Thinking Outside The Box When It Comes To Healing

Thinking Outside The Box When It Comes To Healing

Many of us don’t realize how much of a role environment, emotional state and spirituality play in our current health status. Understanding these connections can be especially helpful during the peak of cold and flu season. To fully grasp this “cause-and-effect,” it’s a good idea to have a larger perspective on the following contributing factors to illness.

Emotions

The late psychologist Abraham Maslow, Ph. D., said that aside from basic survival and safety needs, we possess an innate drive to belong, develop self-esteem and actualize our authentic selves. While it might seem that exposure to more people is an invitation for illness, a study found the exact opposite: According to the researchers, people with one to three social “roles,” such as a parent, child and friend, are more than four times as likely to get sick than those with six or more social roles.

This may stem from the relationship between your immune system and the self-esteem you get from your interactions with others. The more positive social interactions you experience, the greater your self-esteem and the more you enhance your immune system’s functions.

Spirituality

Spirituality can be broadly defined as the things you hold important and sacred, and the relationships you form with others and with the world around you. Boundary setting is one of the most important aspects of spirituality; it is especially important if you want to create a meaningful and fulfilling life.

The boundaries you set are codes of conduct relating to how you behave toward yourselves and others. For instance, how you eat, work, exercise, and live all reflect your individual boundaries. All of these actions have a profound effect on your health and sense of well-being.

Environment

Your body actually has two distinct environments that interact with one another: the internal, and the external. This is something you should always be mindful of. In the external environment there are sources of noise, stress, toxicity, temperature and mood affecting weather, and volumes of work or exertion to complete. All of these things affect your health directly by influencing the nervous system and your immune systems.

Internally, your body’s chemical environment has a large bearing on weather germs are allowed or prevented from inhabiting your bloodstream. This makes it important to consider the ways your internal environment is manipulated by the foods you select, your sleep cycles, and the kinds of thoughts you allows to take up residence in your mind. Both positive and negative ideas can have a big influence on your choices and behaviors each day.

When all is said and done, illness can be caused by a wealth of seemingly insignificant factors that affect the whole person. Various strains of colds and viruses have different dimensions. This is because humans are also multidimensional. Recognizing this fosters the understanding and application of emotional, spiritual, and environmental cause and effects of sickness. This comprehension and practice allows you to prevent colds and flus from affecting you.

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Happiness: Are You Looking In The Wrong Place?

If you ask most people what they want in their lives and what is most important, they will likely tell you that they “want to be happy.” The desire for happiness is a universal want. It transcends culture, geography, age, and social status. The topic of happiness even finds its way into the academia, an example of its pervasiveness.

The most popular course at Harvard Medical School is a course on happiness. Taught by Harvard psychology professor Tal D. Ben-Shahar, Ph.D., the course is so popular that students wait a year or longer to get in.

Is it possible that we are overcomplicating the issue? Maybe happiness is easier than you think.

A Different Take

Happiness is traditionally defined as a state of well-being and contentment, joy, a pleasurable or satisfying experience; yet many people report that happiness is elusive or too often fleeting at best.

Modern happiness gurus like Ben-Shahar offer an altered take on what happiness is or can be. They invite us to walk around the subject and take a different look at the almost mystical feeling called happiness. They suggest not an “I’ll be happy when…” perspective, but allowing ourselves to see how happiness can be enjoyed anytime we choose to have gratitude and joy about the daily, simple blessings in our life.

Happy Right Now

The lesson is that there are things we can be happy about right now and continue to be happy about throughout the day, no matter what else has happened or is going on. These things and experiences are already built into our lives, and it is just a matter of focusing on the simple pleasures and joys these opportunities can provide.

Things That Spark Happiness:

  • The peace and tranquility of rising early in the morning.
  • Listening to birds singing.
  • Watching strangers laugh and smile.
  • Working cooperatively with others.
  • Curling up with a good book on a rainy day.
  • The pleasure of lying down on clean, soft bedding.
  • Time with your best friend.
  • Being kissed.
  • The smell of apple pie baking.
  • A moment of love shared with family.
  • A home-cooked meal.
  • A freshly cleaned bathroom.
  • A long, hot bath or shower.
  • Music that moves you.
  • Sharing stories and memories.
  • Being hugged.
  • Breathing deeply.
  • Completing a task or project.
  • Time in a garden.

