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Psychologic factors in the etiology of amalgam illness.

Eleven patients with amalgam illness aged 33-50 years were investigated by psychodynamic methods. Six of them, all women, were dental nurses and hygienists exposed to amalgam/mercury both from their own dental fillings and occupationally. Four men and one woman were exposed only to amalgam/mercury from their own fillings. Assays of mercury in urine samples and in the ambient air during work routines involving the heaviest exposure indicated that the exposure was far below the levels at which even subclinical symptoms could be indicated by psychometric tests. The psychologic investigation indicated that the symptoms of amalgam illness were psychosomatic. All patients had experienced important psychic traumata in close connection with the first appearance of symptoms. It can be concluded from the psychodynamic dialogues that they had not been able to mourn for a loss in an adequate manner and that the body had been forced to symbolize the great pain in their souls.

Adult↗

Possible role of pineal melatonin in the mechanisms of aging.

The pineal gland has captured man's attention as early in recorded history as the Greeks when philosophers considered it the "seat of the soul". Descartes, in the Middle Ages, furthered this concept naming it "esprits animaux" or, in current language, the psychic and somatic activating principle. These notions about the pineal gland were initially purely speculative and unsupported by scientific facts. However, with the development of a sound knowledge base concerning the pineal gland over the past twenty years, evidence has accumulated to suggest a pivotal role for the pineal in the 'fine tuning' and integrating of various neural and endocrine functions. The secretion of pineal melatonin has been shown to decline progressively with age. Recent hypotheses of aging have suggested that cumulative neuronal insults associated with free radical production may be associated with the process of aging. There is evidence to suggest that melatonin may protect against the age processes in part by attenuating the effects of free radical-induced neuronal damage. Other studies derived mainly from observations on pinealectomized rats also suggest that diminished melatonin secretion may be associated with acceleration of the aging process. Thus, pineal melatonin may be a natural anti-aging hormone.

Aging↗

Reflections from distant cuvettes.

The main events described in this essay occurred between 30 and 40 years ago. Care has been exercised to describe these events as accurately as possible. I have confined myself to the facts as best I can recollect them now. I have also attempted to recapture the spirit and ambiance of the individual laboratories, their directors, and the scientists working there, leaving philosophical interpretations to others. I feel privileged to have been permitted to work in these laboratories and with these scientists. Despite present difficulties besetting those who desire to devote their lives to scientific research, I encourage these hardy souls to pursue their vision and wish for them the good fortune I had in being associated with so many supportive, brilliant, and interesting researchers.

Animals↗

The rules of drug taking: wine and poppy derivatives in the ancient world. VII. A ritual use of poppy derivatives?

Besides fertility, poppies have been used to symbolize sleep, night, and death. Consistent with the agrarian origin of their ritual use, poppies also became a symbol of reincarnation. Several literary and iconographic sources, in particular of the early Roman imperial age, are here interpreted as evidence that poppy derivatives were ingested during mystery rites. The reversible narcotic effects of poppy derivatives should have allowed a "realistic" representation of death and reincarnation, as intended by the Orphic belief of the transmigration of souls.

Funeral Rites↗

A neurologist looks at mind and brain: "the enchanted loom".

For a long time, before we developed an appreciation of the neuroanatomy and neurophysiology of the brain, there was uncertainty as to the nature and source of the human mind. Philosophers linked the mind to mythical "humors" that controlled the human body, and others speculated that the mind was associated with "life-force" or soul. Few felt that there was a relation between the human mind and brain, but they had to wait for the Age of Enlightenment and scientific discovery in the 18th and 19th centuries to establish a clear association between the two. Three centuries ago Rene Descartes described the mind as an extracorporeal entity that was expressed through the pineal gland. Descartes was wrong about the pineal, but the debate he set off regarding the relationship between mind and brain rages on. This review looks at the history of speculation on the mind and the development of ideas that have led to our present understanding of this phenomenon. The basic anatomy and physiology of the brain is reviewed to help us understand the brain's association with the complex function we call mind. This is followed by a look at some syndromes that may result when part of the brain is damaged-the parietal lobe is arbitrarily selected as an example-and the resulting effect on the subject's mind. This assists us in understanding the association of mind and brain, and also to better understanding its components, behavior, function and dysfunction.

