Wednesday, March 20, 2013

Re-introducing values clarification to the helping professions ...

By Howard Kirschenbaum, Ed.D.


In the 1960s, about the same time that Albert Ellis was developing his original cognitive-behavioral therapy approach and William Glasser was developing his reality therapy (a cognitive behavior approach that evolved into Choice Theory), an educator named Louis Raths was developing a new affective-cognitive-behavioral counseling approach that eventually came to be called ?values clarification.?

Raths noticed that young people who seemed apathetic, flighty, over-conforming, or over-dissenting in their behavior could become more purposeful, consistent, and zestful in their lives if they were asked to reflect upon their goals, purposes, and behaviors. He and his students Sidney Simon and Merrill Harmin refined and developed many ways that teachers and counselors could ask students ?value-clarifying questions? and ?values clarification strategies? to encourage them to reflect on what they prized and cherished, affirm their values with others, consider alternatives and their consequences, make freer choices about their lives, and act on their goals and beliefs in a consistent manner.

While developments and research on cognitive-behavioral therapies proceeded steadily over the decades, in the 1970s and 80s the focus of the values clarification movement stayed mostly on teaching, values education, and character education with youth. Although many of the methods and strategies of values clarification?such as voting, ranking, continuums, inventories, unfinished sentences, and the like?became staples in the repertoire of counselors and therapists, the utility of values clarification as a distinctive counseling approach was lost to one or two generations of new helping professionals.

In the 1980s and 90s, newer counseling and therapy approaches began to emerge on the scene, many of them utilizing concepts and methods of values clarification. Solution-focused therapy relies heavily on questions to help clients identify preferred goals, view their situation from an alternative perspective, consider alternative solutions, and evaluate coping strategies and solutions. Motivational interviewing, which has proven especially effective in alcohol and substance abuse counseling, uses clarifying questions and strategies to build on the client?s intrinsic motivation to change. Appreciative inquiry relies primarily on clarifying questions to help the client identify and capitalize on their strengths, vitalities, aspirations, possibilities, and core values as they set and achieve life and career goals. Acceptance and commitment therapy explicitly includes values clarification as a major component in their research-tested integration of western and eastern ?behavior technologies.? Positive psychology recognizes that living according to one?s values is an essential element of life satisfaction.

I can?t help but be pleased that the importance of values clarification seems increasingly to be recognized as an important component in many different therapeutic approaches. Helping clients identify goals and priorities, make good decisions among competing choices, and take positive actions to achieve their goals and priorities?in a word, values clarification?is inevitably an important part of recovery, marriage and family therapy, career counseling, school counseling, pastoral counseling, financial counseling, and many other counseling and therapy foci. While values clarification is not a mental health counseling approach per se, it can be an important tool in psychotherapy when clients are ready to work on their recovery, set goals, and move forward in their lives.

So the question arises for me: Is it sufficient that values clarification seems frequently to be incorporated into many different therapy approaches and venues, or does it deserve its own renewed attention as a distinct counseling modality?

A partial answer to this question came to me in 2000, when I became chair of the Counseling Program at the Warner Graduate School of Education at the University of Rochester. I included the values clarification approach in my methods courses with both Masters students who were new to counseling and doctoral students who often had more counseling experience in certain areas than I did. Many or most of them loved values clarification: ?It?s so practical.? ?It?s so applicable to my work.? ?Whether in individual or group settings, values clarification questions and activities make it so easy for individuals to respond and participate, even the quiet ones.?

So I became convinced that counselors, psychotherapists, psychologists, social workers, and similar helping professionals could benefit by being introduced or re-introduced to values clarification theory and practice, including:

  • the focus on prizing (affective), choosing (cognitive), and acting (behavior)
  • the seven criteria or valuing processes that fall within those three realms
  • the difference between value indicators and values
  • how to ask good clarifying questions
  • using the ?clarifying interview? in individual counseling
  • the scores of practical values clarification strategies for individual and group work
  • specific applications of values clarification to different counseling topics and settings
  • the overall values clarification hypothesis and research
  • the appropriateness of values clarification for multicultural populations and issues
  • handling value and moral conflicts with clients


In the end, values clarification can be, and often is, used by itself or integrated with almost any other counseling or therapeutic modality. Better that helping professionals use it awarely and to its greatest effectiveness.

