Twenty healthy adults were randomly assigned to a moderate pressure or a light pressure massage therapy group, and EKGs were recorded during a 3-min baseline, during the 15-min massage period and during a 3-min postmassage period. EKG data were then used to derive the high frequency (HF), low frequency (LF) components of heart rate variability and the low to high frequency ratio (LF/HF) as noninvasive markers of autonomic nervous system activity. The participants who received the moderate pressure massage exhibited a parasympathetic nervous system response characterized by an increase in HF, suggesting increased vagal efferent activity and a decrease in the LF/HF ratio, suggesting a shift from sympathetic to parasympathetic activity that peaked during the first half of the massage period. On the other hand, those who received the light pressure massage exhibited a sympathetic nervous system response characterized by decreased HF and increased LF/HF.

Int J Neurosci. 2009;119(5):630-8. Diego MA, Field T. Touch Research Institute, Department of Pediatrics, University of Miami School of Medicine, Miami, Florida, USA. mdiego@med.miami.edu

Dr. Husain achieved her bachelors in psychology from Simon Frasier University in Vancouver, BC, Canada. Doctorate in Behavioral Science from Alpha University, Louisiana. Her interests led her to certify in Medical Hypnosis, NLP, Time Line Therapy, EFT and is acertified Reiki Master. Hena is the author of two books Insights to Tree Drawing and Insights to Getting Clients. She has built two office locations in Michigan through her extensive networking and marketing techniques. She is a IACT Certified Master Trainer, and VP of Michigan Chapter of IACT /IMDHA. Hena is very dynamic, and a motivating speaker who knows how to captivate her audience and direct them to change.

For more information visit: balance4life.biz

Intention is defined as a directed thought to perform a determined action. Thoughts targeted to an end can affect inanimate objects and practically all living things from unicelular organisms to human beings. The emission of light particles (biophotons) seems to be the mechanism through which an intention produces its effects. All living organisms emit a constant current of photons as a mean to direct instantaneous nonlocal signals from one part of the body to another and to the outside world. Biophotons are stored in the intracelular DNA. When the organism is sick changes in biophotons emissions are produced.Direct intention manifests itself as an electric and magnetic energy producing an ordered flux of photons. Our intentions seem to operate as highly coherent frequencies capable of changing the molecular structure of matter. For the intention to be effective it is necessary to choose the appropriate time. In fact, living beings are mutually synchronized and to the earth and its constant changes of magnetic energy. It has been shown that the energy of thought can also alter the environment. Hypnosis, stigmata phenomena and the placebo effect can also be considered as types of intention, as instructions to the brain during a particular state of consciousness. Cases of spontaneous cures or of remote healing of extremely ill patients represent instances of an exceedingly great intention to control diseases menacing our lives. The intention to heal as well as the beliefs of the sick person on the efficacy of the healing influences promote his healing. In conclusion, studies on thought and consciousness are emerging as fundamental aspects and not as mere epiphenomena that are rapidly leading to a profound change in the paradigms of Biology and Medicine.

Invest Clin. 2008 Dec;49(4):595-615. Bonilla E. Instituto de Investigaciones Clínica Dr. Ambrico Negrette-Centro de Investigaciones Biomédicas IVIC-Zulia, Maracaibo, Venezuela. ebromero@cantv.net

The metacognitive model of obsessive-compulsive symptoms [Wells, A. (1997). Cognitive therapy of anxiety disorders: a practice manual and conceptual guide. Chichester, UK: Wiley] emphasizes three types of metacognitive knowledge in the etiology and maintenance of symptoms: thought fusion beliefs, beliefs about the need to perform rituals, and criteria that signal rituals can be stopped. We tested the model using a series of hierarchical regression analyses. Results showed that each metacognitive domain when entered in their hypothesized causal sequence explained incremental variance in two different measures of obsessive-compulsive symptoms, with worry controlled. These incremental relationships remained when non-metacognitive beliefs (e.g., responsibility and perfectionism) which have been linked to obsessive-compulsive symptoms in other theories were controlled. Results provide further support for the metacognitive model.

J Anxiety Disord. 2009 May;23(4):436-42. Myers SG, Fisher PL, Wells A. Academic Division of Clinical Psychology, University of Manchester, Rawnsley Building, MRI, Oxford Road, Manchester M13 9WL, UK. samuel.myers@manchester.ac.uk

The role of meta-memory and meta-cognition in obsessive-compulsive disorder (OCD) symptoms and checking was examined in a student sample, using the memory and cognitive confidence scale (MACCS; Nedeljkovic, M., & Kyrios, M. (2007). Confidence in memory and other cognitive processes in obsessive-compulsive disorder. Behaviour Research and Therapy, 45, 2899-2914). Confirmatory factor analysis supported the MACCS's previously reported structure, and hierarchical regression supported its relationship to OCD symptom severity over-and-above depression and other OCD-related beliefs. Specifically, general confidence in memory was found to be a unique predictor of overall OCD severity. Implications for theory and research are discussed.

J Anxiety Disord. 2009 May;23(4):463-8. Nedeljkovic M, Moulding R, Kyrios M, Doron G. Swin-PsyCHE Research Unit, Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne, Australia. MNedeljkovic@swin.edu.au

Oscar Gillespie is a teacher and gifted therapist. A Past-President of the NY Milton H. Erickson Society, he has given lectures, seminars and workshops throughout the United States and in Mexico and Cuba. He has appeared on Oprah, Donahue, David Susskind, McNeil-Lehrer Report - and many local and national radio. He's been running a NYC hypnotherapy and counseling practice for over 25 years.

