The new issue of *Archives of Internal Medicine* (Vol. 170, No. 4,
February 22) includes an article: “The Effect of Exercise Training on
Anxiety Symptoms Among Patients: A Systematic Review.”

The authors are Matthew P. Herring, MS, MEd, Patrick J. O’Connor, PhD, & Rodney K. Dishman, PhD.

Here’s how the article starts:

[begin excerpt]

Anxiety, an unpleasant mood characterized by thoughts of worry, is an
adaptive response to perceived threats that can develop into a
maladaptive anxiety disorder if it becomes severe and chronic.1

Anxiety symptoms and disorders are common among individuals with a
chronic illness,2-8  yet health care providers often fail to recognize
or treat anxiety and may consider it to be an unimportant response to a
chronic illness.9

Anxiety symptoms can have a negative impact on treatment outcomes in
part because anxious patients can be less likely to adhere to prescribed
medical treatments.10-11

Personal costs of anxiety among patients include reduced health-related
quality of life12 and increased disability, role impairment,13 and
health care visits.14
(more…)

The new issue of *Behaviour Research and Therapy* (vol. 48, #2, pp.
152-157) includes a study: “When self-help is no help: Traditional
cognitive skills training does not prevent depressive symptoms in people
who ruminate.”

The author is Gerald J. Haeffela.

Here’s the abstract:

[begin excerpt]

A randomized trial was conducted to test the efficacy of three self-
directed prevention intervention workbooks for depression.

Cognitively at-risk college freshmen were randomly assigned to one of
three conditions: traditional cognitive, non-traditional cognitive, and
academic skills.

Consistent with hypotheses, participants who were high in rumination and
experienced stress exhibited significantly greater levels of depressive
symptoms after completing the traditional cognitive skills workbook than
after completing the other two workbooks.

This pattern of results held post-intervention and 4 months later.

These findings indicate that rumination may hinder ones ability to
identify and dispute negative thoughts (at least without the help of a
trained professional).

The results underscore the importance of identifying individual
difference variables that moderate intervention efficacy.

They also raise concerns about the potential benefits of self-help
books, an industry that generates billions of dollars each year.

[end abstract]

Here’s the contact info from the author note: Gerald J. Haeffela,
Department of Psychology, University of Notre Dame, Haggar Hall, Notre
Dame, IN 46556, < g h a e f f e l @ n d . e d u >.

Courtesy of Ken Pope

“There is an idea current in the prevailing culture that writing about something that means you heal the pain.  I was not, when I began writing my life story, and I am not now, healed of my mother.  You do gain a small distance from anything by keeping it in suspension in your mind while you work at finding the words to fit it.  The process is so slow and incremental that you do not notice its effect, but the point is that it is a process.  I found out when I was a little girl that if you are crying uncontrollably and want to stop, the thing is to do something useful with your tears — water a plant, say.  They’ll dry up for themselves.  The same happens when you try to make sentences of painful material: the material lightens as it is put to work.”

Nualo O’Faolain in “Almost There”, pg. 36.

Resources on reproductive loss

1) When Part of the Self Is Lost: Helping Clients Heal After Sexual and Reproductive Losses by Constance Hoenk Shapiro was published in 1993 but may be hard to get, its not currently available on Amazon.

2) CBC had a program called “mother of miscarriage” that can be ordered on tape. it is mostly to validate the loss, giving permission to grieve, and reminding the woman she is not alone.

3) Nancy Newman has an excellent website as well:
http://www.fertilityplus.org/faq/miscarriage/resources.html

4)  http://www.missfoundation.org MISS Foundation, online support groups for all family members and resources for caregivers.

5) “Empty Cradle, Broken Heart” by Davis is a written resource.  There is also a website: http://www.emptycradle.org/

Another book is:  An Empty Cradle, a Full Heart: Reflections for Mothers and Fathers After Miscarriage, Stillbirth, or Infant Death
Author: Christine O’Keeffe Lafser.

