Improved Recovery After Music and Therapeutic Suggestions During General Anaesthesia: A Double-blind Randomised Controlled Trial

PURPOSE: This study was designed to determine whether music or music in combination with therapeutic suggestions in the intra-operative period under general anaesthesia could improve the recovery of hysterectomy patients. METHODS: In a double-blind randomised clinical investigation, 90 patients who underwent hysterectomy under general anaesthesia were intra-operatively exposed to music, music in combination with therapeutic suggestion or operation room sounds. The anaesthesia was standardised. Postoperative analgesia was provided by a patient-controlled analgesia (PCA). The pain scores were recorded by means of a visual analogue scale. Nausea, emesis, bowel function, fatigue, well-being and duration of hospital stay were studied as outcome variables. RESULTS: On the day of surgery, patients exposed to music in combination with therapeutic suggestions required less rescue analgesic compared with the controls. Patients in the music group experienced more effective analgesia the first day after surgery and could be mobilised earlier after the operation. At discharge from the hospital patients in the music and music combined with therapeutic suggestion group were less fatigued compared to the controls. No differences were noted in nausea, emesis, bowel function, well-being or length of hospital stay between the groups. CONCLUSION: This double-blind study has demonstrated that intra-operative music and music in combination with therapeutic suggestions may have some beneficial effects on postoperative recovery after hysterectomy. Further controlled studies are necessary to confirm our results

Uncertainty and resourcefulness in performance environments : a theoretical note

The emphasis of this theoretical note focuses on the link between the concepts of uncertainty and resourcefulness in performance contexts such as professional sport and manufacturing industry. Integrative themes from sport, work, and organization psychology are highlighted. Rigid work organization based on job demarcation and inflexible role specification reduces personal control and instils perfunctory attention to work procedures. In contrast, the sociotechnical systems approach provides a framework for examining how localized control of variance in performance output may be developed through the recognition and promotion of tacit knowledge in individuals. Additionally, through consideration of the theory of learned resourcefulness, the self-regulation of goal-directed activities and a repertoire of cognitive-behavioural skills are suggested as important factors influencing productivity and health at the organizational and individual level. Throughout, the interconnection between these diverse theoretical perspectives is discussed

Suggestive techniques connected to medical interventions

The paper introduces a series of articles where several detailed clinical examples will be presented on the effectiveness of using suggestive techniques in various fields of interventional medicine. The aim of this series is to raise the attention to the patients heightened openness to suggestions. By recognizing the unavoidable nature of suggestive effects on one hand we can eliminate unfavourable, negative suggestions and on the other hand go on and consciously apply positive, helpful variations. Research materials, reviews and case study will describe the way suggestions can reduce anxiety and stress connected to medical intervention, improve subjective well-being and cooperation, and increase efficiency by reducing treatment costs

The effects of hypnosis on an elite senior European Golfer: a single-subject design.

This study examined the effects of a hypnosis intervention on the performance and flow-state experiences of an elite senior European Tour golf professional. The experimental effect was assessed during 11 Senior European Tour golf events. Performance and flow data were analyzed using a single-subject design combined with a 10 procedure tomonitor the player’s internal experience. The results indicated that the player’s mean stroke average and mean flow scores increased from baseline to intervention. There were no overlapping data points between baseline and intervention conditions for both performance and flow-state scores. The qualitative data revealed hypnosis 15 may positively control emotions, thoughts, feelings, and perceptions