Studies of the forced fabrication effect have shown that participant witnesses are prone to developing false memories for specific items or details that they have been forced to fabricate earlier (e.g., what type of hat someone wore). Building on these earlier findings, the present study assessed whether participants would develop false memories if forced to fabricate entire fictitious events that were more complex and extended in time and involved people, locations, and actions that they had never seen. Participants vehemently resisted fabricating these events, and false memory development over the short term (1-week recognition test) was limited. However, after 8 weeks, participants freely reported their forced fabrications nearly 50% of the time and did so even when they had correctly and publicly rejected them earlier on the 1-week recognition test. This is the first evidence that participant witnesses will freely incorporate into their eyewitness accounts entire fictitious events that they have earlier been forced to fabricate.

Psychon Bull Rev. 2008 Dec;15(6):1190-5. Chrobak QM, Zaragoza MS. Department of Psychology, Kent State University, Kent, OH 44242, USA. qchrobak@kent.edu

The most effective smoking cessation programs involve a combination of pharmacotherapy and behavioral and/or cognitive counseling to improve abstinence rates. Varenicline (Champix in France and the U.K.), the most recently approved agent for tobacco cessation, is the first drug in a new class (alpha4beta2 partial agonist) that binds to the nicotinic receptors to release dopamine and alleviate withdrawal symptoms. As the literature reports psychiatric disorders being linked to varenicline as an issue, we describe the case of a man who committed suicide while receiving therapy with this drug. The deceased (a 39-year-old man) was found dead at his home address with slash wounds to his wrist. The deceased had been prescribed varenicline for several months at a dose of 1 tablet (1 mg) twice daily. The lab received a blood specimen to perform a screening for unknown drugs, including varenicline. Because of its selectivity and sensitivity, liquid chromatography coupled to tandem mass spectrometry was chosen as the best approach to develop a procedure for varenicline. One milliliter of blood was extracted with 5 mL of a mixture of dichloromethane/isopropanol/n-heptane (25:10:65) at pH 9.5 (phosphate buffer) in the presence of diazepam-d(5), which was used as an internal standard (IS). The resultant blood extract was separated on an XTerra MS C18 column using a gradient of acetonitrile and formic acid in water. Drugs were identified by three or two transitions (m/z 212 > 169, 212 > 183, and 212 > 195 and 290 > 154 and 290 > 198 for varenicline and IS, respectively). The limit of quantitation of varenicline was 1 ng/mL. The concentration of varenicline in the blood was determined to be 10 ng/mL. This concentration could not be compared with therapeutic levels, as there are no therapeutic concentrations reported in the literature. Because of its potential effects on behavior, the influence of the drug on the mental functioning of the user should be considered in cases of suicide.

J Anal Toxicol. 2009 Mar;33(2):118-20. Kintz P, Evans J, Villain M, Cirimele V. Laboratoire ChemTox, 3 rue Gruninger, 67400 Illkirch, France. pascal.kintz@wanadoo.fr

by Tim Brunson DCH

Upon transcending neonatal development, the human brain continually develops in stages generally through the first 25 years of life. Unless interfered with by trauma, disease, or inherited disorders, this development follows specific genetically-determined patterns.

[More]

The objective of this study was to describe the profile of a cohort of patients who presented to a Neuro-Emotional Technique (NET) clinic. This study investigated the change in the Distress and Risk Assessment Method (DRAM) outcome measure score after a 3-month course of NET was administered to participants. Design and setting: This was an uncontrolled cohort study in private practice. Subjects: One hundred and eighty-eight (188) consecutive new patients presented to a NET clinic. Intervention: The intervention was a 3-month course of NET, which incorporates elements of muscle testing, general semantics, Traditional Chinese Medicine, acupuncture, and chiropractic principles to manage patients' conditions. Outcome measures: Scoring on the DRAM questionnaire was the outcome measure. Results: Of the participants, 55.9% had musculoskeletal complaints, 34.6% had nonmusculoskeletal complaints, and 9.6% reported no presenting complaint. Strongly significant differences in the mean DRAM scores and the mean individual component scores were found between pre- and post-treatment. There was strong evidence to suggest that the Modified Somatic Perceptions Questionnaire and the Modified Zung Depression Index scores were correlated (p < 0.001), and that the allocation of subjects in any pretest category to categories on the basis of post-test scores changed from category to category. Conclusions: NET is different from traditionally described chiropractic practice, and appears, based on this one clinic, to have far more nonmusculoskeletal presentations. This profile, if consistent with other practices, has strong implications for scope of practice for this form of chiropractic practitioners. Many participant presentations were "at risk" of, or were clinically depressed, according to the DRAM. The DRAM status of the patient cohort significantly and clinically improved with the NET treatment. As this study was nonrandomized and uncontrolled, the results should be viewed with caution. We recommend that larger-scale randomized controlled trials be commenced to investigate the preliminary findings of this report.

J Altern Complement Med. 2009 Feb;15(2):121-7. Bablis P, Pollard H. Macquarie Injury Management Group, Macquarie University, Sydney, New South Wales, Australia.