Think of all the things in your day that can bring joy or happiness when you allow yourself to be in the moments of your life, and share your hours and days with others and with yourself. Happiness is all around us. It is often just a matter of allowing ourselves to embrace it.

For a free chapter download about changing behavior, visit changingbehavior.org.

Transforming Relationships with Easy to Learn, Proven Communication Skills

By Georgianna Donadio, MSc, DC, PhD- 

Changing BehaviorAll of us, from time to time, identify things about how we behave that we would like to change. Changing our behavior is very difficult because it is the result of the many learned responses we develop as soon as we come into the world. There is research today suggesting that conditioning that can begin even in the womb.

How we learn to adapt to our environment, what outside events or stimulation feel safe or threatening, how we view the world we live in, what our beliefs and values are, and so forth all play a role in how we learn to behave towards ourselves and others. These factors also influence how we learn to communicate.

The variations of how each of us learns to adapt in the world around us are most noticeable when we are in relationships with others. What behaviors each of us bring to a relationship determines how well, or not, we are able to work together, live together or love together.

An example of how our conditioning impacts our relationships is seen in how couples relate to each other and get along before and after having children together. It is often, after the children come along, that the couple begins to have conflicts that stem from how each of the individuals was raised, what values they have, or what they believe is best for raising a healthy or successful child.

While it is inevitable that we do have conflicts with others because we are uniquely different and uniquely conditioned individuals, there are easy-to-learn, proven communication skills that we can all apply to any of our relationships to make them more fulfilling and positive for both ourselves and others.

A basic and simple skill that we can all apply to our very next encounter to improve our communications with others is putting aside the ongoing conversation in our mind, our concerns of the moment, or what we want to say next, and focusing completely on the individual in front of us and what they are sharing with us. Being fully present to another person shows them that you value and respect them and that you are sincerely interested in what they are feeling, thinking, and communicating with you. This is the basis of the National Institute of Whole Health’s Behavioral Engagement with Pure Presence model.

We all want to be valued and in our fast-paced, electronic-communication world having another person look at us directly while we speak, respond to us with smiles, head nodding or other gestures that let us know they are listening, without their speaking or interrupting us is a wonderfully validating experience that uplifts both ourselves and the person who is generous enough to give such affirming attention.

If you would like more information on how to make your relationships more rewarding and successful through easy-to-learn, proven communication skills, you can download a free chapter from Changing Behavior: Immediately Transform Your Relationships with East to Learn, Proven Communication Skills by going to www.changingbehavior.org.

communication and behavioral engagementThis self-help book focuses on how to transform all types of relationships with hospital-tested, proven communication skills that enhance and improve all relationships, even those that are suffering and struggling. Donadio presents the research with an easy-to-read and understand style that allows the reader to walk away armed with new skills and tools to create a happier, healthier life through more fulfilling relationships.

The title is a #1 Top Rated Amazon Kindle bestseller, the recipient of the coveted 5 STARS from ForeWord Clarion. Changing Behavior has also received high recommendations and outstanding reviews from Kirkus Reviews, “the world’s toughest book critics”, and the popular Mid-West Book Reviews.

Kirkus says of Changing Behavior – “Recommended as a top-tier psychological self-help book… [a] strikingly original case for the transformative power of receptiveness.” Mid-West Book Review states – “Changing Behavior is a choice pick for community library and self-help collections.”

For more more information on whole health and changing your behavior, explore these resources:

Join the conversation. If you enjoyed this article, be sure to follow NIWH on Facebook and Twitter for regular updates filled with accredited health program information for holistic nurses and whole health coaches or advocates.

Avoid Boredom To Live Longer And Healthier

boredom

Do you know anyone who is often bored? Do you find yourself feeling bored? A study, conducted in the United Kingdom identified a connection between individuals who experience chronic boredom and a shorter life expectancy. The expression being “bored to death” has some literal truth in it, according to the 1980’s UK study that followed 7,500 civil servants in the UK for a period of 25 years. In this blog, NIWH explores the study to see what applications can be derived from the results.

