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EMOTIONS AND HUMAN SYSTEM: PLACEBO

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Practitioners have a great plenty of patients whose chief, if not only, troubles are emotional. Many medical men will tell you that such make up a large part of their patients. These are the ones who benefit much by our famous medicine, the placebo. One definition of this is an inactive medicine given merely to benefit a patient. Another is a medicine given more to please than to benefit a patient, but a philosopher has remarked that anything that pleases does some good.
Of course many a drug is a placebo for the physician as much as for the patient. For years practically every sick eye in the so-called civilized world has been treated by a boric acid eyewash. A small amount of boric acid, not taken internally, is an inert thing; but washing out the eye was good and everybody agreed that it was the proper thing to use. I have operated quite a bit in the mouth and I have a favorite mouth wash. A dry crusted mouth is pretty miserable and this wash kept the patient more comfortable than morphine. It killed the smell a good deal and perhaps took a bit of stinging away. However, rinsing the mouth with a weak salt solution would have done very well, but the patient would not have thought that much treatment. How much of my treatment was placebo? Digitalis is valuable in certain kinds of heart disease. There is no doubt of its efficiency and few drugs have ever been used more. But forty years or so ago a young physician, who has since made a great mark, went about purchasing samples of digitalis in the drugstores of the city where his medical school was. He found that a large proportion had been kept too long and was inert when tested on frogs, which have no emotions connected with their heart action. Yet the teamwork of emotions between the physicians, who knew of the physiological effects of digitalis, and their confiding patients slowed up many a heart.
Sir William Osier said, “Faith in the gods or the saints cures one, faith in little pills another, hypnotic suggestion a third, faith in a plain common doctor a fourth.” Your doctor often has to make some tries in attempting to get you well. He undoubtedly uses placebos some in doing this. Man enjoys taking medicine and it is to be presumed that is because he has so developed the emotion of hope.
In Greek mythology Pandora was the first woman. She antedated our Eve, and as men wrote the mythology, she also was the cause of all our troubles. In her husband’s house was a jar, containing plagues: gout, rheumatism, and colic for the body; spite, envy, and fear for the mind. Curiosity made her lift the lid and out flew these and all the other plagues, but she closed it quickly enough to hold hope, an antidote which had been left with the poisons. It may well be that these simple medicines, tinctured with hope, have done more good than even our modern wonder drugs.
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GENERAL HEALTH
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ABOUT PROGRESS AGAINST MENTAL DISEASE

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Mental illness often starts early in life and ends late, leaving shattered families in its wake. It is more frightening, more mysterious, and more costly than almost any other disease.
Or it used to be.
That dark picture is brightening very rapidly now, thanks largely to the development of at least 50 new drugs that help check, if not cure, the worst of the major mental illnesses. They are schizophrenia, bipolar mood disorder (manic-depressive psychosis), major depression, obsessive-compulsive disorder, anxiety disorder, and panic disorder.
Back in 1960, when the population of America’s mental institutions totaled 630,000, most people with these afflictions were doomed to pass their lives in grim incarceration. Now, properly treated and medicated, up to 80 percent of patients with the worst cases of those six mental illnesses can and do live normal or nearly normal lives.
Dr. David Pickar heads the experimental therapeutics branch of the National Institute of Mental Health (NIMH) in Bethesda, Maryland. Speaking for his fellow researchers, Dr. Pickar says, “There is a generation of us who have spent 20 years or more of our lives hoping, looking and tracking a big jump. The next giant step is in the immediate future.”
*96/266/5*
GENERAL HEALTH
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YOUR CHILD’S HEALTH CARE: MOSQUITO BITES

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Mosquitoes are especially prevalent in summer. They are more active at night, and also take advantage of not having a moving target while your child sleeps. Children who are sensitive to mosquito bites develop very itchy red lumps at the bite sites. If your child is bitten on the face, this can lead to marked swelling. You can apply help to reduce swelling. Try to discourage your child from scratching at the bite, in order to prevent infection. If your child has severe swelling and itching at the site of the bite, and this interferes with his sleep, the short-term use of an antihistamine may help him to sleep, as well as decreasing the itching.

Prevention

For a young baby a net over the cot is the safest form of protection against mosquitos. When taking your baby outdoors, make sure you dress him in light clothing which has long sleeves and trousers. Insect repellent can be used on older children but apply it sparingly, and make sure that they do not get it in their mouths or eyes. Roll-on repellents are preferable to aerosols when used for children.

*296\90\8*

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SUPER MARITAL SEX OPPORTUNITY: ‘ ‘SEX CONTINGENCIES” GAME

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Sit down as a family and play the ‘ ‘Sex Contingencies” game. This exercise will allow you to review the material from all twelve chapters of this book and to share your feelings now that you have read and thought about super marital sex. Each person should take a turn responding to each of the following ten items.