Mindfulness is associated with low levels of neuroticism, anxiety, and depressive symptoms, as well as high levels of self-esteem and satisfaction with life (Brown & Ryan, 2003). As part of a 3-month randomized waitlist-controlled trial of the effects of the Transcendental Meditation (TM) program on university students (N=295), we examined the impact of TM practice on mindfulness as measured by the Kentucky Inventory of Mindfulness Skills (KIMS; Baer, Smith, & Allen, 2004). A repeated measures ANOVA on total KIMS scores showed a significant timextreatment interaction, with the TM participants reporting greater increases in mindfulness than the waitlist participants. All KIMS subscales were positively intercorrelated at pretreatment, and there were no differences over time or as a function of treatment condition in subscale intercorrelations. Therefore, previously published findings of a positive correlation between subscales measuring the skills of observing and accepting-without-judgment one's inner experiences only among those with meditation experience may have reflected a self-selection effect rather than a change in the relation of these mindfulness components resulting directly from meditation practice. (c) 2009 Wiley Periodicals, Inc. J Clin Psychol 65: 1-16, 2009.

J Clin Psychol. 2009 Feb 24. Tanner MA, Travis F, Gaylord-King C, Haaga DA, Grosswald S, Schneider RH. American University.

The purpose of this study was to investigate the effects of non-contact therapeutic touch on post-surgical pain in an elderly population receiving occupational therapy in an acute care hospital unit in the United States. Ninety participants were randomly assigned to three groups (experimental, control and placebo) using a three-group experimental pre-test-post-test design and a randomized clinical trial. The experimental group received the non-contact touch intervention, the control group received routine care and the placebo group received the sound of a metronome set at a steady slow pace. Objective measures included the Memorial Pain Scale, the Tellegen Absorption Scale, the Health Attribution Scale and measures of pulse rate and pupil size, which were performed as repeated measures. In the experimental group, 22 out of 30 (73%) demonstrated a statistically significant decrease in pain intensity scores from pre-test to post-test (t [7] = 7.24, p < 0.01) and were better able to participate in occupations. Further research is recommended to replicate this study. 2009 John Wiley & Sons, Ltd

Occup Ther Int. 2009;16(1):44-56. McCormack GL. Department of Occupational Therapy and Occupational Science, University of Missouri-Columbia, Columbia, MO 65211-4240, USA. mccormackg@health.missouri.edu

Children in two age groups (7 vs. 12 yrs, N= 174) individually interacted with a stranger and were later interviewed about this event. Right before the interview, each child encountered the stranger once again and he engaged in a conversation where he either suggested that a (central or peripheral) detail originally present in the event had actually not been there or that an originally non-present (central or peripheral) detail had in fact been there. It was hypothesized that the two types of misinformation would result in omission and commission errors respectively. The results showed that the social influence resulted in an asymmetric effect (i.e., more commission than omission errors). Importantly, we also found that the children made more errors with respect to the peripheral detail (a suitcase), compared to the central detail (a passenger). Younger children did not make more errors (neither omission nor commission errors) than older children.

Scand J Psychol. 2008 Dec;49(6):507-13. Hjelmsäter ER, Granhag PA, Strömwall LA, Memon A. Department of Psychology, University of Gothenburg, P.O. Box 500, SE 405 30, Göteborg, Sweden. emma.roos@psy.gu.se

Little is known about the effectiveness of therapeutic massage, one of the most popular complementary medical treatments for neck pain. A randomized controlled trial was conducted to evaluate whether therapeutic massage is more beneficial than a self-care book for patients with chronic neck pain. METHODS: Sixty-four such patients were randomized to receive up to 10 massages over 10 weeks or a self-care book. Follow-up telephone interviews after 4, 10, and 26 weeks assessed outcomes including dysfunction and symptoms. Log-binomial regression was used to assess whether there were differences in the percentages of participants with clinically meaningful improvements in dysfunction and symptoms (ie, >5-point improvement on the Neck Disability Index; >30% improvement from baseline on the symptom bothersomeness scale) at each time point. RESULTS: At 10 weeks, more participants randomized to massage experienced clinically significant improvement on the Neck Disability Index [39% vs. 14% of book group; relative risk (RR)=2.7; 95% confidence interval (CI), 0.99-7.5] and on the symptom bothersomeness scale (55% vs. 25% of book group; RR=2.2; 95% CI, 1.04-4.2). After 26 weeks, massage group members tended to be more likely to report improved function (RR=1.8; 95% CI, 0.97-3.5), but not symptom bothersomeness (RR=1.1; 95% CI, 0.6-2.0). Mean differences between groups were strongest at 4 weeks and not evident by 26 weeks. No serious adverse experiences were reported. CONCLUSIONS: This study suggests that massage is safe and may have clinical benefits for treating chronic neck pain at least in the short term. A larger trial is warranted to confirm these results.

Clin J Pain. 2009 Mar-Apr;25(3):233-8. Sherman KJ, Cherkin DC, Hawkes RJ, Miglioretti DL, Deyo RA. Group Health Center for Health Studies, Seattle, WA 98101, USA. sherman.k@ghc.org

OBJECTIVES: To explore the use and perceived usefulness of complementary and alternative medicine therapies and nonhormonal conventional medicine alternatives to treat vasomotor symptoms occurring after withdrawal from hormone therapy. DESIGN: Retrospective, single cross sectional descriptive study. SETTING: Study volunteers were recruited via a direct mailed questionnaire sent to a sample of women throughout the United States. Additional respondents were recruited through flyers and postcards advertising the study placed with permission at several health care provider offices and other locations. PARTICIPANTS: A sample of 563 menopausal women who had discontinued the use of hormone therapy completed a questionnaire describing their experiences with the use of complementary and alternative medicine. MAIN OUTCOME MEASURES: Responses to an investigator developed survey. RESULTS: Nearly half of the women surveyed used complementary and alternative medicine. The most common choices of complementary and alternative medicine were (a) multivitamins and calcium, (b) black cohosh, (c) soy supplements and food, (d) antidepressants, (e) meditation and relaxation, (f) evening primrose oil, (g) antihypertensives, and (h) homeopathy. Of the alternative therapies that were used by at least 5% of the sample, antidepressants were perceived as the most useful. CONCLUSIONS: With the increased adoption of complementary and alternative medicine, it is important for health care providers to be familiar with the various methods so they are comfortable discussing the benefits and risks with their patients to assist them in making informed decisions.