Howard Kirschenbaum, Ed.D., is Professor Emeritus and former chair of the Department of Counseling and Human Development, Warner Graduate School of Education and Human Development, University of Rochester. He is the author of Values Clarification in Counseling and Psychotherapy: Practical Strategies for Individual and Group Settings by Oxford University Press and is the author or co-author of additional books on psychology, education, and history, including Values Clarification: A Handbook of Practical Strategies, Readings in Values Clarification, and Advanced Value Clarification. He has given workshops and presentations on the values clarification approach to counseling, psychotherapy and education throughout North America and around the world.

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Source: http://blog.oup.com/2013/03/values-clarification-psychology/

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Study finds tiny, targeted drug particles may be effective in treating chronic diseases

Study finds tiny, targeted drug particles may be effective in treating chronic diseases [ Back to EurekAlert! ] Public release date: 19-Mar-2013
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Contact: Mount Sinai Press Office
newsmedia@mssm.edu
212-241-9200
The Mount Sinai Hospital / Mount Sinai School of Medicine

Nanomedicines prevent tissue damage in inflammatory conditions such as cardiovascular and metabolic diseases

Doses of medicine 100,000 times smaller than the diameter of a human hair prevent the tissue damage associated with atherosclerosis and other chronic diseases in mice. As part of a National Institutes of Health-sponsored project led by Zahi Fayad, PhD, of the Icahn School of Medicine at Mount Sinai, researchers found that these nanomedicines are able to home specifically to damaged tissue to repair it. This study was published online this week in Proceedings of the National Academy of Sciences.

Inflammation is the body's natural defense mechanism against invading organisms and tissue injury. When under attack by a pathogen such as a virus, the body mounts an immune response that causes inflammation to clear the attacker so the body can return to a healthy state. Scientists believe that in chronic diseases like heart disease or diabetes, the body mounts a prolonged immune response resulting in chronic inflammation and tissue damage. Since the level of inflammation in these diseases is very high, targeted therapeutic solutions are required to help keep inflammation contained.

"Numerous studies have shown that inflammation is the foundation for many chronic diseases, and we need therapies that help resolve the tissue damage that results from that inflammation," said Dr. Fayad, who is the Director of the Translational and Molecular Imaging Institute and Professor of Radiology and Medicine at The Mount Sinai Medical Center. "Nanomedicine is the next frontier in successfully treating and preventing the progression of these conditions without the side effects that come from standard drug therapy."

Researchers at Brigham and Women's Hospital (BWH), Columbia University Medical Center, Massachusetts Institute of Technology, and Mount Sinai developed a nanoparticle that mimics a protein that is critical to the resolution of inflammation in the body. The research team incorporated the nanoparticle into a molecule consisting of three parts: one that controlled the release of the drug into the inflamed tissue, another that controlled how long it circulates in the system, and another that directs the drug to the damaged tissue in the vascular wall, where it binds to receptors in white blood cells.

"The beauty of this approach is that it takes advantage of nature's own design for preventing inflammation-induced damage, which, unlike many other anti-inflammatory strategies, does not compromise host defense and promotes tissue repair," said Ira Tabas, MD, PhD, physician-scientist at Columbia University Medical Center and co-senior author of this study.

The study showed that once the molecule was injected into mice, it homed to the injured tissue, where the drug was released into the vasculature as needed and circulated through the system, resolving the inflammation. These new developments have led the researchers to start investigating the potential of these pro-resolving nanomedicines for their effects on shrinking atherosclerotic plaques in humans.

"The development of self-assembled targeted nanoparticles which are capable of resolving inflammation has broad application in medicine including the treatment of atherosclerosis," said Omid Farokhzad, MD, physician-scientist at BWH, and a co-senior author of this study.

###

Mount Sinai received a contract for almost $16.5 million (#HHSN268201000045C) over five years from The National Institutes of Health (NIH) and the National Heart and Lung Institute (NHLBI) through the Program of Excellence in Nanotechnology (PEN). The contract is one of four issued nationally to develop multidisciplinary research centers with the goal of developing nanotechnology tools for diagnosing and treating heart, lung and blood diseases.

As co-principal investigator, Dr. Fayad leads a team of world-renowned experts in the fields of cardiology, imaging, and bioengineering. He is joined by the center's other co-principal investigator Robert S. Langer, ScD, Massachusetts Institute of Technology, for this highly collaborative program aimed at utilizing nanotechnology to better prevent and treat cardiovascular disease.