1. WHAT do you consider to be a sexual act? Do you view sex in a different, more inclusive manner after reading this book?

2. WHO would be the best sexual partner for you? What would be the characteristics of someone you could love for life?

3. WHY would you have sex? Has your personal “model” of sexuality changed in the direction of the fourth perspective?

4. WHEN would you prefer to have sex? Do you relate your personal intimate relationship to the systems view that incorporates all phases of daily living, a sex beyond the limits of “nighttime”?

5. WHERE would you prefer to have sex? Have you thought about your own private, intimate place and about providing an intimate place for everyone in the family?

6. HOW do you prefer to have sex? Have you learned that the posture of the future is really a positioning for a new intimacy, a finding of a new perspective for sex in lasting relationships?

7. WHERE DOES SEX FIT IN YOUR LIFE? What priority do you assign to sexuality, and are you making the commitment necessary to match your own priority for sex?

8. HOW SECRET should sex be? Have you learned about making sexuality an open discussion of family life, to be discussed and examined together even as it is protected as the most personal and private of all life experiences?

9. HOW MUCH VARIETY do you feel you require in your sexuality? Have you learned that the comfort of sameness can exceed the challenge and pressures of newness, that super sex is not different sex?

10.    so WHAT? What does sex mean to you, to your family, to your marriage

now that you have read about another perspective on sexuality?

I hope that you find in these sample questions and in the material I have shared with you in this book a new challenge for a new sex for a new time. I hope you have made progress toward a super marital sex, a committed, enduring, comfortable intimacy that is “super” because it goes beyond the limits of the body to the potential of the merging of spirits.

*332\97\8*

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YOUR MARITAL HEALTH/BUILDING THE CLINIC AND REMODELING THE “BORED” ROOM – THE FURNITURE: WHAT TO GET ON WHEN YOU ARE GETTING IT ON

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Man, I’m telling you, I think I almost threw my back out. We tried it on one of those water beds. We never got into the swing of the thing. The thing took control of us. It was like making love on a bucking bronco.

HUSBAND

In outfitting your clinic, pick a bed that is large, firm, and quiet while in motion. Test it out, at least a little, before you buy. Considering how much time you spend in bed, it is worth a major investment. If possible, dispense with a stand and place the mattress and springs directly on the floor. Doing so will add firmness and soundproofing. Forget water beds. Contrary to mythology, and except for variety, they are not the best environment for sex and certainly not for the posture of the future.

You will also need about ten large, firm pillows. Some wedge-shaped pillows will come in handy for the posture of the future. Bedding should be mutually appealing to both partners, but satin sheets, again contrary to popular myth, are not the best for sex. “I slip, he slips, the bed slips, the pillows disappear, and I almost get shot right out from underneath him. When I’m on top, I can’t get any traction,” reported one wife in the couples’ sample.

Make sure the colors in the room appeal to both of you. Both partners must be involved in the design and decorating of this clinic. It will take some time, but make this private place the best place for both of you to be free. Make sure the phone unplugs and anything distracting is removed. If you want mirrors, put them up. Nobody will see them if you keep this room locked.

If you have followed along to this point, stand back now and do an inspection of the construction. Any artwork should be mutually chosen, preferably enlarged pictures of both of you. No pictures of the kids, the dog, parents, or friends. This one private place should reflect a celebration of your marriage, your intimacy, and your sexuality. Add any last-minute details such as incense, candles, a new soft rug, space heater if it gets too cold, and air conditioner if it gets too hot. Make sure you have removed any and all excuses for why this room is not totally yours. Once you have done that, once you have prevented your bedroom from being a “bored” room, your clinic is ready for staffing.

*159\97\8*

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THE DESEXUALIZATION OF THE AMERICAN MARRIAGE/WAY TO LEAVE YOUR LOVING: UNMARRIAGE THERAPISTS AND VIDEO ADVISERS – MARITAL THERAPY

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There is no research available documenting successful marital therapy. At best, researchers can identify “non-failures” in treatment programs. You will learn later how to treat your own sex and marital problems and how to select a professional helper if you need one. For now, do not go to a therapist who quotes “high success rates.” There is really no such thing. Therapists and therapy do not cure; people must heal their own relationships.

In spite of all marital advice available on television and from books, you are the only ones who know what you want and how to get it. There is probably too much communication in marriage, not too little, as therapists like to stress. We talk too much and sense too little. Therapists may tell you to talk more, listen more, use lotions, touch each other, or prescribe an array of supposedly “tested” techniques for improving sex in marriage. Unfortunately, these models are based on an incomplete perspective of the relationship between marriage and sex.

We are told that if we can find the right technique, if we can only “do something,” we can solve our problems. If I learned anything from observing these thousand “hardy” couples and the hundreds of others in my clinical experience, I have learned that marriage is first and foremost a system, the most complex of systems, and that it has been corrupted by the unquestioned acceptance of the “sex-perts” and their magic techniques for satisfaction.