Bored To Death

The study conducted interviews on the civil servants, recording their attitudes and outlook on life. The updates continued until 25 years after the initial interviews. The data found that subjects who stated they were bored in the original interview screening were almost 40% more likely to have died during the 25 year period than those who found life to be interesting.

This same study revealed that people living with “high levels of tedium” were 2.5 times more likely to die of heart disease than those who lived a more varied lifestyle. This particular study is a wonderful example of the connection between our mind and body and how our thoughts and feelings have a huge impact on our health and even longevity.

Examining Discontent

boredAccording to Daily Health News journalist Lauren Zander, most of us live with experiences of boredom, but when our lives take on a chronic sense of boredom, the effects can be destructive to our work, relationships and, ultimately, our health and longevity. When we are willing to examine what aspects of our lives feel “boring,” we can identify in which areas of our life we feel stuck, frustrated or unfulfilled. This allows us to make a plan and take action toward change.

Boredom is a loss of interest or enthusiasm for aspects of your life. You “go through the motions” rather than being engaged and enjoying life. For instance, in personal relationships, it is easy to get in a rut and not look for new ways of enjoying the company of the people we care about most. By taking a step back and looking at our relationships as if we were meeting the person for the first time, this brings a renewed perspective and interest in what we may take for granted on a daily basis.

Renovate Your Life

This information lends to several suggestions. If your work, family life, or love life is leaving you disinterested or bored, try “renovating” your relationship by adding new and imaginative ways to refresh your communication or shared experience. Kiss your special someone in the car instead of waiting to get home to physically connect. Bring home some special “treats” your kids or partner will love and serve it with breakfast, lunch or brunch instead of going out to eat. Plan a lunchtime activity at your office with co-workers or a mystery party at home with your friends to liven up rapport.

Find new ways to refresh your relationships and your life. Encourage those around you to do the same. It’s not only fun, but this can help you live a longer and healthier life!

For more whole health discussions like this, listen to my weekly radio show Living Above The Drama available on iHeartRadio.

Becoming You – Developing Self-Esteem

Becoming You – Developing Self-Esteem

The Merriam Webster definition of self esteem is a confidence and satisfaction in oneself; self respect.” Self-esteem and self-respect are two important aspects of whole person care at any age. During the years of adolescence, however, personal and social differentiation is at an all time high, with peers playing a significant role in how our self-esteem expresses itself. As you are probably very well aware, your self-esteem is especially a front and center issue from middle school through high school.

According to Marilyn J. Sorensen, PhD, author of numerous books on self-esteem, our self-esteem is formed in childhood, when we develop an initial conscious and unconscious impression of ourselves. What we hear said about ourselves has a lasting impact on the messages our brain records as being our worth or our value in the world. It is these messages or neurological records that get “triggered’ when our peers either respond positively or negatively to us.

During the adolescent years, as you are physically developing and becoming young women and men, your appearance and how others respond to you can certainly become important. Other peer related issues such as belonging or being part of a particular group or activity are as well.

It may surprise you that current statistics show seven in ten females believe they are not good enough or do not measure up in some way, including their looks, performance in school and relationships with friends and family members. And for males, the statistics over the past 25 years have gone from 15% dissatisfaction to 45% dissatisfaction regarding how they feel about their physical appearance.

The developing and confusing years of adolescence are filled with exploring and identifying what you think of yourself or what social direction you may wish to go in. It is also a time that you can begin to know yourself outside your family environment and develop who you are in a more meaningful and realistic way. This means sorting through the many reflections of “who and how you are” in relationship to the large world around you.

It is during this time, no matter what kind of earlier conditioning you have received, that you can take control over your self-esteem and self-respect. I would like to share with you a story about one of my children. She has happily given permission for me to share this with you because she feels it is an important story to tell.