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AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Study finds tiny, targeted drug particles may be effective in treating chronic diseases [ Back to EurekAlert! ] Public release date: 19-Mar-2013
[ | E-mail | Share Share ]

Contact: Mount Sinai Press Office
newsmedia@mssm.edu
212-241-9200
The Mount Sinai Hospital / Mount Sinai School of Medicine

Nanomedicines prevent tissue damage in inflammatory conditions such as cardiovascular and metabolic diseases

Doses of medicine 100,000 times smaller than the diameter of a human hair prevent the tissue damage associated with atherosclerosis and other chronic diseases in mice. As part of a National Institutes of Health-sponsored project led by Zahi Fayad, PhD, of the Icahn School of Medicine at Mount Sinai, researchers found that these nanomedicines are able to home specifically to damaged tissue to repair it. This study was published online this week in Proceedings of the National Academy of Sciences.

Inflammation is the body's natural defense mechanism against invading organisms and tissue injury. When under attack by a pathogen such as a virus, the body mounts an immune response that causes inflammation to clear the attacker so the body can return to a healthy state. Scientists believe that in chronic diseases like heart disease or diabetes, the body mounts a prolonged immune response resulting in chronic inflammation and tissue damage. Since the level of inflammation in these diseases is very high, targeted therapeutic solutions are required to help keep inflammation contained.

"Numerous studies have shown that inflammation is the foundation for many chronic diseases, and we need therapies that help resolve the tissue damage that results from that inflammation," said Dr. Fayad, who is the Director of the Translational and Molecular Imaging Institute and Professor of Radiology and Medicine at The Mount Sinai Medical Center. "Nanomedicine is the next frontier in successfully treating and preventing the progression of these conditions without the side effects that come from standard drug therapy."

Researchers at Brigham and Women's Hospital (BWH), Columbia University Medical Center, Massachusetts Institute of Technology, and Mount Sinai developed a nanoparticle that mimics a protein that is critical to the resolution of inflammation in the body. The research team incorporated the nanoparticle into a molecule consisting of three parts: one that controlled the release of the drug into the inflamed tissue, another that controlled how long it circulates in the system, and another that directs the drug to the damaged tissue in the vascular wall, where it binds to receptors in white blood cells.

"The beauty of this approach is that it takes advantage of nature's own design for preventing inflammation-induced damage, which, unlike many other anti-inflammatory strategies, does not compromise host defense and promotes tissue repair," said Ira Tabas, MD, PhD, physician-scientist at Columbia University Medical Center and co-senior author of this study.

The study showed that once the molecule was injected into mice, it homed to the injured tissue, where the drug was released into the vasculature as needed and circulated through the system, resolving the inflammation. These new developments have led the researchers to start investigating the potential of these pro-resolving nanomedicines for their effects on shrinking atherosclerotic plaques in humans.

"The development of self-assembled targeted nanoparticles which are capable of resolving inflammation has broad application in medicine including the treatment of atherosclerosis," said Omid Farokhzad, MD, physician-scientist at BWH, and a co-senior author of this study.

###

Mount Sinai received a contract for almost $16.5 million (#HHSN268201000045C) over five years from The National Institutes of Health (NIH) and the National Heart and Lung Institute (NHLBI) through the Program of Excellence in Nanotechnology (PEN). The contract is one of four issued nationally to develop multidisciplinary research centers with the goal of developing nanotechnology tools for diagnosing and treating heart, lung and blood diseases.

As co-principal investigator, Dr. Fayad leads a team of world-renowned experts in the fields of cardiology, imaging, and bioengineering. He is joined by the center's other co-principal investigator Robert S. Langer, ScD, Massachusetts Institute of Technology, for this highly collaborative program aimed at utilizing nanotechnology to better prevent and treat cardiovascular disease.


[ Back to EurekAlert! ] [ | E-mail | Share Share ]

?


AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.


Source: http://www.eurekalert.org/pub_releases/2013-03/tmsh-sft031913.php

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Does Greek coffee hold the key to a longer life?

Tuesday, March 19, 2013

The answer to longevity may be far simpler than we imagine; it may in fact be right under our noses in the form of a morning caffeine kick. The elderly inhabitants of Ikaria, the Greek island, boast the highest rates of longevity in the World, and many scientists turn to them when looking to discover the 'secrets of a longer life'. In a new study in Vascular Medicine, published by SAGE, researchers investigating cardiovascular health believe that a cup of boiled Greek coffee holds the clue to the elderly islanders' good health.

Only 0.1% of Europeans live to be over 90, yet on the Greek island of Ikaria, the figure is 1%. This is recognized as one of the highest longevity rates anywhere ? and the islanders tend to live out their longer lives in good health.

