Als Patient Quotes

Whether it's your father, husband, brother or son, a man doesn't have supernatural powers to withstand all the pressures of this world. Understand them, be kind to them and be patient. They always try their best to be invincible for their loved ones

The heart is cooking a pot of food for you. Be patient until it is cooked

If someone slaps you on one cheek, offer the other cheek also... but of course if you were able to stand soberly after the first slap.

Quote of the day. "Al, for want of anything better to do, is standing nodding his head. This reminds Faron of those stupid dogs that people put in their cars, that when the car moves, the dogs frantically nod their heads, like some demented, freshly graduated psychologist, with their first patients.

The learned man who does not act up to his knowledge is like a patient who describes the qualities of a medicine without using it or like a hungry man who describes the taste of a food without eating it.

My enemies, I thank you! You are who trained me to be patient, to respond to the evil with the good and to overlook.

As if reading his mind, Jamal-al-Din said, 'To get what you love, you must first be patient with what you hate.

A person of good character is he who is modest, says little, causes little trouble, speaks the truth, seeks the good, worships much, has few faults, meddles little, desires the good for all, and does good works for all. He is compassionate, dignified, measured, patient, content, grateful, sympathetic, friendly, abstinent, and not greedy. He does not use foul language, nor does he exhibit haste, nor does he harbor hatred in his heart. He is not envious. He is candid, well-spoken, and his friendship and enmity, his anger and his pleasure are for the sake of God Most High and nothing more.

War crimes, you say? No matter how many policies you put on paper, in reality, there are no rights and wrongs in war. War itself is a crime. War cannot be justified. I believe, the only people, in this world, whose opinions matter, are the ones who go the extra mile to help other people expecting nothing in return. Soldiers who fight fiercely for their country, the doctors in Sri Lanka's public hospitals attending to hundreds of patients at a time for no extra pay , the nuns who voluntarily teach English and math to children of refugee camps in the north, the monks who collect food to feed entire villages during crises, they are the people worth listening to, their opinion matters. So find me one of them who will say: they wish the war didn't end in 2009, that they wish Sri Lanka was divided into two parts. Find me one of them who agrees with the international war crime allegations against Sri Lanka, and I will listen. But I will not listen to the opinions of those who are paid to find faults in a war they were never a part of, a war they never experienced themselves. I will not listen to the opinions of those who watched the war on tv or read about it on the internet or were moved by a documentary on Al Jazeera. The war is over. The damage is done. Let Sri Lanka move on. So our children will never have to see what we've seen.

ʿAlī b. Abū Ṭālib said: “I will be patient even until my patience tires of my patience.

Experience taught me that it is wise to be patient and forbearing with opponents and to use the divine cure of repeling with what is best (then verily he, between whom and you there was enmity, (will become) as though he was a close friend.) Quran 41:34

আমি অবশ্যই তোমাদেরকে পরীক্ষা করবো কিছু ভয়-ভীতি ও ক্ষুধা-অনাহার দ্বারা এবং জান-মাল ও ফল-ফসলাদির (ব্যবসা বাণিজ্য, চাকুরী ইত্যাদি) ক্ষতি দ্বারা। এরূপ অবস্থায় (যারা ধৈর্য্যর সাথে এসকল পরীক্ষায় উত্তীর্ণ হবে) তুমি সেই সব ধৈর্য্যশীলদের (জান্নাতের) সুসংবাদ দাও। (সূরা আল-বাকারা, ২ঃ১৫৫)

Life is not steady, you'll be happy at times, sad at time's, all we have to do is be patient, for a moment of happiness is worth a thousand moments of sadness and dread.

Als er een nieuw meisje met anorexia binnenkomt, dan ben ik hartstikke jaloers op haar. Want zij is dunner dan ik ben.

হে ঈমানদারগণ! তোমরা (আল্লাহর) সাহায্য কামনা কর ধৈর্য্য ও সালাতের মাধ্যমে। নিশ্চয়ই আল্লাহ ধৈর্য্যশীলদের সাথে আছেন। (সূরা আল-বাকারা, ২ঃ১৫৩)

No olvidemos que estaba en una entrevista ante un equipo de profesionales, y ese era un juego al que sí sabía jugar

Intentar atrapar copos de nieve que desaparecen es de alguna manera como intentar atrapar la felicidad: un acto de posesión que al instante deja paso a la nada.

Rea­sons Why I Loved Be­ing With Jen I love what a good friend you are. You’re re­ally en­gaged with the lives of the peo­ple you love. You or­ga­nize lovely ex­pe­ri­ences for them. You make an ef­fort with them, you’re pa­tient with them, even when they’re side­tracked by their chil­dren and can’t pri­or­i­tize you in the way you pri­or­i­tize them. You’ve got a gen­er­ous heart and it ex­tends to peo­ple you’ve never even met, whereas I think that ev­ery­one is out to get me. I used to say you were naive, but re­ally I was jeal­ous that you al­ways thought the best of peo­ple. You are a bit too anx­ious about be­ing seen to be a good per­son and you def­i­nitely go a bit over­board with your left-wing pol­i­tics to prove a point to ev­ery­one. But I know you re­ally do care. I know you’d sign pe­ti­tions and help peo­ple in need and vol­un­teer at the home­less shel­ter at Christ­mas even if no one knew about it. And that’s more than can be said for a lot of us. I love how quickly you read books and how ab­sorbed you get in a good story. I love watch­ing you lie on the sofa read­ing one from cover-to-cover. It’s like I’m in the room with you but you’re in a whole other gal­axy. I love that you’re al­ways try­ing to im­prove your­self. Whether it’s running marathons or set­ting your­self chal­lenges on an app to learn French or the fact you go to ther­apy ev­ery week. You work hard to be­come a bet­ter ver­sion of your­self. I think I prob­a­bly didn’t make my ad­mi­ra­tion for this known and in­stead it came off as ir­ri­ta­tion, which I don’t re­ally feel at all. I love how ded­i­cated you are to your fam­ily, even when they’re an­noy­ing you. Your loy­alty to them wound me up some­times, but it’s only be­cause I wish I came from a big fam­ily. I love that you al­ways know what to say in con­ver­sa­tion. You ask the right ques­tions and you know ex­actly when to talk and when to lis­ten. Ev­ery­one loves talk­ing to you be­cause you make ev­ery­one feel im­por­tant. I love your style. I know you think I prob­a­bly never no­ticed what you were wear­ing or how you did your hair, but I loved see­ing how you get ready, sit­ting in front of the full-length mir­ror in our bed­room while you did your make-up, even though there was a mir­ror on the dress­ing ta­ble. I love that you’re mad enough to swim in the English sea in No­vem­ber and that you’d pick up spi­ders in the bath with your bare hands. You’re brave in a way that I’m not. I love how free you are. You’re a very free per­son, and I never gave you the sat­is­fac­tion of say­ing it, which I should have done. No one knows it about you be­cause of your bor­ing, high-pres­sure job and your stuffy up­bring­ing, but I know what an ad­ven­turer you are un­der­neath all that. I love that you got drunk at Jack­son’s chris­ten­ing and you al­ways wanted to have one more drink at the pub and you never com­plained about get­ting up early to go to work with a hang­over. Other than Avi, you are the per­son I’ve had the most fun with in my life. And even though I gave you a hard time for al­ways try­ing to for al­ways try­ing to im­press your dad, I ac­tu­ally found it very adorable be­cause it made me see the child in you and the teenager in you, and if I could time-travel to any­where in his­tory, I swear, Jen, the only place I’d want to go is to the house where you grew up and hug you and tell you how beau­ti­ful and clever and funny you are. That you are spec­tac­u­lar even with­out all your sports trophies and mu­sic cer­tifi­cates and in­cred­i­ble grades and Ox­ford ac­cep­tance. I’m sorry that I loved you so much more than I liked my­self, that must have been a lot to carry. I’m sorry I didn’t take care of you the way you took care of me. And I’m sorry I didn’t take care of my­self, ei­ther. I need to work on it. I’m pleased that our break-up taught me that. I’m sorry I went so mental. I love you. I always will. I'm glad we met.

