Medicine is firmly rooted in the sciences and derives much of its great power and influence from these roots. In this paper the author, with a career in clinical medicine, argues that there must also be room in medical practice for literature and poetry. He uses examples to build a case for this inclusion helping both patients and doctors in ways which are not in conflict with science but rather allow a much more complete and compassionate picture of the human interactions that are the essence of medicine.
View Article and Find Full Text PDFBackground: Previous findings implicated rumination (recurrent dwelling on abstract concerns) in elevated psychological distress in palliative patients. We hypothesised that reducing rumination may be important in addressing psychological distress in palliative care.
Aim: This study tested the prediction that a brief guided self-help technique targeting abstract rumination would reduce psychological distress in palliative patients.
Background: This study is the first to explore how rumination or recurrent dwelling may contribute to psychological distress in palliative care. We hypothesised that rumination is important in palliative care because: (1) rumination is triggered by significant life events; (2) the diagnosis of a life-limiting illness means the reevaluation of a number of personal goals, which may become unattainable, and, thereby, lead to rumination; (3) palliative care patients and caregivers report a number of existential concerns, which in their style and content are characteristic of rumination.
Methods: This study adopted a cross-sectional design, comparing samples of palliative care patients (n = 36), their caregivers (n = 29), and an age-matched control group (n = 30).
Objective: To determine the effectiveness of commercially available magnetic bracelets for pain control in osteoarthritis of the hip and knee.
Design: Randomised, placebo controlled trial with three parallel groups.
Setting: Five rural general practices.