Hypnosis for nausea and vomiting in cancer chemotherapy: a systematic review and meta-analysis of the research evidence

To systematically review the research evidence on the effectiveness of hypnosis for cancer chemotherapy-induced nausea and vomiting (CINV). A comprehensive search of major biomedical databases including MEDLINE, EMBASE, ClNAHL, PsycINFO and the Cochrane Library was conducted. Specialist complementary and alternative medicine databases were searched and efforts were made to identify unpublished and ongoing research. Citations were included from the databases' inception to March 2005. Randomized controlled trials (RCTs) were appraised and meta-analysis undertaken. Clinical commentaries were obtained. Six RCTs evaluating the effectiveness of hypnosis in CINV were found. In five of these studies the participants were children. Studies report positive results including statistically significant reductions in anticipatory and CINV. Meta-analysis revealed a large effect size of hypnotic treatment when compared with treatment as usual, and the effect was at least as large as that of cognitive-behavioural therapy. Meta-analysis has demonstrated that hypnosis could be a clinically valuable intervention for anticipatory and CINV in children with cancer. Further research into the effectiveness, acceptance and feasibility of hypnosis in CINV, particularly in adults, is suggested. Future studies should assess suggestibility and provide full details of the hypnotic interventio

Learning from Difference: The Potentially Transforming Experience of Community-University Collaboration

The University of Michigan's Detroit Community Outreach Partnership Center generates faculty-student teams who work on community development projects with Detroit's community organizations. Projects are designed to enrich students' experiential learning in community settings and to help build communities' organizational capacity. This relationship has exposed a culture clash between universities and community organizations in at least three major areas: the style of work, social justice understanding, and power relations. Further, although the COPC is committed to a community-driven planning model, the nature of the community-university relationship tends to push the work toward a consultant-driven model. Improving community-university collaboration will require restructuring of university pedagogy.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68355/2/10.1177_0739456X9801700408.pd

Individual quality of life: can it be accounted for by psychological or subjective well-being?

individual quality of life, psychological well-being, SEIQoL, subjective well-being, SEM, theoretical model,