J Obstet Gynecol Neonatal Nurs. 2009 Jan-Feb;38(1):50-9. Kupferer EM, Dormire SL, Becker H. Duramed Research, Inc., Medical Affairs, Bala Cynwyd, PA, USA. EMKupferer@aol.com

The roots of Asparagus racemosus, Chlorophytum borivilianum, and rhizomes of Curculigo orchioides are popular for their aphrodisiac and immunostimulatory properties. The herbs have been traditionally used as Vajikaran Rasayana herbs because of their putative positive influence on sexual performance in humans. Lyophilized aqueous extracts obtained from the roots of A. racemosus, C. borivilianum, and rhizomes of C. orchioides were studied for sexual behavior effects in male albino rats and compared with untreated control group animals (total N = 60). The rats were evaluated for effect of treatments on anabolic effect. Seven measures of sexual behavior were evaluated. Administration of 200 mg/kg body weight of the aqueous extracts had pronounced anabolic effect in treated animals as evidenced by weight gains in the body and reproductive organs. There was a significant variation in the sexual behavior of animals as reflected by reduction of mount latency, ejaculation latency, post ejaculatory latency, intromission latency, and an increase of mount frequency. Penile erection (indicated by Penile Erection Index) was also considerably enhanced. Reduced hesitation time (an indicator of attraction towards female in treated rats) also indicated an improvement in sexual behavior of extract treated animals. The observed effects appear to be attributable to the testosterone-like effects of the extracts. Nitric oxide based intervention may also be involved as observable from the improved penile erection. The present results, therefore, support the folklore claim for the usefulness of these herbs and provide a scientific basis for their purported traditional usage.

Arch Sex Behav. 2009 Jan 13. Thakur M, Chauhan NS, Bhargava S, Dixit VK. Department of Pharmaceutical Sciences, Dr. H. S. Gour University, Sagar, MP, 470003, India.

Twenty healthy adults were randomly assigned to a moderate pressure or a light pressure massage therapy group, and EKGs were recorded during a 3-min baseline, during the 15-min massage period and during a 3-min postmassage period. EKG data were then used to derive the high frequency (HF), low frequency (LF) components of heart rate variability and the low to high frequency ratio (LF/HF) as noninvasive markers of autonomic nervous system activity. The participants who received the moderate pressure massage exhibited a parasympathetic nervous system response characterized by an increase in HF, suggesting increased vagal efferent activity and a decrease in the LF/HF ratio, suggesting a shift from sympathetic to parasympathetic activity that peaked during the first half of the massage period. On the other hand, those who received the light pressure massage exhibited a sympathetic nervous system response characterized by decreased HF and increased LF/HF.

Int J Neurosci. 2009;119(5):630-8. Diego MA, Field T. Touch Research Institute, Department of Pediatrics, University of Miami School of Medicine, Miami, Florida, USA. mdiego@med.miami.edu

Linda Gentry has been a registered nurse since 1978 and has a degree in psychology from the University of Central Missouri. Linda is a Certified Instructor with IACT. Linda is the founder of the Missouri Institute of Hypnotherapy and has provided training in basic and advanced hypnosis since 1999. She began private practice as a hypnotherapist in 1996. Linda is the Kansas City Metro, Kansas & Missouri Chapter President and a member of ABH, NGH, AHA, NFNLP and IACT.

This study examined the relation between method of weight loss and long-term maintenance among successful weight losers enrolled in a weight-loss maintenance trial. Participants were 186 adults (mean age = 51.6 +/- 10.7 years, mean BMI = 28.6 +/- 4.7 kg/m(2)) enrolled in the STOP Regain trial who had lost at least 10% of their body weight in the past 2 years using a very low-calorie diet (VLCD; n = 24), commercial program (n = 95), or self-guided approach (n = 67). Participants were randomized to a weight-maintenance intervention delivered face to face or over the internet or to a newsletter control condition, and followed for 18 months. At study entry, individuals who had used a VLCD had achieved a weight loss of 24% of their maximum weight within the past 2 years compared to 17% achieved by those who had used a commercial program or self-guided approach (P < 0.001). However, individuals who had used a VLCD regained significantly more weight than the other two groups and by 6 months, there were no significant differences in overall percent weight loss (i.e., initial weight loss and maintenance) between VLCD, commercial, and self-guided methods. In contrast, individuals who had used a self-guided approach maintained their weight losses from baseline through 18 months. The large initial weight losses achieved by individuals who had used a VLCD were not maintained over time, whereas individuals who had used a self-guided approach maintained their initial weight losses with the greatest success. The generalizability of these findings is limited by the sizeable weight losses achieved by study participants.

Obesity (Silver Spring). 2008 Nov;16(11):2456-61. Marinilli Pinto A, Gorin AA, Raynor HA, Tate DF, Fava JL, Wing RR. Department of Psychology, Baruch College, The City University of New York, New York, New York, USA. Angela_Pinto@baruch.cuny.edu

The article below summarizes a roundtable discussion of a study published in this issue of the Journal in light of its methodology, relevance to practice, and implications for future research. Article discussed: Marc I, Rainville P, Masse B, et al. Hypnotic analgesia intervention during first-trimester pregnancy termination: an open randomized trial. Am J Obstet Gynecol 2008;199:469.e1-469.e9. The full discussion appears at www.AJOG.org, page e1-e5.

