So It has been a while…

So it has been a while since I last did a proper work out, But this morning I set my alarm for 5 and did a combination of POP Pilates and Tiffany Rothe workouts. I havent felt this good in like forever. Give it ago.

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Worries of the Here And Now

 

Enviromental Issues: GM foods, Pesticides and Importation of Food.

I am a strong believer in giving the farmer the money that she or he earned for producing organic materials, but when Australian farmers are being pushed out of the game, by other countries. I do think that the worlds global network of transporting food is great, but when I have to look in 4 different supermarkets to buy product of Australia that worries me.  The importing of foods grown overseas is great really, for those who can’t wait for seasonal fruit to come in season again at least. But I believe seasonal fruit is seasonal for a reason, in winter you need to keep warm and store fat on your body so that’s why in the past people didn’t complain that they couldn’t have mangoes in winter. But now I feel it is a great pressure on farmers to compete with the importation of foods into Australia that causes them to add pesticides.

 

GM foods, there are pros and there are cons, these genetically modified foods are feeding the hungry and are allowing the worlds constantly growing population to be fed and with all the nutritional value of the land with all the over farming to deal with the excessive farming. But in my belief GM foods should be optional, where is the label that says if it is or if it isn’t. GM foods are something that I would prefer not to eat, in my opinion sure they are helping but what about all the ‘originals’. The original types of legumes and seeds that have been used since forever, I remember watching a few years ago a program on sbs about GM foods and again another show on sbs which was about the search for these ancient grains that had been bread out because of its lower production levels and it’s hardy ability to survive.

These GM foods are not what the environment is adapted to. In may 1999, the GM Bt corn had a very negative effect on the Monarch butterfly larvae. GM food is not natural, sure if it occurs naturally in the environment then go for it, but if animals don’t want to or cannot eat it than why would I want to. I must admit I hate having to wash the fruit before I eat it, What about when things expired in a timely fashion and weren’t dosed up with chemicals to make them last longer in storage before they get to the supermarket.

And the influence that commercialised products have on the public,  “health foods” that are overly processed are being marketed even though they are probably just as unhealthy as a regular muesli bar with the same amount of additives. In the eye of the public, health food isn’t a balanced diet of fruit and veg, it is now ‘two scoops of this protein powder with  a power bar but of added colours flavours and even vitamins’. This is the concerns I have for when I become a practitioner, the general public is being, for lack of a better word, “Brainwashed”, by being fed information and not doing their own research it is going to make the re-education when it comes to treating them very hard.  

Wise Person Archetype

To me a ‘Wise Person‘ is person who you would go to for help or advice, much like a counsellor, the difference being that a ‘wise person’ is free from what many people are unable to free themselves from. Much like a monk or traveller who gives everything up but the clothes on their back, I see a wise person as being free from ego. They deal with the matter at hand with the same belief, the only thing that changes, As not only must a wise person adapt to the new (ideas and ways of dealing with things) they cant treat one person with one rule and another for someone else, all situations are different and must be treated as such, but the use of special treatment for one alone when it is needed for all is not tolerated by the wise person.

In order to become and take on attributes of that ‘wise person’
20130204-070218.jpgpersona to treat people in a clinical practice, the practitioner needs to understand what it means to be in such as position of power and not abuse it. There can be no “this is what I would do in this situation“, because the practitioner can never fully understand how the client will function in that situation or the deeper meaning behind the clients actions because in some cases the client doesn’t even know. This is not seen as being high and mighty as the counsellor who is acting as the ‘wise person’ is not acting as themselves, but as a wise person who doesn’t have assumptions prefabricated and learns from the client how to respond and allows them to change using a moral strong framework which doesn’t change. It allows the client to learn as the wise person is not there to tell them where they are wrong or what to do but guides and suggests, it should be the client who should feel encouraged.

The wise person is a part of everyone and one day the client will open themselves up to tbe the wise person to another, The client is free from judgement from the wise person who may cary the traditional morals and values that were either cast aside with choice and decision Or by accident of the client.

My wise person has been with me as my intuition since I was a child, with the same ‘guardian’ or wise woman which I hope I will be able to help spark in my clients. But most of all the wise person archetype I hope to use in counselling setting is one free from judgement but states the view which holds the best interests focusing on a strict moral framework that is not forced or pushed on the client but there to allow the client to find their way.

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Crossing Boundaries – Clients and Practioners

Situation: Juila, a 24 year old model, comes into see Michael, a Natural Medicine Practitioner for help with her diet, after a few sessions she suggests she and Michael catch up outside of work for a few drinks. Michael begins to feel uncomfortable in the sessions.

THE DEALIO:

As a Natural Medicine Practitioner  a client may feel more comfortable with the practitioner than they may otherwise would be with another medical professional, this is because of a unwarranted stereotype that can be common in people of younger ages as seeing ‘alternative medicine’ Practitioners as ‘Hippies’, a unrealistic expectation in many cases.   This may  result in some cases with the client over comfortable with the practitioner and crosses boundaries.

