Do You Think You Can't?

Self-Therapy For People Who ENJOY Learning About Themselves

You are incapable of something if you are physically unable to do it. You are capable of something if you are physically able to do it.

If you were hired to do something your mind just can't comprehend, you are incapable of those duties.

If you want to walk up a stairway but you don't have legs, you are incapable of that activity.

Being incapable is about physical impossibility. It's not just a matter of believing you can't.

"I CAN'T"

People often say they can't do something when they just don't want to do it. If they are lying to others, that's a relationship problem. If they are lying to themselves, that's a therapy problem.

"I THINK I CAN'T... I THINK I CAN'T..."

Let's talk about a boy, Leo, who was told to tie his shoes when he was three years old. He did his best, spent a lot of time at it, and found that his little fingers just couldn't handle the job. Things like that happen a lot to kids.

But let's say Leo grew up to be one of the people who claim they can't do a whole lot of things.

How did he get that way? How will he get over it?

HOW IT HAPPENED
Leo now says he can't do many things he actually can do. He does this because he made one of these decisions long ago:
1) That he was incapable of some things.
2) That he was incapable of most things.
3) That he had to rebel against some expectations.
4) That he had to rebel against all expectations.
5) That he was incapable of most things and he also had to keep rebelling.

continue story below

INCAPABLE OF SOME THINGS
If the frustration over tying his shoes was extremely strong, Leo could have decided that this is just something he will never be able to do. He's wrong, of course, but it's no big deal if he can find a way to get around the problem. (Slippers, boots, and Velcro come to mind...)
INCAPABLE OF MOST THINGS
If Leo was often expected to do things he was physically unable to do he might have decided that he was unable to do almost everything. He might come to therapy saying he has self-esteem issues - but he got that way by believing he's incapable.

Leo could learn in therapy that:
1) Too much was expected of him in the past.
2) He can do whatever anyone else with his physical makeup can do.
3) He can make his own choices about what he will and won't do.
NEED TO REBEL AGAINST SOME EXPECTATIONS
Maybe Leo's mother was an athlete who wanted her son to become one too. Maybe she put a lot of pressure on him to develop his physical skills. If so, Leo might have needed to rebel against all such demands by pretending he couldn't do any athletic things.

If his mother eventually got off his back about these things, good for little Leo! But as an adult, he still needs to learn to say "yes" or "no" instead of "I can't."

NEED TO REBEL AGAINST ALL EXPECTATIONS

If the adults were never satisfied with what he did as a child, Leo might grow up to be angry whenever anyone wants anything at all from him. He might be bitter against the world because he decided long ago that everyone will always be dissatisfied, even with his best efforts.

So he says "I can't" almost without thinking. He tells his boss he can't get that report in on time. He tells his friends he can't make it to their party. And he tells his lover he can't have sex tonight, and almost every night.

Eventually he will have to face how sad he is about losing all of the things he could have done so far in his life. He needs to face his sadness about these losses before he'll have the motivation to acknowledge his real capabilities.

INCAPABLE OF MOST THINGS AND REBELLIOUS
If Leo's family was physically cruel as well as continually dissatisfied with him, he might end up thinking both that he's incapable and that he needs to continually rebel. If so, he will hold on very strongly to these ideas because he thinks they keep him safe.

Like all of us, Leo would love to know how capable he really is. Once he gets relief from all his sadness and fear he will finally realize he CAN.

Enjoy Your Changes!

Everything here is designed to help you do just that!

next: Handling Criticism

APA Reference
Staff, H. (2008, November 15). Do You Think You Can't?, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/self-help/inter-dependence/do-you-think-you-cant

Last Updated: August 15, 2014

Ambivalence

Thoughtful quotes about ambivalence.

Words of Wisdom

ambivalence.

"I happen to feel that the degree of a person's intelligence is directly reflected by the number of conflicting attitudes she can bring to bear on the same topic" (Lisa Alther)

"Confusion is always the most honest response." (Mary Indik)

"My open-mindedness is driving me insane!" (Young girl)

"There is only one thing about which I am certain, and that is that there is very little about which one can be certain." (author unknown)

"It wasn't until late in life that I discovered how easy it is to say, I don't know." (William Somerset Maugham)


continue story below

next:Anxiety

APA Reference
Staff, H. (2008, November 15). Ambivalence, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/alternative-mental-health/sageplace/ambivalence

Last Updated: July 18, 2014

Mind-Body Interventions for Gastrointestinal Conditions

Which mind-body therapy works best for GI conditions? Behavioral therapy, biofeedback, CBT, hypnosis or another? Find out.

Which mind-body therapy works best for GI conditions? Behavioral therapy, biofeedback, CBT, hypnosis or another? Find out.

Summary

Under its Evidence-based Practice Program, the Agency for Healthcare Research and Quality (AHRQ) is developing scientific information for other agencies and organizations on which to base clinical guidelines, performance measures, and other quality improvement tools. Contractor institutions review all relevant scientific literature on assigned clinical care topics and produce evidence reports and technology assessments, conduct research on methodologies and the effectiveness of their implementation, and participate in technical assistance activities.

Overview

The objective of this evidence report was to search the literature on the use of mind-body therapies for the treatment of health conditions and, on the basis of this search, to choose either a condition or mind-body modality for a comprehensive review.

A broad search of mind-body therapies showed that there were sufficient studies regarding their use for gastrointestinal (GI) conditions to warrant a detailed review. GI conditions pose a significant health problem, and they can be challenging to manage. They also have been the focus of mind-body interventions, including:

  • Behavioral therapy.
  • Biofeedback.
  • Cognitive therapy.
  • Guided imagery.
  • Hypnosis.
  • Meditation.
  • Placebo therapy used as an intervention.
  • Relaxation therapy.
  • Multimodal therapy.

 


However, no studies of meditation were found that used a comparative treatment design. Therefore, this report reviews the use of behavioral therapy, biofeedback, cognitive therapy, guided imagery, hypnosis, placebo therapy, relaxation therapy, and multimodal therapy for the treatment of GI conditions.

Reporting the Evidence

The purpose of this work is to identify those mind-body therapies that have empirical support of efficacy. Such information can be used to help health care providers care for patients with GI conditions and to identify future research needs. The specific questions addressed in this report are:

  1. What mind-body therapies have been reported in the literature, for which body systems/conditions, and using what kind of research design?

  2. What is the efficacy of mind-body therapies for the treatment of gastrointestinal conditions?

An initial broad search of the mind-body literature yielded 2,460 titles, of which 690 were judged possibly relevant to our investigation based on the use of a short screening form. This form screened for:

  • Source of the article.
  • Subject.
  • Language.
  • Focus.
  • Body system.
  • Outcomes.
  • Modalities used.
  • Human/animal subjects.
  • Study type.

To answer our first major research question and to describe the basic characteristics of the published mind-body literature, we assessed these accepted articles for their target body systems or health conditions, for the mind-body modalities used, and for the study design. To answer our second research question, we further assessed this abridged group of articles and identified 53 studies of GI conditions that included a mind-body therapy in a trial. These studies provided evidence regarding the efficacy of mind-body therapies for the treatment of GI conditions.

Methodology

A panel of technical experts representing diverse disciplines was established to advise us throughout the course of our research.

We searched the literature using the following online databases: MEDLINE®, HealthSTAR, EMBASE®, PsycINFO®, Allied and Complementary Medicine™, MANTIS™, Psychological Abstracts, Social Science Citation Index®, two files of Science Citation Index®, and CINAHL®.

We used the following ng MeSH terms: mind/body metaphysics, mind body therapies, mind/body medicine, mind/body wellness, bodymind medicine, mind/body therapies, psychosomatics/psychosomatic/psychosomatic medicine, wisdom of the body, self healing, placebo, healing force of nature, healing consciousness, biopsychosocial, psychoneuroimmunology (if article specified a mind-body therapy or diagnosis with psychoneuroimmunology), and wellness.

We further restricted the search by including terms for selected mind-body modalities as defined by the National Center for Complementary and Alternative Medicine (NCCAM) plus terms that would identify research reporting any outcomes.


 


There was no language restriction. Additional articles were identified from citations of articles, particularly review articles, and citations suggested by external reviewers. All titles, abstracts, and articles were reviewed by two reviewers, whose disagreements were resolved by consensus.

We collected data on the articles generated by this search regarding body system, mind-body modality, and study design with a screening form developed for this purpose. We used titles, abstracts, and/or articles to collect this information. We analyzed these data, reported on the general characteristics of the field of mind-body research, and used this analysis to inform our selection of a topic for a focused review.

We then conducted a focused literature search on mind-body therapies specifically for the treatment of GI conditions, searching the same databases used for the earlier search. In addition to the mind-body search terms, we also used the more general "outcomes" terms for GI conditions. We collected data for these new articles using the same review technique employed in the initial search.

We selected all studies identified in either the initial or the focused search that studied GI conditions using a controlled study design with a concurrent comparison group. This yielded 53 GI studies that were then reviewed in-depth. However, because of the clinical heterogeneity of these trials, we did not conduct a meta-analysis. Instead, a qualitative analysis was conducted on these studies.

Findings

  • The five most common body systems/conditions for which mind-body therapy literature was found are: neuropsychiatric; head/ear, nose, and throat (head/ENT); GI; circulatory; and musculoskeletal.

  • The trials that exist on GI conditions are seriously limited by methods problems (small sample sizes, lack of randomization, and clinical heterogeneity).

  • The greatest number of trials of a mind-body therapy for GI conditions in trials was biofeedback (n=17).

  • There are fewer controlled trials in the GI studies that assess other mind-body therapies: hypnosis (n=8), relaxation (n=8), behavioral therapy (n=8), multimodal therapy (n=4), cognitive therapy (n=4), imagery (n=2), and placebo (n=1).

  • The most commonly studied GI conditions were irritable bowel syndrome (n=15), fecal incontinence/encopresis (n=11), constipation (n=10), vomiting (n=8), nausea (n=7), and abdominal pain (n = 5).

  • There is no evidence to support the efficacy of biofeedback therapy for children.

  • There is limited evidence (i.e., at least one trial whose quality score characterized it as "good" that reported statistically significant benefits and the majority of other studies also report statistically significant benefits) to support the efficacy of the following mind-body therapies:

    • Behavioral.

    • Cognitive.

    • Guided imagery.

    • Relaxation.

  • The methodological shortcomings of studies reporting beneficial effects of hypnosis preclude drawing conclusions about its efficacy.

  • Results are mixed regarding the use of biofeedback in adults.


Future Research

Future mind-body research needs to be better designed and implemented. Studies need to enroll adequate numbers of well-defined, clinically homogeneous populations, and they need to compare the mind-body therapy both to other potentially effective therapies and to a convincing control. They should employ randomization, use blinding where feasible, and measure outcomes that are meaningful to patients and that can be reliably assessed. Ultimately, only those studies with a control group for comparative analysis can address the question of the efficacy of mind-body therapies. A more focused research program might overcome the problem of too few studies found on too many GI conditions and variable patient populations.

Availability of the Full Report

The full evidence report from which this summary was taken was prepared for the Agency for Healthcare Research and Quality by the Southern California Evidence-based Practice Center under contract No. 290-97-0001. Printed copies may be obtained free of charge from the AHRQ Publications Clearinghouse by calling 1-800-358-9295. Requesters should ask for Evidence Report/Technology Assessment No. 40, Mind-Body Interventions for Gastrointestinal Conditions (AHRQ Publication No. 01-E027).

The Evidence Report is also online on the National Library of Medicine Bookshelf.

AHRQ Publication No. 01-E027 Current as of March 2001

 


 


next: Understanding Complementary and Alternative Medicine

APA Reference
Staff, H. (2008, November 15). Mind-Body Interventions for Gastrointestinal Conditions, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/alternative-mental-health/treatments/mind-body-interventions-for-gastrointestinal-conditions

Last Updated: July 8, 2016

Magnets To Treat Pain

Detailed information on using magnets to treat pain. Includes scientific evidence on effectiveness of using magnets to treat pain.

