Collaborations In Clinical Care Quotes

Under the school's disclosure rules, about 1,600 of 8,900 professors and lecturers at Harvard Medical School have reported to the dean that they or a family member had a financial interest in a business related to their teaching, research, or clinical care.2 When professors publicly pass drug recommendations off as academic knowledge, we have a serious problem. ~ Dan Ariely

Sarcasm and jokes were often the bottle in which clinical depressives sent out their most plangent screams for someone to care and help them. ~ David Foster Wallace

The breakthrough study was done by Dr. Peter Elwood and a team from the Cochrane Institute of Primary Care and Public Health, Cardiff University, United Kingdom, and released in December 2013. For thirty years, these researchers followed 2,235 men living in Caerphilly, Wales, aged 45 to 59, and observed the impact of five activities on their health and on whether they developed dementia or cognitive decline, heart disease, cancer, or early death. The Cardiff study was meticulous, examining the men at intervals over the thirty years, and if they showed signs of cognitive decline or dementia, they were sent for detailed clinical assessments of high quality. It overcame study design problems from eleven previous studies (discussed in the endnotes). Results showed that if the men did four or five of the following behaviors, their risk for cognitive (mental) decline and dementia (including Alzheimer's) fell by 60 percent: ~ Norman Doidge

As a counterpoint to sociopathy, the condition of narcissism is particularly interesting and instructive. Narcissism is, in a metaphorical sense, one half of what sociopathy is. Even clinical narcissists are able to feel most emotions are strongly as anyone else does, from guilt to sadness to desperate love and passion. The half that is missing is the crucial ability to understand what other people are feeling. Narcissism is a failure not of conscience but of empathy, which is the capacity to perceive emotions in others and so react to them appropriately. The poor narcissist cannot see past his own nose, emotionally speaking, and as with the Pillsbury Doughboy, any input from the outside will spring back as if nothing had happened. Unlike sociopaths, narcissists often are in psychological pain, and may sometimes seek psychotherapy. When a narcissist looks for help, one of the underlying issues is usually that, unbeknownst to him, he is alienating his relationships on account of his lack of empathy with others, and is feeling confused, abandoned, and lonely. He misses the people he loves, and is ill-equipped to get them back. Sociopaths, in contrast, do not care about other people, and so do not miss them when they are alienated or gone, except as one might regret the absence of a useful appliance that one has somehow lost. ~ Martha Stout

I listened impatiently to the wisdom of the O'Neills for about twenty minutes until I could take no more (by this time Steve and Susan had me thumbing through the paperback). I slid the book across the desk at them and said, 'This is so much shit.'

That was a mistake because the word 'shit' on the lips of a pastor deeply offended their moral sensibilities. Such was the state of things among us. They took grave exception to the word SHIT, while I was expected to remain noddingly neutral toward their adultery. WELL, SHIT, I thought. Without apologizing, I tried to convince them I was merely 'upset' by the prospects of their separation. Gradually, I achieved the clinical tone that they so admired in the O'Neills and evidently expected in their country parson. ~ Richard Lischer

Even you, the professional helper, often mistaken for the enlightened Guru or Staretz, can become lost in your thoughts that you must be competent without fault. You may become enthralled with your identity as a professional, even the pressures of the culture of mastery that expects you to heal your clients without fail. Never mind all of the variables over which you have no control, it is up to you, according to the canons of mastery, to control the health and well-being of those for whom you provide professional care. This potentiates a furthering alienation between you and your clients. You are at risk to become, if you have not already, the one who does to your clients; to be the one the active subject acting upon the passive and receptive objects, your clients; to be the one in possession of special knowledge, technique and mastery. All of this conspires to coax or coerce you into treating your client as reduced, a mere case. Unawareness to these influences gives you little chance to consider their influence on your practice in the clinical setting, much less give attentive efforts to resist or change them. ~ Scott E. Spradlin

Health economists have estimated that an injection of $250 million per year in Indigenous clinical care, and $50 million in preventative care, is required to provide services at the same level as for any other group with the health conditions of Indigenous Australians. ~ Malcolm Fraser

The Correspondence-School Instructor Says Goodbye to His Poetry Students

Goodbye, lady in Bangor, who sent me
snapshots of yourself, after definitely hinting
you were beautiful; goodbye,
Miami Beach urologist, who enclosed plain
brown envelopes for the return of your very
"Clinical Sonnets"; goodbye, manufacturer
of brassieres on the Coast, whose eclogues
give the fullest treatment in literature yet
to the sagging breast motif; goodbye, you in San Quentin,
who wrote, "Being German my hero is Hitler,"
instead of "Sincerely yours," at the end of long,
neat-scripted letters extolling the Pre-Raphaelites:

I swear to you, it was just my way
of cheering myself up, as I licked
the stamped, self-addressed envelopes,
the game I had of trying to guess
which one of you, this time,
had poisoned his glue. I did care.
I did read each poem entire.
I did say everything I thought
in the mildest words I knew. And now,
in this poem, or chopped prose, no better,
I realize, than those troubled lines
I kept sending back to you,
I have to say I am relieved it is over:
at the end I could feel only pity
for that urge toward more life
your poems kept smothering in words, the smell
of which, days later, tingled in your nostrils
as new, God-given impulses
to write.