Gerasimos Siasos, a medical doctor and professor at the University of Athens Medical School, Greece set out with his team to find out whether the elderly population's coffee drinking had an effect on their health. In particular, the researchers investigated links between coffee-drinking habits and the subjects' endothelial function. The endothelium is a layer of cells that lines blood vessels, which is affected both by aging and by lifestyle habits (such as smoking). The team homed in on coffee because recent studies suggest that moderate coffee consumption may slightly reduce the risks of coronary heart disease, and that it may also have a positive impact on several aspects of endothelial health.

From a sample of 673 Ikarians aged over 65 who lived on the island permanently, the researchers randomly selected 71 men and 71 women to take part in the study. Medical staff used health checks (for high blood pressure, diabetes, etc.) and questionnaires to get more detail on the participants' medical health, lifestyles and coffee drinking, in addition to testing their endothelial function.

The researchers investigated all types of coffee taken by participants ? but interestingly more than 87% of those in the study consumed boiled, Greek coffee daily. More importantly, subjects consuming mainly boiled Greek coffee had better endothelial function than those who consumed other types of coffee. Even in those with high blood pressure, boiled Greek coffee consumption was associated with improved endothelial function, without worrying impacts on blood pressure.

"Boiled Greek type of coffee, which is rich in polyphenols and antioxidants and contains only a moderate amount of caffeine, seems to gather benefits compared to other coffee beverages," Siasos concludes.

The new study provides a new connection between nutritional habits and cardiovascular health. Given the extent of coffee drinking across the world, and the fact that even small health effects of at least one type of coffee could have a large impact on public health, this study provides an interesting starting point. However, further studies are needed to document the exact beneficial mechanisms of coffee on cardiovascular health.

###

SAGE Publications: http://www.online.sagepub.com

Thanks to SAGE Publications for this article.

This press release was posted to serve as a topic for discussion. Please comment below. We try our best to only post press releases that are associated with peer reviewed scientific literature. Critical discussions of the research are appreciated. If you need help finding a link to the original article, please contact us on twitter or via e-mail.

This press release has been viewed 74 time(s).

Source: http://www.labspaces.net/127353/Does_Greek_coffee_hold_the_key_to_a_longer_life_

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Tuesday, March 19, 2013

Does Greek coffee hold the key to a longer life?

Mar. 18, 2013 ? The answer to longevity may be far simpler than we imagine; it may in fact be right under our noses in the form of a morning caffeine kick. The elderly inhabitants of Ikaria, the Greek island, boast the highest rates of longevity in the World, and many scientists turn to them when looking to discover the 'secrets of a longer life'. In a new study in Vascular Medicine, published by SAGE, researchers investigating cardiovascular health believe that a cup of boiled Greek coffee holds the clue to the elderly islanders' good health.

Only 0.1% of Europeans live to be over 90, yet on the Greek island of Ikaria, the figure is 1%. This is recognized as one of the highest longevity rates anywhere -- and the islanders tend to live out their longer lives in good health.

Gerasimos Siasos, a medical doctor and professor at the University of Athens Medical School, Greece set out with his team to find out whether the elderly population's coffee drinking had an effect on their health. In particular, the researchers investigated links between coffee-drinking habits and the subjects' endothelial function. The endothelium is a layer of cells that lines blood vessels, which is affected both by aging and by lifestyle habits (such as smoking). The team homed in on coffee because recent studies suggest that moderate coffee consumption may slightly reduce the risks of coronary heart disease, and that it may also have a positive impact on several aspects of endothelial health.

From a sample of 673 Ikarians aged over 65 who lived on the island permanently, the researchers randomly selected 71 men and 71 women to take part in the study. Medical staff used health checks (for high blood pressure, diabetes, etc.) and questionnaires to get more detail on the participants' medical health, lifestyles and coffee drinking, in addition to testing their endothelial function.

The researchers investigated all types of coffee taken by participants -- but interestingly more than 87% of those in the study consumed boiled, Greek coffee daily. More importantly, subjects consuming mainly boiled Greek coffee had better endothelial function than those who consumed other types of coffee. Even in those with high blood pressure, boiled Greek coffee consumption was associated with improved endothelial function, without worrying impacts on blood pressure.

"Boiled Greek type of coffee, which is rich in polyphenols and antioxidants and contains only a moderate amount of caffeine, seems to gather benefits compared to other coffee beverages," Siasos concludes.

The new study provides a new connection between nutritional habits and cardiovascular health. Given the extent of coffee drinking across the world, and the fact that even small health effects of at least one type of coffee could have a large impact on public health, this study provides an interesting starting point. However, further studies are needed to document the exact beneficial mechanisms of coffee on cardiovascular health.

