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PubMed1991

Creative novation behaviour therapy as a prophylactic treatment for cancer and coronary heart disease: Part II--Effects of treatment.

In this article we consider the effectiveness of creative novation behaviour therapy in preventing cancer and coronary heart disease in disease-prone probands, and also its effectiveness in extending life for patients suffering from terminal cancer. In all cases, suitably matched controls are provided as part of the general methodology, and results are reported to testify to the effectiveness of the therapy, whether administered a long-term individual therapy, group therapy, or bibliotherapy plus short-term individual treatment. We also consider the negative effects of psychoanalysis on outcome.

Behavior Therapy↗
PubMed1996

Creative infection control.

In spite of the widespread use of educational programmes, there still remains a low staff knowledge and non-compliance of infection control policies. In order to overcome these problems we have attempted to increase interest and raise awareness of infection control by introducing a motivational programme termed Creative Infection Control. Some of the activities are illustrated and are loosely structured, and rely largely on humour and intergroup competition. These methods are based on sound psychological principles with an emphasis on adult-learning theory. Objective measures indicate that such programmes can significantly influence infection control outcomes.

Adult↗
PubMed1997

Project 2000 student nurses' creative approach to peer education.

This research paper gives an account of an unique initiative using interactive drama with Project 2000 student nurses, to facilitate health promotion with pupils at secondary school level. Through an open-ended play lasting 12 minutes (entitled Debbie) and workshops, student nurses communicated sexual health promotion and how to make choices to a group of 14-18 year olds in a large comprehensive school. The initiative, which uses participant action research (Altricher 1993), was designed to assess whether student nurses could effectively communicate health promotion to pupils with whom they were comparable in age, and the educative effects on the students as a result of engaging in the initiative. It was clear from the findings that several student nurses were unprepared for the impact that the initiative would have on them. The play had immense power and they had empathy with the pupils. Perceived personal and professional benefits gained by the students (as reported by them) included a sense of belonging, more independence, more openness, less inhibition, increased knowledge, improved communication skills, confidence, assertiveness, self-esteem, and the ability to educate people. The author argues that a creative approach to teaching the theoretical underpinning of health promotion alongside practical dramatic skills of communication to empower, as well as promote change, can enable effective facilitation amongst young people.

Adolescent↗
PubMed1995

The creative use of social work technicians.

As resources shrink and case loads increase, it is imperative that social workers look at creative staffing. This article reviews the tasks that can be accomplished by non-master's degree social workers and reiterates the role master's-level social workers play on the renal team. Together, the social work technician and the MSW can address the myriad of issues that arise in a dialysis unit and provide improved concrete and psychotherapeutic services.

Humans↗
PubMed1976

Twin resemblances in creativity and in esthetic and emotional expression.

Three sources of observation relevant to the measurement of individual differences in emotional and esthetic expressiveness were employed to study their heritability by application to a sample of some 60 pairs of young adult like-sexed twins, approximately evenly divided between male and female and MZ and DZ pairs. The sources of observation were objective test performances, trait ascription using a standard list of adjectives, and videotaped enactments of mood and esthetic performances. Perceptual and esthetic abilities do appear to have substantial heritability, although esthetic preferences do not. Heritability is also indicated for such adjectives as artistic, inventive, original, and independent. Ratings of the videotape performances yielded somewhat ambiguous results, due to the presence of a marked halo effect; the most likely interpretation congruent with earlier results is that greater MZ twin resemblances in social extroversion generated greater resemblances in the videotape situation on such other trait-rating variables as creativity, naturalness, and dominance.

Adolescent↗
PubMed1998

Resolving conflict creatively: evaluating the developmental effects of a school-based violence prevention program in neighborhood and classroom context.