Goodbye,
you who are, for me, the postmar ~ Galway Kinnell

Many low-income children face chronic stress from nutritional deprivation or persistent violence at home or in the community. By addressing their medical, emotional and developmental needs through a comprehensive clinical care model, we can lower their risk of developing long-term physical and mental health issues. ~ Irwin Redlener

If you were allowed one wish for your child, seriously consider wishing him or her optimism. Optimists are normally cheerful and happy, and therefore popular; they are resilient in adapting to failures and hardships, their chances of clinical depression are reduced, their immune system is stronger, they take better care of their health, they feel healthier than others and are in fact likely to live longer. A study of people who exaggerate their expected life span beyond actuarial predictions showed that they work longer hours, are more optimistic about their future income, are more likely to remarry after divorce (the classic "triumph of hope over experience"), and are more prone to bet on individual stocks. Of course, the blessings of optimism are offered only to individuals who are only mildly biased and who are able to "accentuate the positive" without losing track of reality. ~ Anonymous

Working with an incredibly strong script is the thing that gives you the most confidence. If you go into an episode knowing the script is strong, I just feel like that's where it all starts. All collaborations that happen, in addition to that, are just bonuses, at that point. ~ Ty Burrell

I've done collaborations in all my movies, and I think it's part of what I enjoy about the process. This kind of intimacy that you create. Because it becomes very intimate. ~ Nicolas Winding Refn

Compact and clearly defined at its center, migraine diffuses outwards until it merges with an immense surrounding field of allied phenomena. The only boundaries which exist are those which we are forced to adopt for nosological clarity and clinical action. We construct such boundaries and limits, for there is none in the subject itself. ~ Oliver Sacks

This was the hidden machinery of life, not a clean, clinical well-oiled engine, monitored by a thousand meticulous dials, but a crazy, stumbling contraption made up of strange things roughly fitted together – things like a huge water tap, the dogleg stairs, cheese in the soap dish, and a crocheted tea cosy stiff with dirt and topped by a doll's broken face. ~ Margaret Mahy

Designers of electronic charting systems don't seem to understand that checklists themselves are not the innovation, because checklists are not substitutes for care. The real innovation is having staff use lists to consistently create the safest and highest-quality clinical environment possible. ~ Theresa Brown

I am not against the pharmaceutical companies. I love them. That's not the issue. The issue is, in some cases, when they do these clinical trials, they control the data. They analyze the data. In some cases, they even write the article. And that leads to at least the perception, if not the reality, that there's a conflict of interest. ~ Catherine D. DeAngelis

Students undergo a conversion in the third year of medical school - not pre-clinical to clinical, but pre-cynical to cynical. ~ Abraham Verghese

One in two recently evicted mothers reports multiple symptoms of clinical depression, double the rate of similar mothers who were not forced from their homes. Even after years pass, evicted mothers are less happy, energetic, and optimistic than their peers. When several patients committed suicide in the days leading up to their eviction, a group of psychiatrists published a letter in Psychiatric Services, identifying eviction as a "significant precursor of suicide." The letter emphasized that none of the patients were facing homelessness, leading the psychiatrists to attribute the suicides to eviction itself. "Eviction must be considered a traumatic rejection," they wrote, "a denial of one's most basic human needs, and an exquisitely shameful experience." Suicides attributed to evictions and foreclosures doubled between 2005 and 2010, years when housing costs soared. ~ Matthew Desmond

I have a hunch it's a thing that only fails to be basic because it's never had material recognition. The weakness of this profession is its attraction for the man a little crippled and broken. Within the walls of the profession he compensates by tending toward the clinical, the 'practical' - he has won his battle without a struggle."

"On the contrary, you are a good man, Franz, because fate selected you for your profession before you were born. You better thank God you had no 'bent' - I got to be a psychiatrist because there was a girl at St. Hilda's in Oxford that went to the same lectures. Maybe I'm getting trite but I don't want to let my current ideas slide away with a few dozen glasses of beer. ~ F Scott Fitzgerald

Creeping fear of madness often accompanies depression. Sufferers wonder if their black moods will ever lift, or if their feelings of alienation from the healthy world will deepen and widen. "These fears are at least fifty percent of what it is to be melancholy," says Lauren Slater, a clinical psychologist who has written about her struggles with mental illness. "If you were to be really, really depressed but know that it was going to end in five days, it wouldn't be depression. The terror is in what the future holds. ~ Joshua Wolf Shenk

People who can pull you in and take you on a journey, as opposed to simply adding flash. Again, that feels very clinical, and I don't respond to that the way I used to. ~ Bill Sienkiewicz

There is no guiding principle, because the work that is created in collaborations should be created from its own principles. ~ Eyvind Kang

