Comparative trial with highly purified natural ACTH, synthetic ACTH 1—24 peptide and synthetic ACTH 1—39 peptide

Peer Reviewe

The emotional self: Embodiment, reflexivity, and emotion regulation

YesCurrent dominant trends in the biological and psychological sciences tend to put emphasis on the role of the brain, cognition, and consciousness in realising emotional states and attempting to regulate them. In this article, I suggest an alternative approach with the idea that emotions emerge within social relations and give meaning and value to the situations in which we are located. Humans are understood as embodied emotional selves for who thought and emotion are intertwined. However, individuals can get caught in obsessive and compulsive thinking and feeling traps where the self loses touch with its emotions, and because of this also loses contact with the social situation and the ability to skilfully navigate it. In such circumstances, the self gets overwhelmed by emotion and loses its poise in the social setting. I consider Buddhist meditation as a technique through which people can develop a more reflexive emotional self, where reflexivity is not about control of emotion but owning one's feelings and being able to respond more sensitively and skilfully in various situations

On the notion of home and the goals of palliative care

The notion of home is well known from our everyday experience, and plays a crucial role in all kinds of narratives about human life, but is hardly ever systematically dealt with in the philosophy of medicine and health care. This paper is based upon the intuitively positive connotation of the term “home.” By metaphorically describing the goal of palliative care as “the patient’s coming home,” it wants to contribute to a medical humanities approach of medicine. It is argued that this metaphor can enrich our understanding of the goals of palliative care and its proper objectives. Four interpretations of “home” and “coming home” are explored: (1) one’s own house or homelike environment, (2) one’s own body, (3) the psychosocial environment, and (4) the spiritual dimension, in particular, the origin of human existence. Thinking in terms of coming home implies a normative point of view. It represents central human values and refers not only to the medical-technical and care aspects of health care, but also to the moral context

The transformative role of interaction rituals within therapeutic communities

Mental health settings are fraught with emotion as clients address difficult life experiences and relational patterns. Clients spend a substantial amount of time together outside of structured therapy, but little is known about how these moments are potentially therapeutic, especially as sites of emotional change. We draw on interaction ritual chain theory to explore how negative emotions in situations outside of formal therapy can be transformed into positive emotions and facilitate personal change. The research is based upon a narrative ethnography of two therapeutic communities for individuals with a diagnosis of personality disorder. Despite the presence of negative transient emotions in these rituals, clients experienced positive feelings of solidarity and belonging, and the majority of clients reported increased feelings of confidence and positive change. Conversely, dynamics between clients showed clients were not always supportive of one another and at times, could exclude others, resulting in isolation and alienation. We argue interactions that generate feelings of inclusion or exclusion over time area key component in whether clients gain positive or negative emotional feeling and experience personal change