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Rejuvenation Amidst Frigid Temperatures

Hibernation, according to Webster's dictionary is a state of inactivity and metabolic depression in animals, characterized by lower body temperature, slower breathing, and lower metabolic rate. When animals hibernate they actually conserve energy. During winter, when food supply is limited, animals use their energy reserves at a slow rate. It is the animal's slowed metabolic rate which leads to a reduction in body temperature.

Hibernation is the way that animals adapt to the climate and land around them. Animals must be able to live through extreme cold.... or die. Animals hibernate--or deep sleep--to escape that cold. They also do this because it is really hard to find food during the winter. (Thinkquest.org)

It is interesting to think about how cold weather affects humans. In cold climates, there is a slow stillness that often accompanies the winter. We move more slowly, we leave our homes less often and we initially see less sunlight and have less fresh air.

Some tend to cook more during this season; stews, soups, casseroles. Music can be softer, more lentando-easeful. While some enjoy the soft, slow stillness and see Winter as an opportunity to nestle, stay warm and relax more than they would during Fall, Spring or Summer; others become absorbed in the stillness and have a less than positive experience. People can tend to hibernate and resist the frigid feeling of having to go out in the wind and frigid temperatures. They may drop their activities and stay in bed for longer than usual periods.

The New Year comes shortly after the Winter Solstice-and can provide new life and prospective goal planning, and yet, there are many cold months to follow. It may be a most difficult time to carry motivation and incentives set forth on January 1. Resolution can quickly lead to disillusion if not fostered with structure and creativity.

It has been an especially cold Winter thus far-how do you rejuvenate? Let's share some tips to move ourselves through the frigid period...music or ????

Has the Bedside Become Messy? Crying with Patients in the Name of Intimacy

"A young doctor sat down with a terminal lung cancer patient and her husband to discuss the woman's gloomy prognosis. The patient began to cry. Then the doctor did, too. The scene was undoubtedly moving. But should physicians display this much emotion at the bedside?" This was the start of a thought-provoking essay in the New York Times by Barron H. Lerner, MD, a Columbia University Medical School and School of Public health faculty member, internist and renowned author. Lerner, in this article, addresses opinions about the issue of whether health care providers should stay stoic or show emotion in their communications, particularly regarding bad news to patients. Bloggers can access his essay: Excerpt from New York Times Article: At Bedside, Stay Stoic or Display Emotions? http://www.nytimes.com/2008/04/22/health/views/22essa.html

This article focused mainly on physicians' responses and relayed that at a recent meeting of the Society of General Internal Medicine at Harvard Medical School, colleagues reported that 69 percent of medical students and 74 percent of interns said they had cried at least once during their yearly trainings. (How wonderful to know that our doctors of tomorrow are human beings!)

As therapists, we are trained to work with our countertransference and to be clear on how we might use countertransference in an informed way within our sessions with patients and families. Recognizably the role of a doctor is considerably different than that of a therapist; however, the role of holding a space for a patient, especially during a time when traumatic information is being shared, seems vital. Granted, it is quite difficult to be the barer of horrible news, and yet, I wonder if, in crying, the doctor induces a feeling of trauma in the patient that in reality would take more time for the patient to digest, in order to arrive at such a point of emoting. Second, in watching the doctor cry, the patient may feel an unconscious (unreasonable, but existing nevertheless) sense of shame or guilt that s/he is failing the doctor in his mission to heal. Third, the patient, particularly if not well-adjusted, may be faced with having to worry about the doctor's emotional well-being. And so, I think it is inappropriate and on some level unprofessional and even selfish for a doctor to cry in front of a patient, especially in the face of having to relay traumatic material. Fine to stay with the patient; please, offer long listening, a shoulder, extra silence...but not with tears. In my opinion, the patient has enough to worry about, and needs a holding place - one who understands and who is present. I would love to hear your thoughts on this and most particularly if you are a doctor, nurse, social worker, OT, PT, clergy and of course, creative arts therapists... Patients too - what do you think? Cry or no cry?

 
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