Am J Obstet Gynecol. 2008 Nov;199(5):579-80. Comment on: Am J Obstet Gynecol. 2008 Nov;199(5):e1-5. Macones GA, Tuuli M, Houser M, Nicholas S, Kurnit K. Washington University School of Medicine, Department of Obstetrics and Gynecology, St Louis, MO, USA.

Behavioral medicine is based on the biopsychosocial theory that biological, psychological, and environmental factors all play significant roles in human functioning. This article reviews empirically supported and efficacious behavioral approaches to the treatment and management of migraine including cognitive behavioral therapy and biobehavioral training (ie, biofeedback, relaxation training, and stress management). These techniques have demonstrated efficacy when learned and practiced correctly and may be used individually or in conjunction with pharmacologic and other interventions. Data are also reviewed regarding patient education, support groups, psychological comorbidities, modifiable risk factors for headache progression, strategies for enhancing adherence and motivation, and strategies for effective medical communication.

Neurol Clin. 2009 May;27(2):445-465. Buse DC, Andrasik F. Department of Neurology, Albert Einstein College of Medicine of Yeshiva University, NY, USA; Clinical Health Psychology Doctoral Program, Ferkauf Graduate School of Psychology of Yeshiva University, NY, USA; Montefiore Headache Center, 1575 Blondell Avenue, Suite 225, Bronx, NY 10461, USA.

Dr. Fullman holds degrees in psychology, social sciences and public administration. He is in private practice and has been teaching psychology at collegiate institutions for the past 40 years. He also teaches at the Derner Institute of Advanced Psychological Studies at Adelphi University, where he developed their graduate course in hypnosis, psychology, social sciences, and public administration. He is in private practice and has been teaching psychology at collegiate institutions for the past 40 years. He also teaches at the Derner Institute of Advanced Psychological Studies at Adelphi University, where he developed their graduate course in hypnosis. Dr. Fullman has lectured for the past 40 years on hypnosis and its use as a medical adjunctive therapy. In this capacity he has worked with medical doctors in assisting patients prior, during and post operatively. He has also taught hypnosis at academic institutions and conducted numerous workshops for private organizations and industrial seminars. Besides his academic pursnits, Dr. Fullman is the Vice President of the Surgeon's Lodge of the NYS Fraternal Order of Police, where he has worked directly with police personnel during and since the World Trade Center tragedy.

Reviewed by Judith E. Pearson, Ph.D.

Randal Churchill's Catharsis in Regression Hypnotherapy focuses on two controversial issues in hypnotherapy. The first issue, regression, is fraught with the possibility of bringing about false memories. The second issue, catharsis, holds the possibility of re-traumatizing a client through abreaction. In spite of my doubts about the therapeutic value of the author's approach, I found the book well-written and worthwhile to read.

[More]

Due to treatment accessibility and cost issues, interest in self-help programs (e.g., bibliotherapy, telehealth) for common psychological disorders is growing. Research supporting the efficacy of such a program for social anxiety, however, is limited. The present study examined the efficacy of an 8-week self-directed cognitive behavioral treatment with minimal therapist involvement for social phobia based on a widely available self-help book. Twenty-one adults with social phobia initially received either treatment (i.e. assigned readings in the workbook with limited therapist contact) or were wait-listed. Wait-listed patients eventually received the same self-directed treatment. Results revealed that the self-help/minimal therapist contact treatment was superior to wait-list on most outcome measures. Across the entire sample, reductions in social anxiety, global severity, general anxiety, and depression were observed at posttest and 3-month follow-up. These findings provide preliminary support for using this self-help workbook for individuals with mild to moderate social anxiety in conjunction with infrequent therapist visits to reinforce the treatment principles. Study limitations and future directions are discussed.

J Behav Ther Exp Psychiatry. 2009 Mar;40(1):98-105. Epub 2008 Apr 26. Abramowitz JS, Moore EL, Braddock AE, Harrington DL. University of North Carolina at Chapel Hill, NC 27599, USA. jabramowitz@unc.edu

Population-based, case-control and case-crossover study. OBJECTIVE: To investigate associations between chiropractic visits and vertebrobasilar artery (VBA) stroke and to contrast this with primary care physician (PCP) visits and VBA stroke. SUMMARY OF BACKGROUND DATA: Chiropractic care is popular for neck pain and headache, but may increase the risk for VBA dissection and stroke. Neck pain and headache are common symptoms of VBA dissection, which commonly precedes VBA stroke. METHODS: Cases included eligible incident VBA strokes admitted to Ontario hospitals from April 1, 1993 to March 31, 2002. Four controls were age and gender matched to each case. Case and control exposures to chiropractors and PCPs were determined from health billing records in the year before the stroke date. In the case-crossover analysis, cases acted as their own controls. RESULTS: There were 818 VBA strokes hospitalized in a population of more than 100 million person-years. In those aged <45 years, cases were about three times more likely to see a chiropractor or a PCP before their stroke than controls. Results were similar in the case control and case crossover analyses. There was no increased association between chiropractic visits and VBA stroke in those older than 45 years. Positive associations were found between PCP visits and VBA stroke in all age groups. Practitioner visits billed for headache and neck complaints were highly associated with subsequent VBA stroke. CONCLUSION: VBA stroke is a very rare event in the population. The increased risks of VBA stroke associated with chiropractic and PCP visits is likely due to patients with headache and neck pain from VBA dissection seeking care before their stroke. We found no evidence of excess risk of VBA stroke associated chiropractic care compared to primary care.

