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"Healthy avenues of the mind": psychological theory building and the influence of religion during the era of moral treatment.

OBJECTIVE: This article delineates the main psychological interventions used by American asylum superintendents practicing moral treatment between 1815 and 1875. Further, it explores the impact of Protestant religious ideas on specific aspects of moral treatment's theory and practice. METHOD: Asylum annual reports written by superintendents (physicians dedicated to the treatment of the mentally ill) were studied along with volumes of the American Journal of Insanity from its premier issue in 1844 through the 1890s. The writings of two laymen, Thomas Gallaudet and Horace Mann, both committed advocates of moral treatment, were also examined. RESULTS: The superintendents espoused complex theories about individual psychology and the nature of the self based on their observations. Protestant religious thought was a major influence, helping to catalyze original psychological propositions. Interesting resonances can be found between the superintendents' concept of a central agency, a governing "I" accounting for individual behavior, and ego psychologists' concepts of the organizing functions of the ego. CONCLUSIONS: Moral treatment did not produce a comprehensive psychotherapeutic system. Nonetheless, the superintendents voiced surprisingly modern psychotherapeutic insights. Religious worship as well as religious notions about the inviolability of the soul greatly influenced their views of patients. Rather than being an impediment to formulating psychological ideas, religious concepts proved to be a rich framework for evolving theories about aspects of patients' internal psychological functioning.

Christianity↗

Anatomy of the mind.

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Autobiographies as Topic↗

Roots and wings: a pilot of a mind-body-spirit program.

The overwhelming supply and demand for holistic health information and services suggest the need for integrative medical centers to offer experientially based educational programs. Seventeen individuals participated in a pilot of a 12-week multidisciplinary program titled Roots and Wings. Self-reported pre- and postmeasures were completed by 11 participants and indicated promising outcomes across the dimensions of physical, emotional, and spiritual health. Participants had a statistically significant decrease in physical and psychological symptoms and an increase in daily spiritual experiences. Statistically significant positive changes were also found for psychological attitudes and health locus of control in addition to indicators of behavior, satisfaction and attitudes relevant to the goals of Roots and Wings. The content of the program and the implications of these findings for nurse educators are discussed.

Adult↗

The Strength-Focused and Meaning-Oriented Approach to Resilience and Transformation (SMART): A body-mind-spirit approach to trauma management.

This article introduces the Strength-focused and Meaning- oriented Approach to Resilience and Transformation (SMART) as a model of crisis intervention, which aims at discovering inner strengths through meaning reconstruction. Limitations of conventional crisis management and current findings in post-traumatic growth research are discussed. Instead of adopting a pathological framework, the SMART approach holds a holistic view of health, employs facilitative strategies, and promotes dynamic coping. Intervention components include Eastern spiritual teachings, physical techniques such as yoga and meditation, and psycho-education that promotes meaning reconstruction. Efficacy of the SMART model is assessed with reference to two pilot studies conducted in Hong Kong at the time when the SARS pandemic caused widespread fear and anxiety in the community. Response to potential criticisms of the SMART model is attempted.

Adaptation, Psychological↗

Impact of a body-mind treatment component on alcoholic inpatients.

1. A group of alcoholic patients who were treated with a physical fitness program as an adjunct to the usual program showed significantly less craving for alcohol than members in the standard treatment group. 2. The group treated with physical fitness as well as therapy saw themselves as having more internal locus of control and being less controlled by powerful others. 3. Nurses are the hospital professionals most likely to be involved with important roles in exercise programs with alcoholic patients.

Adult↗

Bridging gaps between mind, body, & spirit. Healing the whole person.

Fifty percent of visits of primary care providers are for psychiatric problems making it desirable to screen for mental, addictive, or behavioral disorders at the level of primary care. Psychiatric/mental health nurses prepared at the master's level to practice in the blended clinical specialist/nurse practitioner role are well placed to treat or collaborate in the treatment of people who present with symptoms of physical or psychological problems. The role of the clinical specialist/nurse practitioner is evolving in response to changes in health demographics, epidemiology, scientific and technological advances, and changes in managed care. Advanced practice nursing education must continue to anticipate and meet on-going changes and challenges.

Adult↗

Homeopathy: natural mind-body healing.

1. Homeopathy is an accepted form of health care in many countries worldwide. 2. Homeopathy is deeply healing, yet does so without causing side effects, tolerance, or addiction problems. 3. Homeopathic remedies are available over the counter in health food stores and some pharmacies. 4. Homeopathy is distinct from herbal medicine and does not interact with conventional treatments.

Evidence-Based Medicine↗