Detailed information on using magnets to treat pain. Includes scientific evidence on effectiveness of using magnets to treat pain.

Contents


 


Introduction

This Research Report provides an overview of the use of magnets for pain, summarizes current scientific knowledge about their effectiveness for this purpose, and suggests additional sources of information. Terms are defined in the "Definitions" section.

Key Points

  • The vast majority of magnets marketed to consumers to treat pain are of a type called static (or permanent) magnets, because the resulting magnetic fields are unchanging. The other magnets used for health purposes are called electromagnets, because they generate magnetic fields only when electrical current flows through them. Currently, electromagnets are used primarily under the supervision of a health care provider or in clinical trials.

  • Scientific research so far does not firmly support a conclusion that magnets of any type can relieve pain. However, some people do experience some relief. Various theories have been proposed as to why, but none has been scientifically proven (see Question 5).

  • Clinical trials in this area have produced conflicting results (see Question 8). Many concerns exist regarding the quality and rigor of the studies conducted to date, leading to a call for additional, higher quality, and larger studies.

  • The U.S. Food and Drug Administration (FDA) has not approved the marketing of magnets with claims of benefits to health (such as "relieves arthritis pain"). The FDA and the Federal Trade Commission (FTC) have taken action against many manufacturers, distributors, and Web sites that make claims not supported scientifically about the health benefits of magnets.

  • It is important that people inform their health care providers about any therapy they are currently using or considering, including magnets. This is to help ensure a safe and coordinated course of care.

1. What are magnets?

Magnets are objects that produce a type of energy called magnetic fields. All magnets possess a property called polarity--that is, a magnet's power of attraction is strongest at its opposite ends, usually called the north and south poles. The north and south poles attract each other, but north repels north and south repels south. All magnets attract iron.

Magnets come in different strengths, most often measured in units called gauss (G). For comparison purposes, the Earth has a magnetic field of about 0.5 G; refrigerator magnets range from 35 to 200 G; magnets marketed for the treatment of pain are usually 300 to 5,000 G; and MRI (magnetic resonance imaging) machines widely used to diagnose medical conditions noninvasively produce up to 200,000 G.1

The vast majority of magnets marketed to consumers for health purposes (see the box below) are of a type called static (or permanent) magnets. They have magnetic fields that do not change.

Examples of Products Using Magnets
Shoe insoles

Heel inserts

Mattress pads

Bandages

Belts

Pillows and cushions

Bracelets and other jewelry

Headwear

The other magnets used for health purposes are called electromagnets, because they generate magnetic fields only when electrical current flows through them. The magnetic field is created by passing an electric current through a wire coil wrapped around a magnetic core. Electromagnets can be pulsed--that is, the magnetic field is turned on and off very rapidly.


2. Is the use of magnets considered conventional medicine or complementary and alternative medicine?

Conventional medicine and complementary and alternative medicine (CAM) are defined in the box below.

About CAM and Conventional Medicine Complementary and alternative medicine (CAM) is a group of various medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Conventional medicine is medicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and by allied health professionals, such as physical therapists, psychologists, and registered nurses. To find out more, see the NCCAM fact sheet "What Is Complementary and Alternative Medicine?"

There are some uses of electromagnets within conventional medicine. For example, scientists have found that electromagnets can be used to speed the healing of bone fractures that are not healing well.2,3 Even more commonly, electromagnets are used to map areas of the brain. However, most uses of magnets by consumers in attempts to treat pain are considered CAM, because they have not been scientifically proven and are not part of the practice of conventional medicine.

3. What is the history of the discovery and use of magnets to treat pain?

Magnets have been used for many centuries in attempts to treat pain.a By various accounts, this use began when people first noticed the presence of naturally magnetized stones, also called lodestones. Other accounts trace the beginning to a shepherd noticing that the nails in his sandals were pulled out by some stones. By the third century A.D., Greek physicians were using rings made of magnetized metal to treat arthritis and pills made of magnetized amber to stop bleeding. In the Middle Ages, doctors used magnets to treat gout, arthritis, poisoning, and baldness; to probe and clean wounds; and to retrieve arrowheads and other iron-containing objects from the body.


 


In the United States, magnetic devices (such as hairbrushes and insoles), magnetic salves, and clothes with magnets applied came into wide use after the Civil War, especially in some rural areas where few doctors were available. Healers claimed that magnetic fields existed in the blood, organs, or elsewhere in the body and that people became ill when their magnetic fields were depleted. Thus, healers marketed magnets as a means of "restoring" these magnetic fields. Magnets were promoted as cures for paralysis, asthma, seizures, blindness, cancer, and other conditions. The use of magnets to treat medical problems remained popular well into the 20th century. More recently, magnets have been marketed for a wide range of diseases and conditions, including pain, respiratory problems, high blood pressure, circulatory problems, arthritis, rheumatism, and stress.

a Sources for this historical discussion include references 1, 4, and 5.

4. How common is the use of magnets to treat pain?

A 1999 survey of patients who had rheumatoid arthritis, osteoarthritis, or fibromyalgia and were seen by rheumatologists reported that 18 percent had used magnets or copper bracelets, and that this was the second-most-used CAM therapy by these patients, after chiropractic.6 One estimate places Americans' spending on magnets to treat pain at $500 million per year; the worldwide estimate is $5 billion.7 Many people purchase magnets in stores or over the Internet to use on their own without consulting a health care provider.

5. What are some examples of theories and beliefs about magnets and pain?

Some examples of theories and beliefs about using magnets to treat pain are listed below. These range from theories proposed by scientific researchers to claims made by magnet manufacturers. It is important to note that while the results for some of the findings from the scientific studies have been intriguing, none of the theories or claims below has been conclusively proven. For the following, summaries of research from peer-reviewed medical and scientific journals appear in Appendix I:

  • Static magnets might change how cells function.

  • Magnets might alter or restore the equilibrium (balance) between cell death and growth.

  • Because it contains iron, blood might act as a conductor of magnetic energy. Static magnets might increase the flow of blood and, therefore, increase the delivery of oxygen and nutrients to tissues.

  • Weak pulsed electromagnets might affect how nerve cells respond to pain.

  • Pulsed electromagnets might change the brain's perception of pain.

  • Electromagnets might affect the production of white blood cells involved in fighting infection and inflammation.

Here are two other theories and beliefs:

  • Magnets might increase the temperature of the area of the body being treated.

  • "Magnetizing" or "re-magnetizing" drinking water or other beverages might allow them to hydrate the body better and flush out more "toxins" than ordinary drinking water.

References


6. How are static magnets used in attempts to treat pain?

Static magnets are usually made from iron, steel, rare-earth elements, or alloys. Typically, the magnets are placed directly on the skin or placed inside clothing or other materials that come into close contact with the body. Static magnets can be unipolar (one pole of the magnet faces or touches the skin) or bipolar (both poles face or touch the skin, sometimes in repeating patterns).8 Some magnet manufacturers make claims about the poles of magnets--for example, that a unipolar design is better than a bipolar design, or that the north pole gives a different effect from the south pole. These claims have not been scientifically proven.1,9

A small number of rigorous scientific studies have examined the efficacy of static magnets in treating pain. This evidence is discussed in Question 8 and Appendices II and III.

7. How are electromagnets used in attempts to treat pain?

Electromagnets were approved by the FDA in 1979 to treat bone fractures that have not healed well.2,3 Researchers have been studying electromagnets for painful conditions, such as knee pain from osteoarthritis, chronic pelvic pain, problems in bones and muscles, and migraine headaches.3,9-12 However, these uses of electromagnets are still considered experimental by the FDA and have not been approved. Currently, electromagnets to treat pain are being used mainly under the supervision of a health care provider and/or in clinical trials.

An electromagnetic therapy called TMS (transcranial magnetic stimulation) is also being studied by researchers. In TMS, an insulated coil is placed against the head, near the area of the brain to be examined or treated, and an electrical current generates a magnetic field into the brain. Currently, TMS is most often used as a diagnostic tool, but research is also under way to see whether it is effective in relieving pain.13,14 A type of TMS called rTMS (repetitive TMS) is believed by some to produce longer lasting effects and is being explored for its usefulness in treating chronic pain, facial pain, headache, and fibromyalgia pain.15,16 A related form of electromagnetic therapy is rMS (repetitive magnetic stimulation). It is similar to rTMS except that the magnetic coil is placed on or near a painful area of the body other than the head. This therapy is being studied as a treatment for musculoskeletal pain.17,18


 


8. What is known from the scientific evidence about the effectiveness of magnets in treating pain?

Overall, the research findings so far do not firmly support claims that magnets are effective for treatment of pain.

Findings from Reviews of Scientific Studies

Reviews take a broad look at the findings from a group of individual research studies. Such reviews are usually either a general review, a systematic review, or a meta-analysis. There are not many reviews available on CAM uses of magnets to treat pain. Appendix II provides examples of six reviews published from August 1999 through August 2003 in English in the National Library of Medicine's MEDLINE database.

  • Often, these reviews compared what is known from the clinical trials of magnets for painful conditions to what is known from conventional treatments or from other CAM treatments for the same condition(s).

  • One review found that static magnetic therapy may work for certain conditions but that there is not adequate scientific support to justify its use.1

  • Three reviews found that electromagnetic therapy showed promise for the treatment of some, but not all, painful conditions, and that more research is needed.9,19,20 One of these reviews also looked at two randomized clinical trials (RCTs) of static magnets.9 One reported significant pain relief in subjects using magnets, but the other did not.

  • Another review concluded that TMS has an effect on the central nervous system that might relieve chronic pain and, therefore, should be studied further.14

  • The remaining review found no studies on magnets for neck pain and stated that rigorous studies are much needed.21

  • It is important to note that the reviews pointed out problems with the rigor of most research on magnets for pain.9,14,19,20 For example, many of the clinical trials involved a very small number of participants, were conducted for very short durations (e.g., one study applied a magnet a total of one time for 45 minutes), and/or lacked a placebo or sham group for comparison to the magnet group.19,20 Thus, the results of many trials may not be truly meaningful. Most reviews stated that more and better quality research is needed before magnets' effectiveness can be adequately judged. Findings from Clinical Trials

The studies in Appendix III give an overview of scientific research from 15 RCTs published in English from January 1997 through March 2004 and cataloged in the National Library of Medicine's MEDLINE database. These trials studied CAM uses of static magnets or electromagnets for various kinds of pain.

  • The results of trials of static magnets have been conflicting. Four of the nine static magnet trials analyzed found no significant difference in pain relief from using a magnet compared with sham treatment or usual medical care.7,8,22,23 Four trials did find a significant difference, with greater benefit seen from magnets.24-27 The remaining trial compared only a weaker strength magnet to a stronger magnet, and found benefit from both (there was no difference between groups in how much benefit).28

  • Trials of electromagnets yielded more consistent results. Five out of six trials found that these magnets significantly reduced pain.10,11,17,18,29 The sixth found a significant benefit to physical function from using electromagnets, but not to pain or stiffness.30

  • Some study authors suggested that a placebo effect could have been responsible for the pain relief that occurred from magnets.22,30

  • While criticizing many of these studies, it is fair to say that testing magnets in clinical trials has presented challenges. For example, it can be difficult to design a sham magnet that appears exactly like an active magnet. Also, there has been concern about how many participants have tried to determine whether they have been assigned an active magnet (for example, by seeing whether a paperclip would be attracted to it); this knowledge could affect how meaningful a trial's results are.

References


9. Are there scientific controversies associated with using magnets for pain?

Yes, there are many controversies. Examples include:

  • The mechanism(s) by which magnets might relieve pain have not been conclusively identified or proven.