Es extraño lo deprisa que se adapta uno al nuevo y extraño mundo de una unidad psiquiátrica. Cada vez te sientes más cómodo con la locura; y no solo con la locura de los demás, sino también con la tuya. Todos estamos locos, creo yo, solo que en diferente grado.

Secondary structural dissociation involves one ANP and more than one EP. Examples of secondary structural dissociation are complex PTSD, complex forms of acute stress disorder, complex dissociative amnesia, complex somatoform disorders, some forms of trauma-relayed personality disorders, such as borderline personality disorder, and dissociative disorder not otherwise specified (DDNOS).. Secondary structural dissociation is characterized by divideness of two or more defensive subsystems. For example, there may be different EPs that are devoted to flight, fight or freeze, total submission, and so on. (Van der Hart et al., 2004). Gail, a patient of mine, does not have a personality disorder, but describes herself as a "changed person." She survived a horrific car accident that killed several others, and in which she was the driver. Someone not knowing her history might see her as a relatively normal, somewhat anxious and stiff person (ANP). It would not occur to this observer that only a year before, Gail had been a different person: fun-loving, spontaneous, flexible, and untroubled by frightening nightmares and constant anxiety. Fortunately, Gail has been willing to pay attention to her EPs; she has been able to put the process of integration in motion; and she has been able to heal. p134

Companies spend billions on marketing and public relations campaigns to gain public trust. They award themselves “Best Hospital” prizes by measuring outcomes like “patient experience”—as if a visit to the hospital were a trip to Disney World instead of a life or death endeavor.

Our inner experience is that which we think, feel, remember, perceive, sense, decide, plan and predict. These experiences are actually mental actions, or mental activity (Van der Hart et al., 2006). Mental activity, in which we engage all the time, may or may not be accompanied by behavioral actions. It is essential that you become aware of, learn to tolerate and regulate, and even change major mental actions that affect your current life, such as negative beliefs, and feelings or reactions to the past the interfere with the present. However, it is impossible to change inner experiences if you are avoiding them because you are afraid, ashamed or disgusted by them. Serious avoidance of you inner experiences is called experiential avoidance (Hayes, Wilson, Gifford, & Follettte, 1996), or the phobia of inner experience (Steele, Van der Hart, & Nijenhuis, 2005; Van der Hart et al., 2006).

My own studies on the natural history of DID indicate only 20% of DID patients have an overt DID adaption on a chronic basis, and 14% of them deliberately disguise their manifestations of DID. Only 6% make their DID obvious on an ongoing basis. Eighty percent have windows of diagnosability when stressed or triggered by some significant event, interaction, situation or date. Therefore, 94% of DID patients show only mild or suggestive evidence of their conditions most of the time. Yet DID patients often will acknowledge that their personality systems are actively switching and/or far more active than it would appear on the surface (Loewenstein et al., 1987). R.P. Kluft (2009) A clinician's understanding of dissociation. pp 599-623.

Una de las convenciones menos estúpidas sobre el género de los chicos con cáncer es la convención del Último buen día, donde la víctima de cáncer se encuentra así misma con algunas horas inesperadas donde parece que el inexorable decaimiento ha mejorado, o cuando el dolor es soportable por al menos un momento. El problema, por supuesto, es que no hay manera de saber que ese buen día es tu último buen día. Entonces, es otro día.

DID patients often feel very isolated/lonely, in the sense that they believe they are the only one in the universe who is “different” from others and that they do not understand themselves... DePrince et al found that alienation was the only cognitive appraisal variable to differentiate DID from PTSD. While the groups had similar appraisals of shame, betrayal, self-blame, anger, and fear, the DID participants had higher appraisal of themselves as experiencing alienation. This construct is associated with feeling alone, disconnected, and different.

