scholarly journals Clinical Holistic Medicine: Factors Influencing The Therapeutic Decision-Making. From Academic Knowledge to Emotional Intelligence and Spiritual “Crazy” Wisdom

2007 ◽  
Vol 7 ◽  
pp. 1932-1949 ◽  
Author(s):  
Søren Ventegodt ◽  
Isack Kandel ◽  
Joav Merrick
Keyword(s):  
Decision Making ◽  
Success Rate ◽  
Holistic Medicine ◽  
Truth Telling ◽  
Academic Knowledge ◽  
Healing Power ◽  
Medical Theory ◽  
Therapeutic Behavior ◽  
Therapeutic Decision Making ◽  
The Mind

Scientific holistic medicine is built on holistic medical theory, on therapeutic and ethical principles. The rationale is that the therapist can take the patient into a state of salutogenesis, or existential healing, using his skills and knowledge. But how ever much we want to make therapy a science it remains partly an art, and the more developed the therapist becomes, the more of his/her decisions will be based on intuition, feeling and even inspiration that is more based on love and human concern and other spiritual motivations than on mental reason and rationality in a simple sense of the word. The provocative and paradoxal medieval western concept of the “truth telling clown”, or the eastern concepts of “crazy wisdom” and “holy madness” seems highly relevant here. The problem is how we can ethically justify this kind of highly “irrational” therapeutic behavior in the rational setting of a medical institution. We argue here that holistic therapy has a very high success rate and is doing no harm to the patient, and encourage therapists, psychiatrists, psychologist and other academically trained “helpers” to constantly measure their own success-rate. This paper discusses many of the important factors that influence clinical holistic decision-making. Sexuality could, as many psychoanalysts from Freud to Reich and Searles have believed, be the most healing power that exists and also the most difficult for the mind to comprehend, and thus the most “crazy-wise” tool of therapy.

Entscheidungsprozesse beim Übersetzen: Routine und Reflexion bei Novizen und Berufsübersetzern

Fachsprache ◽  
2017 ◽  
Vol 32 (3-4) ◽  
pp. 100-121
Author(s):  
Friederike Prassl
Keyword(s):  
Decision Making ◽  
Success Rate ◽  
Knowledge Integration ◽  
Popular Science ◽  
Failure Rates ◽  
Science Text ◽  
Success Rates ◽  
Preliminary Results ◽  
Decision Making Processes ◽  
Cognitive Involvement

This article focuses on the decision-making processes involved in research and knowledge integration in translation processes. First, the relevance of decision taking intranslation is discussed. Second, the psychology of decision making as seen by Jungermann et al. (2005) is introduced, who propose a categorization of decision-making processes intofour types: “routinized”, “stereotype”, “reflected” and “constructed”. This classification is then applied to the translations by five professional translators and five novices of five segments occurring in a popular-science text. The analysis reveals that the decision-making types are distributed differently among students and professional translators, which also has to be seen against the background of whether the decisions made were successful or not. The preliminary results of this study show that students resort to reflected decisions in most cases, but with a low success rate. Professionals achieve a higher success rate when making reflected decisions. As expected, they also make more routinized decisions than students. The professionals’ success rates improve with increasing cognitive involvement, while their failure rates are relatively high when making routinized decisions, an aspect worthwhile considering in translation didactics.

Extended Emulation Theory

2020 ◽  
Author(s):  
Luca Rade
Keyword(s):  
Decision Making ◽  
Action Planning ◽  
Weak Form ◽  
External Input ◽  
Motor Action ◽  
Abstract Thought ◽  
Thought Patterns ◽  
Stored Information ◽  
Short Term Prediction ◽  
The Mind

Emulators are internal models, first evolved for prediction in perception to shorten the feedback on motor action. However, the selective pressure on perception is to improve the fitness of decision-making, driving the evolution of emulators towards context-dependent payoff representation and integration of action planning, not enhanced prediction as is generally assumed. The result is integrated perceptual, memory, representational, and imaginative capacities processing external input and stored internal input for decision-making, while simultaneously updating stored information. Perception, recall, imagination, theory of mind, and dreaming are the same process with different inputs. Learning proceeds via scaffolding on existing conceptual infrastructure, a weak form of embodied cognition. Discrete concepts are emergent from continuous dynamics and are in a perceptual, not representational, format. Language is also in perceptual format and enables precise abstract thought. In sum, what was initially a primitive system for short-term prediction in perception has evolved to perform abstract thought, store and retrieve memory, understand others, hold embedded action plans, build stable narratives, simulate scenarios, and integrate context dependence into perception. Crucially, emulators co-evolved with the emergence of societies, producing a mind-society system in which emulators are dysfunctional unless integrated into a society, which enables their complexity. The Target Emulator System, evolved initially for honest signaling, produces the emergent dynamics of the mind-society system and spreads variation-testing of behavior and thought patterns across a population. The human brain is the most dysfunctional in isolation, but the most effective given its context.

