Re: Cognitive Behavioural Therapy


"Anthony H Cole" <ahcoleecu@xxxxxxxxx> wrote in message
news:e2123016-f52f-4320-b697-b27c2b5ee37c@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
On Sep 3, 9:13 am, "m." <mxxxx...@xxxxxxxxxxx> wrote:
"Anthony H Cole" <ahcole...@xxxxxxxxx> wrote in
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On Sep 1, 10:48 am, "m." <mxxxx...@xxxxxxxxxxx> wrote:

"Anthony H Cole" <ahcole...@xxxxxxxxx> wrote in
messagenews:f4543b1f-10ec-4f07-985c-5da93dd97165@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

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Hi Anthony -- I want to get back to you quickly before my server
goes down again. It is often off-line, so if an unusually long period
passes before I reply, it is because I can not access the forum.


<snip>


I think the one constant in the phenomenon of POCD is anesthesia.
Thank
Goodness! that you have never had it! It is a truly strange
experience. At one moment you are present; at the next you've
returned, but there is no recollection or sense of the passage of
time.
Where did one go? It is nothing like sleep. Cognition -- what was
the mind doing during that period? Very scary.

Well. it seems that the medical field researchers find POCD an
interesting phenomenon to study, and the practicing surgeons consider
it collateral damage that just is to be accepted. I have never heard
of a surgeon warning a patient of possible POCD. The attitude is that
it either occurs infrequently or that if it happens, it will resolve
within 3 months to a year. Regardless of the surgeons' belief about
frequency or resolution, satisfying Informed Consent should demand a
pre-op discussion of probable POCD.

Anaesthesia has to be a prime candidate. And hypoxia. For long term
deficits. But you know my thinking about the cognitive effects of
pain. Some patients emerge from surgery in pain. I hope they are
taking that into account. And, as I said to kittychats, it looks like
any homeostatic imbalance disrupts higher cognition in the same way
that pain does. So, a person emerging from surgery with any additional
phyiological distress, emanating from anywhere in the organism, should
have impaired executive function and, in theory, reduced tolerance for
negative affect. God I rant.


You're right about both. I did a little more abstract research and
found theories targeting insufficient oxygen saturation prior to surgery
as one of the culprits. One article,
http://www.pslgroup.com/dg/1d0f8e.htm identifies low pre-op brain
oxygen levels related to longer ICU and hospital stays, as well as
POCD.
But once again, this was a study of cardiac patients. Compared to the
POCD cardiac studies, there is a deficit of study for the non-cardiac
surgeries.

I think you're also right about the role of post-op pain. Though,
oddly, none of the abstract and article summaries mentioned pain as a
factor. Nearly every other possible confusing factor -- prior mental
deficits, advanced age, educational level, or underlying secondary
illnesses, etc. -- were mentioned as possible co-contributors of POCD.
Experiencing pain was not. This looks like another clear example of
the medical field denying that pain (or pain management) plays an
important role and warrants attention.

To answer your question -- Yes, I did study psychology. I was in
the middle of advanced studies in Cognitive Psychology when I became
so
ill that continuing school was impossible. After working in the
corporate world for many years. I decided to return to my true love --
school.

I do as much independent study as possible, but sadly, I find
sustained concentration very difficult. You are outrageously
impressive by the extent and depth of the independent study that you
are
obviously doing. I can't match that, but I'll try to keep up as much
as I can.

I've been trying to do a B. Sc. for the past four years. But I keep
either pulling out, doing really well or failing ignominiously. So far
I have passed Intro' to Psychology, History of Psychology and Critical
Thinking. At this rate I have another 28 years to graduation.

"Slow and steady wins the race." The rate at which you are earning
your degree is, I think, becoming the norm. It is no longer unusual
to earn a "four-year degree" in more than four years. After you
finish, do you plan on going into research ? Or advanced studies?

Take good care.
m.


Can I tell you what I'm trying to do at Wikipedia?


Take good care.
m.

PS -- Two weeks ago I steam-cleaned my carpets -- thought of you.
:-)
PPS -- I'm going to be replacing my pc's cmos battery so I may be
off-line if I have problems.

Bliss

Anthony

It's about 9:30 at night. We are slowly emerging from winter. The
doors and windows are all open. There is a gentle breeze. Through my
window I hear the drizzle. From the front room drifts music I don't
know. Scottie, my house mate's choice.

.

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