At the age of 15, my daughter was very unhappy and struggling with feeling badly about herself. That whole year for her was filled with tears and poor grades. One day, we took a walk and talked about what she was experiencing. She said many times during that conversation, “I hate myself. I don’t want to be me.” I gently asked her why and she said that she “she didn’t think she was a good enough person because of the problems she was having with her peers.”

Not wanting to pry, I did not ask for details and she did not offer them. Rather, I shared something with her I learned about whole health and self-esteem when I was much older than her 15 years of age. I shared with that what is important, at any time in our life for us to feel good about our self, is that when we behavior in a way towards ourselves and others that is in agreement, or congruent, with our personal values – we feel good about who we are. Bottom line: No matter what anyone else says or does towards us, when we act in concert with our personal values, we feel good. Our perception and expression of ourselves can largely impact our whole health, which is far more important than what others think. We many not like the way others treat us or how they hurt our feelings, but our self–esteem and self-respect are high.

When we do not act in agreement, or congruently, with our personal values and inner beliefs of right and wrong, then we feel badly about ourselves; no matter what positive or flattering things someone else may say about us. Self-esteem and self-respect, like beauty, start from the inside out. No one can make us feel badly about ourselves when we know, and are confident, that our behavior towards ourselves and others is from a place of our values and of respect.

If you are working through this natural adolescent sorting process, reflecting on this information may assist you in changing how you feel about yourself, how your treat yourself and how you create relationships with others. My daughter, who is now in college, told me our walk together that day was the most important thing she has ever earned about how to feel good about herself. I hope it is helpful for you as well.

References & Resources:

www.learntobehealthy.org
http://kidshealth.org/teen/your_mind/emotions/self_esteem.html
http://www.barnesandnoble.com/w/breaking-the-chain-of-low-self-esteem-marilyn-j-sorensen/1102088340


For more whole health discussions, listen to my weekly radio show Living Above The Drama. Also available on iHeartRadio.

Fostering Happiness Right Now

If you ask most of our whole health students what they want in their lives and what is most important, they will likely tell you that they “want to be happy.” The desire for happiness is a universal want. It transcends culture, geography, age, and social status. The topic of happiness even finds its way into the academia, an example of its pervasiveness.

The most popular course at Harvard Medical School is a course on happiness. Taught by Harvard psychology professor Tal D. Ben-Shahar, Ph.D., the course is so popular that students wait a year or longer to get in.

A Different Take

Happiness is traditionally defined as a state of well-being and contentment, joy, a pleasurable or satisfying experience; yet many people report that happiness is elusive or too often fleeting at best.

Modern happiness gurus like Ben-Shahar offer an altered take on what happiness is or can be. They invite us to walk around the subject and take a different look at the almost mystical feeling called happiness. They suggest not an “I’ll be happy when…” perspective, but allowing ourselves to see how happiness can be enjoyed anytime we choose to have gratitude and joy about the daily, simple blessings in our life. Like completing accomplishments such as the health coach certification, which brings great pride.

Happy Right Now

The lesson is that there are things we can be happy about right now and continue to be happy about throughout the day, no matter what else has happened or is going on. These things and experiences are already built into our lives, and it is just a matter of focusing on the simple pleasures and joys these opportunities can provide. They also provide an opportunity to improve their patients’ experiences by encouraging them to embrace the little bits of good, even in times of illness, which tend to bring a sense of discontent.

Things That Spark Happiness:

  • The peace and tranquility of rising early in the morning.
  • The first taste of food and drink in the morning.
  • Listening to birds singing.
  • Watching strangers laugh and smile.
  • Enjoying natural beauty.
  • Working cooperatively with others.
  • Curling up with a good book on a rainy day.
  • The pleasure of lying down on clean, soft bedding.
  • Time with your best friend.
  • Being kissed.
  • The smell of apple pie baking.
  • A moment of love shared with family.
  • A home-cooked meal.
  • A freshly cleaned bathroom.
  • A long, hot bath or shower.
  • Music that moves you.
  • Sharing stories and memories.
  • Being hugged.
  • Breathing deeply.
  • Completing a task or project.
  • Time in a garden.

