viernes, 27 de abril de 2012

CANCER AND THE MENTAL PROCESS (PART IV )

CASES



Mental health has boomed in recent years and the change in that area, was also one of the most important scientific facts and useful for the best medical practice.



Psychology, for their contribution and input of new concepts and theoretical models and scientists from other sciences, especially sociology, anthropology, pharmacology and physics, has greatly enrriquecedído. Today you may qualify as a dynamic science, social and highly scientific.






Modern psychology is significant not only in theory and psychopathology, but goes further and involves the work of the institutions in prcatica today, directly affecting professionals are integrated into interdciplinarios groups involved in all prevention activities and promotion of mental health, teaching and research itself.



The current psychological science, is also a constant challenge and permanent enfretamiento, study and solve the problems of health and mental hygiene, where the body is not that sick, but they are people or beings social suffering. Psychology and view, focuses on the study and understanding of mental problems as a basis of human contradictions, centering intra and interpersonal links that leave room for plenty conflictuarse emotional distress, which also includes the relevant family of patients and their environment or habitat, as active participants in the process of health and disease of the mourners.



It is important, before giving way to casuistry, make it clear that sizing your condition suffering not at the level of drug or chemical-biological formulas, but in terms of mental phenomena and perceptions and that a group of qualified observers (clinical psychologists) includes mental signals (verbal and attitudinal) and signs of the body to integrate with the symptoms of the disease, leading to a common diagnosis and interacting shared by all, including the patient.



The psychotherapeutic team, consisted of specially trained professionals including having been exposed previously, patients with severe psychotic situations and situations involving sensitive as the dynamics between life and death of a patient. This also required a preparation to prevent the frustration increased if it is present in addition to emotional overload psychotherapy conducted.



The patient was referred to us by the oncologist in determining that his intervention was limited resulting in psycho-emotional aspects of the patient. By saying the doctor, the crisis was not overcome depression or modified, despite the drugs prescribed. This situation hindered and to more complex chemotherapy and radiation provided and applied to the bereaved. Suspected of a strong sense of anxiety that could be driving organic and functional disorders should be corrected with appropriate psychotherapy.



The methodology used was the directive therapy, brief and emergency sessions of 45 minutes twice a week for four months. We used interview protocols designed by psychotherapists. The sessions were recorded and psychologists observers remained in the registration area of ​​the House of Gessel, preparing their reports.



A member of our team interviewed Oncologist psychotherapy and sought the following information: Patient work activity 50 years of age at the moment is under medical leave, suffers a cervical cancer box being treated and does not show metastasis. Unstable emotional state, crying easily and ideas appear in his address depression and deep sadness. So psychotherapeutic intervention is sought because it would "know more" of the patient to support the best way for medical treatment.



CASE REPORT. -



Mexican national women 50 years of age. Active worker (currently licensed) in charge of a library or university. Married 23 years with an academic from the university with an age of 47 years. Mother of three children in terminal stage of adolescence.
Presents a picture of multiple complaints and crying easily, due to depressive thoughts.Being treated for cervical cancer in advanced stage, chemotherapy and radiation with the known side effects.



The patient is interviewed in the House of Gessel. It has information about your visit with psychotherapists, but is said surprised Oncologist position because it believes that while she cried and said moods varied and changing ideas lined doom, does not understand what was referred for consultation psychological, let alone to receive such treatment. He tried to cancel the interview saying that there was no cause for concern. He tried to convince us that his mental state was really excellent and the discomfort they attributed most of all, the treatment of chemotherapy and radiation that caused much havoc and physical discomfort, "That perhaps I should not complain, then?