The answer to any marital problem rests within, not without. It rests on understanding your unique system of interacting, independent of measures of vascular change, fluid discharge, orgasmic reflex, and communicational gimmicks. You will be learning a “super sex,” a way of interacting intimately that transcends the meeting of some historically imposed genital and orgasmic tradition.

Remember, if we chase a butterfly hard and fast, we will never eaten it. Perhaps if we learn to receive instead of achieve, we will be open to our own natural supersystem. The butterfly will light î our shoulder.

*19\97\8*

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PAIN

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One of the main, if not the main function of the doctor down through the ages, has been the relief of pain.

Perhaps, with the rapid increase in the means to actually treat the underlying cause, doctors have not recently concentrated enough on relieving chronic pain.

Certainly, the best pain-relieving drugs are those derived from opium and this hasn’t changed for centuries but doctors are again looking at the problem of pain and trying to do something about it.

Pain management clinics have sprung up in hospitals and as private clinics and usually consist of several different specialists working as a team.

The discovery of substances called endorphins occuring naturally in the body has prompted research to stimulate their production. These are pain-relieving chemicals believed to be stronger in action than morphine and heroin.

Acupuncture is believed to work in relieving chronic pain by stimulating the formation of endorphins and some forms of massage can do the same.

Chronic pain causes depression and, perhaps, depression itself is a cause of pain.

No longer is there any justification for the physician or surgeon to say to a patient with chronic pain that she will just have to learn to live with it. Referral to a pain clinic will bring the sufferer not only hope but, in many instances, considerable relief as well.

*527/71/1*

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CONSTIPATION – GENERAL DISEASE

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Constipation leads to a bloated, uncomfortable feeling in the abdomen, to headaches and lethargy. These symptoms were once thought to be due to absorption of toxic products from the bowel. Experiments have shown that these symptoms are due only to distension of the bowel and not to any ‘poisoning’.

There are many causes of constipation. Some may be normal or physiological, such as from dehydration, from starvation or from a low or non-residue diet.

Local disease of the bowel, such as cancer or diverticulitis, may cause obstruction and so constipation.

General disease elsewhere may affect the bowel. When the thyroid gland is under-active (myxoede-ma) all the body functions slow down. Drugs may be a common cause of slowing down of the bowel activity. Opium and all its derivatives, including codeine, are constipating.

Prolonged immobility, from confinement to bed or a long car or plane trip, can be a cause. Constipation may also result from depression.

*271/71/1*

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CHILD ABUSE – INTRODUCTION

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The ideal parent should love, nurture and wisely discipline his children so they may develop as ideal children and into ideal adults. But the real world is rarely like that.

Even with the best will in the world and no matter how much we love our children, they sometimes do get us down. Perhaps we sometimes smack them as a result of our own anger or frustration rather than in a genuine desire to teach them not to do the wrong thing.

Recognise yourself in this description? Perhaps if you answer yes, you have some objection to seeing it included under a discusion on child abuse. It really is all a matter of degree.

Children of all ages are frequently abused in our community. This may be physical or mental abuse, they may be deprived of proper nutrition or they may be sexually abused. While we may rightly be offended by this behavior we will not solve the problem nor help the victims by seeking only to punish those parents who abuse their children.

There are many reasons why these parents may fall below what we regard as proper behavior to their children.

*20/71/1*

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POLIO IN CHILDREN: SIGNS AND SYMPTOMS, HOME CARE

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Signs and symptoms

Of those children who develop polio, 93 to 95 percent of them have no symptoms, but develop immunity. Four to 5 percent of those infected develop a minor illness, with fever, general bodily discomfort, sore throat, and nausea for three to four days. One to 2 percent develops clinically recognizable polio, with symptoms of a minor illness plus sore, stiff muscles and a stiff neck and spine. Within this 1 or 2 percent are the children who become paralyzed or die.

Minor cases may never be recognized as polio unless they occur as part of an epidemic. Diagnosis is based on examination of viral cultures and studies of antibodies (substances that the body produces to fight disease) in the blood. If the central nervous system (the spine and the brain) is involved, the child has a stiff neck and back and may not be able to sit up without supporting the trunk with both hands braced behind in a tripod fashion. The diagnosis is confirmed by the results of a spinal tap (in which spinal fluid is withdrawn from the spinal column), cultures, or antibody studies.

Home care

The most important home treatment is prevention through immunization. The live virus vaccine (Sabin), which is given by mouth, is effective against all three types of polio, and it confers long-lasting immunity. The risk of paralysis from present-day vaccines is less than one in ten million – a far cry from the one in a thousand risk of exposure to naturally-occurring viruses.

*172/84/5*

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