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The above story is reprinted from materials provided by SAGE Publications, via EurekAlert!, a service of AAAS.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. Gerasimos Siasos, Evangelos Oikonomou, Christina Chrysohoou, Dimitris Tousoulis, Demosthenes Panagiotakos, Marina Zaromitidou, Konstantinos Zisimos, Eleni Kokkou, Georgios Marinos, Athanasios G Papavassiliou, Christos Pitsavos, and Christodoulos Stefanadis. Consumption of a boiled Greek type of coffee is associated with improved endothelial function: The Ikaria Study. Vasc Med, March 18, 2013 DOI: 10.1177/1358863X13480258

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/living_well/~3/YCZcMqAQvh8/130318151620.htm

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Now is the time for Iran to settle nuclear dispute: Obama

WASHINGTON (Reuters) - Shortly before leaving for a trip to Israel, President Barack Obama on Monday said now was the time for Iran to take "immediate and meaningful steps" to reduce tensions with the international community over its nuclear program.

As he has done in previous years, Obama used the occasion of Iran's new year celebration to urge Tehran to resolve differences with Washington and other Western nations over its nuclear ambitions.

"Iran's leaders say that their nuclear program is for medical research and electricity. To date, however, they have been unable to convince the international community that their nuclear activities are solely for peaceful purposes," Obama said in a statement.

"Now is the time for the Iranian government to take immediate and meaningful steps to reduce tensions and work toward an enduring, long-term settlement of the nuclear issue," he said.

Obama said the United States preferred a peaceful, diplomatic solution to the dispute. Later this week the president will visit Israel and Jordan, where the topic of Iran is expected to be high on his agenda.

(Reporting by Jeff Mason and Matt Spetalnick; Editing by Eric Beech)

Source: http://news.yahoo.com/now-time-iran-settle-nuclear-dispute-obama-200806990.html

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Infinite Loop: Analyzing Apple from the Outside liveblog

Infinite Loop Analyzing Apple from the Outside liveblog

For a company that's being so relentlessly scrutinized, it's almost baffling that Apple can still wheel out the odd surprise every now and again. We've assembled a gaggle of professional Cupertino-watchers to join our Tim on stage to hash out where Apple's been, where it's going and if Sir Jonathan and Mr. Cook's next big idea is going to center around your wrist or your TV corner. Taking the stage will be Victor Agreda Jr. from The Unofficial Apple Weblog, Analyst Gene Munster and Crunch Fund's MG Siegler. Join us after the break for the blow-by-blow commentary, lovingly dictated into easy-to-read words.

March 17, 2013 7:15 PM EDT

Follow all of Engadget's Expand coverage live from San Francisco right here!

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Source: http://www.engadget.com/2013/03/17/infinite-loop-liveblog/

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Potential effectiveness of traditional Chinese medicine for cardiac syndrome X (CSX): a systematic review and meta-analysis

Open Access Research article

Jia-ying Wang, Lu Xiao, Jing Chen, Jing-bo Zhai, Wei Mu, Jing-yuan Mao and Hongcai Shang

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BMC Complementary and Alternative Medicine 2013, 13:62?doi:10.1186/1472-6882-13-62

Published: 17 March 2013

Abstract (provisional)

Background

Treatment of cardiac syndrome X with unknown pathological mechanism remains a big challenge for clinicians. Complementary and alternative medicine may bring a new choice for its management. The aim of this study is to evaluate the clinical effects of traditional Chinese medicine on cardiac syndrome X patients.

Methods

We systematically searched databases such as Cochrane CENTRAL, PubMed, EMBASE, CBM, Chinese National Knowledge Infrastructure (CNKI), WanFang and VIP, and handsearched relevant journals to identify randomized controlled trials. Following the steps of systematic review recommended by the Cochrane group, we assessed the quality of included studies, extracted valid data and undertook meta-analysis.

Results

Twenty one moderate-to low-quality randomized controlled trials involving 1143 patients were included. The results showed that traditional Chinese medicine could improve angina [OR=1.34, 95% CI: 1.2 to 1.50], electrocardiogram (ECG), endothelin-1 (ET-1) levels, prolong exercise duration in treadmill tests, and reduce angina frequency per week compared with routine treatment. No other side effect was reported except two cases of stomach pain.

Conclusion

Compared with conventional treatment, traditional Chinese medicine shows the potential of optimizing symptomatic outcomes and improving ECG and exercise duration. The efficacy of TCM may find explanation in its pharmacological activity of adjusting the endothelial function. TCM, as a kind of alternative and complementary medicine, may provide another choice for CSX patients

The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.

Source: http://www.biomedcentral.com/1472-6882/13/62

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