  • Pain relief while using a magnet may be due to reasons other than the magnet. For example, there could be a placebo effect or the relief could come from whatever holds the magnet in place, such as a warm bandage or a cushioned insole.22,24

  • Opinions differ among manufacturers, health care providers who use magnetic therapy, and others about which types of magnets (strength, polarity, length of use, and other factors) should be used and how they should be used in studies to give the most definitive answers.

  • Actual magnet strengths can vary (sometimes widely) from the strengths claimed by manufacturers. This can affect scientists' ability to reproduce the findings of other scientists and consumers' ability to know what strength magnet they are actually using.26,31,32

10. Have any side effects or complications occurred from using magnets for pain?

The kinds of magnets marketed to consumers are generally considered to be safe when applied to the skin.7 Reports of side effects or complications have been rare. One study reported that a small percentage of participants had bruising or redness on their skin where a magnet was worn.33

Manufacturers often recommend that static magnets not be used by the following people1:

  • Pregnant women, because the possible effects of magnets on the fetus are not known.

  • People who use a medical device such as a pacemaker, defibrillator, or insulin pump, because magnets may affect the magnetically controlled features of such devices.

  • People who use a patch that delivers medication through the skin, in case magnets cause dilation of blood vessels, which could affect the delivery of the medicine. This caution also applies to people with an acute sprain, inflammation, infection, or wound.

There have been rare cases of problems reported from the use of electromagnets. Because at present these are being used mainly under the supervision of a health care provider and/or in clinical trials, readers are advised to consult their provider about any questions.


 


11. What should consumers know if they are considering using magnets to treat pain?

  • It is important that people inform all their health care providers about any therapy they are using or considering, including magnetic therapy. This is to help ensure a safe and coordinated plan of care.

  • In the studies that did find benefits from magnetic therapy, many have shown those benefits very quickly. This suggests that if a magnet does work, it should not take very long for the user to start noticing the effect. Therefore, people may wish to purchase magnets with a 30-day return policy and return the product if they do not get satisfactory results within 1 to 2 weeks.

  • If people decide to use magnets and they experience side effects that concern them, they should stop using the magnets and contact their health care providers.

  • Consumers who are considering magnets, whether for pain or other conditions, can consult the free publications prepared by Federal Government agencies. See "For More Information."

References

 

If You Buy a Magnet...

Check on the company's reputation with consumer protection agencies. Watch for high return fees. If you see them before purchase, ask that they be dropped and obtain written confirmation that they will be. Pay by credit card if possible. This offers you more protection if there is a problem. If you buy from sources (such as Web sites) that are not based in the United States, U.S. law can do little to protect you if you have a problem related to the purchase.

Sources: The FDA and the Pennsylvania Medical Society


12. Is the National Center for Complementary and Alternative Medicine (NCCAM) funding research on magnets for pain and other diseases and conditions?

Yes. For example, recent projects supported by NCCAM include:

  • Static magnets, for fibromyalgia pain and quality of life

  • Pulsed electromagnets, for migraine headache pain

  • Static magnets, for their effects on networks of blood vessels involved in healing

  • TMS, for Parkinson's disease

  • Electromagnets, for their effects on injured nerve and muscle cells

In addition, the papers by Alfano et al.,26 Swenson,21 and Wolsko et al.27 report on research funded by NCCAM.

For More Information

NCCAM Clearinghouse

Toll-free in the U.S.: 1-888-644-6226
International: 301-519-3153
TTY (for deaf or hard-of-hearing callers): 1-866-464-3615

E-mail: info@nccam.nih.gov
Web site: http://nccam.nih.gov
Address: NCCAM Clearinghouse,
P.O. Box 7923, Gaithersburg, MD 20898-7923

Fax: 1-866-464-3616
Fax-on-Demand service: 1-888-644-6226

CAM on PubMed Web site:www.nlm.nih.gov/nccam/camonpubmed.html

CAM on PubMed, a database developed jointly by NCCAM and the National Library of Medicine, offers citations to (and in most cases, brief summaries of) articles on CAM in scientifically based, peer-reviewed journals. CAM on PubMed also links to many publisher Web sites, which may offer the full text of articles.


 


U.S. Food and Drug Administration (FDA)

Web site: www.fda.gov
Toll-free in the U.S.: 1-888-INFO-FDA (1-888-463-6332)

The FDA is a Federal agency responsible for protecting the public health by assuring the safety, efficacy, and security of medicines, biological products, medical devices, foods, cosmetics, and consumer products that produce radiation.

Center for Devices and Radiological Health (CDRH)

Web site: www.fda.gov/cdrh
Toll-free: 1-888-463-6332

The CDRH has consumer information on magnets and magnetic devices and on buying medical devices online.

Federal Trade Commission (FTC)

Web site: www.ftc.gov
Toll-free in the U.S.: 1-888-382-4357

The FTC is a Federal agency that works to maintain a competitive marketplace for both consumers and businesses. It regulates all advertising, except prescription drugs and medical devices, ensuring that advertisements are truthful and not misleading for consumers. Brochures include " 'Miracle' Health Claims: Add a Dose of Skepticism."

References


Definitions

Alloy: A metallic substance consisting of either a mixture of two or more metals, or a metal that has been mixed with a nonmetal.

Anecdotal evidence: Evidence made up of one or more anecdotes. In science, an anecdote is a story about a person's experience, told by that person.

Chiropractic: An alternative medical system that focuses on the relationship between bodily structure (primarily that of the spine) and function, and how that relationship affects the preservation and restoration of health. Chiropractors use a type of hands-on therapy called manipulation (or adjustment) as an integral treatment tool.

Clinical trial: A research study in which a treatment or therapy is tested in people to see whether it is safe and effective. Clinical trials are a key part of the process in finding out which treatments work, which do not, and why. Clinical trial results also contribute new knowledge about diseases and medical conditions.

Diabetic peripheral neuropathy: A nerve disorder caused by diabetes. This disorder leads to a partial or complete loss of feeling in the feet and, in some cases, the hands, and pain and weakness in the feet.

Efficacy: In scientific research, a treatment's efficacy is its power to obtain a desired effect, such as reducing pain.

ET: Electromagnetic therapy.

Fibromyalgia: A chronic disorder involving musculoskeletal pain, multiple tender points on the body, and fatigue.

General review: An analysis in which information from various studies is summarized and evaluated. Conclusions are then made based on this evidence.

Magnetic resonance imaging (MRI): A test that uses powerful magnets and radio waves to create detailed pictures of structures and organs inside the body.


 


Meta-analysis: A type of research review that uses statistical techniques to analyze results from a collection of individual studies.

Myofascial pain syndrome: A chronic musculoskeletal pain disorder. Pain may occur when "trigger points," or especially tender areas on the body, are touched, or in other points in the body.

Peer reviewed: Reviewed before publication by a group of experts in the same field.

Placebo: A placebo is designed to resemble as much as possible the treatment being studied in a clinical trial, except that the placebo is inactive. An example of a placebo is a pill containing sugar instead of the drug or other substance being studied. By giving one group of participants a placebo and the other group the active treatment, the researchers can compare how the two groups respond and get a truer picture of the active treatment's effects. In recent years, the definition of placebo has been expanded to include other things that could have an effect on the results of health care, such as how a patient and a health care provider interact and what the patient expects to happen from the care.

Plastic change: The ability of the brain's connections to change, which affects many functions such as learning and recovery from damage.

Prospective study: A type of research study in which participants are followed over time for the effect(s) of a health care treatment.

Pulsed ET: Pulsed electromagnetic therapy, in which the magnetic field created by an electric current is turned on and off very rapidly.

Randomized clinical trial (RCT): In a randomized clinical trial, each participant is assigned by chance (through a computer or a table of random numbers) to one of two groups. The investigational group receives the therapy, also called the active treatment. The control group receives either the standard treatment, if there is one, for their disease or condition, or a placebo.

Rare-earth element: One of a group of relatively scarce, metallic elements or minerals. Examples include lanthanum, neodymium, and ytterbium.

Rheumatologist: A physician (M.D. or D.O.) who specializes in inflammatory disorders of the joints, muscles, and fibrous tissues.

rMS: Repetitive magnetic stimulation. In rMS, an insulated coil is placed against a part of the body other than the head, and an electrical current generates a magnetic field into that area.

rTMS: Repetitive transcranial magnetic stimulation. This type of transcranial magnetic stimulation, or TMS (see definition below), is believed by some to produce longer lasting effects.

Sham: A sham device or procedure is one type of placebo (defined above). When the treatment under study is a procedure or device (not a drug or other substance), a sham procedure or device may be designed that resembles the active treatment but does not have any active treatment qualities.

Systematic review: A type of research review in which data from a set of studies on a particular question or topic are collected, analyzed, and critically reviewed.

TMS: Transcranial magnetic stimulation. In this type of electromagnetic therapy, an insulated coil is placed against the head, and an electrical current generates a magnetic field into the brain.


References

    • 1 Ratterman R, Secrest J, Norwood B, et al. Magnet therapy: what's the attraction? Journal of the American Academy of Nurse Practitioners. 2002;14(8):347-353.
    • 2 Bassett CA, Mitchell SN, Gaston SR. Pulsing electromagnetic field treatment in ununited fractures and failed arthrodeses. Journal of the American Medical Association. 1982;247(5):623-628.
    • 3 Trock DH. Electromagnetic fields and magnets: investigational treatment for musculoskeletal disorders. Rheumatic Disease Clinics of North America. 2000;26(1):51-62.
    • 4 Basford JR. A historical perspective of the popular use of electric and magnetic therapy. Archives of Physical Medicine and Rehabilitation. 2001;82(9):1261-1269.
    • 5 Macklis RM. Magnetic healing, quackery, and the debate about the health effects of electromagnetic fields. Annals of Internal Medicine. 1993;118(5):376-383.
    • 6 Rao JK, Mihaliak K, Kroenke K, et al. Use of complementary therapies for arthritis among patients of rheumatologists. Annals of Internal Medicine. 1999;131(6):409-416.
    • 7 Winemiller MH, Billow RG, Laskowski ER, et al. Effect of magnetic vs sham-magnetic insoles on plantar heel pain: a randomized controlled trial. Journal of the American Medical Association. 2003;290(11):1474-1478.
    • 8 Collacott EA, Zimmerman JT, White DW, et al. Bipolar permanent magnets for the treatment of chronic low back pain: a pilot study. Journal of the American Medical Association. 2000;283(10):1322-1325.
    • 9 Vallbona C, Richards T. Evolution of magnetic therapy from alternative to traditional medicine. Physical Medicine and Rehabilitation Clinics of North America. 1999;10(3):729-754.