The main issue in this case study is that the Practitioner is being asked about his personal life, there needs to be clearly defined boundaries from the first session, in some cases it is hard to make these clear without coming off as rude. The balance between crossing the boundaries with relaxed rules and relationships in a professional setting and the ‘emotionally distant forms of therapy’, ( Lazarus & Zur, 2002) mentioned in article 2,  can be hard to achieve. In some cases it is difficult to remain separate from the client in all aspects, as the practitioner needs to open up to the client in order to encourage the client to be forth coming in information. This can cause both good and bad.
Good:

  • You are invested and really want what is best for them, you may even begin to develop a power over them. The ability to convince them that what you are suggesting for them to do is better for them while in a normal setting, they may argue or go against your advice for their health.
  • You can gain a deeper insight into their life, free from limitations of a  patients reluctance of disclosing sensitive information. A wider knowledge of their life and daily interactions can provide insight into their actions and feelings, in another circumstance it would remain hidden from the practitioner, leaving them unaware of what was causing this behaviour of the patient that may not have been explored.

Bad:

  • Objectivity and competence of the practitioner may be impaired when consulting the Patient. The practitioners own opinions may get in the way of their efficiency in deciding what is right for the patients best interests. Instead the  emotional involvement of the practitioner influences their decisions in regards to the patient who may need a more extensive help, for example, where a practitioner may feel it is best for the client due the  emotional involvement of the practitioner for the client to stay in their care, even if it is clear that the client needs further help by a specalist.
  • One may develop a power over the other, and drag the other down and it is a conflict of interest. The patient may come to a power over the practitioner and be able to influence them in an unethical manner, for example the patient may influence the practitioner to break confidentiality made with other patients for their gain.
  • The client may cling to the practitioner for a longer period of time as the ‘friendship’ was bound on something more than the usual. The client may begin to rely on the practitioner for help and instead of being independent, and ‘need’ the practitioner to make simple life decisions for them.
  • The confidentiality clause of the contract between patient and practitioner may be breached, after a dual relationship is created. Dual relationships can be created either by chance or by need. Patients of small communities may only have access to a practitioner whom they have a daily interaction with as a small business owner or a friend of a friend. The problem with these dual relationships is the breakdown of confidentiality between a practitioner and one of their patients, the practitioner may become more relaxed with boundaries and lower standards.
  • There is a risk of exploitive behaviour, either in a sense of confidentiality breakdown or harm. Confidentiality is needed to make the patient feel safe and as if they can discuss their emotions and trust the practitioner, this is essential for a professional relationship in this area to work. The exploitive behaviour can come across as : Mates Rates, Extended session, Forged Treatment Certifications if the patient doesn’t want to or is finding it difficult to complete some mandatory treatment.

An issue for the practitioner it is breaking their personal details, much like confidentiality which protects patients, it is also in place for practitioners. A attraction between patients and practitioner, either one sided or mutual can be unhealthy and defiantly unethical. A patient or practitioner seeking to see the client out of work hours for anything other than what they are trained is unethical and my result in the practitioner no longer being covered.
Transference and counter- transference can occur in a professional relationship between client and practitioner as a shift in emotional feelings from one person to another, described by Freud as

“…new editions or facsimiles of the impulses and phantasies which are aroused and made conscious during the progress of the analysis…”

In other words a “False Connection”, while Transference can sometimes be beneficial for the welfare of the patient, transference can come with many risks such as a transference of negative feelings or dependency. Transference can occur due to a number of reasons, such as the close proximity or a similar characteristic (Hobson & Kapur, 2005). In certain cases it can be beneficial for the boundaries to be crossed in terms of a professional relationship.

A minor boundary crossing such as: Attending a patients mothers funeral, or a patients conformation are good examples where boundary crossing is beneficial.  The patient and practitioner become not only closer as the practitioner lends support but it prevents an altercation caused by the practitioner rejecting the offer. Article 2, Beneficial  Boundary Crossing, page 28. It must be remembered that too rigid a boundary the client may have trouble relating and talking to the practitioner, which helps no one.

 

 

 

 

At the first counselling session after Julia asks to catch up or as soon as he begins to feel uncomfortable, Michael should take a few minutes to clear the air with Julia to ensure that Julia is fully aware that no relationship other than that of a professional one can occur. When Michael reminds Julia that their relationship must maintain ethical, he will need to be aware that she make take it the wrong way, and become offended and embarrassed.

In this situation, Julia is a model, with this there can be an unsurprising link to dietary problems, for example bulimia and anorexia. Perhaps in this case of Julia asking to ‘catch up’ outside of work hours, perhaps is a cry for help, beneficial crossing of boundaries. After all in Article 2 provided, at the bottom of page 28,
Behavioral and family therapy support joining an anorexic or bulimic client for a lunch or for a family dinner.”
While the practitioner would have taken this into account, the state of discomfort while consulting the patient for the practitioner must be handled efficiently. 