Think of all the things in your day that can bring joy or happiness when you allow yourself to be in the moments of your life, and share your hours and days with others and with yourself. Happiness is all around us. It is often just a matter of allowing ourselves to embrace it. Consider how you can apply this to your experiences throughout the health coach certification.


Join the conversation. If you enjoyed this article, be sure to follow NIWH on Facebook and Twitter for regular updates filled with useful health coach certification information. 

 

12 Steps For Handling Difficult Relationships During The Holidays

Avoiding Conflict During The Holidays By Georgianna Donadio of National Institute of Whole Health

Thanksgiving is just over a week away, and the December holidays are on the horizon. Some say: “It’s the most wonderful time of the year!” Or is it? For many of us, the holiday visits back home to family members are something to be dreaded. While we look forward to the pleasure of celebrating these festive times, there is also the memory of past conflicts and the very real possibility of new confrontations that we find ourselves anxious to avoid. We can tell ourselves that this is the year we will not get stressed out or upset with visits to or from our families. This is what we strive for yet, most often, not how things turn out.

Difficult Family Dynamics

According to Dr. Jeffrey Fine, Ph.D., director of the American Foundation for Conscious Parenting, our families can be “a breeding ground for repressed resentments and hostilities left over from childhood.” We might anticipate that once we have grown up and moved away to create our own lives and families these feelings would diminish, but, as many of us experience, unfortunately they do not.

One potential solution to transforming the holidays from stressful to joyful is the application of identified communication skills that have been researched and shown to facilitate changing difficult relationships. Behavioral Engagement is a 12-step set of communication skills that has been the subject of hospital pilot studies over a 2-year period.

The outcomes of these pilots showed the participants experienced a significant improvement in their relational outlook and attitude after interacting with the communication skills model. Originally developed to enhance relationships between whole health oriented doctors, nurses and patients, the model was also applied and studied with business and family relationships.

James Prochaska, Ph.D., renowned researcher on behavior change and author of Change for Good — the Six Stages of Transtheoretical Change says of Behavioral Engagement: “The process of Behavioral Engagement has the potential to transform relationships that are suffering or struggling to ones that are thriving!”

Generally, one of the most recommended approaches to staving off holiday conflicts is to “try and accept family members or friends as they are.” Unfortunately, this good intention can be easily sidelined without specific communications skills that can help keep us on track.

Easy 12-Step Model

The 12-Step Model of Behavioral Engagement offers specific, easy-to-learn communication skills that have been proven effective in changing conflicted relationships into compatible relationships based on the understanding that we all want to be valued, respected and listened to. The steps are based on physical, psychological, hormonal and neurological aspects of human relationships and communication. They start with the understanding that while we cannot change others’ behavior we can change our own behavior in how we relate to others, which can result in a transformative outcome for all participants.

Handling Difficult relationships during the holidays by georgianna donadio of national institute of whole health

We can do so by using specific, simple communication skills and following the steps that have been shown to be effective in creating greater receptivity and generating more positive emotions in relationships that have previously been conflicted or stressful.

If you have experienced or are anticipating challenging relationships during the holidays, you may wish to apply these easy steps and see if they can assist you in having happier and even healthier holidays.

Step One: Be physically comfortable when communicating. This removes discomfort that can distract from the conversation. Distractions reduce your attention, focus on the person you are speaking with, and decrease the conversational rapport and receptivity.

Step Two: Understand what you want. Our intentions are powerful behavior motivators. Understanding what we want from an exchange or a relationship can assist us in communicating more clearly our thoughts and feelings, inviting greater understanding and intimacy. Example: “I really want to understand what you are upset about.”

Step Three: Centered body posture. Uncross arms and legs and present open, receptive body language. To send the message that you are respecting the conversation and giving the other person your fully attention, do not play with your watch, glasses, hair or continually look away from the person you are speaking with. Committing to being focused is an important element in communication and sends the message that you care. We can all feel when someone values being with or speaking to us.

Step Four : Sustained, soft eye contact has been shown to stimulate oxytocin, which opens emotional centers of the brain and enhances trust and feelings of love and intimacy.

Step Five : Respectful inquiry. Asking rather than telling or directing and using “I” statements rather than “you” statements creates a safe, non-judgmental environment for the other person to communicate openly.