 


  • 10 Jacobson JI, Gorman R, Yamanashi WS, et al. Low-amplitude, extremely low frequency magnetic fields for the treatment of osteoarthritic knees: a double-blind clinical study. Alternative Therapies in Health and Medicine. 2001;7(5):54-69.
  • 11 Pipitone N, Scott DL. Magnetic pulse treatment for knee osteoarthritis: a randomised, double-blind, placebo-controlled study. Current Medical Research and Opinion. 2001;17(3):190-196.
  • 12 Varcaccio-Garofalo G, Carriero C, Loizzo MR, et al. Analgesic properties of electromagnetic field therapy in patients with chronic pelvic pain. Clinical and Experimental Obstetrics and Gynecology. 1995;22(4):350-354.
  • 13 Kanda M, Mima T, Oga T, et al. Transcranial magnetic stimulation (TMS) of the sensorimotor cortex and medial frontal cortex modifies human pain perception. Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology. 2003;114(5):860-866.
  • 14 Pridmore S, Oberoi G. Transcranial magnetic stimulation applications and potential use in chronic pain: studies in waiting. Journal of the Neurological Sciences. 2000;182(1):1-4.
  • 15 Lefaucheur JP, Drouot X, Nguyen JP. Interventional neurophysiology for pain control: duration of pain relief following repetitive transcranial magnetic stimulation of the motor cortex. Neurophysiologie Clinique. 2001;31(4):247-252.
  • 16 Migita K, Uozumi T, Arita K, et al. Transcranial magnetic coil stimulation of motor cortex in patients with central pain. Neurosurgery. 1995;36(5):1037-1039.
  • 17 Pujol J, Pascual-Leone A, Dolz C, et al. The effect of repetitive magnetic stimulation on localized musculoskeletal pain. Neuroreport. 1998;9(8):1745-1748.
  • 18 Smania N, Corato E, Fiaschi A, et al. Therapeutic effects of peripheral repetitive magnetic stimulation on myofascial pain syndrome. Clinical Neurophysiology. 2003;114(2):350-358.
  • 19 Hulme J, Robinson V, DeBie R, et al. Electromagnetic fields for the treatment of osteoarthritis. Cochrane Database of Systematic Reviews. 2003;(3):CD003523.
  • 20 Huntley A, Ernst E. Complementary and alternative therapies for treating multiple sclerosis symptoms: a systematic review. Complementary Therapies in Medicine. 2000;8(2):97-105.
  • 21 Swenson RS. Therapeutic modalities in the management of nonspecific neck pain. Physical Medicine and Rehabilitation Clinics of North America. 2003;14(3):605-627.
  • 22 Carter R, Hall T, Aspy CB, et al. The effectiveness of magnet therapy for treatment of wrist pain attributed to carpal tunnel syndrome. Journal of Family Practice. 2002;51(1):38-40.
  • 23 Caselli MA, Clark N, Lazarus S, et al. Evaluation of magnetic foil and PPT insoles in the treatment of heel pain. Journal of the American Podiatric Medical Association. 1997;87(1):11-16.
  • 24 Weintraub MI, Wolfe GI, Barohn RA, et al. Static magnetic field therapy for symptomatic diabetic neuropathy: a randomized, double-blind, placebo-controlled trial. Archives of Physical Medicine and Rehabilitation. 2003;84(5):736-746.
  • 25 Hinman MR, Ford J, Heyl H. Effects of static magnets on chronic knee pain and physical function: a double-blind study. Alternative Therapies in Health and Medicine. 2002;8(4):50-55.
  • 26 Alfano AP, Taylor AG, Foresman PA, et al. Static magnetic fields for treatment of fibromyalgia: a randomized controlled trial. Journal of Alternative and Complementary Medicine. 2001;7(1):53-64.
  • 27 Wolsko PM, Eisenberg DM, Simon LS, et al. Double-blind placebo-controlled trial of static magnets for the treatment of osteoarthritis of the knee: results of a pilot study. Alternative Therapies in Health and Medicine. 2004;10(2):36-43.
  • 28 Segal NA, Toda Y, Huston J, et al. Two configurations of static magnetic fields for treating rheumatoid arthritis of the knee: a double-blind clinical trial. Archives of Physical Medicine and Rehabilitation. 2001;82(10):1453-1460.
  • 29 Thuile C, Walzl M. Evaluation of electromagnetic fields in the treatment of pain in patients with lumbar radiculopathy or the whiplash syndrome. NeuroRehabilitation. 2002;17(1):63-67.
  • 30 Nicolakis P, Kollmitzer J, Crevenna R, et al. Pulsed magnetic field therapy for osteoarthritis of the knee: a double-blind sham-controlled trial. Wiener Klinische Wochenschrift. 2002;114(15-16):678-684.
  • 31 Blechman AM, Oz MC, Nair V, et al. Discrepancy between claimed field flux density of some commercially available magnets and actual gaussmeter measurements. Alternative Therapies in Health and Medicine. 2001;7(5):92-95.
  • 32 McLean MJ, Engström S, Holcomb R. Static magnetic fields for the treatment of pain. Epilepsy & Behavior. 2001;2:S74-S80.
  • 33 Brown CS, Ling FW, Wan JY, et al. Efficacy of static magnetic field therapy in chronic pelvic pain: a double-blind pilot study. American Journal of Obstetrics and Gynecology. 2002;187(6):1581-1587.
  • 34 McLean MJ, Holcomb RR, Wamil AW, et al. Blockade of sensory neuron action potentials by a static magnetic field in the 10 mT range. Bioelectromagnetics. 1995;16(1):20-32.
  • 35 Fanelli C, Coppola S, Barone R, et al. Magnetic fields increase cell survival by inhibiting apoptosis via modulation of Ca2+ influx. The FASEB Journal. 1999;13(1):95-102.
  • 36 Martel GF, Andrews SC, Roseboom CG. Comparison of static and placebo magnets on resting forearm blood flow in young, healthy men. Journal of Orthopaedic and Sports Physical Therapy. 2002;32(10):518-524.
  • 37 Ryczko MC, Persinger MA. Increased analgesia to thermal stimuli in rats after brief exposures to complex pulsed 1 microTesla magnetic fields. Perceptual and Motor Skills. 2002;95(2):592-598.
  • 38 Johnson MT, McCullough J, Nindl G, et al. Autoradiographic evaluation of electromagnetic field effects on serotonin (5HT1A) receptors in rat brain. Biomedical Sciences Instrumentation. 2003;39:466-470.
  • 39 Johnson MT, Vanscoy-Cornett A, Vesper DN, et al. Electromagnetic fields used clinically to improve bone healing also impact lymphocyte proliferation in vitro. Biomedical Sciences Instrumentation. 2001;37:215-220. Top

Appendix I

Research on Theories and Beliefs On How Magnets Might Relieve Pain

Theory: Static magnets might change how cells function.
Description of Studies: (1) Mouse nerve cells were exposed to static magnetic fields of three different strengths, and the cells were stimulated with pulses of electricity. (2) Mouse nerve cells were exposed to a static magnetic field and capsaicin (a pain-producing substance).
Findings: (1) Exposure of nerve cells in culture to a static 110-G magnetic field reduced their ability to transmit electrical impulses. (2) Magnets prevented mouse nerve cells from responding to capsaicin.
Citations: (1) McLean et al., 199534 and (2) McLean et al., 200132

Theory: Magnets might alter/restore the balance between cell death and growth.
Description of Study: Cultures of the U937 human lymphoma (a tumor of lymph node tissue) cell line were exposed to a static magnetic field at the same time that they were treated with agents that cause cell death.
Findings: Static magnet fields protected some cells from agents that cause cell death and allowed them to survive and grow.
Citation: Fanelli et al., 199935

Theory: Static magnets might increase blood flow.
Description of Study: Randomized clinical trial (RCT) of 20 healthy young men who wore static magnets or placebo devices on their forearms for 30 minutes.
Findings: Blood flow was not significantly different when comparing the results of the magnet session with the placebo session.
Citation: Martel et al., 200236

Theory: Weak pulsed electromagnets might affect how nerve cells respond to pain.
Description of Study: The pain threshold to a hot surface was measured for rats before and 30 and 60 minutes after exposure to weak pulsed electromagnets for 30 minutes.
Findings: An increase in pain threshold (analgesic effect) was found 30 and 60 minutes after exposure to pulsed electromagnets.
Citation: Ryczko and Persinger, 200237


 


Theory: Pulsed electromagnets might change the brain's perception of pain.
Description of Study: Rats were exposed to pulsed electromagnets (treatment group) or static magnetics (control group) 4 hours/day, for up to 28 days. The brains were removed and changes in the number of serotonin (a brain chemical that affects stress and pain) receptors were examined.
Findings: Significant increases in the number of receptors that bind serotonin were observed in the brains of the rats exposed to a pulsed electromagnet.
Citation: Johnson et al., 200338

Theory: Electromagnets might affect the production of white blood cells involved in fighting infection and inflammation.
Description of Study: Human and rat white blood cells were exposed to electromagnets or pulsed electromagnets.
Findings: Both the human and rat cells exposed to either type of electromagnetic therapy (ET) showed a modest increased capacity to multiply.
Citation: Johnson et al., 200139

Appendix II

General and Systematic Reviews on CAM Magnetic Therapy for Pain Published From August 1999 to August 2003

Static Magnetic Therapy

Authors: Ratterman et al., 20021
Type: General review
Description: Summarized 9 clinical trials on static magnetic therapy for treating postpolio pain, diabetic peripheral neuropathy, neck pain, low-back pain, fibromyalgia, postsurgical pain, and headache.
Findings: The authors stated that static magnets may work for certain conditions, but there is not adequate scientific support to justify their use.

Electromagnetic Therapy

Authors: Hulme et al., 200319
Type: Systematic review
Description: Looked at 3 RCTs that compared pulsed electromagnets (2 RCTs) or direct electric stimulation (1 RCT) with placebo in treating osteoarthritis. Both trials of pulsed electromagnets studied osteoarthritis of the knee; one of these studied osteoarthritis of the neck as well. The primary measure of effectiveness was pain relief.
Findings: The review found the RCTs to show that pulsed electromagnets had a small-to-moderate effect on knee pain, and a much smaller effect on neck pain. They concluded that "the current limited evidence does not show a clinically important benefit" of pulsed electromagnets for treating osteoarthritis of the knee or neck. They also identified a need for larger trials to see whether clinically important benefits exist.

Authors: Huntley and Ernst, 200020
Type: Systematic review
Description: Reviewed 12 RCTs for 7 CAM modalities for pain and other symptoms of multiple sclerosis. Included one RCT of rMS (38 patients) and one RCT of pulsed electromagnets (30 patients). Other modalities examined were nutritional therapy, massage, Feldenkrais bodywork, reflexology, neural therapy, and psychological counseling.
Findings: Both magnet studies reviewed found short-term benefits in relieving painful muscle spasms and other symptoms, and in improving activity levels. Authors called for "rigorous research" on CAM for multiple sclerosis patients.


Authors: Pridmore and Oberoi, 200014
Type: General review
Description: Discussed an array of basic and clinical research on TMS, focusing on its effect on the central nervous system (CNS) and on its potential effectiveness in relieving chronic pain.
Findings: Authors concluded, "Evidence indicates that TMS can produce plastic changes in the CNS, which are observable at both the cellular and psychological levels." Citing a lack of comprehensive studies, they proposed that "studies are justified to determine whether TMS can provide short-term or long-term relief in chronic pain."

Electromagnetic and Static Magnetic Therapies

Author: Swenson, 200321
Type: General review
Description: Searched for studies on various treatments for nonspecific neck pain.
Findings: Found no studies on magnets for neck pain, despite the popular interest in magnetic therapy, and "several very limited reports" from use for other pain. The author stated that rigorous studies are "desperately needed," especially those that could effectively double-blind patients and practitioners to treatment.

Authors: Vallbona and Richards, 19999
Type: General review
Description: Pulsed Electromagnets--Commented on 32 RCTs of pulsed electromagnets for conditions such as neck/shoulder pain, bone and joint diseases, neurologic disorders, sleep disorders, wounds and ulcers, postoperative bowel obstruction, and perineal trauma from childbirth. Pain is a key symptom of many of the conditions examined, and pain intensity was a clinical outcome measure in many of the studies. Static Magnets--Discussed two RCTs: one for neck and shoulder pain and one for postpolio pain.
Findings: Pulsed Electromagnets--Authors found that 26 of 32 RCTs of pulsed ET showed it to be an effective treatment for the conditions studied. Pain was decreased in disorders including neck pain, osteoarthritis, and leg ulcers. Static Magnets--An RCT of static magnets for neck and shoulder pain did not find any significant pain relief in subjects using magnets. An RCT of static magnets for postpolio pain yielded data that "suggest significant pain relief realized by patients who were exposed to active magnets." Vallbona and Richards noted that many studies of static magnets rely on anecdotal evidence or small study sizes, are sponsored by magnet manufacturers, and/or are not published in peer-reviewed journals.