Lately, though, he'd just been tired in general. Tired of people. Tired of books and TV and the nightly news and songs on the radio he'd heard years before and hadn't liked much in the first place. He was tired of his clothes and tired of his hair and tired of other people's clothes and other people's hair. He was tired of wishing things made sense. He'd gotten to a point where he was pretty sure he'd heard everything anyone had to say on any given subject and so it seemed he spent his days listening to old recordings of things that hadn't seemed fresh the first time he'd heard them.
Maybe he was simply tired of life, of the absolute effort it took to get up every goddamned morning and walk out with into the same fucking day with only slight variations in the weather and food.
He wondered if this was what clinical depression felt like, a total numbness, a weary lack of hope. ~ Dennis Lehane

Through the imagination and the human sense of creativity, the book will examine not only raw clinical data but philosophical perspectives as well. As within many moral fables, animals will be used, at times, to convey a a fundamental truth of human nature. More simply stated, animals that elicit human empathetic responses, will be examined in a religious context.
So, starting with cats, dogs and ultimately other primates, as moral experiments of imagination, we can perhaps understand differing cognitive processes that could have shaped our religious purview. It might be even stated that they should shape our opinion, especially in a reevaluation of the spiritual present and coming future. When this happens, it will help humanity create a unique pristine outlook on its religious traditions. ~ Leviak B. Kelly

It may sound surprising when I say, on the basis of my own clinical practice as well as that of my psychological and psychiatric colleagues, that the chief problem of people in the middle decade of the twentieth century is emptiness. ~ Rollo May

Anxiety, with its concomitant feelings of helplessness, isolation, and conflict, is an exceedingly painful experience. One tends to be angry and resentful toward those responsible for placing him in such a situation of pain. Clinical experience yields many examples like the following: A dependent person, finding himself in a situation of responsibility with which he feels he cannot cope, reacts with hostility both toward those who have placed him in the situation and toward those (usually parents) who caused him to be unable to cope with it. Or he feels hostility toward his therapist, whom he believes should bail him out ~ Rollo May

...what struck me the most was my father's total immersion in not only her disease but her quest to get well. That is, as long as Laura was game, he was willing to explore every single option and provide every last bit of support that he could. Moreover, he did so by blurring conventional understandings of medical specialties and medication options, crafting a unique plan of treatment culled from his vast clinical knowledge and that of his peers. It is impossible to know the exact impact of my father's ministrations on Laura's survival, but I would like to think she knew that she was receiving all the expertise and comfort that was humanly available to her. ~ Barron H. Lerner

I was trying to be a clinical psychologist for years. But I kept getting stuck in comedy. ~ Amy Hoggart

Dissociation is the ultimate form of human response to chronic developmental stress, because patients with dissociative disorders report the highest frequency of childhood abuse and/or neglect among all psychiatric disorders. The cardinal feature of dissociation is a disruption in one or more mental functions. Dissociative amnesia, depersonalization, derealization, identity confusion, and identity alterations are core phenomena of dissociative psychopathology which constitute a single dimension characterized by a spectrum of severity.
Clinical Psychopharmacology and Neuroscience 2014 Dec; 12(3): 171-179
The Many Faces of Dissociation: Opportunities for Innovative Research in Psychiatry ~ Verdat Sar

I can honestly say that the fans inspire. There's an unexplainable rush that comes when I'm in the middle of a set and the energy from the fans hit me. I also get really inspired through collaborations. I've learned so much from the emerging producers I've worked with just as they've learned from me. ~ Tiesto

I used to wonder if a mother could see the shift when her child became an adult. I wondered if it was clinical, like at the onset of puberty; or emotional, like the first time his heart was broken; or temporal, like the moment he said I do. I used to wonder if maybe it was a critical mass of life experiences - graduation, first job, first baby - that tipped the balance; if it was the sort of thing you noticed immediately when you saw it, like a port-wine stain of sudden gravitas, or if it crept up slowly, like age in a mirror. Now I know: adulthood is a line drawn in the sand. At some point, your child will be standing on the other side. I ~ Jodi Picoult

Psychiatrists are usually very well imbued with the clinical role, where helping the sick person is the goal. And that's quite incompatible with the truthseeking role. That's probably true of the other fields, too, but maybe more so of the personalities that gravitate toward psychiatry. They tend to care about people and wish to be helpful. ~ Park Dietz

Victorian rigidities were such that ladies were not even allowed to blow out candles in mixed company, as that required them to pucker their lips suggestively. They could not say that they were going "to bed"
that planted too stimulating an image
but merely that they were "retiring." It became effectively impossible to discuss clothing in even a clinical sense without resort to euphemisms. Trousers became "nether integuments" or simply "inexpressibles" and underwear was "linen." Women could refer among themselves to petticoats or, in hushed tones, stockings, but could mention almost nothing else that brushed bare flesh. ~ Bill Bryson

The interpretation of medicine today is 'do your clinical values fall within a normal range?' Everything in the globe right now is in the law of averages, which mean absolutely nothing to individuals. ~ Craig Venter