This study evaluated the short-term impact of a school-based violence prevention initiative on developmental processes thought to place children at risk for future aggression and violence and examined the influence of classroom and neighborhood contexts on the effectiveness of the violence prevention initiative. Two waves of developmental data (fall and spring) were analyzed from the 1st year of the evaluation of the Resolving Conflict Creatively Program (RCCP), which includes 5053 children from grades two to six from 11 elementary schools in New York City. Three distinct profiles of exposure to the intervention were derived from Management Information System (MIS) data on between classroom differences in teacher Training and Coaching in RCCP, Classroom Instruction in RCCP, and percentages of students who are Peer Mediators. Developmental processes that place children at risk were found to increase over the course of the school year. Children whose teachers had a moderate amount of training and coaching from RCCP and who taught many lessons showed significantly slower growth in aggression-related processes, and less of a decrease in competence-related processes, compared to children whose teachers taught few or no lessons. Contrary to expectation, children whose teachers had a higher level of training and coaching in the RCCP but taught few lessons showed significantly faster growth over time in aggressive cognitions and behaviors. The impact of the intervention on children's social cognitions (but not on their interpersonal behaviors) varied by context. Specifically the positive effect of High Lessons was dampened for children in high-risk classrooms and neighborhoods. Implications for future research on developmental psychopathology in context and for the design of preventive interventions are discussed.

Achievement↗
PubMed2001

The passions of maturity: morality and creativity in later life.

Studies of moral development have concentrated on children and adolescents rather than older adults. Yet people continue to face and reflect on moral dilemmas throughout the life-course. This article examines how a group of older women and men from a rural New York community deal with issues of meaning and purpose in their mature years, and compares their experiences with those of elders from India. Through a series of ethnographic vignettes, three American approaches to the moral nature of late life are explored: viz., deep involvement in art, in public service, and in self-exploration. Rural people discovered many forms of passion, ranging from the personal, professional and political to the ethical and expressive. In their attempts to negotiate both passion and purpose, these individuals also found themselves contending with major contradictions in their own culture, especially the tensions between self fulfillment and social responsibility, duty and creativity, and personal meaning and reciprocity. Their sense of purpose is compared with that of sannyasins, older spiritual seekers from India, whose goals stressed a very distinct set of cultural ideals.

Journal Article↗
PubMed2003

'Understanding and being understood' as a creative caring phenomenon--in care of patients with stroke and aphasia.

Five care providers particularly successful at communicating with patients with communication difficulties were video-recorded together with three patients with aphasia after stroke, during morning care activities. The care providers were then interviewed immediately after the video-recordings, about their experiences of communicating with such patients. The interviews with the care providers were interpreted by means of a phenomenological hermeneutic method. Co-creating was the main theme found. Care providers invite the patient to participate in the creative act of communication. They have a communicative attitude and show interest in the patients' personal desires. The care providers encounter the patient as a presence in a caring communion. In part, care providers communicate by continuously conveying their presence to the patient and even creating availability in a close and open intersubjective relationship. A relaxed and supportive atmosphere facilitates reciprocity between care provider and patient. The communication is not technical or strategic; instead care providers share the patients' experiences in a silent dialogue. This silent dialogue involves sharing the patients' feelings and thus receiving messages from the patient.

Adult↗
PubMed2002

Maurice Ravel and right-hemisphere musical creativity: influence of disease on his last musical works?

The problem of finding correspondence between a particular neuronal organization and a specific function of the human brain remains a central question of neuroscience. It is sometimes thought that language and music are two sides of the same intellectual coin, but research on brain-damaged patients has shown that the loss of verbal functions (aphasia) is not necessarily accompanied by a loss of musical abilities (amusia). Amusia without aphasia has also been described. This double dissociation indicates functional autonomy in these mental processes. Yet verbal and musical impairments often occur together. The global picture that emerges from studies of music and its neural substrate is by no means clear and much depends on which subjects and which aspect of musical abilities are investigated. An illustration of these concepts is provided by the case of the French composer Maurice Ravel, who suffered from a progressive cerebral disease of uncertain aetiology, with prominent involvement of the left hemisphere. As a result, Ravel experienced aphasia and apraxia and became unable to compose. The available facts favour a clinical diagnosis of primary progressive aphasia (PPA), with the possibility of an overlap with corticobasal degeneration (CBD). In view of Ravel's clinical history, we propose that two of his final compositions, the Bolero and the Concerto for the Left Hand, include certain patterns characteristic of right-hemisphere musical abilities and may show the influence of disease on the creative process.

Aphasia↗
PubMedDate not supplied

The University of Iowa Nursing Collaboratory: a partnership for creative education and practice.

This article describes a comprehensive partnership between a college of nursing and its corresponding department of nursing services. The Nursing Collaboratory was created to provide an infrastructure for the generation, dissemination, and application of knowledge to improve nursing practice and patient outcomes. In addition to creative problem solving, the Collaboratory serves as an "incubator" of ideas and innovation, engaging nursing staff, faculty, and students in the development of new products and services to enhance nursing education and practice. J Prof Nurs 17:114-120, 2001.