 


Appendix III

Reports on Randomized Clinical Trials of Magnetic Therapy for Pain From January 1997 to March 2004

Static Magnetic Therapy

Authors: Wolsko et al., 200427
Description: Participants (26) with osteoarthritis of the knee received either a sleeve containing magnets, to be worn over the knee area, or a placebo sleeve that appeared identical. They wore their sleeves for the first 4 hours and then at least 6 hours a day for 6 weeks. Knee pain was measured at 4 hours, 1 week, and 6 weeks.
Findings: There was a statistically significant improvement in pain in the treatment group at 4 hours, but not at 1 week or 6 weeks.

Authors: Winemiller et al., 20037
Description: Participants (95) who had had plantar heel pain for at least 30 days received either shoe insoles containing a magnet or insoles that were identical except for having no magnet. They wore the insoles at least 4 hours a day 4 days/week for 8 weeks. Outcomes were measured by a daily pain diary. Findings: There were no significant differences in pain outcomes between the two groups. Both experienced significant improvement in morning foot pain and in enjoyment of their jobs (because of reduced foot pain).

Authors: Weintraub et al., 200324
Description: Patients (259) with diabetic peripheral neuropathy wore static magnetic shoe insoles or an unmagnetized sham device continuously for 4 months. Primary outcome measures were burning, numbness and tingling, exercise-induced foot pain, and sleep interruption due to pain.
Findings
: Authors found that statistically significant reductions in burning, numbness and tingling, and exercise-induced foot pain occurred in the treatment group, but only during months 3 and 4. Some patients in the treatment group with more severe baseline pain had significant reductions in numbness and tingling and in foot pain throughout the study period.

Authors: Hinman et al., 200225
Description: Participants (43) with chronic knee pain wore pads containing static magnets or placebos over their painful joints for 2 weeks. Outcomes were measured using self-administered ratings of pain and physical function, and a timed 50-foot walk.
Findings
: At the end of 2 weeks, those wearing magnets reported significantly less pain, and better daily physical function and walking speed, than those wearing placebos. Most of those wearing magnets experienced pain relief within 30 minutes of the initial application of the magnets.

Authors: Carter et al., 200222
Description: Participants (30) with carpal tunnel syndrome wore a magnetic or placebo device on the wrist over the carpal tunnel area for 45 minutes. Participants rated their pain at 15-minute intervals while wearing the device, after removing the device, and after 2 weeks.
Findings: The magnet was no more effective than the placebo in relieving pain. Significant pain reduction was reported for both treatment and placebo groups during a 45-minute application. The reduction in pain was still detectable 2 weeks later; authors suggested that this could be from a placebo effect.

Authors: Segal et al., 200128
Description: Patients (64) with rheumatoid arthritis of the knee received one of two magnetic devices: one containing four strong magnets or one containing only one weaker magnet. There was no nonmagnetic or sham treatment. Devices were worn continuously for 1 week. Outcome measures were the participants' pain diaries in which they assessed their level of pain twice a day.
Findings: Both devices produced significant pain reduction after 1 week of use. A significant difference was not seen between the two groups. The authors indicated that a nonmagnetic placebo treatment should be used in future studies.

References


Authors: Alfano et al., 200126
Description: Patients with fibromyalgia (94 subjects) received either (1) usual care, (2) a pad containing static magnets placed between the mattress and box springs, (3) an eggcrate-like foam mattress pad containing static magnets of varying strength, or (4) a mattress pad containing magnets that had been demagnetized. Outcome measures were functional status, pain, and the number and intensity of tender points after 6 months.
Findings: Compared with the usual-care group and the sham group, people who used the pads containing active magnets reported improvements in function, pain intensity level, number of tender points, and intensity of tender points after 6 months. However, except for pain intensity, measurements were not significantly different from scores reported for the sham treatment group or the usual-care group.

Authors: Collacott et al., 20008
Description: Participants (20) who had had chronic low-back pain for at least 6 months wore a magnetic device for 1 week (6 hours/day, 3 days/week). After 1 week of no treatment, the participants wore a sham device for 1 week (6 hours/day, 3 days/week). The primary outcome was pain intensity, which was measured by a visual analog scale.
Findings: No significant differences in outcomes were found between the magnetic and sham therapies.

Authors: Caselli et al., 199723
Description: Participants (34) with heel pain wore a molded insole with or without a static magnetic foil insert for 4 weeks. The outcomes were measured in terms of the foot function index (pain, disability, and activity restriction).
Findings: Use of the magnetic insole was no more effective than the sham as measured by the foot function index. About 60% of patients from both groups noted improvement in heel pain after 4 weeks, which suggests that the molded insole itself was effective in treating heel pain.

Electromagnetic Therapy

Authors: Smania et al., 200318
Description: Participants (18) who had painful trigger points from myofascial pain syndrome received, over a period of 2 weeks, either 10 sessions of rMS or a sham treatment. During each 20-minute treatment, two different coils from the rMS device delivered pulsed ET when placed on each patient's trigger point. Patients were evaluated for 1 month after the treatments, using pain scales and clinical exams.
Findings: The participants who received the magnetic therapy had significant improvement in all pain measurements and in some range-of-motion measurements that persisted throughout the evaluation period. The placebo group did not show any significant improvement.


 


Authors: Nicolakis et al., 200230
Description: Participants (32) with osteoarthritis of the knee lay on a pulsed electromagnetic mat or a sham mat for 30 minutes twice a day for 6 weeks. The primary outcome measures were pain, stiffness, and physical function.
Findings: At the end of 6 weeks, physical function scores were significantly improved for the treatment group compared with the sham group. Pain and stiffness decreased for both groups, with what the study authors called a "marked" placebo effect for participants using the sham treatment. There was no significant difference between the groups for pain and stiffness.

Authors: Thuile and Walzl, 200229
Description: Two prospective studies of ET for low-back pain (100 participants) and whiplash (92 participants). Half of the participants in each study received ET twice a day for 2 weeks plus standard medications. The other half received only standard medications. ET consisted of applying a low-energy, low-frequency magnetic field cushion for 16 minutes and using a whole-body mat for 8 minutes. Evaluation of the low-back pain participants consisted of counting the interval to reported pain relief and/or painless walking, and measuring hip flexion to the point of pain. Participants in the whiplash study reported their pain on a 10-point scale and had their range of motion measured.
Findings: In the low-back pain study, the ET group reported the following compared with the control group: statistically significant pain relief and/or pain-free walking 3.5 days sooner and increased ability to bend at the hip. In the whiplash study, the ET group, compared with the control group, had significantly decreased pain in the head, neck, and shoulder/arm areas after treatment, and significantly greater range of motion.

Authors: Pipitone and Scott, 200111
Description: Patients (69) with osteoarthritis of the knee used a pulsed electromagnet or a sham device for 6 weeks. Devices were placed on or between the knees for 10 minutes three times a day. The primary outcome measure was a reduction in pain.
Findings: Pulsed ET significantly reduced pain, measured by several scales, over a 6-week period in the treatment group, and did not produce any adverse effects. No improvements were noted with the placebo-treated group. The authors suggested further studies of pulsed ET for osteoarthritis and other conditions.

Authors: Jacobson et al., 200110
Description: Participants (176) with osteoarthritis of the knee were treated with ET for a total of 48 minutes per treatment session for eight sessions during a 2-week period or sat near the electromagnet with the magnet off (placebo). Participants used a subjective 10-point scale to rate their pain level before and after each treatment and 2 weeks after the final treatment. Patients also kept a diary of pain intensity before, during, and 2 weeks after the trials, in which they recorded entries daily upon waking and before going to sleep. They did not take any medicines or use topical analgesics.
Findings: ET significantly reduced pain after a treatment session in the magnet-on (treatment) group (46% reduction) compared to the magnet-off (placebo) group (8%).

Authors: Pujol et al., 199817
Description: Patients (30) with localized injury to the musculoskeletal system received 40 minutes of either rMS treatment or sham treatment. Stimulation intensity was adjusted in each patient to avoid excessive discomfort. Outcome measure was a 101-point pain rating scale.
Findings: After one treatment, the pain score decreased significantly in rMS-treated patients compared with sham-treated patients (59% versus 14% reduction). The effect persisted for several days.

References

Source: The National Center for Complementary and Alternative Medicine, a division of NIH.

next: Mind-Body Interventions for Gastrointestinal Conditions

APA Reference
Staff, H. (2008, November 15). Magnets To Treat Pain, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/alternative-mental-health/treatments/magnets-to-treat-pain

Last Updated: July 8, 2016

Problem Solving #1: Roadblocks

Self-Therapy For People Who ENJOY Learning About Themselves

All personal and interpersonal problems CAN be solved. When they aren't solved, it's often due to these roadblocks.

MAYBE YOU DON'T WANT TO SOLVE THE PROBLEM

One common "roadblock" happens when people think they want to solve a problem but they really don't.

This Happens When:

  1. The Costs Are Too Great.
  2. They Think They "Should" Solve It But They Don't Really WANT To.
  3. They Think They'd Be Untrue To Themselves If They Solved It.

When The Cost Is Too Great

The cost is only too great when a resource you need to solve the problem (usually time, energy, or money)

is being used for something more important, something that brings you MORE of what you want in life.

When You Only Think You "Should"

Advertisers have a vested interest in making us THINK we want things we really don't want. Friends and relatives might also tell us that we "should" want what they want.

How To Tell If It's A "Should" Or A "Want"...

Imagine that you actually HAVE what you think you want.

If having it makes you VERY happy then you really wanted it all along.

If you are only a LITTLE happy - mostly because someone else is pleased with you - then it was only a "should."

When You Would Be Untrue To Yourself

This one is more complicated. The concept of being "untrue to yourself" has to do with your self-image - and your self-image can be good or bad, right or wrong for you, etc.

If you would think MORE of yourself after solving the problem, go for it! If you would think LESS of yourself after solving it, think it over first.


 


Sometimes "being untrue to yourself" can even be a good thing! (Like when you are uncomfortable about giving up something that's bad for you.)

BLAMING YOURSELF AND OTHERS

People raised to feel guilt and shame are usually sure, deep in their hearts, that all problems are their fault exclusively. Their "solution" is to blame themselves and try to change their own actions. If that doesn't work they don't know what else to do.

People raised to think they never make mistakes are usually sure that all problems are someone else's fault. Their "solution" is to blame someone else and tell them to change. When this doesn't work, they don't know what else to do either!

DON'T CONFUSE BLAMING WITH PROBLEM SOLVING!

Blaming is about past events: It tries to answer the question: "Who Made This Happen?"

Problem-Solving looks to the future: It tries to answer the question: "What Are We Going To Do About It?" If you are so angry about something that you want to blame someone else, go ahead!

If you do it in a safe way, it might be a necessary first step (since it taps your anger energy). But don't think it will solve the problem!

If you are so angry, fearful, or ashamed that you want to blame yourself, don't do it! There is no healthy way to do this. Talk to someone who loves you, or to a good therapist, instead.

WHEN YOU REALLY CAN'T SOLVE THE PROBLEM

These People Can't Do Problem-Solving Well:

  1. Those who are physically unable to think clearly (mentally disabled).
  2. Those who are so terrified of blame that they can't participate in the give-and-take of problem solving. (These people were usually physically abused as children under the guise of "discipline.")
  3. People who have been told they are "stupid" so much that they believe it. They fear problem-solving because they think they will always lose. (They say things like: "I can never explain myself well" or "Nobody understands me" or, saddest of all, "I just freeze up.")

People in each of these categories need professional help. Those in category #1 may need educational and supportive help to maximize the abilities they do have. Those in #2 and #3 need psychotherapy to overcome the affects of emotional or physical mistreatment.

WHEN YOU ONLY BELIEVE YOU "CAN'T"

[This is discussed more thoroughly in another topic: "Life's Craziest Beliefs."]

You Can Solve Any Problem That Anyone Else Can Solve.

The Only Unsolvable Problems Are Those That Are Physically Impossible To Solve (like flying without wings, or being safe when you spend your time with scary people).

