Integrating mind and body: psycho-spiritual therapeutics

Programme information

David Reilly FRCP, MRCGP, FFHom.‘Enhancing Human Healing'

 

The common ground on which all care stands or falls is the capacity and limits of the human healing response. We have become fixated on our 'tool' kit, be it drugs or CBT or herbal treatment. Yet the main determinants of success are often the underlying intentions and the quality of its expression through our caring relationships and human experience. Human caring is an active ingredient, and more. Psychiatry, psychology, packaged spirituality or alternative medicine might bring Trojan horse delivery of a more whole-person approach, but then again they might just deliver new tools and theories. A bad encounter can negate the action of an intervention, a good one can sometimes do without it.

 

We will look at an example of a patient describing a healing response. What is it that helps or hinders? What would be needed in a health care encounter and system to help it happen? Maybe we will cross-reference to compassion, placebo, ritual, psychoneuroimmunology, cultural shift, right brain function, and anything else we come up with, but the issue remains. Have we helped the patient move in a healing direction or have we not?

 

David writes: I have studied a number of healing systems, for example, orthodox medicine, acupuncture, hypno-analysis, homeopathy, and shamanism. I have been a researcher and a teacher, looking for the common ground in all this and wondering about humanity and healing. Recently I worked with artists and architects on creating a healing environment in the NHS. I began to see that my music and writing flowed from the same well as my medical art. But then how could it not?

 

Present appointment: Lead Consultant Glasgow Homoeopathic Hospital, Honorary Senior Lecturer Glasgow University and Visiting Professor Mary land University. (Personal Profile BMJ 322:178 (20.1.2001), see also http://www.bmj.com/cgi/content/full/322/7279/178,    http://www.adhom.org/)

Jennifer Barraclough FRCP, FRCPsych. ‘Integrated Cancer Care’

 

The holistic approach to care for patients with cancer - or other illness - aims to mobilise their own self-healing powers rather than using extraneous treatments to combat disease. This entails energising and balancing ‘the whole person’ - body, emotions, mind and spirit. Interventions include diet, complementary therapies, healing and psychological and spiritual counselling, combined within an individually tailored package. The approach is mainly offered in the private and voluntary sectors, with a large self-help element. Input from oncologists and liaison psychiatrists has been very limited. Indeed, there has been some hostility from orthodox professionals, until recently at least.

 

Whether the holistic approach improves survival from cancer is a controversial question on which the evidence is conflicting. However, there is evidence for improvements in quality of life, symptom control and patient satisfaction. A selection of case vignettes, mainly from the book ‘Integrated Cancer Care’, will be used to illustrate the approach. Experience with a group programme, CHRYSALIS, and its introduction to patients and staff within an NHS setting will be described.

 

Jennifer writes: I qualified in medicine from Oxford in 1970. I worked in oncology and general practice before specialising in psychiatry. From 1978 - 1991, I worked in psycho-oncology research at the University department of Psychiatry, Southampton, which included the investigation of depression in patients with lung cancer and the relationship of life event stress to prognosis in breast cancer. From 1991 - 2000 I was consultant in psychological medicine at the Churchill Hospital, Oxford, working mainly with cancer care.

 

Following training at the College of Healing, I became interested in holistic approaches to cancer care and how these might be integrated with conventional treatments. My books ‘Cancer and Emotion’ and ‘Integrated Cancer Care’ are relevant to this issue and I am co-editor of Claire Lewis' book ‘Psychoimmunology of Cancer’. I now live in Auckland, New Zealand, with a practice in life coaching and continuing to write.  

Michael Weir MBChB, BSc, MFCM, MFHM, MRCPsych. 'Non-ordinary states of consciousness

 

in healing and health. The work and techniques of Stanislav Grof’

As a psychiatric resident, Stanislav Grof volunteered for a formal experiment with LSD, which had been discovered by the Swiss chemist Albert Hoffman. Grof’s experiences with LSD awakened within him an intense, lifelong interest in non-ordinary states of consciousness. He embarked upon a systematic exploration of the therapeutic, transformational and evolutionary potential of these states - 'an extraordinary adventure of discovery and self-discovery'.

 

My talk will focus on the theoretical models of consciousness and the therapeutic practices developed and employed by Professor Grof. I will be comparing his work with that of other progressive thinkers and practitioners from the fields of mind-body medicine, transpersonal psychology and Eastern mysticism. I will introduce Grof’s cartography of the unconscious mind, which embraces biography, together with perinatal and transpersonal domains. In particular, I will outline the breathwork and physical techniques of Holotropic Breathwork, as used in both psychiatric and non-psychiatric settings

 

Michael writes:

 

I am currently completing retraining in psychiatry following a transfer from public health medicine five years ago. As a public health director and consultant I was concerned with the psychosocial dimensions of organic illness and developing services for patients with heart disease, cancer and chronic fatigue syndrome. Central to all these programmes of care has been a mind-body philosophy and the therapeutic use of clinically standardised meditation, including techniques derived from Vipassana, and from Psychosynthesis.

 

My work seeks to encompass the biomedical, humanistic and transpersonal domains of human experience. I completed Holotropic Breathwork training with Professor Stan Grof in 1991 and have since used this technique with both patients and health care professionals. I have been a meditation practitioner for over 25 years, being particularly influenced by the work of Rudolf Steiner and Stanislav Grof, the approach of Maharishi Mahesh Yogi, and Buddhism. I am currently researching the impact of meditation and breathwork techniques on a variety of conditions including addiction, sexual abuse and Post Traumatic Stress Disorder.

© 2007 Royal College of Psychiatrists