Psychobiologic resilience, psychotherapy, and the creative process.
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Field research in a rural section of central Italy provides the basis for this paper on the structuring of information about health and illness. Here a population is presently engaged in creating a grammar and rhetoric of health culture and life style that begins to link its own traditions to what it learns of medical scientific method, both in praxis and from media fare on the 'discourse' of medical science. We follow this thought modality in exploration of therapeutic choices and the evolving of ethnotherapies.
Any mental/emotional state or process (MESP) which is considered highly desirable (e.g., sustained concentration, memorization of important facts, empathy) or undesirable (e.g., paranoid delusionalism, delirium) could be, respectively, facilitated or deterred by means of an external (i.e., extracranial, or at least extracerebral, and extracorporal) brain stimulation circuit designed in such a way as to deliver rewarding stimulation as often and only as often as and for as long and only for as long as an electroencephalographic or other kind of brain function characteristic, which uniquely identifies the occurrence of the MESP in question, were being emitted by the individual's (i.e., the subject's) brain, with the intensity of the stimulation at every point in time being proportional, respectively, to the simultaneous magnitude or to the reciprocal of the simultaneous magnitude of the MESP-identifying characteristic. Approaches a and b are generalized examples of a number of hypothetical stimulation paradigms presented below that might be used to treat mental illness, enhance learning, etc. (as in the title). Explanations of the psychodynamic mechanisms whereby these paradigms might exert their intended effects are given in most cases.
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This article provides an introduction to the field of art therapy and the potential it can offer to address the emotional needs of the frail elderly. Two case studies are discussed, and examples of artwork are provided. The case studies and artwork were created under the guidance of an art therapist at a Program of All-Inclusive Care for the Elderly (PACE) site in an urban African American community. This article explores how art making addresses the specific developmental tasks of the elderly in a culturally competent manner. Included are practical considerations in the choice of art media and directives for working with elderly clients, as well as resources for further information on the use of art in therapy.
BACKGROUND: We studied a visual artist with Lewy body dementia (LBD) to learn how this disease influenced his paintings during the course of the disease. METHODS: Study 1 evaluated two paintings of the same subject matter, one that the patient painted before his illness and the other after the onset of this disease. Study 2 evaluated a collection of his paintings from the time before he was ill (1994) until the time he stopped painting when he was suffering with LBD (2002). To learn how the onset and progression of LBD affected his paintings we had judges score the following qualities: aesthetic-beauty, closure completeness, evocative impact, novelty, technique and representational quality. RESULTS: In Study 1 we found that the representational ratings for the picture he painted when he had LBD was significantly lower than the picture he painted before he developed LBD. In Study 2, we found that all the artistic qualities measures temporally declined except novelty. We also found that the paintings that were judges as having the highest quality representations were significantly more novel than those that had poorer representations. In addition, we conducted a forward stepwise regression analysis using quality measures as predictor of year. This analysis revealed that only representational quality significantly predicted painting year. CONCLUSIONS: Our results suggest that as LBD progresses, except for novelty there is a gradual degradation of the ability to visually express artistic subject matter. It possible that the preserved ability to paint novel picture is related to relative preservation of frontal lobe function, but the degradation of other artistic qualities might be related to deterioration of the parietal lobes which either impairs the brain's iconic representations or the knowledge needed to portray these representations.
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The development of mathematical insight, the knack for discovering novel solutions to mathematical problems, might be one of the most erudite forms of learning that we can hope to achieve. However, Wagner and his colleague now report that a night of sleep after being exposed to a class of mathematical problems more than doubles the likelihood of discovering just such a novel solution.
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