpful to use Stern's suggestion that probably a sense of self emerges gradually from the consolidation of various nuclear clusters of self-views. He listed (1) a self-agency, representing the recognition of one's volition and capacity to act; (2) a sense of self-coherence, representing a sentience of what remains constant within one's own purveyance; (3) a sense of self-affectivity, representing the recognition of feelings, that is, the subjective aspect of affective living; and (4) a sense of self-history, representing a registration of continuity and a recognition of what "goes on being." In our perusal of what we can learn by confronting the alexithymia picture lessons from developmental psychobiology and direct observations of infant behavior, we get useful clues to the origins of creativity. The epigenetic history of affects and the development of affect tolerance show us how these functions evolve in the context of the interaction of the infant and mother. The success in containing one's own excitement and keeping one's affects in manageable intensity so that they are useful for information processing is made possible by congruent responses of the mothering parent. This situation prolongs the illusions of symbiosis and omnipotence to their optimal duration, permitting a period of guilt-free practicing of self-soothing and self-gratification. By not forcing the conscious recognition of mother's externality and the confrontation with one's own rage and helplessness, the mother helps the infant to avoid a premature formation of an "external" object-representation.(ABSTRACT TRUNCATED AT 400 WORDS)
Motivation and human achievement remain something of a mystery to the psychologist because the participating factors are varied and complex. This research project attempts to separate out an entity defined as self-trust from more social components of self-function (self-esteem and social appropriateness). The strong indication is that self-trust seems to be the product of a relationship with the secondary caretaker (father) while the broader, more generalized sense of trust and interactive reliability appear to be tied to a close association with mother. The question of who the individual seeks to please is a consideration in this research since closeness may not be restricted to affective alliance. Self-trust, as a concept, can be differentiated from self-esteem or interpersonal trust which offers some appreciation for the creative drive within individuals who pursue original solutions in their push to please.
Two sets each of High, Medium, and Low Creative Groups (HCG, MCG and LCG), N=12 each, were selected on the basis of JARAT (RAT Revised In Japanese) scores from 364 male college students. One set was asked to entitle each of six pairs of superimposed slide photographs in order to assess mental fusion of visual images under Response Free Situation (RFS), and the other set under Response Restricted Situation (RRS). Under RFS, HCG showed significantly stronger propensity for fusing images that had opposite impression than the other groups. MCG and LCG responded to a few images more promptly, while HCG elaborated their responses more than the rest under both response conditions, and especially under RRS in which each group was encouraged to produce excellent ones. Thus, it was suggested that HCG might process opposites more flexibly and reversibly in both remote associative thinking and in homospatial imagery synthesizing.