Ya Rabb, I was thinking my position later Hereafter. Could I side with the prince of the women Khadija al-Kubra who struggle with the treasure and his life? Hafsah bint Umar or defended by God when will the divorced because shawwamah (diligent fasting-ed) and qawwamahnyaI (diligent tahajud)? Or with Aisha who has memorized hadith early 3500, I was .... 500 Ehm not yet ... or at Umm Sulaym who shabiroh (patient) or with Asma who take care of him and denounced his son vehicles at rest from jihad ... or with whom huh. Ya Allah, please give them the strength to pursue amaliah worthy ... so I can meet them even conversed with them in your garden Firdaus

When I first stopped trying to fix other people, I turned my attention to 'curing' myself. I was in a hurry to get this healing process over. I wanted immediate recovery from the effects of growing up in a family riddled with alcoholism and from being married to an alcoholic. I looked forward to the day I would graduate from Al-Anon and get on with my life. As year two and year three passed, I was still in the program. I began to despair as the character defects I had worked so long to overcome came back to haunt me, particularly during times of stress and during periods when I didn't attend meetings. I have severe arthritis in my joints. To cope with my condition, I have to assess my body each day and patiently respond to its needs. Some days I need a warm bath to get going in the morning. On other days I apply a medicated rub to the painful areas. Yet other days some light stretching and exercise help to loosen me up. I'ave accepted that my arthritis will never go away. It's a condition I manage daily with consistent, on-going care. One day I made a connection between my medical condition and my struggle with recovery. I began to look at myself as having 'arthritis of the personality,' requiring patient, continuous care to keep me from 'stiffening' into old habits and attitudes. This care includes attending meetings, reading Al-Anon literature, calling my sponsor, and engaging in service. Now, as long as I practice patience, recovery is a manageable and adventurous process instead of an arduously sought end point.

Whatever proponents of false memory syndrome may claim and however persuasively they tell their stories and anecdotes, dissociative amnesia typically involves fragmented recall of trauma and is rather a retrieval inhibition than a forgetting (Spiegel et al., 2011). It may also involve complete loss of recall for sexual and physical abuse but most commonly, dissociative amnesia is partial, variable, and coexists with memories of trauma (Dalenberg et al., 2014). Studies addressing the accuracy of recovered abuse memories show that these memories are no less accurate than continuous memories for abuse (Scheflin & Brown, 1996). Memory is reconsolidated each time it is accessed and therefore potentially distorted (Bridge & Paller, 2012). Evidently, this does not disprove the possibility that some clinicians are too suggestive, one way or another, pushing their patients to adopt views that serve to confirm the therapist’s own perspective and beliefs.

COULD IT BE B12 DEFICIENCY? The neurological symptoms of B12 deficiency that occur in young and middle-aged people are very similar to those in older people. They include the following: • Numbness, tingling, or burning sensations of the hands, feet, extremities, or truncal area, often misdiagnosed as diabetic neuropathy or chronic inflammatory demyelinating polyneuropathy (CIDP) • Tremor, often misdiagnosed as essential tremor or pre-Parkinson’s disease • Muscle weakness, paresthesias, and paralysis, sometimes attributed to Guillain-Barré syndrome • Pain, fatigue, and debility, often labeled as “chronic fatigue syndrome” • “Shaky leg” syndrome (leg trembling) • Confusion and mental fogginess, often misdiagnosed as early-onset dementia • Unsteadiness, dizziness, and paresthesias, often misdiagnosed as multiple sclerosis • Weakness of extremities, clumsiness, muscle cramps, twitching, or foot drop, often misdiagnosed as amyotrophic lateral sclerosis (ALS) • Psychiatric symptoms, such as depression or psychosis (covered in greater length in the next chapter) • Visual disturbances, vision loss, or blindness In contrast, a doctor ignorant about the effects of B12 deficiency can destroy a patient’s life. The

Several recent studies (Bliss, 1980; Boon & Draijer, 1993a; Coons & Milstein, 1986; Coons, Bowman, & Milstein, 1988; Putnam et al., 1986; Ross et al., 1989b) are largely consistent in terms of the general trends that they demonstrate. At the time of diagnosis (prior to exploration) approximately two to four personalities are in evidence. In the course of treatment an average of 13 to 15 are encountered, but this figure is deceptive. The mode in virtually all series is three, and median number of alters is eight to ten. Complex cases, with 26 or more alters (described in Kluft, 1988), constitute 15-25% of such series and unduly inflate the mean. Series currently being studied in tertiary referral centers appear to be more complex still (Kluft, Fink, Brenner, & Fine, unpublished data). This is subject to a number of interpretations. It is likely that the complexity of the more difficult and demanding cases treated in such settings may be one aspect of what makes them require such specialized care. It is also possible that the staff of such centers is differentially sensitive to the need to probe for previously undiscovered complexity in their efforts to treat patients who have failed to improve elsewhere. However, it is also possible that patients unduly interested in their disorders and who generate factitious complexity enter such series differently, or that some factor in these units or in those who refer to them encourages such complexity or at least the subjective report thereof.

dirhams, dînârs and all types of wealth including merchandise, animals and properties. The more a person has over and above his essential amount of food and basic needs, the more Satan finds a place to inhabit [a person’s life]. Thâbit al-Bunânî said: “When the Messenger of Allâh was commissioned as a Prophet, Satan said to his smaller devils: “A certain incident has taken place. Go and see what it is.” They all dispersed and searched until they could discover nothing. They returned to him and said: “We do not know.” Satan said to them: “I will go and bring you some information.” He went and returned, and said to them: “Allâh has commissioned Muhammad .” Satan then began dispatching his smaller devils to the Companions of the Prophet [in order to delude them], but these devils would return losers and say: “We have never met anyone like this before. We delude them and then they stand up for their salâh. This salâh then wipes out whatever we achieved.” Satan said to them: “Be a bit patient with regard to them. Perhaps Allâh will open the world to them [by giving them material wealth], we will then be able to achieve our goals from them.” Among them are stinginess and fear of poverty. It is these qualities that prevent a person from spending and giving in charity. It is these qualities that urge man towards hoarding, accumulating and a painful punishment. From among the calamities of stinginess is the intense desire to remain in the market places [and businesses] in order to amass wealth. And these market places [and businesses] are the nesting places of Satan and his armies.