If you think you "can't" solve a solvable problem, Ask Yourself: "Why do I want to KEEP this problem?" Your answer will show a great deal about how well you know yourself.

next: Problem Solving #2: Defining the Problem

APA Reference
Staff, H. (2008, November 15). Problem Solving #1: Roadblocks, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/self-help/inter-dependence/problem-solving-1-roadblocks

Last Updated: March 30, 2016

Detachment

For me, detachment is a recovery "permission" I give myself regarding any person or situation I want to control, but can not.

For example, I cannot control another person's behavior, so I must practice detachment.

To be more specific, my ex-wife has no desire for the two of us to be friends. As much as I'd like for us to be friends, we aren't. I can not control my ex-wife into being friends with me. So I must detach from that situation. I must cease to invest emotional energy into wanting and wishing the situation would change. I can still act friendly toward her, I can still want her to be friendly toward me, but by detaching, I let go of the outcome. I let go of the mental agony of trying to figure out how we can become friends. I let go of worrying about a situation that is beyond my control.

Here's another example. In the town where I live in Florida, there is heavy "seasonal" automobile traffic during the winter months. Each winter, the so-called snow-birds migrate to South Florida's warm climate, clogging the roads, driving too slowly, driving in the left-hand lane, and in general, getting in the way of the local drivers. For many years, I complained, whined, criticized, honked, gave dirty looks, and felt entirely justified in treating out-of-town drivers with rude contempt.

But I have learned to detach from this situation. I can't control it. Complaining doesn't help. Being rude certainly doesn't help. It's the perfect situation for me to practice my recovery. It's a great way to find serenity in the face of complete powerlessness.

Maybe the best definition of detachment is accepting my powerlessness over another person, situation, or thing.

Also, I've learned what detachment is not.

Detachment is not an excuse for treating another person cruelly. For example, detachment is not banishing someone from my life who fails to live up to my expectations.

Detachment is not withdrawing emotional support or intentionally setting boundaries to create conflict and strife.


continue story below

Detachment is not another form of denial, in which I pretend a real problem in my life is non-existent.

Healthy detachment acknowledges the problem, accepts powerlessness over it, and chooses to no longer invest needless emotional energy into the problem.

Detachment is the healthy alternative to obsessing about a matter or seeking to manipulate or control a situation into conforming with my perception of what is best.

Where problems with people or significant relationships are concerned, detachment is giving the problem to God, who does have power. I step aside so God can solve the problem to the ultimate benefit of everyone involved, including me. It may take years for me to see God's plan unfold, so I must detach from seeking to control the timing as well.

In God's time, in God's way, by God's grace, to God's glory, the situation will be resolved.

If someone's problem is causing me harm or endangering me in some way, then I must detach. But I must also do what is necessary to protect myself. It may mean leaving that person (not abandoning), seeking an intervention (with professional help), or getting legal help. Again, detachment is not the denial of pain—detachment is always an action or a decision that brings me relief from the pain.

Detachment releases my attention and focus from a troubling problem, person, or situation over which I am powerless, and turns my focus and my attention to changing the things I can change.

Detachment leads me back to serenity.

next: The Calm Center

APA Reference
Staff, H. (2008, November 15). Detachment, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/relationships/serendipity/detachment

Last Updated: August 8, 2014

The Impact of Parental Child Abduction

Parental child abduction is another form of child abuse. Psychologist, Dr. Nancy Faulkner, discusses the dramatic impact parental kidnapping, child stealing, has on abducted children.

Parental child abduction is another form of child abuse. Psychologist, Dr. Nancy Faulkner, discusses the dramatic impact parental kidnapping, child stealing, has on abducted children.

Presented to
United Nations Convention on Child Rights
June 9, 1999
by Nancy Faulkner, Ph.D
on behalf of
P.A.R.E.N.T.
and
Victims of Parental Child Abduction

© Nancy Faulkner 1999

Introduction

"Because of the harmful effects on children, parental kidnapping has been characterized as a form of child abuse" reports Patricia Hoff, Legal Director for the Parental Abduction Training and Dissemination Project, American Bar Association on Children and the Law. Hoff explains,

"Abducted children suffer emotionally and sometimes physically at the hands of abductor-parents. Many children are told the other parent is dead or no longer loves them. Uprooted from family and friends, abducted children often are given new names by their abductor-parents and instructed not to reveal their real names or where they lived before." (Hoff, 1997)

As an early leader in the relatively new field of parental child abduction issues, Dr. Dorothy Huntington wrote an article published in 1982, Parental Kidnapping: A New Form of Child Abuse. Huntington contends that from the point of view of the child, "child stealing is child abuse." According to Huntington, "in child stealing the children are used as both objects and weapons in the struggle between the parents which leads to the brutalization of the children psychologically, specifically destroying their sense of trust in the world around them." Because of the events surrounding parental child abduction, Huntington emphasizes that "we must reconceptualize child stealing as child abuse of the most flagrant sort" (Huntington, 1982, p. 7).

There is an unfortunate and evident paucity of literature on parental child abduction. Just during the past two decades, Huntington (1982), Greif and Hegar (1993), and others have begun addressing concerns for children kidnapped by their parent abductors. With growing concerns for abducted children, some experts have coined terms like "Parental Alienation" to describe the potential negative impact on child victims. Regardless of the specific terms designed to illustrate the effects of parental child abduction, there is general consensus that the children are the resultant casualties.


 


Risk Factors for Parental Kidnapping

Post-divorce parental child stealing has been on the increase since the mid-1970s, paralleling the rising divorce rate and the escalating litigation over child custody (Huntington, 1986). According to Hoff (1997), "The term 'parental kidnapping' encompasses the taking, retention or concealment of a child by a parent, other family members, or their agent, in derogation of the custody rights, including visitation rights, of another parent or family member."

The abductor parent may move from one state to another, beginning a new round of investigation into the abuse with each move, impeding intervention by child protective services (Jones, Lund & Sullivan, 1996). Or, the abductor may flee to another country, completely shutting down any hopes of involvement by child protective services in the country of origin. The most pervasive scenario is that the abducting parent goes into hiding, or moves beyond the jurisdiction of governing law.

"These kidnappings are very cleverly plotted and planned and often involve the assistance of family members. The target parent has no forwarding address or telephone numbers." (Clawar & Rivlin, p. 115)

Huntington and others believe that inherent in the act of kidnapping and concealment are negative consequences for the child victims. It is Huntington's contention that one of the most concerning factors is that the parent has fled and "is out of reach of law and child protection agencies." To escape discovery the abductor parent is hiding out, -- "so who knows what is happening with child!" (Huntington, 1982).

The abducted child is without the safeguards normally provided by child law. This leaves the child completely vulnerable to the dictates of the abductor parent, who, as evidenced in the following research by Johnson and Girdner, may not have the child's best interests in mind, or may be functioning with severe impediments.

A study entitled Prevention of Parent or Family Abduction through Early Identification of Risk Factors was conducted by Dr. Janet Johnston (Judith Wallerstein Center for the Family in Transition) and Dr. Linda Girdner (ABA Center on Children and the Law). The researchers detailed six risk parent profiles for abduction:

  1. Have threatened to abduct or abducted previously;
  2. Are suspicious and distrustful due to a belief abuse has occurred;
  3. Are paranoid-delusional;
  4. Are sociopathic;
  5. Have strong ties to another country; and
  6. Feel disenfranchised from the legal system.

These findings by Johnston and Girdner pose a bleak prognosis for children held at the hands of such inept parents.


According to Rand, an abducting parent views the child's needs as secondary to the parental agenda which is to provoke, agitate, control, attack or psychologically torture the other parent. "It should come as no surprise, then, that post-divorce parental abduction is considered a serious form of child abuse" (Rand, 1997).

It is generally accepted that children are emotionally impacted by divorce. Children of troubled abductor parents bear an even greater burden. "The needs of the troubled parent override the developmental needs of the child, with the result that the child becomes psychologically depleted and their own emotional and social progress is crippled" (Rand, 1997). Since the problem of parental child abduction is known to occur in divided parents rather than in united and intact families, the inordinate emotional burdens compound abduction trauma. Rand reports that although Wallerstein is familiar with Parental Alienation Syndrome, Wallerstein and Blakeslee (1989) prefer the term "overburdened child" to describe this problem.

In custody disputes and abductions, the extended support systems of the parents can become part of the dispute scenario, -- leading to a type of "tribal warfare" (Johnston & Campbell, 1988). Believing primarily one side of the abduction story, -- family, friends, and professionals may lose their objectivity. As a result, protective concerns expressed by the abandoned parent may be viewed as undue criticism, interference, and histrionics. Thus, the abandoned parent may be ineffectual in relieving the trauma imposed on an innocent child by the parental abduction.

Generally, the abductor does not even speak of the abandoned parent and waits patiently for time to erase probing questions, like "When can we see mom (dad) again?". "These children become hostages ... it remains beyond their comprehension that a parent who really cares and loves them cannot discover their whereabouts" (Clawar & Rivlin, p. 115).

Impact of Parental Child Abduction

Children who have been psychologically violated and maltreated through the act of abduction, are more likely to exhibit a variety of psychological and social handicaps. These handicaps make them vulnerable to detrimental outside influences (Rand, 1997). Huntington (1982) lists some of the deleterious effects of parental child abduction on the child victim:

  1. Depression;
  2. Loss of community;
  3. Loss of stability, security, and trust;
  4. Excessive fearfulness, even of ordinary occurrences;
  5. Loneliness;
  6. Anger;
  7. Helplessness;
  8. Disruption in identity formation; and
  9. Fear of abandonment.

 


Many of these untoward effects can be subsumed under the problems relevant to Reactive Attachment Disorder, the diagnostic categories in the following section, and the sections on fear, of abandonment, learned helplessness, and guilt, that follow.

Reactive Attachment Disorder.

Attachment is the deep and enduring connection established between a child and caregiver in the first few years of life. It profoundly influences every component of the human condition, -- mind, body, emotions, relationships, and values. Children lacking secure attachments with caregivers often become angry, oppositional, antisocial, and may grow up to be parents who are incapable of establishing this crucial foundation with their own children (Levy & Orlans, 1999).

Children who lack permanence in their lives often develop a "one-day-at-a-time" perspective of life, which effects appropriate development of the cognitive-behavioral chain -- thoughts, feelings, actions, choices, and outcomes. "They think, 'I've been moved so many times, I'll just be moved again. So why should I care?'" (ACE, 1999).

Stringer (1999) and other experts on attachment disorder concur that the highest risk occurs during the first few years of life. This disorder is classified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) as Reactive Attachment Disorder. According to Stringer, common causes of attachment problems are:

  1. Sudden or traumatic separation from primary caretaker
    (through death, illness hospitalization of caretaker, or removal of child);
  2. Physical, emotional, or sexual abuse;
  3. Neglect (of physical or emotional needs);
  4. Frequent moves and/or placements;
  5. Inconsistent or inadequate care at home or in day care
    (care must include holding, talking, nurturing, as well as meeting basic physical needs); and
  6. Chronic depression of primary caretaker.

It is evident that these causality factors would place at high risk children who are subjected to similar conditions in the circumstances of parental kidnapping.


Attachment is the reciprocal process of emotional connection. This fundamental and necessary developmental process influences a child's physical, cognitive, and psychological development. It becomes the basis for development of basic trust or mistrust, and shapes how the child will relate to the world, how the child will learn, and how the child will form relationships throughout life. "If this process is disrupted, the child may not develop the secure base necessary to support all future healthy development" (Stringer, 1999).

