Thursday 17 July 2014

Are we Taught to be Smart BUT Unwise?

     The degree to which we see ourselves as fixers of broken (diseased) patients, we are detached from humanity. Sadly, "professional detachment" is actively promoted in medical curricula as a requirement for practice. This may be considered "smart" but it's clearly unwise. See: http://healthyhealers.blogspot.ca/2014/07/were-experts-and-dumbasses-smart-but.html
     This flawed mindset keeps us isolated AND suffering! It's off base on many levels: 

     "Loneliness, a socially painful state of perceived social isolation, may be a common risk factor for pain, depression, & fatigue. For example, people who felt socially disconnected were able to tolerate less physical pain than those who felt more socially connected, suggesting that feeling unconnected to those around you may increase pain sensitivity. In addition, lonelier people became more depressed and fatigued over time than people who felt more socially connected." 
       Jaremka, L.M., et al., Loneliness predicts pain, depression, and fatigue: Understanding the role of immune dysregulation. Psychoneuroendocrinology (2012), http://dx.doi.org/10.1016/j.psyneuen.2012.11.016

     "Being socially connected has health benefits. For example, married people had lower premature all-cause mortality rates, higher 5-year cancer survival rates, and fewer chronic health conditions than their non-married counterparts. In addition, people with more diverse social ties had lower premature all-cause mortality rates and a better prognosis following a myocardial infarction or stroke than people who were less socially integrated. On the other hand, distressing interpersonal relationships enhance risk for a variety of health problems such as coronary heart disease, delayed wound healing, metabolic syndrome, and premature all-cause mortality. Importantly, the links between close relationships and health remain after controlling for important sociodemographic and health-relevant risk factors.
     Growing evidence suggests that immune function may be one potential pathway linking close relationships and health; proper immune function is essential to health. Indeed,
inflammation and other forms of immune dysregulation increase risk for premature all-cause mortality and a variety of diseases including cardiovascular disease, cancer, and metabolic syndrome."

       Jaremka, L. M., Derry, H., & Kiecolt-Glaser, J. K. (in press). Psychoneuroimmunology of interpersonal relationships: Both the presence/absence of social ties and relationship quality matter. In D. I. Mostofsky (Ed.), Handbook of Behavioral Medicine (Vol. 2). Hoboken, NJ: Wiley-Blackwell.           http://pni.osumc.edu/publications.html


Don't we feel like this at times?

No comments:

Post a Comment