He looks through the windscreen at nothing. They are returning to Cuba. The announcement came after the droids withdrew. An auto-animated voice. It did not proclaim their furlough a success or failure. Ibn al Mohammed does not know if the others will accept implantation. He believes they will not, as he will not. Temptation is legion, yet what does it mean? He is not of Satan’s world. What would implantation bring except ceaseless surveillance within a greater isolation? That, and the loss of his soul. Sun-struck and empty, so immense it frightens, the desert is awesome in its indifference. Even as he stares at it, Ibn al Mohammed wonders why he does so. The life that clings to it is sparse, invisible, death-threatened. Perhaps they will cast him out just here, he and all others who do not cooperate. No matter: he has lived in such a place. Sonora is not the same as Arabia, or North Africa, or The Levant, yet its climate and scant life pose challenges that to him are not unfamiliar. Ibn al Mohammed believes he would survive, given a tent, a knife, a vessel in which to keep water, a piece of flint. Perhaps they will grant these necessities. A knife, they might yet withhold. As if, wandering in so complete a desolation, he might meet someone he would want to hurt. As he watches, images cohere. Human figures made small by distance, yet he knows them. His mother, in a dark, loose-fitting, simple abaya. How does he recognize her, in the anonymous dress? Ibn al Mohammed has not seen his mother in a dozen years. He knows her postures, movements she was wont to make. He sees his sisters, also wearing abayas and khimars. What are they doing? Bending from the waist, they scrounge in the sand. Asna, the eldest, gentle Halima, Nasirah, who cared for him when he was young. They are gathering scraps and remants, camel chips for a fire. Where is their house? Why are they alone? It seems they have remained unmarried—yet what is he seeing? Is it a moment remembered, a vision of the past? Or are these ghosts, apparitions summoned by prophetic sight? Perhaps it is a mirage only. His sisters seem no older than when he left. Is it possible? His mother only appears to have aged. She is shrunken, her back crooked. Anah Kifah, who is patient and struggles. He wonders how they do not see the ship, this great craft that flies across the sky. The ship is in the sky, their eyes are on the ground. That is why they do not see it. Or his windscreen view is magnified, and Halima and Nasirah and Asna and Anah Kifah are much farther away than they seem, and the ship is a vanishing dot on an unremarked horizon. If he called, they would not hear. Also, there is the glass. Still, he wishes to call to them. What is best to say? “Mother … Mother.” Anah Kifah does not lift her head. His words strike the windscreen and fall at his feet, are carried away by wind, melt into air. “Nasirah? It is Ibn. Do you hear me? Halima? Halima, I can see you. I see all my sisters. I see my mother. Asna? How has it been with you? Do you hear me? It is Ibn. I am here—far away, yet here, and I shall come back. They cannot lock me always in a cage, God willing. In a month, in a year, I shall be free. Keep faith. Always know God is with you. God is great. God protects me. God gives me strength to endure their tortures. One day, God will speed my return.” The women do not lift their heads. They prod the sand, seemingly indifferent to what they find. Straining toward them, Ibn al Mohammed cries out, “Mother! Nasirah! I am alive! I am alive!” [pp. 160-162]

The study by Falk Hvidberg et al. [69] confirms the findings from the health status report by Komaroffet al. from 1996 [70]. It also means that nothing has changed in the health situation of ME/CFS patients in the last 20 years and that means that the current 2 available treatments, CBT and GET, which have been heavily promoted for more than 20 years as the treatments for ME/ CFS, which most ME patients have tried, because they desperately want to get better, are not effective at all, or even harmful, as patients have been saying for a long time [32] which was confirmed and objectified by Black et al. [31].

You strike me as one who is patient, so you will know that things don’t always happen in the sequence you want them to

De executie ontaardde in een zeer rommelige aangelegenheid. Het meisje werd door de knechten haastig de betimmering opgetrokken en met haar rug tegen de paal op de stoel geduwd en vastgebonden. Het ging allemaal zo ongeordend dat bijna niemand had opgemerkt hoe de beul zijn plaats al had ingenomen. Ineens was hij waar hij wezen moest, Chris Jansz, achter de rug van zijn patiente met het touw als een vingervlugge goochelaar klaar voor gebruik in zijn handen. Hoewel niemand uit het publiek er eenentwintig jaar geleden bij was geweest, wist iedereen hoe sereen, ja heilig Elsjes voorganger zich aan het doodmaken had onderworpen. Volkomen in de war gebracht door de opeenhoping van enorme gebeurtenissen in haar leven met daaropvolgend de cel en de zachte stem van de dominee, was de minderjarige moeder van de verdronken zuigeling voor haar rechters op de knieen gevallen. Niet om te smeken, maar om te bedanken voor de straf die ze haar oplegden. Op Justitiedag had ze uit zichzelf de verhoging beklommen en was met wijdopen ogen gaan zitten, glimlachend, zonder verwachting dus ook zonder angst, als iemand die thuisgekomen is. Uitstekend zichtbaar voor het ontroerde publiek had de beul het touw om de hals kunnen leggen, bedaard, vakkundig, en dan plotseling aantrekken met een typisch korte beweging die niets van zijn vervaarlijke kracht naar buiten bracht, wat de suggestie gaf dat dit wurgen niet noemenswaardig verschilde van de manier waarop veel huisvrouwen, gesteld op hun schone tegelvloer, bij voorkeur hun kippen en parelhoenderen doden. Nu ging het wel even anders. Omdat het meisje maar bleef tegenstribbelen stond vooral de logge knecht aan de Dampleinzijde maaiend met zijn armen in het zicht. Wat een geworstel om Elsje op de stoel met het lage rugleuninkje te krijgen.

Here are a few things yoga nidra can do: Activate the relaxation response and deactivate the stress response (which improves functioning of the sympathetic and parasympathetic nervous systems and the endocrine system). Increase immunity and the ability to fight germs and infections (Kumar 2013a, 82–94) Improve heart functioning by lowering blood pressure and cholesterol (Pandya and Kumar 2007) Decrease pain Improve control of fluctuating blood glucose and symptoms associated with diabetes (Amita et al. 2009) Significantly improve anxiety, depression, and well-being in patients with menstrual irregularities and in those having psychological problems (Rani et al. 2011) Manage pre- and postsurgical conditions (Kumar 2013a, 56) Reduce insomnia and improve sleep: while not intended as a substitute for sleep, one hour of effective yoga nidra practice is equivalent to about four hours of sleep (Kumar 2013a) Increase energy, especially when needed most Reduce worry and enhance clear thinking and problem solving Improve and refresh your outlook Replace mood swings and emotional upsets with greater emotional understanding and stability Develop intuition and increase creativity Improve meditation and enhance its benefits Integrate, heal, and revitalize your body, mind, and spirit Enhance your Self-awareness and ability to experience witness consciousness (defined later in this chapter) Transform thoughts and feelings of separation into a direct experience of wholeness Finally, one of yoga nidra’s prime benefits is that it brings yoga’s essential teachings to life that have been handed down to us over the ages from the Upanishads, Yoga Sutras of Patanjali, Bhagavad Gita, Tantric texts, and others.

