The opening of the deepest undersea tunnel in the world (264 m below sea level, 5600 m in length) replaced the ferry from the island of Hitra to the mainland in Norway. This event provoked phobic anxiety for traveling through the undersea tunnel in a number of individuals in the area. A treatment program for tunnel phobia was designed to test whether such a phobia could be mitigated by procedures previously proven effective in the treatment of other phobias. The program was presented to 18 persons with a specific phobia for tunnels and included a general discussion on the construction of undersea tunnels, given by an engineer from the tunnel construction company, and on phobic anxiety. It further consisted of gradual exposure to the tunnel in situ. Treatment effects were strong. All patients were able to travel on their own by car through the tunnel after the treatment. Their somatic complaints and phobic thoughts related to the tunnel were substantially reduced, and their mastery of tunnel driving was convincingly increased compared with the wait-list reference group.
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Sci Rep
May 2022
Centre for Psychedelic Research, Division of Psychiatry, Department of Brain Sciences, Imperial College London, London, UK.
Understanding the phenomenology and content of the inhaled N, N, dimethyltryptamine (N, N-DMT) experience is critical to facilitate and support ongoing research and therapeutic models targeting mental health conditions and central nervous system pathology. A qualitative analysis was conducted of all N, N-DMT experiences posted to the r/DMT Reddit community over a 10-year period from 2009 to 2018. A total of 3778 experiences from 3305 posts were included in this study.
View Article and Find Full Text PDFAfr J Reprod Health
June 2020
Discipline of Public Health Medicine, University of KwaZulu- Natal.
South Africa, similar to many other countries in the African continent is still experiencing challenges in its efforts to provide sexual and reproductive health (SRH) care to women and adolescent girls, and it has become clear that the COVID-19 pandemic is the latest threat to universal access to SRH. In the face of this threat, the Sustainable Developmental Goals that call on the global community to -leave no one behind‖ may become a blurred vision unless we adopt a wider lens away from the tunnel vision that currently plagues health systems around the globe. This paper therefore exposes how SRH may become collateral damage in the face of the present COVID-19 pandemic.
View Article and Find Full Text PDFMed Hypotheses
May 2019
Laboratory of Clinical Biomechanics, Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile; Physical Therapy Department, University of Valencia, Valencia, Spain; Biomechanics and Kinesiology Laboratory, Service of Physical Therapy, San José Hospital, Santiago, Chile. Electronic address:
Patients undergoing carpal tunnel release surgery may continue to experience pain despite the intervention. This symptom may be modulated by psychosocial factors including depression, catastrophic thinking, and kinesiophobia. Pain neuroscience education (PNE) has been found to be effective when combined with therapeutic exercise in patients with chronic pain, but this strategy has not been evaluated in patients with persistent hand pain.
View Article and Find Full Text PDFJ Vasc Access
July 2018
Vascular Institute of New York, Brooklyn, NY, USA.
Objective: It has been a widely accepted practice that a previous placed pacemaker, automatic implantable cardioverter defibrillators, or central line can be a contraindication to placing a hemodialysis catheter in the ipsilateral jugular vein. Fear of dislodging pacing wires, tunneling close to the battery site or causing venous obstruction has been a concern for surgeons and interventionalists alike. We suggest that this phobia may be unfounded.
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