J Manipulative Physiol Ther. 2009 Feb;32(2 Suppl):S201-8. Republished from: Spine. 2008 Feb 15;33(4 Suppl):S176-83. Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ. Centre of Research Expertise for Improved Disability Outcomes, University Health Network Rehabilitation Solutions, Toronto Western Hospital, Toronto, ON, Canada. dcassidy@uhnresearch.ca

To explore the hypothesis that nontouch therapy such as therapeutic touch (TT) reduces stress to a clinically important degree and is safe to use in preterm infants. DESIGN: A pilot randomized, double-blind, controlled trial. SUBJECTS: Two groups of 10 infants were enrolled and randomly assigned to treatment or nontreatment groups. Gestational age was less than 29 weeks. Demographic descriptions of the 2 groups were statistically similar. METHODS: The observer and staff were blinded to assignment; the TT practitioner was blinded to observed measurements. Each infant received either TT or no therapeutic touch (NTT) for 5 minutes on 3 consecutive days at the same time of day, behind a curtain. Heart period variability (HPV) was measured 5 minutes before, during, and after the treatment phase. RESULTS: Examination of the parameters of oxygen saturation and episodes of apnea demonstrated no increase in adverse events in TT group compared with NTT group. Repeated-measures multivariate analysis of variance on HPV revealed differences in the interaction of group assignment with low-frequency, high-frequency, and low-to-high- frequency ratio interaction (F2,143 = 8.076, P = .000) and for group, day, and low-frequency, high-frequency, and low-to-high-frequency ratio (F2,288 = 3.146, P = .015), and in the posttreatment time period (F1,16 = 6.259, P = .024), reflective of greater parasympathetic activity in TT group. CONCLUSION: In this pilot trial, HPV showed an increase for the TT group compared with the NTT group. The study reveals no adverse effects of TT in preterm infants.

Adv Neonatal Care. 2008 Dec;8(6):315-33. Whitley JA, Rich BL. Neonatal Nurseries, McMaster Children's Hospital, Hamilton Health Sciences, Hamilton, Ontario, Canada. julie4453@cogeco.ca

We explored whether event recency and valence affect people's susceptibility to imagination inflation. Using a three-stage procedure, subjects imagined positive and negative events happening in their distant or recent past. First, subjects rated how confident they were that they had experienced particular positive and negative events in childhood or adulthood using a Life Events Inventory (LEI). Two weeks later, they imagined two positive and two negative events from the LEI. Finally, they rated their confidence on the LEI a second time. For positive events, subjects showed more imagination inflation for adulthood than childhood events. For negative events, they showed no difference in imagination inflation for adulthood and childhood events. We discuss factors that may influence source confusions for memories of the past and highlight directions for future research.

Acta Psychol (Amst). 2008 Oct;129(2):228-33. Sharman SJ, Barnier AJ. School of Psychology, University of New South Wales, Sydney, NSW 2052, Australia. s.sharman@unsw.edu.au

We examined how aromatherapy massage influenced psychologic and immunologic parameters in 12 breast cancer patients in an open semi-comparative trial. We compared the results 1 month before aromatherapy massage as a waiting control period with those during aromatherapy massage treatment and 1 month after the completion of aromatherapy sessions. The patients received a 30 min aromatherapy massage twice a week for 4 weeks (eight times in total). The results showed that anxiety was reduced in one 30 min aromatherapy massage in State-Trait Anxiety Inventory (STAI) test and also reduced in eight sequential aromatherapy massage sessions in the Hospital Anxiety and Depression Scale (HADS) test. Our results further suggested that aromatherapy massage ameliorated the immunologic state. Further investigations are required to confirm the anxiolytic effect of aromatherapy in breast cancer patients.

Evid Based Complement Alternat Med. 2009 Mar;6(1):123-8. Imanishi J, Kuriyama H, Shigemori I, Watanabe S, Aihara Y, Kita M, Sawai K, Nakajima H, Yoshida N, Kunisawa M, Kawase M, Fukui K. Department of Microbiology, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamikyo-ku, Kyoto 602-8566, Japan. imanishi-micro@nifty.com.

Chinese herbal medicine (CHM) has been commonly used for treating insomnia in Asian countries for centuries. The aim of this study was to conduct a large-scale pharmaco-epidemiologic study and evaluate the frequency and patterns of CHM use in treating insomnia. We obtained the traditional Chinese medicine (TCM) outpatient claims from the National Health Insurance in Taiwan for the year 2002. Patients with insomnia were identified from the diagnostic code of International Classification of Disease among claimed visiting files. Corresponding prescription files were analyzed, and an association rule was applied to evaluate the co-prescription of CHM. Results showed that there were 16 134 subjects who visited TCM clinics for insomnia in Taiwan during 2002 and received a total of 29 801 CHM prescriptions. Subjects between 40 and 49 years of age comprised the largest number of those treated (25.3%). In addition, female subjects used CHMs for insomnia more frequently than male subjects (female:male = 1.94:1). There was an average of 4.8 items prescribed in the form of either an individual Chinese herb or formula in a single CHM prescription for insomnia. Shou-wu-teng (Polygonum multiflorum) was the most commonly prescribed single Chinese herb, while Suan-zao-ren-tang was the most commonly prescribed Chinese herbal formula. According to the association rule, the most commonly prescribed CHM drug combination was Suan-zao-ren-tang plus Long-dan-xie-gan-tang, while the most commonly prescribed triple drug combination was Suan-zao-ren-tang, Albizia julibrissin, and P. multiflorum. Nevertheless, further clinical trials are needed to evaluate the efficacy and safety of these CHMs for treating insomnia.

