I am closing down my practice and will focus on writing. I accept invites to book clubs, events and will sign and sell my books at your venues.
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Tuesday, 29 November 2016
Emotions - psych notes continuation from (cognition)
Emotions function completely different from cognition that we discussed last. Cognition in it’s purest sense is logical thinking. Emotions takes the stimulus and either amplifies it or de-amplifies it. You don’t have the 1 to 1 correspondence. Eg. Someone smashed my fender.
I can rant and rave and the unfairness of the world. Or, 2, I will look at what it will cost, about $1000. to repair. 50 h x 20= to pay - won’t gain by wasting energy so will repair. Latter process is a more rational approach. What happened? How will I deal with it? This is the difference. This is idealized because even when we think we are being rational and calm, there is some colouring of emotion. There are six basic emotions.
Fear
Anger
sadness
disgust
surprise
happiness
There are three colour receptors in the eye; same concept as six emotions. If you look at any diagnose, you will find that one or another of these systems is out of wack - way to easy too activate or way too hard to activate. I will write about “fear system” which will activate far to easy. Think, do we go on which system is too high or too low? Eg. Schizophrenia - which is a thought disorder. (I just watched a program last night about marijuana testing which depicted the usage and brain study to be the same of that as schizophrenia. I believe it was 20/20 or the fifth estate. The study was conducted in the States, as marijuana use is still not legal here. I am glad that they are releasing studies that can show how destructive marijuana can be for a developing brain, since I see the negative effects of it in my private practice. Back to my notes now). There is also a problem in emotional regulation. It get’s in the way of what they may be able to do. Anti-social - too little fear. This is framework to categorize and understand mental disorder - not the whole. Cognition is not only in processing - also issue of what part of experience goes into these emotional bins. eg. flashing lights in class - not auditory just sights. There is something a bit different for each bin of the six. There is an intermingling of emotions and cognition and you find in each culture abnormal, if have a cognition in an emotional bin that does not belong there. Eg. laughing at a funeral - that is abnormal behaviour (not necessarily disorder). At biological level these systems can be too finely tuned - eg. people prone to depression - anything happening in the world can be awful at other end. Is that not wonderful? Always can find a positive. Both may be found as strange. Not called fear disorders but anxiety disorders. Question: How does this come to be? It is a blue print. There are different perceptions. There is a general overview:
Biological : Fear processed in part of brain called Amygdala (if fear centre is activated, feels fear, if not does not. Neurotransmitter is involved in regulating. This is called GABA, an inhibiting transmitter. Normally, GABA functions as a gate. When something is extremely intense, eg. only person walks into class and big guy comes in. I may start to feel threatened - magnitude of stimulus, that makes me uneasy. I’m getting a few more impulses coming in. If man shouts, experience more fear. Also if exposed to extremely loud noise, even if benign. For example, jet engine - fear because not enough inhibition at the centre. This is biological level. What happens if a person has only 1/2 GABA as rest of us. They have a lower threshold to experience fear. One quantum alone may exhibit fear - not nearly as much fear to experience.
to be continued……..
(this is one notebook completed from Abnormal Psychology). I hope some of this information is useful to you.) Next week back to theology)
Monday, 21 November 2016
Theology notes Cont: New Testament continue
Pharisees - oral law to interpret written law. Jews - what do we do? Christians what do you believe died before creed “ through kingdom come as it is in heaven”. What do you do, not what you believe.
Midrash - how to interpret the law. Honour mother and father, hospitality to travellers, visit the sick. Could serve God wherever you are. Each person has a priestly role. If everyone did their own thing, then would wipe away vocation of the people. Therefore, persons in community. Pharisees - school of rabbis - Hillech, Shammai - schools of interpreting the law.
note: as a chart The Pharisees
written law - { Moses
oral law < { Moses
I
persons in community
Jewish law tells you how to cook and run a business. When men and women are cooking they are doing a liturgy. After the death of Jesus there is criticism of Pharisees. Both Jesus and the Pharisees resisted Greeks about integrating themselves with them.
1962 - 1965 Vatican II
If you were a Jesuit before Vatican ll, you had to be in by a certain time, eat at a certain time, wear a black gown and have a collar on all the time. After Vatican ll, each Jesuit was given a key to come and go. Jesus never questioned the observance of the sabbath. He justified his actions. Sabbath made for people and not people for Sabbath - curing the sick etc….