Brain Diseases↗

"Take up thy bed and walk": Aimee Semple McPherson and faith-healing.

Aimee Semple McPherson was an important factor in the spread of Pentecostalism in the first half of the 20th century. Although she always identified herself as Canadian, she built her temple in Los Angeles, from which she hoped to evangelize the world. Before settling down in 1923, however, she experienced unnerving success as a faith-healer. Never comfortable with the role, not least of all because she was committed to saving souls, not bodies, Sister McPherson attempted during her secluded final decade to devise a theory of faith-healing. Although still celebrated by her followers as a prophet and a healer, she had expressed discomfort in her lifetime with both these roles. Physically, she ran herself into the ground and died at the age of 54 from a drug overdose.

Canada↗

[Derangement of the mind in the Paracelsus tract "Liber de lunaticis Theophrasti"].

In a treatise "Liber de lunaticis Theophrasti" Paracelsus describes his view of "lunatici". These are men, inflicted by a psychopathological process, that gradually destroys their minds. He develops his argumentation on the base of iatroastrological, new-neoplatonistical and Christian thoughts. In his view man is a microcosm in macrocosm and a trichotomically organized being. Man is influenced by three lights. These lights are representing three levels of vitalisation, knowledge and cognition. According to this, man consists of the body (corresponding to the level of visible material light), the soul (corresponding to the invisible astral-sidereal light of the firmamental macrocosm) and the spirit (corresponding to the light of Christ and the divine-Christian sphere of spiritual light). The origin of lunatic confusion of the mind is caused by the intrinsically motivated intention of man (representing the microcosm) to shift his spiritual focus from the protective sphere of spiritual light to the sphere of astral-sidereal macrocosmic emanations. The latter have a deteriorative influence on man's mind, due to the lack of guidance of man's consciousness by the spiritual light. Paracelsus describes the individual and sociological effects of lunatic confusion. These effects may range from personal confusion up to the aggregation of lunatics in ideologically coordinated groups of fanatics, displaying wrong teachings, dissensions and even warfare and homicide. Concerning the therapy of "lunatici" Paracelsus develops ideas, which show a resemblance towards integrative and holistic tendencies of our days discussed in the field of Psychoanalysis, Behavioral Medicine and "Holistic Health Medicine". In general the Paracelsian concept of lunatic deterioration can be regarded as an historic example that deals with an integrative approach towards the description of psychiatric disorders.

History, 16th Century↗

[Psychosomatic pain in the field of gynecology. Stages of the formation of psychosomatic reactions and symptoms with examples of cases (author's transl)].