AND REMEMBER KIDS, THE NEXT TIME YOU ASK YOUR PRACTITIONER OUT FOR A DRINK AND A BIT OF KINKY TIME YOU ARE CROSSING A LINE Especially if they are a gynocologist or they check your prostate

 

 References:

Hobson, R.P. & Kapur, R. 2005, “Working in the transference: Clinical and research perspectives”, Psychology and Psychotherapy, vol. 78, page. 275-93   http://search.proquest.com.ezproxy.endeavour.edu.au:2048/health/docview/218931969/13BFABBB13F84BBECC/3?accountid=45102

 Article 2:

Zur, O, 2014, “To Cross or Not to Cross: DO Boundaries In Therapy Protect Or Harm”,Psychotherapy Bulletin,issue 39 

significant illnesses of19th Century

Significant illnesses that affected mankind in the 19th century.

The first thing I found when I first started doing research on the disease and illnesses of this time was the cholera outbreak.

Cholera’s appearance in the 1800s can be explained away by the public health practices as a result of the industrial revolution, the movement of people into cramped cities away from rural settings. Cholera causes painful cramps, vomiting and diarrhoea and bad dehydration. The blood thickens as a result and the associated ‘blue’ skin tone occurs. Originally thought as a disease or sickness associated with the exposure to the new chemicals of the environment. Climate and geography was a factor, as was exposure to filth. The poor, who lived in the slums of the cities in squaller and filth suffered from it more commonly than those who were well off. It was widely believed that cholera was not contagious as a treating physician didn’t get sick. In 1855, John Snow demonstrated that cholera spread through contaminated drinking water.

With the wonderful use of the microscope by Robert Koch, 1883, he was able to isolate the bug (cholera bacillus) with a microscope, he developed the idea that disease was from bacteria, this alone was enough to be considered stepping away from the theory that disease was an inbalance of the humors. (Germ Theory Developed)  but the matter of the carriers was still around.

Treatment for this disease through the 19th century didn’t change, bleeding and opium were used by physicians. As many people know, this is where Homeopathy had its time to shine. Homeopathic treatments were more commonly used by the upperclass. At first migration was said to blame, well more so travellers from Germany and Ireland had the blame lumped on them from the US for bring the disease with them.

 

I think next to Cholera as a remarkable disease, who’s transmission left people baffled for a while is Typhus. Like Cholera, it is associated with the poor and filth that they live in.

Typhus can start with a rushed hit ten days after being infected, with a Headache, body pain, fever and chills, as the days go by, 4th day, a rash usually appears. Typhus is a bunch of diseases, not just one. Ticks, fleas and lice are the more common carriers, then followed by rodents and other animals, but it can be transmitted by many things, usually associated with filth. These carrier insects go hand in hand with overcrowding, lack of hygiene and sanitary behaviour, don’t forget the poor standard of living.  The disease is usually had its fun by the 12th day, but if not looked after properly, gangrene, pneumonia and kidney failure can happen then cardiac failure.

It wasn’t until 1897 that a vaccine was developed by Almroth Edward Wright.

An important scientific discovery in terms of healing was by Claude Bernard, and his discovery of the multiple functions of the live, not to mention the association of diabetes with the pancreas.

 

Medical Discoveries – The Renaissance

Discoveries that are important in the Renaissance period in relation to the development of the History of Healing

After playing on google and youtube and doing some research, I have found a few medical related discoveries of the Renaissance period.

The Renaissance was a period of new discoveries in a wide range of fields, medical, food, and technology.

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New Ideas were thought up, old mistaken interpretations were fixed through the new techniques and the wonderful illustrations of Andreas Vesalius and Leonardo Da Vinci.

Through the slight move of medicine away from the church, bodies were able to be opened up for inspection, (I know this is a bit unrelated but whenever I think of the dissection of someone I always think of the movie Sleepy Hollow – and all the odd instruments that they used).

In any time previous I think that Vesalius and Da Vinci’s work would have had them in a lot of trouble with authorities and the church.

While during most of this time the church wasn’t the biggest fan of dissections, they were still practiced, but rarely, usually with a large audience of medical students. Due to not being able to constantly dissect bodies, Da Vinci’s and Vesalius’ illustrations of the body were a helping hand in learning, the detail and type of drawing was amazing.

New ideas were being challenged again the old widely accepted views.


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With the printing press invented in Germany. These new ideas and changes to old methods were more easily done.

I believe that studies into the spread of infectious diseases started as well as Ambroise Paré finding less damaging ways to cauterize wounds, stepping away from boiling oil. While on the battle field when the oil ran out, he is said to have used egg yolks, rose oil (?) and turpentine. He accidentally created two test groups, the ones cauterized with scalding oil healed less quickly then with the ones with a mixture of egg yolk and turpentine. He is also known for the introduction of new surgical techniques.

William Harvey, proved that the heart is a pump for the blood, pumping it all around the body, hurrah for the circulatory system. Harvey’s book was criticised as it contradicted Galens theory.He also wrote a mass produced medical encyclopidia.

The exploring while it brought with it new diseases, it also brought a great many wonderful foods, like potatoes, which now are usually linked to Ireland, not where it originated from. With the introduction of quinine, the gin and tonic was a wonderful thing, I always admit I enjoyed a gin and tonic knowing that it has a counter for malaria.

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