The al Qaeda War Manual, discovered by British police in a raid on an al Qaeda safe house, and translated from Arabic, lists “Patience” as one of the 14 qualifications for membership in the Jihadist organization. “He should be patient in performing the work, even if it lasts a long time.

The label ‘Chronic Fatigue Syndrome’ was first proposed by Holmes et al. (1988) of the Centers for Disease Control (CDC). This name was recommended to replace that of a number of terms that implied a causal pathology (e.g. ‘Myalgic Encephalomyelitis’, ‘Post-Viral Fatigue Syndrome’ and ‘chronic Epstein-Barr virus syndrome’), as there was a lack of correlation between biological markers and symptomatology. Hence, this new label reflected the prime clinical characteristic of the condition without alluding to an underlying physical aetiology and, in turn, the definition was based upon signs and symptoms of the patient group. However, many individuals use the term Myalgic Encephalomyelitis (indicating muscle pain and inflammation of the brain), a fact that is reflected by the titles of the two largest charitable organisations in the UK, the ME Association and Action for ME.

Quels sont les premiers pas susceptibles d'engager cette conformation interculturelle d'une humanité une et multiple ? Un premier registre, minimal, est celui du respect mutuel entre des manières d'être et de penser distinctes, entre des cultures et des constellations épistémiques différentes. Cette coexistence respectueuse implique la proportionnalité, c'est-à-dire la reconnaissance par chaque collectif de ses limites, de son propre espace et de celui qui correspond à d'autres collectifs. Telle est la base de toute rencontre et de toute coopération entre les multiples collectifs qui composent la mosaïque planétaire. Encore peut-on souhaiter aller au-delà de la simple acceptation respectueuse de l'autre, pour passer à une reconnaissance de la valeur de l'autre. S'ouvre alors la possibilité d'un dialogue, dans lequel aucun collectif n'aurait de raison de s'engager s'il ne percevait dans le monde de l'autre une chance et une occasion pour transformer son propre monde et l'enrichir, ne serait-ce qu'en le faisant exister en regard d'autres possibles humains et non humains. Un tel dialogue présuppose que l'altérité de l'autre ne demeure pas absolue, totalement impénétrable. La capacité d'écoute, prédisposition à faire place, en soi, à l'altérité de l'autre, s'avère ici éminemment précieuse, sans qu'on puisse garantir qu'elle suffise à déjouer les embûches et les malentendus qui parsèment nécessairement un tel cheminement. Il y faut aussi un effort patient de compréhension - comme saisie de ce qui était jusque-là insaisissable et incorporation de ce qui était étranger - afin d'élaborer des plages de traductibilité entre univers culturels distincts. Mais encore convient-il d'assumer la conscience d'une incomplétude, car c'est dans la reconnaissance de l'inachèvement de soi comme de la perfectibilité du collectif auquel on appartient que l'ouverture à l'altérité peut avoir quelque chance de s'opérer. C'est depuis l'autre en soi, depuis le non-soi de soi, que s'amorce la rencontre avec l'altérité de l'autre. (p. 138-139)

The Lord Almighty loves His beautiful Names and Attributes. He loves the requirement of His Attributes and manifestation of their outcome in the servant. He is Beautiful and loves beauty. He is Forgiving and loves those who forgive. He is Generous and loves the people of generosity. He is All-Knowing and loves the people of knowledge. He is Single and loves the people who perform the odd number of prayers. He is Powerful and the strong believer is more beloved to Him than the weak one. He is the Most Patient and loves the people of patience. He is Appreciative and loves those who are thankful.

exciting application is in physical therapy, where virtual reality combined with AI can create immersive, engaging therapeutic exercises. This approach can motivate patients, making therapy more enjoyable and effective. Moreover, AI-powered assistive technologies can significantly enhance the quality of life for those with physical or cognitive disabilities. For example, AI-enabled communication devices can help those with speech impairments express themselves, promoting their social inclusion and independence (“AI Enhancing Human Experience in Healthcare, ” 2021).

Some of the prominent ones that have been particularly useful for many trauma survivors include dialectical behavior therapy for borderline personality (Linehan, 1993); systems training for emotional predictability and problem solving (STEPPS; Blum et al., 2008; Bos, Van Wel, Appelo, & Verbraak, 2010 also for borderline personality; short-term psychodynamic treatment of affect phobia (McCullough et al., 2003); and mindfulness and mentalization-based treatments such as acceptance and commitment therapy (ACT; Follette & Pistorello, 2007). In the past decade, manuals that specifically address the

It can be challenging to decipher what causes fatigue. One way to understand fatigue during immunotherapy is to look at it as a natural consequence of the way in which immunotherapy works (Abdel-Rahmen et al, 2016). Think back to the last time you were sick with a bad cold or stomach bug. You probably spent a large portion of your day in bed, feeling exhausted. Being tired when we’re sick is common, and even adaptive; when our immune system works hard, our body shifts our energy resources to prioritize the healing process. As you’ve learned, immunotherapy works by enhancing our immune system so that it can successfully fight cancer. Therefore, it makes sense that fatigue should accompany this process.

Comparing the hippocampal volume of mentally healthy subjects and patients with PTSD, DDNOS, and DID, thus patients with increasing levels of dissociation, an increasingly smaller volume is observed: PTSD (primary structural dissociation), approximately -10%; DDNOS (secondary structural dissociation), approximately -15%; and DID (tertiary structural dissociation), approximately -20%. These findings are characterized by a remarkable relationship: the more severe the structural dissociation of the personality, the smaller the hippocampal volume. Furthermore, Ehling et al. (2008) found high correlations between the volume of these brain structures and psychoform and somatoform symptoms, as well as with the severity of the reported potentially traumatizing events. Correlations between the volume of these brain structures and the degree of general psychopathology and fantasy-proneness were lower or statistically nonsignificant.