Step Six: Responsiveness. Using appropriate responses, such as facial expressions, smiling, head nodding and so forth, indicates you are listening and understanding what the other is saying without interrupting or interjecting. This acknowledges the value you have for their communication.

Step Seven: Pauses between responses. Instead of immediately speaking as soon as the other person is finished, allowing for appropriate pauses when someone has shared a thought or feeling with you creates for them the experience that they are being respectfully listened to, and that you are truly present to them.

Step Eight: Non-judgment. By not allowing yourself to focus on your unspoken mental and emotional judgments you eliminate the unconscious communication that is sent through subtle and gross body language. Unconscious, non-verbal body language is something most of us pick up on and they can make or break the communication.

Step Nine: Leave the ego at the door. Eliminate the push-pull or power struggle of previous relationship interactions by letting go of taking control of the communication and allow for equity between you and the other individual.

Step Ten: Re-centering when you start to lose focus. Mentally repeating simple words you identify as prompts to get you back to the focus of the conversation is a quick and effective way to get yourself re-centered in the exchange. Example: “Back to focus” or “Get centered.”

Step Eleven: Collaborative mindset. Working toward having a win-win outcome eliminates conflict and improves the quality of the relationship in both the short term and the long term.

Step Twelve: Sacredness of relationship. Sacredness means “worthy of respect.” When we are aware of appropriate verbal and behavioral boundaries within our communications, we hold the other person in high esteem and create fulfilling, lasting relationships.

When dealing with family holiday conflicts it can be helpful for us to try simple, proven communications skills but also to reflect on the wisdom of the question: “Would you rather be loved than be right?” Often times when we elect love over being in control or being right relationships shift for the better.


For more whole health discussions like this, listen to my weekly radio show Living Above The Drama available on iHeartRadio.

Becoming You – Developing Self-Esteem

Becoming You – Developing Self-Esteem

The Merriam Webster definition of self esteem is a confidence and satisfaction in oneself; self respect.” Self-esteem and self-respect are two important aspects of whole person care at any age. During the years of adolescence, however, personal and social differentiation is at an all time high, with peers playing a significant role in how our self-esteem expresses itself. As you are probably very well aware, your self-esteem is especially a front and center issue from middle school through high school.

According to Marilyn J. Sorensen, PhD, author of numerous books on self-esteem, our self-esteem is formed in childhood, when we develop an initial conscious and unconscious impression of ourselves. What we hear said about ourselves has a lasting impact on the messages our brain records as being our worth or our value in the world. It is these messages or neurological records that get “triggered’ when our peers either respond positively or negatively to us.

During the adolescent years, as you are physically developing and becoming young women and men, your appearance and how others respond to you can certainly become important. Other peer related issues such as belonging or being part of a particular group or activity are, as well.

It may surprise you that current statistics show seven in ten females believe they are not good enough or do not measure up in some way, including their looks, performance in school and relationships with friends and family members. And for males, the statistics over the past 25 years have gone from 15% dissatisfaction to 45% dissatisfaction regarding how they feel about their physical appearance.

The developing and confusing years of adolescence are filled with exploring and identifying what you think of yourself or what social direction you may wish to go in. It is also a time that you can begin to know yourself outside your family environment and develop who you are in a more meaningful and realistic way. This means sorting through the many reflections of “who and how you are” in relationship to the large world around you.

It is during this time, no matter what kind of earlier conditioning you have received, that you can take control over your self-esteem and self-respect. I would like to share with you a story about one of my children. She has happily given permission for me to share this with you because she feels it is an important story to tell.

At the age of 15, my daughter was very unhappy and struggling with feeling badly about herself. That whole year for her was filled with tears and poor grades. One day, we took a walk and talked about what she was experiencing. She said many times during that conversation, “I hate myself. I don’t want to be me.” I gently asked her why and she said that she “she didn’t think she was a good enough person because of the problems she was having with her peers.”