Education, Nursing↗
PubMed1999

Aliveness in the work of the group: a subjective guide to creative character change.

The subjective response of aliveness in the work of the group may be a valuable signal on the journey toward creative character change in group therapy. In order to promote change in others, the group therapist must engage deeply and use internal responses as guides during interactions with group members as well as in relation to the group as a whole. Subjective awareness of increased aliveness that is linked with a sense of the work of the group may guide both therapist and group participants in the midst of inevitable anxieties and passions aroused during this quest for new vitality and freedom in relationships in the group. Winnicott's concept of potential space as well as group-relations theory about the primary task provide a conceptual foundation for this approach not only on the level of the individual member within the group but also on the level of the group as a whole.

Adult↗
PubMed1993

Asceticism: creative spiritual practice or pathological pursuit?

Asceticism in a religious context refers to a voluntary and sustained practice of self-denial in which immediate or sensual gratifications are renounced in order to attain a higher spiritual state (Kaelber 1987). Virtually all of the major world religions have within them a way in which the individual, through ascetic practices, can strive to achieve a more thorough absorption in the sacred. Although many psychiatrists might consider any ascetic or religious practice to be pathological, others take a more neutral view by emphasizing that religious or mystical practice can also be adaptive and creative (Group for the Advancement of Psychiatry 1976).

Adult↗
PubMed1982

Gestalt therapy with the dying patient: integrative work using clay, poetry therapy, and creative media.

This is a report on death therapy with a 36-year-old cancer patient. Gestalt therapy and creative media (clay, poetry, and colors) were used to facilitate an integration of life and to give the person a sense of balance with life. The author tries to communicate his thoughts and feelings as they were during the course of the therapy, to show that counseling the dying means walking along a stretch of the path together. The companion-therapist cannot avoid his own perplexity and confusion by simply falling back on his professional role. Once he has become involved in an interpersonal relationship, he does not treat the patient as some kind of object. With the aid of transcripts taken from tape recordings, the integrating effect of using gestalt dialogue, and fantasy work becomes evident.

Art Therapy↗
PubMed1992

Coping with cancer: creative teaching strategies in an elective for nursing students.

Many people find it difficult to imagine that working with cancer patients can be a positive and rewarding experience. A variety of creative teaching strategies was used in teaching an elective, "Coping with Cancer," to nursing students in a baccalaureate program. The use of these teaching strategies was expected to foster an interest in oncology nursing. This article describes the journey in the teaching-learning process that allowed students to experience the adventure of cancer nursing. Drawing exercises, communication dyads, gaming strategies, and case study analysis are among the teaching strategies described in this article.

Adaptation, Psychological↗
PubMed2002

Wellness general of the United States: a creative approach to promote family and community health.

This article offers a creative approach to promote family and community health, beginning with the conversion of the office of Surgeon General of the United States into the Wellness General of the United States. The content ranges from federal initiatives to promote quality health research to individuals and families who will be the beneficiaries at medical clinics and community health programs. The proposal recommends changes to institutions and policies, including junk food taxes, the National Institutes of Health, the United States Preventive Services Task Force, the Healthy People 2010 initiative, the Health Plan Employer Data and Information Set, the Medicare Coverage Advisory Committee, state health mandates, local health plans, community medical clinics, and community health programs. The goal is to stimulate ideas and actions among policymakers, researchers, practitioners, educators, and students.

Adult↗
PubMedDate not supplied

Campus wellness vacation: a creative clinical experience with the elderly.

A campus wellness vacation for healthy elderly persons was established to provide RN students with an innovative way to observe healthy aging. The author discusses this creative experience: what it was; how it was planned and implemented; how it related to course requirements; how it changed over the years. Suggestions are given for faculty who want to try a similar program.

Aged↗
PubMedDate not supplied

A culture fair: a creative, fun, and informative method of cultural awareness education.

Nursing has long realized that the impact of a person's culture is an important component of planning the care of individuals. Recently the Joint Commission on the Accreditation of Health Care Organizations has begun to require evidence that healthcare workers have knowledge of the impact of cultural background on patient and family response to health and illness. An education fair is a creative and fun method of educationg large numbers of employees with consideration for cost, time, and resource management. This article will address how to assess and utilize available resources for organizing and setting up a culture fair.

Attitude of Health Personnel↗