The presence of clinic staff ¨ ¨ SOLARIS, perhaps, could cause some concern in the patient, which is why I try to wrap up the interview and to play down her depression she was suffering. Fortunately, they managed to record enough material to produce a preliminary report for the body to know our opinion physician regarding the patient: We suggest conducting a psychotherapeutic treatment and emergency short duration of 32 sessions, with two visits times per week. Depressive symptoms was confirmed. Would proceed to try to change your current situation, taking into account the sensitivity of chemical and radiation treatment. The interview had created a state of increased anxiety and distress. Was also reported that the patient know, largely, the reason for your visit with us and for that reason, rejected the psychological interview had not requested. The report met with the oncologist, he considered that despite the refusal of the suffering, he felt that something ought to do more to avoid running the risk of iatrogenizar the case.The doctor saw that the patient accept the treatment of the 32 psychotherapy sessions.



Shortening. -



The first five sessions were aimed at locating the patient's self-esteem diminished. He proceeded to explain that the deal would help that she recognized her positive attitude to accept counseling psychotherapy, to the states suffering frequent sadness. It also emphasized the role of low self-esteem in depression: self-esteem can be lost by a real or imagined loss of position, of an affection or a function. He pointed out that the saddest moments in our lives, there may be a failure for having sex, having been rejected by a partner or partners or by the loss of a loved one in the family: ¨ There are situations in we have been exposed to losses or losses ¨ ... (cries almost suffocating).



During the following five sessions, we proceeded to invite and motivate them to be more expressive with their feelings from an intra-aggression towards extra-aggressive impulses. At this stage of treatment, the patient said the core of their involvement. He related his version of something he had never communicated to anyone and that it had saved just for her: ¨ Six years ago, my husband and I traveled to Europe. Both were enjoying our holiday work. And besides he was on sabbatical. We are employees of the university. I work at the central library and teaches at the School of Arts. We were in Europe and 25 days. Arriving in Florence, Italy, my husband, who had friends in that city, told me he wanted to stay to study a degree in medieval painting. The news surprised me. After several discussions, we agreed that this would be done, but I was not totally agree on that. He claimed that even before I knew it was going to stay and had waited until the end of the trip to comunicàrmelo, so I felt not only manipulated, but deceived by the bounce ¨ ... refers to the airport: ¨ I felt myself falling apart. It was as if I were a wall that collapsed todito, stone by stone. You can not trust anyone. All fail, sooner or later. This return was very very bitter, was full of rage, anger, anger that was going to tell my children, how he would face all alone. I do not feel able to take care of the family. I felt so defeated ¨ ... (weeps with deep feeling).



In another five more sessions, was subjected to a technique of catharsis mediate in which the therapist was expressed for her: ¨ We must concentrate deeply, so that it can, we send to hell eternally much hindrance to that of husband ¨ ... ¨ That unhappy that damn crafty, yes go with the understanding that liberation is for all, to rot in hell ¨ ...



In the five subsequent sessions, the therapist proceeded to explain intellectually the dynamics of depression and to identify factors that accompany this condition with serious psychosomatic illnesses or severe and that many of these self harm, as a rule, are to cause pain to others . Gradually, the patient was able to speak of other occasions when both were upset. He said his anger in this by being patient and enjoying great health. It was not difficult to see that she felt guilty about that kind of resentment. She linked depression with disappointment and a feeling of being cheated by her husband. It made him see and understand that when children are given to believe that a loved one or desiluciona deceives us, for example, the birth of a sibling, and that often that we get very sad. What happens after we return to react with depression when something similar happens in our lives and someone moves. It was explained that the disappointments or disappointments decrease self-esteem and that this is accompanied by a lot of anger or aggression and often do not accept it so easily, because of the education received and therefore, we autoagredimos and we get very sad and sick. With our explanations, she could understand that his case was not unusual. And it was not hard to see the importance of their losses as the source of his depressed state.



In subsequent sessions, the therapist asked the patient about their current marital status, and requested its approval to the presence of the husband with the intention to define, clarify and locate the information gathered. Managed to talk about it, consistently and without resentment. The therapist assured her that everything would be under control and will think that the presence of her husband and help shorten greatly in their treatment. She agreed to the invitation.