Truth-telling, decision-making, and ethics among cancer patients in nursing practice in China

2017 ◽  
Vol 26 (4) ◽  
pp. 1000-1008 ◽  
Author(s):  
Dong-Lan Ling ◽  
Hong-Jing Yu ◽  
Hui-Ling Guo
Keyword(s):  
Decision Making ◽  
Cancer Patients ◽  
Ethical Issue ◽  
Terminal Illness ◽  
Codes Of Ethics ◽  
Ethical Guidelines ◽  
Truth Telling ◽  
Case Scenario ◽  
Healthcare Practice

Background: Truth-telling toward terminally ill patients is a challenging ethical issue in healthcare practice. However, there are no existing ethical guidelines or frameworks provided for Chinese nurses in relation to decision-making on truth-telling of terminal illness and the role of nurses thus is not explicit when encountering this issue. Objectives: The intention of this paper is to provide ethical guidelines or strategies with regards to decision-making on truth-telling of terminal illness for Chinese nurses. Methods: This paper initially present a case scenario and then critically discuss the ethical issue in association with ethical principles and philosophical theories. Instead of focusing on attitudes toward truth disclosure, it aims to provide strategies regarding this issue for nurses. It highlights and discusses some of the relevant ethical assumptions around the perceived role of nurses in healthcare settings by focusing on nursing ethical virtues, nursing codes of ethics, and philosophical perspectives. And Confucian culture is discussed to explicate that deontology does not consider family-oriented care in China. Conclusion: Treating each family individually to explore the family’s beliefs and values on this issue is essential in healthcare practice and nurses should tailor their own approach to individual needs regarding truth-telling in different situations. Moreover, the Chinese Code of Ethics should be modified to be more specific and applicable. Finally, a narrative ethics approach should be applied and teamwork between nurses, physicians and families should be established to support cancer patients and to ensure their autonomy and hope. Ethical considerations: This paper was approved by the Ethics Committee of The Second Affiliated Hospital of Guangzhou Medical University. The authors have obtained consent to use the case study and it has been anonymised to preserve the patient's confidentiality.

The Prescription as Final Common Pathway

1995 ◽  
Vol 11 (3) ◽  
pp. 384-390 ◽  
Author(s):  
Jerry Avorn
Keyword(s):  
Decision Making ◽  
Cost Effectiveness ◽  
Health Economics ◽  
Medical Care ◽  
Clinical Medicine ◽  
Decision Science ◽  
Therapeutic Decision ◽  
Common Pathway ◽  
Final Common Pathway ◽  
Therapeutic Decision Making

AbstractThere is an informational void about Pharmaceuticals in the training of most doctors, despite the importance of the prescription in medical care. The writing of the prescription is the final common pathway in therapeutic decision making, which involves such diverse forces and disciplines as anthropology, decision science, health economics, ethics, and politics, as well as pharmacology and clinical medicine. Programs to improve the precision and cost-effectiveness of doctors' prescribing must consider all of these factors if pharmacotherapeutics are to be used optimally.

Lessing's Treatment of the Story of the Ring, and its Teaching

PMLA ◽  
1901 ◽  
Vol 16 (1) ◽  
pp. 107-116
Author(s):  
W. H. Carruth
Keyword(s):  
Decision Making ◽  
The Other ◽  
Outward Appearance ◽  
Final Version ◽  
Good Works ◽  
Relative Value ◽  
Healing Power ◽  
Divine Origin ◽  
The One ◽  
Point Of Departure

In Westermann's Monatshefte for January, 1891, and later in his ‘Life of Lessing,‘ Professor Erich Schmidt has outlined the chief features of the history and transformations of the story of the three rings in Europe. On examination it will be found that all the versions of the story belong to one or the other of two types, which are represented by the two earliest forms of the story preserved to us. The oldest version, that of the Spanish Jew Salomo ben Verga, tells of two rings or jewels only, which were in outward appearance exactly alike, and there is no question of one being genuine and the other false, but only of the relative value of the two. In the absence of the father it is found impossible to decide the question, and thus the decision between Christianity and Judaism is simply avoided. In Li Dis dou vrai aniel, a French poem of the end of the twelfth century, three rings appear, and to the original or genuine ring is attributed a marvelous healing power by which it may be recognized, and following which a decision is arrived at among the three religions, in this case in favor of Christianity, although ther were not wanting later narrators so bold as to hint that the true ring was possessed by Judaism. The version of Etienne de Bourbon, the versions of the Cento Novelle, the three versions of the Gesta Romanorum, all belong to one or the other of two types. We may refer to these two types as the Spanish type and the French type. Those of the first type, to which belongs also the version of Boccaccio, the one from which Lessing took his point of departure, avoid a decision, implying that all religions are equally authoritative, but without inherent or inner evidence of their quality. Those of the second type, to which in many of its features Lessing's final version of the story is allied, lead to a decision, making religion of divine origin indeed, but supplying a test, that of good works, whereby the true religion may be recognized.

Therapeutic decision making in BMT/SCT for hemoglobinopathies

2013 ◽  
pp. 179-191
Author(s):  
Shalini Shenoy ◽  
Reinhold Munker ◽  
Kerry Atkinson
Keyword(s):  
Decision Making ◽  
Therapeutic Decision ◽  
Therapeutic Decision Making
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