1. Understanding disease in the context of a hermeneutic of the ill person's life history forces us to abandon the old understanding of causality which is represented by the model of body-soul polarity. The real onset of an illness has a biographic pre-history. Long latent periods may occur before and between "functio laesa" and actual damage to the involved organ. On the basis of psychosomatic case histories, we can conclude that the future-orientation of an individual's life, that for which man must make decisions, is also that which causes the crises situation for those who are suffering. 2. Psychosomatic medicine cannot simply be included in an already existing medical discipline such as, for example, perinatology can be included in gynecology or pediatrics. It implies a whole new understanding of illness and, above all, it requires a new attitude on the part of the physician. The patient must be allowed to cooperate in his self-realization; the physician himself becomes the medicine. 3. An attempt was made to illustrate the concept of "organ language" on the basis of 6 brief examples from psychosomatic gynecology. Here only the most important information was presented. According to the concept of "organ language", the soma and psyche of the suffering person can represent and interpret each other reciprocally. It also becomes obvious that conflicts at various strata of being can use one and the same physical symptom if a common denominator is present (e.g., defence overagainst a danger, a disease or a role). This type of teleological nosology implies a new dimension for the consideration a disease, namely, the question of the meaning of suffering. 4. The examples cited are almost exclusively found in the understanding of sexuality in the broadest sense of the word. The threat of individuation as the final personality organization resulting from inadequate realization of the individual's own sex determination (Friedrichs) is present. 5. The sixth example clearly illustrates that sexuality is not what it is commonly considered to be. Rather, it permeates all state of personality and extends beyond them into areas of cultural and intellectual life. Whether or not a woman engages in sexual activity is not important (as had originally been thought). What is important is her attitude toward her own sex, toware her sexual activity and, therefore, also toward her partner and the environment. True sexual activity means infinitely more than just the automatic physiological act. In total self-abandonment to the "Thou", perfect sexual love becomes a knowing penetration of being. Genesis 4:1 states: "Now Adam knew Eve his wife...". The Hebrew word for "know" (yada') means both to know and to beget. Through the mystery of this word, something of the perfection, of the "participation mystique" in the work of creation becomes transparent in the perfect sexual union of two human beings!

Coitus↗

Computerized medical records: the need for a standard.

Major concepts introduced in this paper are as follows. 1) Organization, with its attendant qualities of accuracy, consistency, legibility, completeness, and simplicity, is the heart of the medical record. Technology should not be allowed to obscure this goal. 2) The main function of the computerized medical record is data storage with the qualities of organization noted above. This function must be clearly separated from condensation, analysis, or other secondary manipulation of data. 3) Many aspects of data manipulation call for the judgment of a physician. This judgement may be aided by computer software, but not replaced by it. 4) Present technological barriers, most notably speed, permanent large storage, and voice input should not influence the design of the effective computerized record. Future technology will be able to service the carefully designed medical record. 5) Textual parts of the computerized medical record can follow a simple and machine independent outline format. All parts of the record should use a textual introduction emphasizing patient and record identification. 6) A patient profile is central to each patient file. Updating this profile as needed must be recognized as a primary function of the physician at every patient encounter. 7) Acceptance of a standard for the computerized medical record now, before technology has matured and software diversified, will avoid a pitfall commonly experienced in other fields and save substantial healthcare funds. This standard should be geared to the needs of physicians and patients, not to the constraints of technology. The future of medical computing is bright. Obstacles to the practical use of the computerized medical record exist, but we may expect these to vanish within a few years. The great challenge to physicians now is to take this opportunity to control a new technology, rather than to be driven by it. The soul of good medicine is not in the equipment available, but in the rational and carefully thoughtout use of those tools at hand. We must recognize now the need for a uniform style of computerized medical record before the technological establishment besieges us with a flood of specialized, non-interchangeable, and expensive machines. Indeed, a bit of careful thought now as the foundation is laid can prevent the tangled confusion so typical of new technology. We have a golden opportunity to avoid a new round of escalating medical costs.

Data Display↗

Homecare.

With the help of volunteers from coast to coast, operators of homemeal delivery programs are helping needy seniors preserve their dignity, environments & cherished independence, providing nourishment for bodies & souls.

Aged↗

Interrupted stories, interrupted lives.

In attempting to manage their practices efficiently, doctors may not allow seriously ill patients enough time to sort out their feelings and raise important questions. What is at stake here is not information about prognosis and treatments but the very survival of the soul.

Attitude to Death↗

Creative ritual in a hospice.