6) Hope is like the Sun: Finding Hope and Healing after Miscarriage,
stillbirth or Infant death by Lisa Church (Book).

compiled by
Natacha Ferrada, Ph.D
Registered Psychologist,
Vancouver, BC
with input of BC colleagues

“I am Me. In all the world, there is no one else exactly like me. Everything that comes out of me is authentically mine, because I alone chose it — I own everything about me: my body, my feelings, my mouth, my voice, all my actions, whether they be to others or myself. I own my fantasies, my dreams, my hopes, my fears. I own my triumphs and successes, all my failures and mistakes. Because I own all of me, I can become intimately acquainted with me. By so doing, I can love me and be friendly with all my parts. I know there are aspects about myself that puzzle me, and other aspects that I do not know — but as long as I am friendly and loving to myself, I can courageously and hopefully look for solutions to the puzzles and ways to find out more about me. However I look and sound, whatever I say and do, and whatever I think and feel at a given moment in time is authentically me. If later some parts of how I looked, sounded, thought, and felt turn out to be unfitting, I can discard that which is unfitting, keep the rest, and invent something new for that which I discarded. I can see, hear, feel, think, say, and do. I have the tools to survive, to be close to others, to be productive, and to make sense and order out of the world of people and things outside of me. I own me, and therefore, I can engineer me. I am me, and I am Okay.”

– Virginia Satir –

THE TIME OUT

The “Time-Out” is a simple yet effective tool for changing angry violent and abusive behavior. The intention of the time out is not to offer long term solutions to conflict and anger problems. This tool is simply intended to offer a short term alternative to behavior that is no longer desirable.

The “Time-Out” is a technique that requires practice and commitment. Initial obstacles to taking a “Time-Out” may not be foreseen and so it is sometimes recommended that a practice “Time-Out” should take place before a real one is necessary.

There are four steps to the “Time-Out”

l. Identify that you are escalating to the point where you need to get out of the situation. Use the “cues” or red flags to help you get in touch with physical, emotional and situational cues that may help you to know where you are at with your anger.

2. Decide to take the time out before you become intimidating, threatening or physically abusive. Indicate to the other person/s that you are leaving. Do not make any long speeches at this point; simply say that you are taking a “Time-Out”. (Make sure that you have informed others about the “Time-Out” in advance.

3. Leave where you are and go outside. Do not simply go to another room of the house or workplace. It is important that you physically leave the site of the conflict. Don’t get “hooked” into staying in the conflict. Take one hour to calm down before coming back. lf you need longer, let the other person know this. Don’t “stomp out”!

4. Return and decide together whether or not to return to the discussion or issue that took place before you left.

DO DO NOT
Think of other things Drink/use drugs
Walk, cycle, run, etc. Drive/ talk to unhealthy people
Talk to a positive support Hit or strike anything
Come back in one hour Rehearse the argument
Courtesy of Arla Sinclair Counselling

BOUNDARIES AND RIGHTS

  • I have a right to be treated with dignity and respect.
  • I have a right to have and express all my feelings.
  • I have a right to take care of myself first if I choose to.
  • I have a right to be listened to and taken seriously.
  • I have a right to make mistakes.
  • I have a right to say NO! I do not need to justify myself or give reasons.
  • I have a right to say NO without feeling guilty.
  • I have a right to say NO to anything I feel I am not ready for.
  • I have a right to say NO to anything that violates my values.
  • I have a right to say NO to anything that I feel is unsafe.
  • I have a right to terminate conversations – because I want to – when I feel humiliated or put down.
  • I have a right to choose who to spend my time with.
  • I have a right to play and have fun.
  • I have a right to set limits for myself
  • I have a right to make my own choices and decisions.
  • I have a right to choose my own spiritual beliefs.
  • I have a right to physical and emotional privacy.
  • I have a right to grieve.
  • I have a right to talk about things that are important to me.
  • I have a right to be angry.
  • I have a right to express my needs.
  • I have a right to make noise, to laugh, and to cry out loud