Jews of today follow Pharisees tradition. Therefore, if you say nasty things of Pharisees, you are saying nasty things of Jews - so know what you are talking about. The fact that Jesus argued with Pharisees, it is a cultural thing. 1. means nothing; 2. Jesus did not abolish the law, “truly truly if heaven and earth pass away not all the land…..” Jesus wanted to remain a Jew. There were at least seven kind of Pharisees in Jesus times. If you read Babylon - Jews poking fun of Jews. 1. Shoulder Pharisees (internet download) 2. Wait- a little - would do but is requested, but first must do something else 3. fleeing - walk into wall (from not looking at woman). 4. not bumping into him. 5.reckoning (confession, or forgiveness) 6. Pharisees - always looking for a spiritual director. No matter how good, go to heaven. Many would argue that Jesus was a good Pharisee.
To be continued with Dialogue Decalogue - discussion not debate
Tuesday, 15 November 2016
Busy times but now able to slow down - more education days to come.
I have been attending seminars, lectures etc and it has been informative and fun. I always love to reconnect with former classmates and profs and everyone else. It is a time to learn, refresh ideas and create new ones. It is a time to network and make new friends. Today I am taking a "me day" but I wanted to write to you and bring you up to date. I know I was supposed to write some notes about theology today, but it really is a free day and I want to just keep it light and easy. Next week for sure, I will be back to a normal routine. Showcase at York University was fun and I sold the same amount of books as the year before. When I look my books up online, they seem to be posted and unavailable. They are available - www.silvaredigonda.com. I have added pscyhotherapy for those who are interested in telephone counselling Canada wide or out of the country. Anyone wanting more information can email me directly at silva.redigonda@utoronto.ca or through any links I am associated with. Next month I will be taking a two day course regarding suicide. As Christmas gets closer, some feel isolated, sad and at times suicidal. There is hope and I suggest giving it a try for yourself - HOPE. I am always prepared to take names in Toronto to start up a group therapy weekly session which hopefully can turn into a support group. My interest is veterans, military and other emergency persons and I am always willing to work with other therapists to accomplish this interest. In my adventures lately I met a woman from London Ontario who has set up a support group for adult survivors of child abuse. I bought her book which I have barely started but am sure that it will be wonderful and a support for those who may want to read it.The book is Let Your Light Shine by Sheila M. Stevenson. Next month I have also been asked to keep a day free to attend lecture for providing therapy to LGBT. So next month will be very interesting for me. I have connected with more insurance companies so please feel free to ask them if I am covered by your policy. I have non disclosure contracts and will have to check with a few to see if it is ok to share. At times I am asked why certain insurances cover some and not others. I have been told that it is not the insurance companys but the employers who make that decision. Also, note that you can claim psychotherapy on your income tax deduction under health. I believe you need to spend 1000. in heath costs before claiming. I would love to finish my third book by Christmas and hopeful, I will find the time. I need about two weeks off to do it and may not be able to. I do not like to take time off at Christmas because people can become so sad. I always manage my time according by priorities but my own physical and mental care comes first, because I cannot take care of others, if I am not taking care of myself. Sounds like a cliche but it is so true.
So, I shall leave you with some thoughts. Have you been made to feel less than you are? Remember that other people are just like you. Regardless of colour, nationality, culture, religion, education etc......we have basic commonalities. We love, we hate, we suffer, we find pleasure etc.....No one has the right to control you. No one has the right to belittle you. People may do terrible things to others, but they are still people with their own cross to bear. Remember that if you are being abused, you can do something about it. Children are not property to belittle, emotionally demean, physically or sexually abuse. Children are innocent of anything that happens to them by those who should be protecting them. I remember the first time I said to a client as a student, that he should not feel shame because it was not his fault. So, often shame is misplaced. Therapy does help you take control of your life and that has a ripple effect. People who control, do not like it when the people they are abusing seek help. They begin to lose control, the isolation induced becomes threatened. I advise you, the tormentor to get your own help too. Remember if you are feeling suicidal for whatever reason there is help. I ask you to please not kill yourself. You are worth so much, just help yourself to discover it. You just need to step back and have someone help you clear up the forest in your mind. I suggest all of you who read this blog today, to take some times to pause and reflect. What is it you want in life? Have you lost your motivation? Do you isolate yourself? Do you feel shame? Take a reached out hand for they are out there and walk out of the darkness. So, now I am going to enjoy the rest of my day and just have plain fun. What do you think? Next week - for sure - unless a tree falls - I will write more notes about theology. What was that you thought?