Drug companies now spend more than twice as much money on marketing and promotion as they do on research and development, and studies show that these marketing efforts pay off (Rosenthal et al., 2002); a survey of physicians found that 92% of patients had requested an advertised drug (Thomaselli, 2003).

McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States.

The diagnosis of a brain tumor can leave patients and their loved ones in a mental fog;

(And be patient for the sake of your Lord!) meaning, make your patience with their harms be for the Face of your Lord, the Mighty and Majestic. This was stated by Mujahid. Ibrahim An-Nakha`i said, "Be patient in your giving for the sake of Allah, the Mighty and Majestic.

The most enviable person in my estimation is a believer who is light of back (having little property), prays a great deal, makes good his worship of his Lord, Mighty and Magnificent, and makes do with little. The fingers of people do not point at him and he remains patient with this untill he meets Allah, Mighty and Magnificent; then, when death comes to him, his inheritance is paltry and his mourners are few.

If you say: what is the way to knowing Him? I would say: were a small boy or an impotent person to say to us: what is the way to know the pleasure of sexual intercourse, and to perceive its essential reality? we would say: there are two ways here: one of them is for us to describe it to you, so that you can know it; the other is to wait patiently until you experience the natural instinct of passion in yourself, and then for you to engage in intercourse so that you experience the pleasure of intercourse yourself, and so come to know it. This second way is the authentic way, leading to the reality of knowledge.

Using this technique, Baum et al constructed a forest that contained 1,000 decision trees and looked at 84 co-variates that may have been influencing patients' response or lack of response to the intensive lifestyle modifications program. These variables included a family history of diabetes, muscle cramps in legs and feet, a history of emphysema, kidney disease, amputation, dry skin, loud snoring, marital status, social functioning, hemoglobin A1c, self-reported health, and numerous other characteristics that researchers rarely if ever consider when doing a subgroup analysis. The random forest analysis also allowed the investigators to look at how numerous variables *interact* in multiple combinations to impact clinical outcomes. The Look AHEAD subgroup analyses looked at only 3 possible variables and only one at a time. In the final analysis, Baum et al. discovered that intensive lifestyle modification averted cardiovascular events for two subgroups, patients with HbA1c 6.8% or higher (poorly managed diabetes) and patients with well-controlled diabetes (Hba1c < 6.8%) and good self-reported health. That finding applied to 85% of the entire patient population studied. On the other hand, the remaining 15% who had controlled diabetes but poor self-reported general health responded negatively to the lifestyle modification regimen. The negative and positive responders cancelled each other out in the initial statistical analysis, falsely concluding that lifestyle modification was useless. The Baum et al. re-analysis lends further support to the belief that a one-size-fits-all approach to medicine is inadequate to address all the individualistic responses that patients have to treatment. 

We are so blessed with such good medic al care here that we often take it for granted. I should know. The patients I had today were hardly models of patience.

For example, a March 2021 study18 by Choudhury et al., found that “Ivermectin was found as a blocker of viral replicase, protease and human TMPRSS2, which could be the biophysical basis behind its antiviral efficiency.” The drug also reduces inflammation via multiple pathways, thereby protecting against organ damage. Ivermectin furthermore impairs the spike protein’s ability to attach to the ACE2 receptor on human cell membranes, preventing viral entry. Moreover, the drug prevents blood clots through binding to spike protein, and also deters the spike protein from binding to CD147 on red blood cells, which would otherwise trigger clumping. When patients take IVM before exposure, the drug prevents infection, which halts onward transmission, and helps protect the entire community.

The rise of independently practicing non-physician practitioners has everything to do with money, politics, and control—and nothing to do with better patient care.

Beaudart, C., et al. (2017), Nutrition and physical activity in the prevention and treatment of sarcopenia: Systematic review, Osteoporosis International 28:1817–33; Lozano-Montoya, I. (2017), Nonpharmacological interventions to treat physical frailty and sarcopenia in older patients: A systematic overview—the SENATOR Project ONTOP Series, Clinical Interventions in Aging 12:721–40. 55. Fiatarone, M. A., et al. (1990), High-intensity strength training in nonagenarians: Effects on skeletal muscle, Journal of the American Medical Association 263:3029–34. 56. Donges, C. E., and Duffield, R. (2012), Effects of resistance or aerobic exercise training on total and regional body composition in sedentary overweight middle-aged adults, Applied Physiology, Nutrition, and Metabolism 37:499–509; Mann, S., Beedie, C., and Jimenez, A. (2014), Differential effects of aerobic exercise, resistance training, and combined exercise modalities on cholesterol and the lipid profile: Review, synthesis, and recommendations, Sports Medicine 44:211–21. 57. Phillips, S. M., et al. (1997), Mixed muscle protein synthesis and breakdown after resistance exercise in humans, American Journal of Physiology 273:E99–E107; McBride, J. M. (2016), Biomechanics of resistance exercise, in Haff and Triplett, Essentials of Strength Training and Conditioning, 19–42.