Stringer (1999), Van Bloem (1999), The Attachment Center (ACE, 1999), and criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV, 1994) identify a significant and troubling list of behaviors associated with problematic attachment:

  1. Unable to engage in satisfying reciprocal relationships;
  2. Superficially engaging, charming (not genuine);
  3. Lack of eye contact;
  4. Indiscriminately affectionate with strangers;
  5. Lack of ability to give and receive affection on parents' terms (not cuddly);
  6. Inappropriately demanding and clingy;
  7. Poor peer relationships;
  8. Low self esteem;
  9. Affectionate with strangers or attempts to leave with strangers;
  10. Refuses, resists, or is uncomfortable with affection on parental terms;
  11. Incessant chatter or nonsense questions;
  12. Hyperactive, over-active, or attention deficit;
  13. Poor, underdeveloped, or no conscience;
  14. Hoarding, gorging, eating abnormalities, or hiding food;
  15. Intense control battles;
  16. Significant learning problems or lags;
  17. Fire setting, fire play, or fascination with fire;
  18. Daily lying or lying in the face of the obvious;
  19. Fascination with weapons, blood, or gore;
  20. Destructive to self or others; and
  21. Cruelty to animals, siblings, or others.

 


This unsettling list of disturbances and other constellations of behaviors exhibited by abducted children comprises criteria from various childhood disorder categories of the Diagnostic and Statistical Manual of Mental Disorders that might lead one to rule out the following diagnoses:

  1. Reactive Attachment Disorder of Infancy or Early Childhood;
  2. Separation Anxiety Disorder;
  3. Overanxious Disorder of Childhood;
  4. Attention-Deficit/Hyperactivity Disorder;
  5. Conduct Disorder;
  6. Disruptive Behavior Disorder;
  7. Oppositional Defiant Disorder;
  8. Eating Disorders;
  9. Learning Disorder NOS;
  10. Regression and Elimination Disorders: Encopresis and Enuresis; and
  11. Posttraumatic Stress Syndrome.

As a relatively new diagnosis to the Diagnostic and Statistical Manual of Mental Disorders, Reactive Attachment Disorder (RAD), also known as Attachment Disorder (AD), is often misunderstood, and relatively unknown (ACE, 1999). Although the official DSM-IV diagnosis may be overlooked by some professionals, the phenomenon of attachment disorder was observed 50 years ago by Rene Spitz in the well-known monkey studies. Spitz reported that infant monkeys may actually die if they are not played with, talked to, held, stroked, and tended. Some species of young monkeys die when abandoned. Even a brief separation of infant monkeys from their mothers is seen two years later, causing the infants to be more timid, clingy, and relate poorly to others.

Humans are social animals. If abandoned as an infant or young child, we may first protest by screaming, then quietly withdraw; finally, we become detached and apathetic. Abandoned, we may joylessly play some with others, but there is no emotional involvement (Tucker-Ladd, 1960).

The DSM-IV (1994) defines Reactive Attachment Disorder (RAD) as markedly disturbed and developmentally inappropriate social relatedness in most contexts, beginning before age five. According to Van Bloem (1999), inexperienced professionals often misdiagnose Reactive Attachment Disorder (RAD) as Oppositional Defiant Disorder, Attention Deficit Disorder, Depression, Autism, Post-Traumatic Stress Disorder, Bipolar Disorder, or Attention-Deficit/Hyperactivity Disorder. Other experts in RAD estimate that this disorder has been misdiagnosed as Bi-Polar Disorder or Attention Deficit Disorder in 40 to 70 percent of the cases (ACE, 1999).


Bloem (1999) suggests that Reactive Attachment Disorder is often accompanied by other diagnosis listed above, but that Attachment Disorder most often needs to be the primary diagnosis and the focus of early intervention. Some professionals may mildly disagree with Bloem's preferred diagnostic perspective; however, most would agree that the resultant trauma to a child, -- who in a moment was stolen away from his or her entire world of familiarity, -- is emotionally, developmentally, and psychologically devastating.

Van Bloem (1999) reports that for a child "it is not possible to develop true self-esteem and find peace without resolving differences and emotional pain due to stressed or damaged emotional ties to parents and family." According to Van Bloem, attachment helps the child to:

  1. Attain full intellectual potential;
  2. Sort out perceptions;
  3. Think logically;
  4. Develop a conscience;
  5. Become self-reliant;
  6. Cope with stress and frustration;
  7. Handle fear and worry;
  8. Develop future relationships; and
  9. Reduce jealousy (Van Bloem, 1999).

The words "attachment" and "bonding" are used interchangeably. These bonding impaired individuals typically fail to develop a conscience and do not learn how to trust. With Attachment Disorder, individuals have difficulty forming intimate lasting relationships (ACE, 1999). Children with attachment disturbance often project an image of self-sufficiency and charm, while masking inner feelings of insecurity and self hate. Unfortunately, such children do not respond well to traditional parenting or therapy, since both rely on the child's ability to form relationships (Stringer, 1999).

Adult survivors of abuse may experience long term or chronic lifetime symptoms resulting from childhood trauma. For example, a person who has been physically abused might suffer from depression or anxiety. A victim of childhood sexual abuse might exhibit symptoms of Posttraumatic Stress, or other disorders as evidenced in the DSM-IV criteria of adult mental health disorders, such as:

  1. Agoraphobia
  2. Posttraumatic Stress Disorder
  3. Dissociative Identity Disorder
  4. Dysthymic Disorder
  5. Substance Abuse or Dependency
  6. Generalized Anxiety Disorder
  7. Major Depressive Disorder
  8. Panic Attacks or Panic Disorder
  9. Borderline Personality Disorder

 


All too often, children suffering from Reactive Attachment Disorder go untreated and become adults without conscience (Antisocial Personality Disorder) and without concern for anyone but themselves. "Parental dreams are lost, and they grow up uncaring and without social conscience" (ACE, 1999).

Learned Helplessness.

The concept of learned helplessness is based on the highly respected work of Seligman in 1975, when he observed this helpless condition among animals that were unable to alter their environment. Seligman subjected dogs to random shocks at variable intervals that were completely unrelated to their volitional behaviors. Nothing the dogs could do would protect them from being shocked. Under this experimental treatment, the dogs became passive and refused to leave their cages, even though the cage doors were eventually left open as the shock treatments continued.

"The key to the learned helplessness model is punishment that is totally unrelated to the victim's behavior, that is, the victim does not have to do anything wrong to be punished" (Lalli, 1997). As a consequence, the victim places him or herself under a virtual house arrest without informed judgment that includes facts of the situation. In the situation of parental abduction, the child victim often does not know why he or she has been abducted, has no control over the situation, and even though there may be very strong feelings of anger, frustration and confusion, -- the totality of helplessness may result in a yielding to the circumstances. This yielding and superficial appearance of resolution to the circumstance may be the result of complete devastation, lack of control, and total helplessness, -- rather than acceptance.

Fear and Phobias.

Most phobias are groundless and excessive, such as fears of crowds, small spaces, addressing large groups, and heights. These fears of harmless situations may be associated with fantasies of horrible consequences, like the fear of public speaking. Thus, frightening and irrational thoughts of what might happen become paired with the real situation, which in turn produces a fear reaction. For example, at night a child has fantasies of demons lurking under the bed and in the closet. The stronger the fantasies, the worse the fear when the lights are turned off. Soon, the fears will occur prior to bedtime, from anticipation of being in the dark.

"Likewise, most of us have at least a mild fear of the dark. Relatively few people have been attacked in the dark, no one by ghosts or monsters. Yet, at age 3 or 4 (as soon as our imagination develops enough) we begin fantasizing scary creatures lurking in the dark. Our own fantasies create our fear of the dark." (Tucker-Ladd, 1960)

Children who are abducted have been stripped of almost everything familiar - toys, personal possessions, playmates, relatives, teachers, the neighborhood, playgrounds, favorite shopping and eating places, -- daily routine -- and a parent. Suddenly snatched from all that is familiar and deposited without adequate preparation into a completely new environment, -- fear of the unknown, future events, emotional safety, and physical safety can run rampant and become irrational. The real threat becomes even more exaggerated and capacities to deal with the threat seem completely inadequate. "This is horrible, out of my control, and I can't deal with it." Overwhelmed with the stress of new stimuli and unable to make sense of the situation may lead the child to excessive anxiety and fears, which in turn may develop into chronic anxiety, stress reactions, depression, paranoia and/or other complications discussed in the following sections.


Stress and Generalized Anxiety Disorder.

One of the leaders in theories of anxiety, Hans Selye spent a life-time studying stress and postulated that almost any change is a stressor, since there is a resultant demand to deal with a new situation. If normal daily stressors are increased to unusual and traumatic events, like child abduction, the short and long term impact may significantly impair development and functioning, -- even into adulthood.

There are three stages in General Adaptation Syndrome (GAS). In the alarm stage, physiological changes occur, -- the heart beats faster, respiration increases and becomes more labored, senses become at least temporarily more alert, perspiration occurs, -- all preparing the body to flee or attack. The body responds with panic, a reaction to the fight or flight dilemma. Under continued stress, the second stage begins, -- resistance. The body becomes weary and attempts to adjust and adapt to the stress. Despite efforts to adapt, the autonomic system is still working overtime.

If the stress is extended (days, weeks, and months), resistance is further depleted and exhaustion occurs. Energy to continue stress adaptation is depleted. The body gives up, with some resultant damage potentially occurring, -- particularly to the heart, kidneys, and stomach. Commonly, psychosomatic disorders occur. These somatic disorders are psychologically mediated physical difficulties, like lethargy, pain, hypertension, headaches, abdominal and gastric distress, and sleep disorders. Feelings of hopelessness and a state of confusion generally accompany the physical symptoms and decision-making deteriorates under intense or prolonged stress.

Extensive replicated research findings have demonstrated these psychosomatic and physiologically damaging consequences may also occur as a result of extended stress from circumstances of childhood trauma. The potential for harmful effects of divorce on children has been widely substantiated. Stress has been documented to alter the brain, cardiovascular systems, immune systems, and hormonal system. For example, it has been discovered that female adult survivors of childhood sexual abuse have a smaller hippocampus than non-abused women. Stress symptoms that are evident as an adult may be due to occurrences from many years prior, e.g., the long term effects of divorce, such as a fear of intimacy, may occur much later in life, -- 10 or 15 years later.

In children, extended stress may result in regression of behaviors, like age inappropriate thumbsucking, excessive clinginess, unexplained crying, bedwetting, and temper tantrums.

Prolonged and unresolved stress may also manifest in displacement, the redirection of impulses (often anger) from the real threat to an innocent and safer person. Often, the redirection is because the threat is too dangerous to confront. This may be the case in an abducted child who redirects his or her anger from the abductor to another person, possibly the abandoned parent for not rescuing and restoring life to the way it had been. Another form of displacement is internal. Instead of displacing hostility to another person, it is turned inward, against oneself. This is not uncommon in depression and suicide.


 


Extended stress and frustration to resolve the conflict, in an effort to relieve the anxiety, may result in reaction formation, -- denial and reversal of feelings. Love becomes hate, or hate becomes love. For example, with a problem between a parent and child, the child may express the anger through exaggeration of affection. In this situation, the child may superficially appear to be closely bonded with the parent who is contributing to the stress; if asked, the child will attest to a strong and loving parent-child relationship.

Yet another stress reaction is identification, -- the process of attempting to bond with the person responsible for the stressors and becoming like the abuser to diminish the conflictual anxiety. As an example, some sexual assault victims have been known to identify strongly with offenders, even to the point of developing intimate relationships with incarcerated abusers. In these situations, the victim may emulate and become more and more like the abuser. Identification with and emulation of the offender is particularly true in cases of child sexual assault victims who become adult offenders. In parental child abductions, some children have been known to identify with the abducting parent, to the point of completely rejecting and blaming the abandoned parent, despite evidence absent blame.

Stress also generally interferes with performance, resulting in inhibited learning, poor decision-making, and resulting in restricted development. Intense and prolonged stress, especially in childhood, may create an overreaction to stress, -- even years later. Intense reactions to stress and resultant failures become a self perpetuating cycle, creating more stress and more failure. Continued failure breeds the feelings of helplessness and hopelessness, which circles back to learned helplessness and giving up.