Not wanting to pry, I did not ask for details and she did not offer them. Rather, I shared something with her I learned about whole health and self-esteem when I was much older than her 15 years of age. I shared with that what is important, at any time in our life for us to feel good about our self, is that when we behavior in a way towards ourselves and others that is in agreement, or congruent, with our personal values – we feel good about who we are. Bottom line: No matter what anyone else says or does towards us, when we act in concert with our personal values, we feel good. Our perception and expression of ourselves can largely impact our whole health, which is far more important than what others think. We many not like the way others treat us or how they hurt our feelings, but our self–esteem and self-respect are high.

When we do not act in agreement, or congruently, with our personal values and inner beliefs of right and wrong, then we feel badly about ourselves; no matter what positive or flattering things someone else may say about us. Self-esteem and self-respect, like beauty, start from the inside out. No one can make us feel badly about ourselves when we know, and are confident, that our behavior towards ourselves and others is from a place of our values and of respect.

If you are working through this natural adolescent sorting process, reflecting on this information may assist you in changing how you feel about yourself, how your treat yourself and how you create relationships with others. My daughter, who is now in college, told me our walk together that day was the most important thing she has ever earned about how to feel good about herself. I hope it is helpful for you as well.

References & Resources:

www.learntobehealthy.org
http://kidshealth.org/teen/your_mind/emotions/self_esteem.html
http://www.barnesandnoble.com/w/breaking-the-chain-of-low-self-esteem-marilyn-j-sorensen/1102088340


For more whole health discussions, listen to Dr. Georgianna Donadio’s radio show Living Above The Drama.

 

How Essential Is Doctor-Patient Communication To Whole Health?

Nurse-Patient Communication

At the National Health Policy Conference held in Washington, D.C., members of the Agency for Healthcare Research and Policy agreed that the need for research focusing on the doctor-patient relationship was urgent in order to address the current crisis of patient dissatisfaction, medical-error, malpractice claims and physician burnout. Communication between the patient and all practitioners or  caregivers is thus an essential component of any whole health approach.

Patients are not happy, doctors and medical teams are not happy, and the health care system is struggling to adapt measures to turn the tide of this growing problem. The 2012 Institute for HealthCare Communication (IHC) report regarding research on the impact of poor communication revealed the following:

  • Research conducted during the 10 year period of 1995-2005 has demonstrated that ineffective team communication is the root cause for nearly 66 percent of all medical errors during that period.
  • This means that when healthcare team members do not communicate effectively, patient care often suffers.
  • Further, medical error vulnerability is increased when healthcare team members are under stress, are in high-task situations, and when they are not communicating clearly or effectively.

The research from the IHC reports cites that 50% of all malpractice is the result of poor communication between doctor and patient.

The IHC report states: “Research evidence indicates that there are strong positive relationships between a healthcare team member’s communication skills and a patient’s capacity to follow through with medical recommendations, self-manage a chronic medical condition, and adopt preventive health behaviors. Studies conducted during the past three decades show that the clinician’s ability to explain, listen and empathize can have a profound effect on biological and functional health outcomes as well as patient satisfaction and experience of care.”

IHC goes on to make an alarming statement that “Extensive research has shown that no matter how knowledgeable a clinician might be, if he or she is not able to open good communication with the patient, he or she may be of no help.”

And, while the addition of nurse health coaches to the medical team has been viewed by some as a solution to the communication problem, the relationship between the physician or primary care provider and the patient cannot be corrected by these additional team members. In fact, not addressing the underlying cause of doctor-patient discomfort may even increase the distrust and discomfort the patient experiences with their doctor or primary care provider.

As physicians, physician assistants and nurse practitioners are the diagnostic experts in our medical care system, ensuring the communication between these providers and their patients is critical, as research data demonstrates.

A recent pilot study, conducted through Central Michigan University (CMU), on the effects of a communication model, Behavior Engagement with Pure Presence, on patient and physician satisfaction has just concluded, and will be published shortly. The study was funded by Blue Cross and Blue Shield Foundation of Michigan.

