Acupuncture and other types of 'complementary and alternative medicine' (CAM) are proving increasingly popular in the UK. As attempts to incorporate acupuncture into allopathic medicine have grown in number, the issue of assessing its effectiveness in ways consistent with the concept of evidence-based medicine has become more urgent. The nature, relevance and applicability of such assessments remain controversial however.
A discussion on "Is traditional Chinese medicine (TCM) really relevant?" was held in the University College London (UCL) on the afternoon of 31st March, 2015. The author summarized some core viewpoints of the participants and then tried to focus on the opponent's opinions to clear up the arguments by illustrating respects of history, knowledge learning process, evidence based medicine (EBM) and strengths of TCM. This article will propose that the human health is extremely delicate and complicated and that no system of medicine can resolve all the problems of the human body.
Many studies are now documenting the circumstances of people living with HIV/AIDS in different parts of the world. We know an increasing amount about the experiences of women who make up the majority of those infected in countries in sub-Saharan Africa. However, very few researchers have examined the lives of female migrants from the region living with HIV. This article begins to fill that gap by exploring the situation of 62 women from different parts of Africa receiving treatment from the National Health Service in London.
This study investigated links between internal working models of attachment and the quality of adult love relationships in a high risk sample of women (n = 34), all of whom reported negative parenting in childhood. Half of the sample was identified as having a history of satisfying adult love relationships, while the remainder had experienced ongoing adult relationship problems. Measures of internal working models of attachment were made using the Adult Attachment Interview (AAI). A strong association was found between attachment classifications and the quality of adult love relationships.
OBJECTIVE: Happiness is a central component in quality of life but little is known about its meanings among people living with an advanced disease and those from diverse communities. This study explores and compares, for the first time, the centrality and interpretations of happiness across two cultural groups living with advanced cancer. METHODS: Semi-structured interviews among 26 Black Caribbean and 19 White British cancer patients were conducted in hospital and home settings.
This fourth and final installment on Salmon's monograph on procidentia concludes with further case reports. Upon his death the Committee on Management of St. Mark's Hospital commented: Thus has passed from this world a man whose kindness of heart induced, and whose indomitable perseverence enabled him to found an institution for the relief of the sufferings of his poorer fellow-creatures, which will stand an honourable monument to his memory as one amongst the many noble charities which adorn the metropolis of the country.
BACKGROUND: Relatives looking after a terminally ill family member at home face numerous challenges. Studies into relatives' experiences of home caregiving have been criticised for their descriptive nature and lack of theoretical underpinnings. AIM: To explore the emotional challenges faced by home caregivers, and their experiences of healthcare professionals, from the perspective of existential psychology. DESIGN: A qualitative study using semi-structured interviews. Transcripts were analysed thematically using the Framework approach.
OBJECTIVE: Our aim was to consider the limitations of attempts to explain doctors' motivation in terms of altruism. METHODS: Doctors' consulting behaviour was considered as a performance which must be interpreted in relation to the diverse types of audience for whom it is intended. The concept of patient-centredness was evaluated in the light of this discussion. Other possible sources of satisfaction were explored, including connection with, and disconnection from patients.
Altruistic behaviour varies across human populations and this variation is likely to be partly explained by variation in the ecological context of the populations. We hypothesise that area level socio-economic characteristics will determine the levels of altruism found in individuals living in an area and we use a lost letter experiment to measure altruism across 20 neighbourhoods with a wide range of income deprivation scores in London, UK.
Research that follows people over a period of time (longitudinal or panel studies) is important in understanding the ageing process and changes over time in the lives of older people. Older people may choose to leave studies due to frailty, or illness and this may diminish the value of the study. However, people also drop out of studies for other reasons and understanding the motivation behind participation or drop out may prevent further loss of valuable longitudinal information and assist the continuation of longitudinal studies.