St. Peter's Hospice, Albany, NY, is dedicated to meeting the emotional needs of patients, families, and staff. Creative ritual, hospice leaders have found, is a powerful tool that can: Provide an "arena" for healing, affirmation, reconciliation, and celebration Serve as a reminder of the sacred Evoke heartfelt emotion Effect renewal and inspiration Offer an opportunity to cleanse the soul of grief, anger, frustration, or guilt Provide tangible experiences of bonding and interdependence Prevent staff burnout St. Peter's staff show a good deal of imagination and variety in creating rituals. Possible themes include patients' birthdays or wedding anniversaries, religious celebrations, national holidays, and changes of seasons. A lighted candle, bouquet of flowers, or incense burner may be used to give the ritual a focus. Music is often played to help set the tone. Rituals involve a major shift in consciousness. They often allow participants to express feelings it would otherwise be difficult for them to put into words. At St. Peter's, participants may begin to communicate by sharing favorite prayers, poems, photos, or works of art. Or they may make music--the hospice provides the instruments--or pass around a Native American "talking stick." Such methods facilitate the bonding of patients and their families. Particularly important are those rituals which allow patients and estranged family members to reconcile. Others enable patients to acknowledge God-given gifts. Still other rituals are held for staff members, who thereby deal with the anger and sadness their work inevitably brings. For all at St. Peter's Hospice ritual is a source of healing, affirmation, renewal, inspiration, and grace.

Burnout, Professional↗

Can we still hear the call? What it means to be Catholic.

Despite the drastic changes occurring in the world today, certain elements of the Catholic tradition and communion can make the transition into a world colored by merger and shaped by governmental concerns for the general, not the particular. If Catholic particularism to many degrees and in many ways has been lost, the "loss" occurred before, apart from, alongside, and in many ways independent of merger and governmental contexts. "We gave it away." These are days for retrieval. The Catholic response to "the call" has been complicated by the following forces: bureaucratization of the world, acceptance of the terms of a liberal (i.e., "open") society, pluralism, and governmental involvement. These factors are formidable, and they do change contexts for response to the call. But they need not stifle the response. The following are some of the elements in "the call" that the Catholic "we" can hear and respond to, while they are also graspable and transmittable by non-Catholics in merged, governmentally related institutions and associations: Catholicholism, concern for the soul, a sacramental view, attention to human dignity, the quest for meaning, the value of ritual, human exemplarity, responsibility to community, the call to justice, and a special ethos. This sampling of elements could be debated within Catholic and in pluralistic contexts. But rather than debate, I would picture a value in conversation in each institution, system, association, or network. This conversation involves Catholics and non-Catholics alike.

Catholicism↗

DUR applications in managed care.

Dr. Navarro suggests that although our efforts to automate systems can enhance the velocity and volume of DUR and DUE projects, the soul of DUR lies not with technology, but rather with the robustness of the database, the program methodology and assumptions, and the clinical skills of the pharmacists.

Database Management Systems↗

"Maxim"izing time.

"You have to live on this 24 hours of daily time. Out of it you have to spin wealth, pleasure, money, content, respect, and the evolution of your immortal soul. Its right use, its most effective use, is a matter of the highest urgency...all depends on that."--Arnold Bennett The items presented here are not meant to contain all the answers to your time management challenges. However, these thoughts should spark your thinking process. Take these ideas, turn them over in your mind, play with them, develop your own thoughts on the subject, and force yourself to become more effective, more efficient, and more systematic. Acquiring this discipline now will ensure the most efficient path to your life's dreams.

Efficiency, Organizational↗

Initiative 119 and Kevorkian: beaten but not dead.

Two events--the close defeat of Washington State's Initiative 119 and the disclosure that Jack Kevorkian, M.D., had provided two more women with the means to die--are promoting a great deal of nationwide soul-searching and reflection over the ties between and the reasons behind these events. The following articles summarize some of the predominant explanations.

Ethics, Medical↗

The brand: second thoughts about a big business decision.

UniHealth was evolving into the essence of a modern integrated delivery network. Should it hang its name on the parts of its system? One architect of that decision takes a look back at a debate that forced fundamental questions about the identity and soul of an organization.

California↗

Resolutions to make and keep.

From mastering the latest technology to becoming an industry expert, listed here are nine career resolutions to seriously consider for 1997. You needn't wait until January to make or implement resolutions that will build your body, your soul, or your career. Start today.

Adaptation, Psychological↗