The husband attended the meeting and cautious. Comes only two sessions, not continuous, and the first is astonished at the information provided, arguing that he never thought much damage and did not know the details of his anger, assuming that the two had reached a democratic agreement, as they always had in the past, to stay in Florence. That he was no irresponsible and conntacto always remained with her and their children who met the objectives of the stay and that it help him to prove his sabbatical, a better salary and a reclassification in their work, which all benefited. At that meeting, the husband made no reference to any apology for what happened to her. In the second invitation, the husband apologizes: ¨ I always thought a lot stronger ... Excuse me please, I never thought I'd done so much damage ¨ ... (She gets up from his seat and hugs him).



The therapist interprets some contents of the sessions with statements accompanying all supporting: ¨ emotionally difficult to understand that who else loves us, to undertake a task of freedom itself ¨ ¨ Her husband lovingly returned to you if I see well that, right?
The patient responded with positive thoughts and affirming.



In Session 28, the patient is dismissed arguing that it will no longer try to behave as before, be another, and not attack each other. That the cancer does not care. Reaffirms that feels more calm and quiet, despite the strenuous anti-cancer treatments. He feels that the therapy sessions have helped.



CONCLUSIONS. -



Is this a case of low morale and low self-esteem that directly affect the body?
Is this a case of high stress caused by a loss that facilitated the disappointment of the patient having been temporarily abandoned by the husband?
Is this a case of little emotional contact time required separation of the couple causing the patient a helpless love?
Is this a case of deep wound that caused sadness saved long Carrying hate and resentment?
Cancer Is it a war between two of life (Husband and Wife) an organized and well and the other chaotic and unpredictable?



TRIMMING. -



This is a classic case of opposition, where the gaps and limitations are only in the mind of the sufferer.
Separate from others or oneself, under any pretext or reason, is to oppose the universal whole.
The overwhelming majority are not angels or saints, but only for people to live in deeds, but to do so we must be very careful of pride, envy, malice and ignorance that limits and opposes the great whole. We must be very aware of people watching jealously that no escape of large concentration camp in which we all live. For those people, we are selfish because they do not obey or do what they want us to do: We enslave. Know that their eternal vigilance is the way to disease and disintegration of the spirit and body.Undermine themselves, oppose universal unification, restricted options, restricted world view, their motto is: ¨ Make no escape from the cage of gold ¨. That is to be against all divine.



It seems to live in the rapture, is the path to health. And the goal, to evolve to correct yourself first and then give the world the best of our creativity. Nothing makes sense, we may make sense. That life does not run out of living. Let no one say goodbye to her in a weak or sickly: No blood, tearing and pain, there can be no new life. No renewal. No there, only here, only here ... We are here, looking for our way, and there is a road waiting for each of us ... and Mother Nature, supports our journey when we decided: We need a broader awareness helpers we discover that the magic of Life is everywhere and in all our actions ... That is the way to be lived in this world ...! Embrace life looking for exploits and deep love to fill us with Divine health and live and let live to all at liberty then to go without fear, to the place where time does not exist and beyond!



BIBLIOGRAPHY. -



UNUSUAL WISDOM. Fritjof Capra. EDIT. KAIROS
CRUCIAL POINT. F.CAPRA. EDIT. KAIROS
THE TAO OF PHYSICS. F.CAPRA. EDIT. P & J
THE PLACE OF THE SOUL. Gary Zukav. P & J
THE PERENNIAL PHILOSOPHY. ALDOUS HUXLEY.EDIT. SOUTH AMERICAN
MIND AND BODY. Rosenblueth. EDIT. CENTURY
Paradigms. BARKER, J.A. EDIT. MC GRAW HILL.
GENERAL CONSIDERATIONS OF CHRONIC PAIN. Bonica PROCACCI. EDT. L & F
DISEASE AS A WAY. Dethlefsen, T., Dahlke, R. EDIT. P & J
OBSERVER SELF. Deikman, J.A. EDIT. BACKGROUND OF CULTURE.

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