-What is the mind’s physical reaction to the injection process? – Sometimes its reaction is by making a feeling of headache and numbness in the head, or the desire to sleep, confusion, and of course the memories, but we cannot rely on them. Even if it was not subjected to an injection. In any case, the successful injection process must be done without the mind knowing, and pass without being aware of it. -How many failed brainwashing have you done? -Zero. -How many successful operations? -Zero. A long moment of silence. The psychiatrist looked into his eyes! She knows that he succeeded in all his operations! Unexpected answer. -Why do you say that you failed in all operations? -I did not say that I failed, I said that I succeeded in zero operations -What is the difference? – They are all still alive, as far as I know, the operation is done, but I do not know which of them might discover the trick at the last moment of my life. – Anything new in your private life? women? Friends maybe? -No, they are all superficial relationships, except for Katrina -Why do you refuse to let someone close into your life? -They ask a lot, and I do not like to give answers, you are an exception, of course -What is on your mind the most right now? -Do things happen because I think of them, or do I think of them because they will happen? -Why? -Because for a week I have been thinking that you will come to meet me, did my thoughts bring you here, or did I somehow sense your presence? -What is the Sixth Sense? -It does not exist, our five senses receive an enormous number of notes, and details daily, our conscious mind cannot prevent their reception, but it can ignore them, stores them very far away without alerting us to them, to relieve itself from the trouble of dealing with them, and when we feel that something is going to happen, it is caused by it. Our subconscious mind analyzes and elicits billions of billions of details stored in it, giving us the result in the form of a feeling, to be able to transcend the power of our conscious mind, we have to take these feelings seriously and force our conscious mind to explain their cause, and return to memory and prove it. -What are the conscious mind and the subconscious mind? -The names are incorrect, but they are customary to call them like this. I prefer to call the conscious mind the mechanical mind or the brain, and the subconscious mind with consciousness, for the brain is nothing but a mechanical machine, while the subconscious mind, in fact, is consciousness itself, perhaps the soul. -Why do you talk about the brain, the subconscious mind, the soul, and you, as if you are different entities from each other? – I do not believe that I am this body, I am something inside it, perhaps I am condemned from another world to imprisonment in it, as a punishment for a sin I committed there, and perhaps with my death, my sentence ends. -So, you see that you are something different from spirit and consciousness? -No, we are all one, we cannot be separated, I am the soul, and the subconscious mind is consciousness, and it is mine, while the brain is the property of the body, or the body is its property. -What is the most frightening thing about death? – Everyone lies, the religious, and the non-religious, they all lie about their greatest fear of death, Muslims fear Hell and its torment, this is true, but if their choice is between eternity in Hell under torment, or total annihilation, nothing, they will choose the first option. That what frightens us most in Death is complete unconsciousness, becoming nothing, as if we did not exist, simply disappearing and having no awareness, any sense of anything, forever. -Why would you choose torment over annihilation? -Because I will somehow adapt to it, we humans are able to adapt in all circumstances, and always have enough hope to be patient with them.

depression. It can be challenging to decipher what causes fatigue. One way to understand fatigue during immunotherapy is to look at it as a natural consequence of the way in which immunotherapy works (Abdel-Rahmen et al, 2016). Think back to the last time you were sick with a bad cold or stomach bug. You probably spent a large portion of your day in bed, feeling exhausted. Being tired when we’re sick is common, and even adaptive; when our immune system works hard, our body shifts our energy resources to prioritize the healing process. As you’ve learned, immunotherapy works by enhancing our immune system so that it can successfully fight cancer. Therefore, it makes sense that fatigue should accompany this process.

God says in the Qur’an That which is with you will come to an end, but that which is with God remains. And He shall surely pay those who were patient their reward according to the best of what they used to do. / Whoever acts righteously, whether male or female, and is a believer, him verily We shall revive with a goodly life. And We shall surely pay them their reward according to the best of what they used to do. (Al-Nahl, 16:96–97) The goodly life (‘hayatan tayyibah’ in Arabic) mentioned here requires belief and virtue—and patience and steadfastness in these—but is true life. It is true because it is the life that the soul at peace will have in eternity. The soul at peace is truly alive.

Pronin had them fill in the blank spaces: Emily Pronin et al., “You Don’t Know Me, But I Know You: The Illusion of Asymmetric Insight,” Journal of Personality and Social Psychology 81, no. 4 (2001): 639–56, APA PsychNET. I quoted part of Pronin’s conclusion. But the whole paragraph is worth considering: The conviction that we know others better than they know us—and that we may have insights about them they lack (but not vice versa)—leads us to talk when we would do well to listen and to be less patient than we ought to be when others express the conviction that they are the ones who are being misunderstood or judged unfairly. The same convictions can make us reluctant to take advice from others who cannot know our private thoughts, feelings, interpretations of events, or motives, but all too willing to give advice to others based on our views of their past behavior, without adequate attention to their thoughts, feelings, interpretations, and motives. Indeed, the biases documented here may create a barrier to the type of exchanges of information, and especially to the type of careful and respectful listening, that can go a long way to attenuating the feelings of frustration and resentment that accompany interpersonal and intergroup conflict.

I want you in a way I’ve never wanted anyone. Not ever. But I’m afraid I’m not capable of being the man you see because there isn’t a whole lot of that guy left. I lost him a long time ago. I live for the people around me. For my job. My friends. Their families. My patients. I’ve walked that line for a long, long time. The straight. The narrow. Never veering from my path. But as hard as I try to stop it, colliding with you feels unavoidable.

Remember, you are your patient’s advocate, and I can assure you that no one in the medical establishment will be as vigilant or thoughtful about the care of your loved one as you will be.

collect and compare the genome sequences of viruses or bacteria collected from patients. At the start of the Ebola epidemic in 2014, this process took weeks; by the end, field teams could sequence viruses in hours on a device the size of a USB stick.

Innovations are happening in conventional schooling. Some people will read the chapters to come and respond that their own children’s schools are incorporating evidence-based changes, making them more like Montessori schools—eliminating grades, combining ages, using a lot of group work, and so on. One could take the view that over the years, conventional schooling has gradually been discovering and incorporating many of the principles that Dr. Montessori discovered in the first half of the 20th century. However, although schooling is changing, those changes are often relatively superficial. A professor of education might develop a new reading or math program that is then adopted with great fanfare by a few school systems, but the curricular change is minute relative to the entire curriculum, and the Lockean model of the child and the factory structure of the school environment still underlie most of the child’s school day and year. “Adding new ‘techniques’ to the classroom does not lead to the developmental of a coherent philosophy. For example, adding the technique of having children work in ‘co-operative learning’ teams is quite different than a system in which collaboration is inherent in the structure” (Rogoff, Turkanis, & Bartlett, 2001, p. 13). Although small changes are made reflecting newer research on how children learn, particularly in good neighborhood elementary schools, most of the time, in most U.S. schools, conventional structures predominate (Hiebert, 1999; McCaslin et al., 2006; NICHD, 2005; Stigler, Gallimore, & Hiebert, 2000), and observers rate most classes to be low in quality (Weiss, Pasley, Smith, Banilower, & Heck, 2003). Superficial insertions of research-supported methods do not penetrate the underlying models on which are schools are based. Deeper change, implementing more realistic models of the child and the school, is necessary to improve schooling. How can we know what those new models should be? As in medicine, where there have been increasing calls for using research results to inform patient treatments, education reform must more thoroughly and deeply implement what the evidence indicates will work best. This has been advocated repeatedly over the years, even by Thorndike. Certainly more and more researchers, educators, and policy makers are heeding the call to take an evidence-based stance on education. Yet the changes made thus far in response to these calls have not managed to address to the fundamental problems of the poor models. The time has come for rethinking education, making it evidence based from the ground up, beginning with the child and the conditions under which children thrive. Considered en masse, the evidence from psychological research suggests truly radical change is needed to provide children with a form of schooling that will optimize their social and cognitive development. A better form of schooling will change the Lockean model of the child and the factory structure on which our schools are built into something radically different and much better suited to how children actually learn.