Evid Based Complement Alternat Med. 2009 Apr 1. Chen FP, Jong MS, Chen YC, Kung YY, Chen TJ, Chen FJ, Hwang SJ. Department of Family Medicine, Taipei Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan, ROC. sjhwang@vghtpe.gov.tw.

Chronic tendon pathology is a soft tissue condition commonly seen in chiropractic practice. Tendonitis, tendinosis, and tendinopathy are terms used to describe this clinical entity. The purpose of this article is to review interventions commonly used by doctors of chiropractic when treating tendinopathy. METHODS: The Scientific Commission of the Council on Chiropractic Guidelines and Practice Parameters (CCGPP) was charged with developing literature syntheses, organized by anatomical region, to evaluate and report on the evidence base for chiropractic care. This article is the outcome of this charge. As part of the CCGPP process, preliminary drafts of these articles were posted on the CCGPP Web site www.ccgpp.org (2006-8) to allow for an open process and the broadest possible mechanism for stakeholder input. A literature search was performed using the PubMed; Cumulative Index to Nursing and Allied Health Literature; Index to Chiropractic Literature; Manual, Alternative, and Natural Therapy Index System; National Guidelines Clearinghouse; Database of Abstracts of Reviews of Effects; and Turning Research Into Practice databases. The inclusion criteria were manual therapies, spinal manipulation, mobilization, tendonitis, tendinopathy, tendinosis, cryotherapy, bracing, orthotics, massage, friction massage, transverse friction massage, electrical stimulation, acupuncture, exercise, eccentric exercise, laser, and therapeutic ultrasound. RESULTS: There is evidence that ultrasound therapy provides clinically important improvement in the treatment of calcific tendonitis. There is limited evidence of the benefit of manipulation and mobilization in the treatment of tendinopathy. Limited evidence exists to support the use of supervised exercise, eccentric exercise, friction massage, acupuncture, laser therapy, use of bracing, orthotics, and cryotherapy in the treatment of tendinopathy. CONCLUSION: Chiropractors often provide a number of conservative interventions commonly used to treat tendinopathy.

J Manipulative Physiol Ther. 2009 Jan;32(1):41-52. Pfefer MT, Cooper SR, Uhl NL. Cleveland Chiropractic College, Overland Park, Kansas 66210, USA. mark.pfefer@cleveland.edu

Art Emrich has been working successfully with groups and individuals as a coach, advisor, and facilitator for over 40 years. He has extensive global experience, having introduced a variety of breakthrough learning interventions for many years in the US, Canada, Mexico, South America, Europe, UK, Asia, India, Australia, and New Zealand. Art is certified as a Master Practitioner and Trainer of NLP and hypnotherapy.

For more information visit: www.u-solutions.net

This experiment aimed to create a laboratory analogue of déjà vu. During hypnosis, 1 group of high hypnotizables completed a puzzle game and then received a posthypnotic amnesia suggestion to forget the game (PHA condition). Another group of highs were not given the game but received a posthypnotic familiarity suggestion that it would feel familiar (PHF condition). After hypnosis, all participants were given the game and described their reactions to it. Whereas 83% of participants in both conditions passed their respective suggestions, more in the PHF condition felt a sense of déjà vu. An EAT inquiry revealed that they experienced sensory fascination and confusion about the source of familiarity, akin to everyday déjà vu. These findings highlight the value of using hypnosis as a laboratory analogue of déjà vu and provide a framework for investigating clinical manifestations of this phenomenon.

Int J Clin Exp Hypn. 2008 Oct;56(4):425-50. O'Connor AR, Barnier AJ, Cox RE. University of Leeds, United Kingdom. aoconnor@wustl.edu

We systematically reviewed empirical studies that investigated the use of cognitive-behavioral therapy (CBT) for premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD). Our multi-database search identified seven published empirical reports. Three were identified as randomized controlled trials (RCTs). The methods utilized to investigate therapeutic efficacy of CBT in these studies varied widely from case reports to RCTs with pharmacotherapy comparison groups. Initially we provide a brief overview of CBT and justifications for its potential use to treat PMS/PMDD. Next, we provide critical evaluations of the analyses used in each study focusing on the detection of intervention effects assessed by statistically significant time by group interactions. When possible we calculate effect sizes to elucidate the clinical significance of results. Our review revealed a dearth of evidence providing statistically significant CBT intervention effects. Issues such as overall time investment, latency to treatment effects, and complementary and combined therapies are considered. We present a theoretical argument for applying mindfulness- and acceptance-based CBT interventions to PMS/PMDD and suggest future research in this area. In conclusion, to produce the necessary evidence-base support for PMS/PMDD given the limited empirical evidence reported here, researchers are called on to produce methodologically rigorous investigations of psychosocial interventions for PMS/PMDD.

