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Welcome to Stress Medicine Education &
Training, SET
SMILES focuses on providing
individuals with biopsychosocial based services at our SMILES centers or
on the web (centers are planned to be available for services after June
1). As we see health promotion, stress prevention and rehabilitation of
stress related dysfunctions as mainly an educational and knowledge
implementation matter SMILES focuses on providing needed tools – our code
name is “man as a health creator” - including biofeedback for different
interests groups. Our SMILES center will be opened during the spring,
actually reopened while we have been working with this concept since late
1980-ties but within a non-profit organization.
Project manager
Bo von Schéele, Ph D, in psychology and adjunct professor in
medical engineering
More information after May 15 2010 but here in brief the following
is provided as part of the Man as a health creator concept
What is special with the Stress
Medicine Concept is the way to use science and clinical perspective
together while using biopsychosocial medicine as a platform for
assessment and interventions where interventions are based on “man as a
health creator”, which means individuals are educated to become an
active, sufficient competent coworker for using, carry out and, in
cooperation with the clinical provider, tailor needed strategies.
ASPIRE is our tools for knowledge
and its implementation. Below is described the components of the
intervention package.
ASPIRE –
assisted by different kind of (bio)feedback is suggested tools for
promoting and sustained health as well as for rehabilitation – to be
learned and implemented according to individuals requirement and “style”
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Adequate, biological breathing behaviors. Clinically we can
identify destructive breathing with measurement of exhalation CO2. Using
biofeedback assisted breathing training chemical balance can be
re-established. How we breathe is crucial for biological functioning and
biological functioning influence breathing behaviors. Our breathing
behaviors is closely connected with both our autonomic nervous systems
and cardiovascular systems as well as basic chemistry, This means that
individuals way to breathe has both short termed and long termed
consequences for health development and how we manage stress. We provide
crucial knowledge as well as an easy way to used this knowledge and
develop an own breathing strategy.
·
Slow motion (O2-balanced). Exercise is important for all of us but
for those suffering from severe biopsychosocial stress slow motion is
effective to normalize metabolic dysfunctions, which is common for such
complex disorders. There are different ways to adjust exercise to
individual prerequisites and we present an easy way to find out how to
“tailor” and connect with the other tools.
·
Peaceful, problem solving thought/images. The way we think,
consciously or not (e.g. silent, automatic thoughts, images) is decisive
for effective, health promoting coping in life. A number of easy as well
as more complex approaches can be learned and integrated. Biofeedback
is also included here for learning to integrate
cognitive-behavioral-physiological systems. Very important when there are
severe dysfunctions and related symptoms/problems. In biofeedback it is
important to use appropriate strategies and modalities. This can mainly
be provided via internet. About cognitive behavioral strategies:
There are easy to learn effective strategies which can be integrated with
the tools below. If not enough Cognitive Behavioral Therapy (CBT) is
recommended where we advise certified CBT-psychologists.
·
Intake of required food/liquid. Recent knowledge development within
nutrition can be regarded as a revolution which knowledge used in a
careful way can be of outmost importance for most diseases. Thanks to
much recent work in molecular biology we now understand how crucial it is
how we eat. Many approaches are presented at the internet but mostly that
basic actual knowledge is now well covered here. This is what we work
hard for and thereby to present useful knowledge to prepare for our
eating.
·
Relatedness and communications. The way we communicate and related
is mostly a result of our social heritage which, if not constructive, can
be developed using different kind of social strategies
·
Ecological caring relates to the importance to consider our way of
improving in relations to our environment based on evolutionary aspects
of the earth and living species.
The above are individually tailored
using easy used strategies/approaches. They need to be considered both
nomothetic (Evidence Based Behavioral Medicine, EBBM, validation) &
ideographic (Individual biological evidence, IBE, validation see
www.ipbm.se) considerations, where IBE is for clinical use and EBBM for
normative use.
Patient education focus on what is relevant related to observed
and identified dysfunctions. What dysfunctions are identified, possible
reasons for the dysfunction and how normalization can be done?
Before individuals use the ASPIRE tools we
advise a point of departure in terms of
Screening or Stressogram (Psychophysiological stress
profiling) which can be done in several ways (more info will come
here)
How to know if education and training (interventions) function?
We use Individual Biological Evidence where we follow changes in important
parameters where changes are predicted a priory and which also have
biological significance. A prerequisite is to identify dysfunctions with
psychophysiological measurement/test/protocols and from obtained data do
the predictions. Here function symptoms also as outcome measures but
sometimes there is a delay related to a number of factors, e.g.
operational conditioning that maintain symptoms although dysfunction
generating the symptoms is normalized. Mostly problems/symptoms are both
psychological and physiological and changes are often not well
paralleled. This is one of a number of reasons that a biopsychosocial
platform needs while also the social side cannot be neglected.
After – if the Screening or Stressogram is repeated after the education
and training conclusions can be made about the general effect –
increasing the IBE. If a base line period is done before start, that is,
two base line screenings or stressogram, this increase the information
about what causes what.
More information how the above will be made available will be
provided here after July 31
External social, ecological factors &
internal psychophysiological factors may generate health as well as
illnesses expressed as symptoms/problems/… But they are not always as
early visible as we want. Early identification facilitates fast,
effective normalization. Dysfunctions (independent variables) identified
during psychophysiological tests directly or indirectly related to
cardiovascular-, metabolic -, autonomic nervous systems diseases are
mostly treatable with biopsychosocial medicine strategies.
A number of
factors are known to influence development of life style related diseases
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Independ. v.
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Disease/dysfunction
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Independ. v.
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Promote
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Factors
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Prevent
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Yes
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Smoking
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No
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Yes
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Drugs/alcohol
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No
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AGE, C6H12O6
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Food
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Diet
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No
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Exercise
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Yes, slow
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Dysfunctional
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Breathing
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Functional
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AutNegThoug
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Cognitive-emotional
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Ellis, etc.
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Bad
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Social
interactions
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Good
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?
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???
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?
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*
Refer to Stig Bengmark´s work
Independent
variable means what causes changes. What promotes diseases needs to be decreased
and what prevent increased. To study intervention in only one the
“factors” above at group level is not clinically meaningful. Of clinical
significance is that patients find their own tailored application which
is a challenge for both health care providers and the particular
individual patient.
Interventions
are extracted from the above and repeated psychophysiological
measurements are conducted by both patients and health care providers,
which validate predicted changes during the process and thereby also
identifying when cut-off is reached. This is called Individual Biological
Evidence (IBE). IBE is also important as a motivator for extensive
patient actions. Follow-ups confirm stabilization of obtained results -
habits changed and stabilized!
In
sum
Basics for biopsychosocial stress medicine work
q Problem identification with
biopsychosocial assessment
q Observe and identify factors what
promote and prevent/get rid of the problems as well as promote them
q Use the information above for developing
an intervention plan and do a priori predictions in crucial parameters
q Carry out the plan while (also
patient is) doing repeated measurement and, if needed, modify according
to feedback
q Document the process and report
(clinical and to patient)
Contact
info@stressmedicine.se
Project
director
Bo von Schéele,
Ph D in Psychology, Biopsychosocial Medicine AB, Institute for
Psychophysiological Behavioral
Medicine, IPBM – www.ipbm.se
Adjunct Professor in Medical Engineering, School for Innovation,
Design and Engineering,
www.mdh.se
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