Sunday, 6 November 2016
Busy, busy times with conferences etc......and hey come and buy a book, or say hello at York University
Well, I have been on a roll. I attended one business seminar, one conference day regarding different types of therapy with the American Association of Family Therapy, another annual conference with Spiritual care, including ethics and PTSD, at North York Hospital, and another at Adler's school of Psychology. It is a good thing I take notes. I will be taking or signing up soon for a two day event regarding suicide. It is held in the beginning of December which I think is very appropriate. They are having a seminar next year at Deerhurst and I really want to go because one speaker, a physician will be speaking about the benefits of music in the operating room for the patient. Next week should be my last busy week for this month. I love conferences, seminars etc....I get to meet interesting people, doing wonderful things for people. I get to learn the latest there is to offer. I get to reunite with old classmates and see how they are changing the lives of so many to live happier lives. I also got to spend Hallow'en giving out over a hundred treats again this year and spending time with friends on one on one. I am looking for a big tree for Christmas and have not quite found one that is pet safe. I really liked one at Lowe's and it was beautiful, but the chemicals would not be healthy for my chewing pets, or the possiblity of, so I will either put up my old one which is sturdy but a tad small in the room. There was another fair I went to geared for seniors, I almost forgot to mention. I am looking forward to slowing down and enjoying the Christmas season. This Tuesday I will be selling my books at York University, Showcase, Central Square from 0900 hrs. I always look forward to going there since the University was a very important part of my growth. I would recommend a psychology degree there for anyone. If you are in the area, drop by to say hello and or buy a signed book. This reminds me that I really need to find some time to get that third one done - so little left to do. If you have a question for me, do not hesitate to ask. If you need an appointment for therapy and or couple therapy, do not hesitate to contact me. So, if you are looking for a therapist, do some research. Is the person registered and accountable to by a regulated body? Do you feel comfortable with the therapist when you meet? It is ok if not, and then go to another. The tip for today? Are you living the life you want, or the life that others want for you? What do you think?
Wednesday, 26 October 2016
Disorders - continue from psych notes
Disorders - a number of ways people have conceptualized content - will introduce another way of conceptualizing - by looking at what is it of abnormal behavior and what goes wrong.
Abnormal Behavior : Cognitive and Emotions gone array. Two types of processing:
Cognition (thinking) - Prob. neurologist and Pys. - In about every neurological disorder there is emotional too. eg. Multiple Sorosis - has emotional sequel. Once mess up things in one area, normally effects other. eg. A parent dies - feeling sad is normal and not irrational. There is a learning component to emotion. Learn when to be happy and sad- context that evokes emotions is probably not inborn. Brain probably constructed for rational thought. (a) There was a paper written in 1920- Bektrant Russel and North Whitehead. Question posed is what is basis of mathematics? Point is math can be reduced to logic and logic - which can be reduced to the a/m.
Emotions: clinical psychology - get changes of patterns of thinking. There are a few ways we can have abnormal behavior occurrences. a. problem with thinking processing behavior will be unusual because of abnormal behavior or have problem because some emotion is not enough or overcharged. There are some basic fundamental emotions. 1+1. eg. Shepherd job is to take the sheep to carrell in the evening. One night he was not sure if he had brought all the sheep back. He had no real way of checking. Being clever he did as follows: used pebbles to put in a bag as sheep went through- which was the 1 to 1 correspondence between sheep and pebble - process same at night by removing pebbles when went through- if less than had to go find sheep. *Logic - any logical statement can be reduced to 1 to 1. Cognition in purest sense is logical thinking. 1 to 1 - if pay bill - for same amount - exact correspondence. Emotions function completely different. Emotion takes the stimulus and either amplifies it or de-amplifies it - don’t have 1 to 1 correspondence. eg. someone smashed my fender. 1. Can rant and rave and unfairness of the world; or will look, will cost $1000. to repair. 50 h x 20 = to pay; won’t gain by wasting energy so will repair. Latter process is more rational. What happened? How will deal with it? This is the difference. This is idealized because even when we think we are being rational and calm, there is some colouring of emotion.
Next: this topic is to be continued with Six Emotions (basic emotions). However, let's not forget we are alternating with theology notes. Have a nice day.