Brodie (1994) conclude that anorexia patients do not have a fixed and implacable distorted image of their own bodies. Rather, they have “uncertain, unstable and weak” body image (p. 41). If we see body image distortion as associated with the “mentalization of the body”, we would predict precisely such changes of bodily experience associated with changes in mental states. There are clinical indications consistent with this point of view. For example, fluctuation of body image appears to be associated with emotional states (Espeset et al. 2012). Anorectic patients may feel fatter when they feel frightened and anxious. As we know that negative affect tends to impair mentalizing in other patient groups, the association of body image distortion with negative affect could be a consequence of the intensification of mentalization failure as triggered by arousal, which then finds representation, not as a feeling of dis-ease but as an experience of physical discomfort and dissatisfaction with one’s body. The person who is most preoccupied with the external body may be the same person who has little contact with his/her own somatosensory signals, the lived body.

In general, the prevalence of secure attachment is low across all diagnostic subgroups of eating disorders. In addition to individuals with such acquired deficits in affect regulation, however, there are individuals with inherited deficits in their neurobiological functions that may predispose them to affective dysregulation (Barry et al. 2008; Belsky 2006). We can conceive of persons with eating disorders as attempting to drown out anguished feelings by frantic self-stimulatory activities. This could be seen as a common denominator to such behaviours as starvation, bingeing, vomiting and hyperactivity. The absence of reliable internal self-regulation may cause the eating disordered patient to feel inadequate, ineffective and out of control. The symptoms can be seen as misguided attempts to organize emotions and other internal states more meaningfully.

Such disconnections between physiological, subjective feeling components of emotion and language have long been talked of as alexithymia. This is defined as greatly reduced or absent symbolic thinking, outbursts of affect without being able to explain or connect them to relevant feelings and inhibited fantasy (Sifneos et al. 1977). Alexithymia includes difficulty identifying feelings, describing feelings to other people, a manifest paucity of fantasies and a stimulus-bound, externally orientated cognitive style. The incidence of alexithymia has been estimated at 66–75% in eating disorder populations across several studies versus 6–26% in non-patient controls (Bourke et al. 1992; Cochrane et al. 1993; Deborde et al. 2008; Schmidt et al. 1993). Alexithymia is in our conceptual model an aspect of and an index of disrupted mentalizing.

The social difficulties experienced by patients with anorexia are not only caused by the patients’ deficits in interpreting others’ minds. There is evidence that they present an unemotional “flat” face to others (Lang et al. 2016), and this can lead to failed social encounters. This is reminiscent of babies’ extreme distress when their mothers presented an unmoving expression to them, just for a minute or two (Weinberg et al. 2008; Tronick 2018). In other words, we are all expecting emotional expression in others and find it very unpleasant when we meet someone who presents a flat, unemotional face. The dependency on confirmation from others corresponds with major trends in contemporary culture, with great emphasis on visuality, bodily surfaces, external qualities, performances, etc. A central psychological trait in both contemporary culture and highly aggravated in eating disorders is the emphasis on comparison and comparison anxiety . Many are obsessively comparing themselves with others, concerning bodies, numbers and amounts of food, hence depending on profoundly superficial data.

32 It is better to be patient than powerful; it is better to have self-control than to conquer a city. 33 We may throw the dice, but the Lord determines how they fall.

Clinicians set a target minute ventilation, and the ventilator determines an optimal VT and rate combination that result in the least work of breathing, based on the “minimum work of breathing” concept described by Otis et al.53 Theoretically, when the patient’s compliance is reduced (ie, has ALI), a smaller VT and faster rate are chosen, whereas in patients with obstructive lung disease, a larger VT and slower rate are chosen to minimize air trapping. There is concern that large VTs and high pressure may also increase the risk of developing ALI or ARDS in patients without lung disease.

We are patient in times of hardship, grateful in times of ease, and content with whatever has been predestined

It appears that the picture of DID as the ongoing clash of polarized personality types (e.g., good girl-bad girl, upright citizen-sociopath) is hard to sustain, although such clashes, when they occur, arrest attention and at times become a concern of the forensic psychiatrist. Most patients have personalities that are named, but there may be those who are nameless or whose appellations are not proper names (i.e.. “the slut,” “rage,” etc.). Child personalities, those who retain long periods of continuous awareness, those who claim to know about all of the others, and depressed personalities are the most frequent types enumerated (Putnam et al.. 1986).

A veces es difícil comprender por qué las respuestas al presente se encuentran en el pasado.

Al did not have to "act crazy" to get approved for disability; he let his voluminous records do the talking. Our sessions consisted of reminiscing about his childhood, processing the racism both overt and covert that he had experienced throughout his lifetime, and discussing the news of the day. I believed that he did truly suffer mentally; he had very little contact with people other than me, didn't trust people, and seemed to hear and see things that weren't there. I used to see a lot of patients like Al. There was also Marvin, who believed he had inherited an ability to see and talk to spirits; Teddy, who claimed to be tormented by the sound of babies crying; Eric, whose outbursts of intense anger caused him shame and guilt in the aftermath. All had mental health symptoms that plagued them and shaped their interactions with others. All were also Black men. The strands of their stories were so infused with suffering that it was difficult to separate their symptoms from their history. Was Al depressed because he often self-isolated, or did he self-isolate because the only people he knew around him had chronic substance abuse issues? Was Marvin paranoid because some neurotransmitters in his brain were out of balance, or because he had been beaten by police upon multiple occasions in the past? How much of Eric's anger was due to the fact that he had very few friends left because so many of them had been murdered? All had ended up with diagnoses of severe mental illness along the schizophrenia spectrum, yet there was clearly more at work in each case.

To get what you love, you must first be patient with what you hate.

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