Openings for humanization in modern health care practices

In dit proefschrift wordt onderzocht hoe patiënten en professionals zich tot moderne zorgpraktijken verhouden en welke openingen voor humanisering zij in die praktijk zien. Humanisering wordt gezien als een dynamisch proces dat een functie is van patiënten, professionals en anderen die zich iedere dag weer opnieuw tot elkaar verhouden. Filosofisch is het proefschrift gefundeerd in een hermeneutisch-fenomenologische kentheorie. Het bestaat uit zeven deelstudies: beschrijvende kwalitatieve studies en responsieve evaluatiestudies.

Oogbewegingen en flashforwards

De impact van nare geheugenbeelden neemt af, als tijdens het ophalen ervan oogbewegingen worden gemaakt. De auteurs onderzochten OF dit ook het geval is bij verontrustende voorstellingen van nare gebeutenissen die de toekomst in petto hebben, zogenoemde 'flashforwards'.

Noradrenergic enhancement of reconsolidation in the amygdala impairs extinction of conditioned fear in rats-a possible mechanism for the persistence of traumatic memories in PTSD

Background: Posttraumatic stress disorder (PTSD) is associated with enhanced noradrenergic activity. Animal and human studies demonstrate that noradrenergic stimulation augments consolidation of fear learning. Retrieval of well-established memories by presenting a learned fear cue triggers reconsolidation processes during which memories may be updated, weakened, or strengthened. We previously reported that noradrenergic blockade in the rat amygdala impairs reconsolidation of fear memories. Here we investigated the effects of noradrenergic enhancement on reconsolidation of learned fear.

Nieuwe inzichten in posttraumatische stressstoornis

Enkele jaren geleden (zomer 2008) kon u in de Nieuwsbrief een uitgebreide beschrijving lezen van de Posttraumatische Stressstoornis (Post-traumatic Stress Disorder, PTSD).We beschreven het frequent optreden van PTSS bijAmerikaanse veteranen en de gevolgen ervan voor het dagelijks leven van de slachtoffers.

Neurogenes Zittern: eine körperorientierte Behandlungsmethode für Traumata in grossen Bevölkerungsgruppen = Neurogenetic tremors: the use of a body-based intervention for mass trauma recovery

Massentrauma wird immer mehr zu einem Thema globaler Besorgnis, da die Gruppe der Trauma-Überlebenden weltweit ständig wächst. Das Bewusstsein für Trauma und seine schädlichen Folgen dominiert diese Ära menschlicher Geschichte, somit wird Trauma von einem Thema peripheren Interesses zu einem zentralen Gegenstand der Forschung. Es braucht ein neues Paradigma der Traumaheilung, um große Bevölkerungsteile an Trauma-Überlebenden zu behandeln. Dieser Artikel stellt eine grundlegende körperorientierte Theorie und Interventionstechnik für die Heilung von Massentraumata vor.

Neurobiological foundations for EMDR practice

This volume introduces the most current research about the neural underpinnings of consciousness and EMDR (eye movement desensitization and reprocessing) in regard to attachment, traumatic stress, and dissociation.The text examines online/wakeful information processing, including sensation, perception, somatosensory integration, cognition, memory, language and motricity, and off-line/sleep information processing, such as slow wave sleep and cognitive memorial processing, as well as REM/dream sleep and its function in emotional memory processing.

Neurobilogische grundlagen der herausbildung psychotraumabedingter symptomatiken = essential neurobiological factors in the emergence of psychotrauma-related symptomatologies

Die Herausbildung psychotraumabedingter Symptomatiken stellt für Diagnostiker und Behandler eine enorme Herausforderung dar: Während unser gegenwärtiges Medizinsystem auf klar voneinander abgrenzbare und mit spezifischen Therapien behandelbare Erkrankungen ausgerichtet ist, zeigen sich Traumafolgestörungen sehr vielgestaltig und in individuell sehr unterschiedlichen Ausprägungen.

Neural pattern similarity predicts long-term fear memory

Although certain changes in the brain may reflect fear learning, there are no known markers that indicate whether an aversive experience will develop into fear memory. We examined the moment-to-moment dynamics of human fear learning by applying multi-voxel pattern analysis to single-trial blood oxygen level-dependent magnetic resonance imaging data. We found that the long-term behavioral expression of fear memory could be predicted from neural patterns at the time of learning.

Neural correlates of trauma-unrelated emotional processing in war veterans with PTSD

Background Post-traumatic stress disorder (PTSD) is thought to be characterized by general heightened amygdala activation. However, this hypothesis is mainly based on specific studies presenting fear or trauma-related stimuli, hence, a thorough investigation of trauma-unrelated emotional processing in PTSD is needed.Methods In this study, 31 male medication-naive veterans with PTSD, 28 male control veterans (combat controls, CC) and 25 non-military men (healthy controls, HC) were included.

Neural correlates of self-reflection in post-traumatic stress disorder

Objective: Disturbances in self-referential processing (SRP) are increasingly recognized in post-traumatic stress disorder (PTSD). In healthy adults, SRP tasks engage the medial prefrontal cortex (MPFC) and posterior cingulate cortex (PCC) brain regions that have shown altered function in PTSD. We hypothesized that individuals with PTSD would differ from controls in functional activation of the MPFC and PCC during SRP. Method: We compared neural activation in healthy controls (n = 15) and participants with PTSD (n = 20) during a SRP task, using fMRI at .0T.

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