Tuesday, 18 October 2016
Positive changes coming to a hospital near you? Check this out.
This month and next will be busy with seminars and conferences as well as my regular work but today I would like to share information with you regarding my second last conference a few weeks ago, Oct 5 at Sunnybrook Hospital. The speaker was Dr. Darcy Harris, regarding Spirituality and Health. Dr Harris is an Associate Professor and Thanatology Co-ordinator at Kings University, at the University of Western Ontario. She serves on the board of directors for St Joseph’s Health Care in London, where she is also current Chair of the Quality Committee of the Board. This is among her other credits. I found the day quite exciting and motivating because we are in for positive change and that I think you all want to hear. The following information is provided to you from handouts that Dr Harris supplied, the seminar and my notes. The topic The Sustaining Capacity of Compassionate Care.
She reported what we already know and what the National Health Service Upheaval in the UK (Francis Report, 2013) divulged that the health care system was focused on doing the system’s business - not on patients. The standards and methods of measuring compliance did not focus on the effect of service on patients. There is disengagement, disinterest, and tolerance of poor standards and risk to patients. There is failure to address challenges that interfered with maintaining a positive work culture, in nursing and especially the medical profession. The findings of the Francis report - “”It should be patients-not numbers which count…”””
“”””A fundamental culture change is needed…””(Francis Report, 2013)
“Patients tolerate and even expect to endure some suffering with their illness;however, many describe a different kind of suffering that resulted from the way they were treated by their doctors and other professional staff in the health care setting”””(Ballatt & Campling, 2011).
A movement began in Scotland as a way to re-humanize health care (www.whatmatterstoyou.scot)
Multiple studies has depicted that compassionate care improves health outcomes, reduces expenses, increases patient satisfaction, better adherence to treatment recommendations, fewer medical errors and malpractice claim and more resilience in health care workers. Research found that kinder care and improved information sharing resulting from compassionate practices leads to a range of improved outcomes including, faster healing of wounds, reduced pain, reduced anxiety, reduced blood pressure, shorter hospitals stays and shorter duration and severity of the common cold (www.dignityhealth.org/about-us/press-center/press-releases/scientific-literature-review-with-standford). Sunnybrook Hospital in Toronto is affiliating with Harvard University to incorporate empathy and compassion. (I had to stop jumping from my seat at the news). (Check out www.ccare.standord.edu)
Sunnybrook hospital is affiliating with Harvard ““to make the unbearable bearable’’’’, the Swartz Rounds (Ken Schwartz). The mission, “”to support and advance compassionate healthcare in which caregivers, patients and their families relate to one another in a way that provides hope to the patients, support to caregivers, and sustenance to the healing process. Sponsor education, training, fostering rounds that focus on compassionate approaches and recognition of caregivers who embody the values of compassionate caregiving. The goal is for compassionate caring to rise above institutional rules and practices, encourage health workers to reconnect to the heart of their practice, to increase the happiness, well-being, and resilience of health care workers. Finally, to provide connections between health care workers across the globe in order to support compassionate care. You can also check out www.heartsinhealth.com)
One movie clip we watched touched me as a patient talked about her hospital experience. She was on life support and doctors would come in with their interns and talk over the patient never acknowledging her. Of all the doctors and nurses only one would come into her room and touch her shoulder and talk to her. This nurse would talk about tidbits on the news, the weather outside, and anything else. She said that after 20 years she still remembers him and feels the gratitude. He talked to her. She heard everything on life support.
One of the questions asked was if there are any other hospitals who have incorporated this method of empathic and compassionate care. I remembered being in Montreal at St Mary’s Hospital and I was so impressed with their cancer care. The chaplain told me that staff and doctors are informed to care for patients as if they are members of their own family. I was so impressed with the care and patience I saw there. I had never seen that quality of care before. However, it is Children’s hospital in Montreal which has implemented the care as mentioned in our lecture.
Parking at Sunnybrook alone cost me $26.00 (ouch!) However, parking in Toronto is getting crazy along with everything else. But the day organized by Bill Ford was amazing with lunch to boot and another certificate for me, which I keep in my file drawers for counting educational hours, for my college). I have shared this with you and provided you with references because how we have been taking care of patients is changing and we are moving towards positive change. Any errors which I have typed, I hold myself and only myself responsible for.
Have a nice day, balance your life with fun, work and play and do not forget to rest. What do you think?
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