The Primary Investigator (P.I.) of this study, Dr. Christine Clipper, wanted to thoroughly test the Behavioral Engagement model by including renowned endocrinologist, Dr. Opada Alzohaili, who was trained in the model’s communication skills and had previously earned high patient satisfaction survey ratings. Dr. Alzohaili’s post-pilot patient satisfaction scores were significant, revealing 100% improvement on all measures of patient perception of relational empathy during their encounter with the doctor, in contrast to his pre-pilot patient satisfaction scores.

Dr. Clipper’s research data demonstrated that Behavioral Engagement with Pure Presence has “…a psychological effect on the patient’s perception of the patient-provider relationship. The patient perception of relational empathy with their doctor increased through improved provider communication skills through applying the Behavioral Engagement model.”

Further research on the application of the model includes a pilot study on the Behavioral Engagement model in Electronic Medical Record Communication, funded by the U.S. Department of Health and Human Services/ MI Dept. of Community Health;
and a randomized controlled clinical trial study with funding from major national health care organizations.


For more whole health discussions like this, listen to Dr. Georgianna Donadio’s radio show Living Above The Drama.

 

Loving Again After Loss

Meaningful relationships, belonging and love are essential to our health, happiness and what we want, need and desire. It is one of psychologist Abraham Maslow's Hierarchy of Human Needs and one of the most conflicted areas of human interaction. The willingness to be vulnerable after things go badly in an intimate relationship requires both courage and resilience to traverse the landscape of such deep emotion.

Losing love by breakup or death is one of the most profound and stressful things we as human being can experience. The loss of love can literally “break our hearts” and can even undermine our will to live. Sigmund Freud, MD, the well-known father of modern psychoanalysis, many decades ago stated that we "are never as hopelessly unhappy as when we lose love."

Love is what sustains our lives. Research shows the impact of grief on the development and exacerbation of unresolved grief, and how it can result in the development of serious illness or fatal heart disease. The loss of love is something many of us fear and something many of us don’t imagine can happen when, on the surface, things in our relationship seems to be on an even keel.  Yet, for most of us at one time or another to experience the crushing pain of losing love and the almost obsessive reaction we have to regaining that love or finding a way to end the pain and sense of emptiness that can often accompany such loss.

If you are familiar with a small press literary publication, The Sun, you may not have read this poignant essay, published in that magazine, written by Poe Ballantine. He provides insight to the necessity of trust within love. Trust is the element of love which provides the safe place necessary to share our lives and hearts with others. Trusting, and dealing with the loss of trust within love, requires great courage to be able to move beyond the loss and love again. It is interesting that we are inundated from many sources these days with information about wellness and how to prevent illness, when what many of us need is information about how to create more fulfilling and healthy relationships and prevent the heartbreak of losing love.

Ballantine's essay tells a story about his father:

"He kept a close ritual of coffee, then work, dinner, his television shows and his cigarettes. The newspaper stayed on the table open to the personals. He had opened them the first day she had left him, like the reflex of a man covering a wound after being shot. His face was gray from survival. He was a man who could not allow himself to break. The despair stretched out. The music from the stereo could not fill the emptiness. Our conversations were automatic, clock talk. His single guiding hope was that she would return."

"What had happened to my father he never believes would happen. He was fifty years old, settled, comfortable, secure. His children were raised. He had worked hard all his life and now he could relax. I understood why my mother had left him, but I still condemned her for leaving – for taking the easy way out. My father and I played cards and watched private-eye dramas on television. He looked in the personals, called once at something that looked right, but cancelled soon after; it just wasn't in him."

"One Sunday afternoon I heard him crying in the bedroom. I didn't know what to do with a father who cried. He taught me all I knew, the important things: honesty, loyalty, firm handshake, the love beyond self-love, the duty of a man. Trust was his only religion and it was failing him and in turn it was the failure of the world."

"The one thing a human being asks for on this earth is to be loved. Why should it be impossible?"

Trusting, loving and the resilience to come back from the loss of love may be the next "health frontier". Nutrition, one of the more popular health topics, is not just about nourishing our tissues. Nourishing our hearts, which are hungry for love and acceptance, is another skill we need to learn. If we should be mindful of what we eat, how mindful should we become about how and who we love?

 


For more whole health discussions like this, listen to my hit radio show Living Above The Drama available on iHeartRadio.