Arch Womens Ment Health. 2009 Apr;12(2):85-96. Lustyk MK, Gerrish WG, Shaver S, Keys SL. Lustyk Women's Health Lab, School of Psychology, Family, and Community, Seattle Pacific University, Seattle, WA, USA. klustyk@spu.edu

This multiple case study of cognitive-behavioral treatment (CBT) for chronic fatigue syndrome (CFS) compared self-report and behavioral outcomes. Eleven relatively high-functioning participants with CFS received 6-32 sessions of outpatient graded-activity oriented CBT. Self-report outcomes included measures of fatigue impact, physical function, depression, anxiety, and global change. Behavioral outcomes included actigraphy and the 6-minute walking test. Global change ratings were very much improved (n=2), much improved (n=2), improved (n=5), and no change (n=2). Of those reporting improvement, clinically significant actigraphy increases (n=3) and decreases (n=4) were found, as well as no significant change (n=2). The nature of clinical improvement in CBT trials for high-functioning CFS patients may be more ambiguous than that postulated by the cognitive-behavioral model.

J Clin Psychol. 2009 Apr;65(4):423-42. Friedberg F, Sohl S. Stony Brook University. Fred.Friedberg@stonybrook.edu

Lucille Durso, a sister of St. Joseph of Peace, is an experienced educator and administrator. Lucille is a certified instructor in Health and Retirement Planning and holds certification in Rieki, Healing Touch, Therapeutic Touch, the Four Agreements, and is an advanced Clinical Hypno-counselor.

A Review by Judith Pearson, PhD, LPC

When I first picked up Foundations of Clinical Hypnosis, by Edwin Yager, I did not feel enthusiastic. First, the title sounds like the dry, dull textbooks I waded through as an undergrad. Second, as a hypnotherapist of 20 years, I thought I'd find the subject matter too basic. I am happy to say I was wrong on both counts. Yager's book provides stimulating reading. It is written in a straightforward way and holds basic information for beginners, as well as innovative methods for seasoned practitioners.

[More]

The authors examined the relation between children's narrative ability, which has been identified as an important contributor to memory development, and suggestibility. Across 2 studies, a total of 112 preschool-aged children witnessed a staged event and were subsequently questioned suggestively. Results from Study 1 indicated that children's ability to provide a high-quality narrative of the event was related to resistance to suggestive questions, and narrative ability appeared to supersede age as a predictor of such resistance. In Study 2, children's general language and narrative abilities were measured in addition to their ability to produce a high-quality narrative about the target event. These results replicated Study 1's findings that children's ability to produce a high-quality narrative of a previously experienced event predicted resistance to suggestion. However, the quality of children's autobiographical memory narratives predicted shifting from denial to assent. Findings are considered in light of narrative's role in memory development and underlying mechanisms that may explain children's suggestibility.

Dev Psychol. 2008 Sep;44(5):1442-56. Kulkofsky S, Klemfuss JZ. Department of Human Development & Family Studies, Texas Tech University, Lubbock, TX 79409, USA. sarah.kulkofsky@ttu.edu

Despite a growing body of literature on complementary and alternative medicine, there is still limited information on the use of Ayurveda in the United States. Because Ayurveda is one of the world's major traditional medical systems, knowledge of its use is important. In particular, information on utilization by Asian Indians living in the United States is needed due to increased immigration from India and related regions. Recent reports of heavy metal contamination of some imported Ayurveda products underscore this need. For this reason, an exploratory survey was conducted. DESIGN: A semistructured 21-item questionnaire was administered using face-to-face interviews. PARTICIPANTS AND SETTING: The study comprised a convenience sample of 64 Asian Indians living in Northern California. OUTCOME MEASURES: Main outcome measures included sociodemographic variables, questions on awareness, knowledge and use of Ayurvedic products or services, use of other nutritional/herbal products, and reasons for use. RESULTS: In the sample, 95% of the participants were aware of Ayurveda, 78% had knowledge of Ayurvedic products or treatments, and about 59% had used or were currently using Ayurveda. Only 18% of those using Ayurveda had informed their Western medical doctors. CONCLUSIONS: Given its common use in the United States by Asian Indians, its cultural relevance, potential therapeutic value, and possible safety concerns, physician and consumer education along with more empirical research is warranted.

J Altern Complement Med. 2008 Dec;14(10):1249-53. Satow YE, Kumar PD, Burke A, Inciardi JF. Department of Consumer and Family Studies/Dietetics, San Francisco State University, San Francisco, CA 94132, USA. yes@sfsu.edu

Religion is important to most older adults, and research generally finds a positive relationship between religion and mental health. Among psychotherapies used in the treatment of anxiety and depression in older adults, cognitive-behavioral therapy (CBT) has the strongest evidence base. Incorporation of religion into CBT may increase its acceptability and effectiveness in this population. This article reviews studies that have examined the effects of integrating religion into CBT for depression and anxiety. These studies indicate that improvement in depressive and anxiety symptoms occurs earlier in treatment when CBT incorporates religion, although effects are equivalent at follow-up. The authors present recommendations for integrating religious beliefs and behaviors into CBT based on empirical literature concerning which aspects of religion affect mental health. A case example is also included that describes the integration of religion into CBT for an older man with cognitive impairment experiencing comorbid generalized anxiety disorder and major depressive disorder. It is recommended that clinicians consider the integration of religion into psychotherapy for older adults with depression or anxiety and that studies be conducted to examine the added benefit of incorporating religion into CBT for the treatment of depression and anxiety in older adults.

J Psychiatr Pract. 2009 Mar;15(2):103-12. Paukert AL, Phillips L, Cully JA, Loboprabhu SM, Lomax JW, Stanley MA. Veterans Affairs Medical Center, Puget Sound Health Care System, 1660 South Columbian Way, Seattle, WA 98108, USA. Amber.Paukert@va.gov