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Mindfulness in the treatment of chronic pain and improvement in the quality of life of both oncological and non-oncological patients

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Kieszkowska-Grudny A.
OncoReview
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2016
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vol. 6
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issue 2
A77-85
EN
Pain, which accompanies almost every third Pole, is an ever greater medical, psychological and social challenge. Relieving pain, and chronic one in particular, is now becoming one of the most important tasks for contemporary health care systems. It involves searching for efficacious therapeutic methods, not only with respect to pharmacotherapy, but also psychotherapy, physiotherapy, surgery, and a combination of those forms of treatment. Mindfulness is one of the newest modalities of cognitive behavioural therapy, and as a method that supports pharmacological pain management, it appears to be an interesting and efficacious way of reducing subjective pain experience in both oncological and non-oncological patients. It may also have a positive impact on the quality of life, reducing disease-related depressive symptoms and anxiety. Current study results encourage us to continue research in the field, and to further assess the efficacy of mindfulness trainings in different realms of medicine.
2
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Why do we talk to the patient? - challenging medical consultation from the point of view of modern philosophy

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BOHRER T., SCHMIDT M., KOENIGSHAUSEN J.
Medicina Internacia Revuo
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2015
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vol. 26
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issue 105
186-189
EN
The medical consultation - the basis for the physician-patient relationship - is often nothing more than a brief medical history interview and receives no sufficient attention: Thus, the focus today is on providing brief information and obtaining the patient’s consent. In this paper we search for an independent approach to assessing the significance of the consultation for physicians. Today, philosophy recognizes two major approaches: modern anthropology as the science of human beings and media theory. If a physician does not “embed” the information, i.e. if he does not give it a meaning through transferring it onto the patient’s specific situation, the physician consequently treats the person like a veterinarian would, that is only focusing on the biological organism and irrespective of his characteristic view of the world. Thus, and provided that it is a therapeutical and conciliatory conversation, the consultation must primarily be “tailored to the addressee”. The information, the theoretical, purely topical content must be integrated into the patient’s actual life situation. This is of fundamental importance for patients safety.
3
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The concept of human dignity as a value basis of psychiatry

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FISCHER M.-L., LINK P.-C.
Medicina Internacia Revuo
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2017
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vol. 28
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issue 109
246-261
EN
Human dignity is composing the main theme for the interaction with mentally ill people, which requires certain competence and a certain sensitivity. The action in the psychiatric daily routine in dealing with mentally ill people is always an enforcement and must always remain questionable. Child and adolescent psychiatry is arranged in between pedagogical responsibility and psychopathological understanding. Here the emotional structure of the young man has not been sufficiently constituted yet. For this reason the conception of human being by people working in psychiatric departments has to be affected by the valuable singularity of each other. Human dignity is jeoparding in psychiatry frequently by compulsory measures and stigma. Therefore it is more important that action in psychiatry is taking place among social dignity. In the consorting with mentally ill people, people working in the field of psychiatry have the obligation to support them actively in the protection of their identity. This obligation has an indispensable, existential significance in psychiatry.
4
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What was the cause of Gertrude Lodge’s hand paralysis? Thomas Hardy and other 19th century authors: literature, medicine and disabilities

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OHRY A.
Medicina Internacia Revuo
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2015
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vol. 26
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issue 105
190-197
EN
The Withered Arm is a story by Thomas Hardy (1840-1928), who was a famous and important British architect – poet-novelist and a social reformer. The Withered Arm is “ a Gothic ghost story”, and Hardy claimed that it was based on a real story. The story illustrates the two trends during Victorian England: the old superstitious beliefs, dreams and visions, versus the modern scientific-based science and medicine, and the remarkable victory of the psyche over the soma. Discussion on the differential diagnosis of that hand paralysis, is given along with disabilities which appear in books of other Victorians and 19th century authors.
5
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The concept of ‘vitanity’ as an alTernative to the concept of humanism in the human sciences. on the necessity for a criticism of humanism based on a psychoanalytical and cultural theory

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LINK P.-C.
Medicina Internacia Revuo
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2016
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vol. 27
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issue 106
51-58
EN
The following article critically reflects on the term ‘humanism’ for human medicine and humanistic education. From a psychoanalytic and cultural theory perspective, criticism is directed at the term ‘humanism’. The concept of vitanity is presented and developed as an alternative. Physicians, psychotherapists and educators are not only advocates of suffering and vulnerable subjects and society, but they are also, and this is their critical and sometimes distanced position to the first two advocacies, also advocates of life and living in general. Vitanity means life-world orientation. With this paper, the author also makes a plea for a discourse of vulnerability and vitanity in (and within) the human sciences. Mankind is not the crown of creation, he is not the master in his own house as Freud would say. Man is a fragile and vulnerable subject like all living things on our planet.
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What kind of physicians does our century need? considerations on the oath of hippocrates in our time

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KUSTERS W.
Medicina Internacia Revuo
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2016
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vol. 27
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issue 106
59-61
EN
As anything else medicine always evolves. Continually new diagnostic tests and devices are being introduced. Today genetic analyses, diagnostic microchips and robot-assisted surgery are in the main focus of interest. From time to time we even not only witness evolutions, but real revolutions. Of course from the moment on when we recognized that not ill-tempered gods or miasms but natural influences and microorganisms are responsible for the cusation of diseases, our way of thinking or the concept of making diagnoses and healing had to change. Over the centuries, however, the same priciples kept on guiding the actions of physicians: balance and respect.
7
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What is human being? the essential philosophical question as a supplementation of the natural scientifical medical education

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BOHRER T., LINK P.-C., SCHMIDT M., KÖNIGSHAUSEN J.-H.
Medicina Internacia Revuo
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2016
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vol. 27
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issue 106
47-50
EN
The work of a physician is based on two pillars: scientific knowledge and technical expertise being one of them, the humanities, ethics and philosophy the other. The former is taught at medical school, the latter is often neglected. Of fundamental importance are the classical philosophical questions about what is life and what is human being. Those cannot be answered by a natural scientific approach alone. For this reason and in view of the preponderance of technology in the daily routine in clinics, many medical students and physicians would like to be offered an optional subject which focuses on those philosophical problems: a training in anthropology and philosophy, called Philosophicum. To meet this demand, the University Hospital of Würzburg has been offering a Philosophicum ever since 2010 (www.philosophicum.ukw.de).
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