Generalized Anxiety Disorder is more intense than the normal anxiety generally experienced day to day. It's chronic and exaggerated worry and tension, even though time has passed, the circumstance has changed, and there seems to be nothing evident that will continue to provoke anxiety. Having this disorder means anticipating disaster and experiencing excessive concerns about health, money, family, or work. The problems generalize to other situations in life, become self-sustaining, and the original stressors are then difficult to identify.

People suffering from Generalized Anxiety Disorder cannot seem to control or manage their concerns, even though they may realize their anxiety is more intense than the situation warrants. They seem unable to relax, often have trouble falling or staying asleep, with worries that are accompanied by physical symptoms, like twitching, muscle tension, headaches, irritability, sweating, or hot flashes. There may be feelings of being lightheaded, out of breath, nauseated or an urgency to urinate; or, there may be an almost constant feeling of having a lump in the throat. There may be a heightened startle response, lethargy, or difficulty concentrating. If severe, manifestations of Generalized Anxiety Disorder can be very debilitating, making it difficult to carry out even the most ordinary daily activities (DSM-IV, 1994).

Guilt.

It is difficult for some to understand the guilt felt by a victim, particularly when the victim is a child. Survivors of childhood sexual abuse continue to remind us that they felt guilt -- guilt that they may have in some way brought on the abuse, guilt for feeling some sensate pleasure, guilt for destruction of the family constellation when the abuse was discovered, and guilt for legal consequences to the offender.

Literature on divorce is deplete with references to children feeling that they had somehow brought about difficulties between their parents and were responsible for the culminating division of the family. The guilt of abducted children is not dissimilar.

"These children are extremely guilty when they return and are very fearful of the reaction of the other parent. They do not know who to believe, the are bewildered and very fearful. Many children have a sense that the stealing was their fault and that it could have been avoided. They feel to blame for both the stealing and for the divorce. Many of the older children feel very guilty about not having tried to contact the parent victim. These children feel it is not possible to have a relationship with both parents, and they are town between them. It is not uncommon to see total confusion when they are returned, particularly with a sense of being returned to a stranger." (Huntington, 1982, p. 8)


Acute Stress Disorder and Post-traumatic Stress Disorder.

The diagnoses of Acute Stress Disorder and Post-traumatic Stress Disorder are commonly applied by professionals to victims of abuse situations, such as sexual abuse and child abduction, when the presenting symptoms and applicable conditions apply. According to the criteria of the Diagnostic and Statistical Manual of Mental Disorders (1997), a person suffering from Acute Stress Disorder has been exposed to a traumatic event in which both of the following were present:

  1. The person experienced, witnessed, or was confronted with an event or events that involved actual or threatened death or serious injury, or a threat to the physical integrity of self or others;
  2. The person's response involved intense fear, helplessness, or horror.

Either while experiencing or after experiencing the distressing event, the individual has three (or more) of the following dissociative symptoms:

  1. A subjective sense of numbing, detachment, or absence of emotional responsiveness;
  2. A reduction in awareness of his or her surroundings (e.g., "being in a daze");
  3. Derealization;
  4. Depersonalization;
  5. Dissociative amnesia (i.e., inability to recall an important aspect of the trauma).

Like many reactive effects and symptoms discussed in the sections above, this diagnostic category also includes marked symptoms of anxiety or increased arousal (e.g., difficulty sleeping, irritability, poor concentration, hypervigilance, exaggerated startle response, motor restlessness). A victim of abuse may meet the criteria for this diagnosis when the disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning; or, when the disturbance impairs the individual's ability to pursue some necessary task, such as obtaining necessary assistance or mobilizing personal resources by telling family members about the traumatic experience.

Parental Alienation and the Overburdened Child.

"Physical kidnapping situations leave children extremely susceptible to indoctrination against a target parent. Often the operating strategy is to frighten the child into believing that the only way to exist is to escape some ambiguous harm that is to be inflicted upon the parent, child or both of them by the target parent" (Clawar & Rivlin, p. 115).


 


In Children Held Hostage: Dealing With Programmed and Brainwashed Children, Clawar and Rivlin detail signs of abduction victim "maladjustment that go beyond the impact of separation and divorce" (p. 129). The authors delineate these parental child abduction consequences as "specifically related to the effects of brainwashing and programming." Clawar and Rivlin list 25 resultant manifestations, including anger, loss of self-confidence and self-esteem, development of fears and phobias, depression, sleep disorders, and eating disorders.

"Brainwashing" and "programming" are terms used more and more frequently by experts of parental child abduction. These terms may initially offend or alienate the reader who is not familiar with Parental Alienation and abduction dynamics. "Brainwashing" and "programming" -- or changing a child's belief systems, -- may be intentional, or, it may be the unintentional process of a parent imposing their belief systems on the child through an extended period of inadvertent repetition.

According to Garbarino et al. (1986), psychological maltreatment can be viewed as a pattern of adult behavior which is psychologically destructive to the child, sabotaging the child's appropriate normal development of self and social competence. To assist with a framework for understanding brainwashing and parental alienation concepts, five types of psychological maltreatment identified by Garbarino et al. were adapted by Rand (1997) to apply to the Parental Alienation Syndrome (PAS):

  1. Rejecting - The child's legitimate need for a relationship with both parents is rejected. The child has reason to fear rejection and abandonment by the alienating parent if positive feelings are expressed about the other parent and the people and activities associated with that parent.
  2. Terrorizing - The child is bullied or verbally assaulted into being terrified of the target parent. The child is psychologically brutalized into fearing contact with the target parent and retribution by the alienating parent for any positive feelings the child might have for the other parent. Psychological abuse of this type may be accompanied by physical abuse.
  3. Ignoring - The parent is emotionally unavailable to the child, leading to feelings of neglect and abandonment. Divorced parents may selectively withhold love and attention from the child, a subtler form of rejecting which shapes the child's behavior.
  4. Isolating - The parent isolates the child from normal opportunities for social relations. In PAS, the child is prevented from participating in normal social interactions with the target parent and relatives and friends on that side of the family. In severe PAS, social isolation of the child sometimes extends beyond the target parent to any social contacts which might foster autonomy and independence.
  5. Corrupting - The child is missocialized and reinforced by the alienating parent for lying, manipulation, aggression toward others or behavior which is self-destructive. In PAS with false allegations of abuse, the child is also corrupted by repeated involvement in discussions of deviant sexuality regarding the target parent or other family and friends associated with that parent. In some cases of severe PAS, the alienating parent trains the child to be an agent of aggression against the target parent, with the child actively participating in deceits and manipulations for the purpose of harassing and persecuting the target parent.

Separation Anxiety and Fear of Abandonment.

Separation Anxiety and fear of abandonment is noteworthy enough that it deserves mention separate from fear and learned helplessness. While manifestations of this problem may also meet the criteria for Overanxious Disorder of Childhood, in this instance features are more specific to having been removed from and seemingly abandoned by a parent. As mentioned above, the child may have no way of knowing what attempts the abandoned parent may be making for rescue, may believe to have been deserted by that parent, and may have been convinced by the abducting parent that the abandoned parent is deceased or no longer cares about the child.

According to the DSM-IV (1997), Separation Anxiety is manifested by developmentally inappropriate and excessive anxiety concerning separation from home or from those to whom the individual is attached, as evidenced by three (or more) of the following:

  1. Recurrent excessive distress when separation from home or major attachment figures occurs or is anticipated;
  2. Persistent and excessive worry about losing, or about possible harm befalling, major attachment figures;
  3. Persistent and excessive worry that an untoward event will lead to separation from a major attachment figure (e.g., getting lost or being kidnapped);
  4. Persistent reluctance or refusal to go to school or elsewhere because of fear of separation;
  5. Persistently and excessively fearful or reluctant to be alone or without major attachment figures at home or without significant adults in other settings;
  6. Persistent reluctance or refusal to go to sleep without being near a near a major attachment figure or to sleep away from home;
  7. Repeated nightmares involving the theme of separation;
  8. Repeated complaints of physical symptoms (such as headaches, stomachaches, nausea, or vomiting) when separation from major attachment figures occurs or is anticipated.

The duration of the disturbance is at least 4 weeks. The onset is before age 18 years. The disturbance causes clinically significant distress or impairment in social, academic (occupational), or other important areas of functioning (DSM-IV, 1997).

Even children who have not suffered the trauma of abduction may experience Separation Anxiety and fear of abandonment. The death of a parent, family member, or friend's parent, as well as extended absences of one parent and other factors normally expected in life may contribute to separation anxiety. That being the case, one can only imagine the degree of Separation Anxiety experienced by a child who believes to have been abandoned by a parent as a consequence of parental abduction circumstances.


 


Grief.

Siegelman (1983), an expert on grief, contends that change is upsetting because we are leaving a part of ourselves behind. Any change involves loss of the known and relinquishing of a reality that has contributed to understanding and consistency. Elizabeth Kubler-Ross, a well-respected authority on grief, suggests that the second most intense life stress, second to death, is divorce or loss of a love relationship. "Love relationship" in this sense applies to all familial and close relationships, e.g., husband-wife, parent-child, siblings, etc.

Not only does an abducted child experience the physical distancing and loss of a parent, the child may also be lead to believe the parent is deceased. Parent abductors are frequently known to invent stories about the abandoned parent to silence the frightened child's questioning. With the death of a parent, generally comes loss of attachment, history, and roots. According to Ross, a sudden, unexpected loss is usually harder to accept than an anticipated loss for which we have had time to prepare, as is the case for a kidnapped child.

Loss and grief experts also agree that the loss of a person on whom we are dependent is difficult to handle, especially if that dependency left us without a life of our own and incompetent to care for ourselves -- like that of an abducted child kidnapped from a parent on whom he or she was dependent. Also, the assistance from personal support systems -- family and friends -- is an important factor in recovering from a loss. Support for such losses are likely to be especially weak when one lives away from family or has few friends, such as the grief-stricken child who was removed from their own support and reality. An abducted child has lost most, if not all support systems.

So, added to the abducted child's long laundry list of challenges, problems, stressors, and confusions, -- is grief. Grief for the absent parent, for a life that no longer exists, for friends and loved ones, and for the certainty and comfort of life as it was.

What has been reported about abducted children?

According to Greif (1999) in his personal lecture notes on "The Impact of Parental Abduction on Children," the following have been experienced by "children on the run," whether they remain within their country of origin or are taken across international borders:

  1. Physical, sexual, and emotional abuse (the range being from 6% with Finkelhor, to higher with others);
  2. Neglect in terms of care, feeding, and psychological nurturing;
  3. Specific training in how to be secretive in relation to hiding a sense of self, hiding accomplishments, distrusting authorities, etc.;
  4. Being lied to about the searching parent, including being told the searching parent has abandoned the child, doesn't love the child, or the searching parent is dead;
  5. Being moved constantly and denied contact for any significant time with any one other than the abductor - this may include being cut-off from contact with siblings, teachers, friends, grandparents, and other relatives;
  6. In addition, and on a more complex level, an abducted child is exposed to a dynamic situation where the child may take on an inappropriate, more adult-like role. In one scenario, the child may become the protector or caretaker of the abductor, if the abductor appears in need of emotional reassurance. In another scenario, the child over-identifies with the abductor in an "us against them" mentality where distrust of authority is the norm. One possible result of either dynamic is that the located child remains with the abductor!
  7. Confirming the discussions above about the impact of child abduction, Greif adds that according to the literature, upon recovery the child may experience:

A. Concerns about safety and reabduction;
B. Guilt and shame;
C. Confusion about his or her identity if there has been a name change;
D. Loyalty conflicts between the searching parent and the abductor with whom the child may have identified;
E. Specific problems like depression, anxiety, anomie, bedwetting, thumb-sucking; and
F. Psychological regression, withdrawal, PTSD-like symptoms, and extreme fright.


Conclusion

"As adults, many victims of bitter custody battles who had been permanently removed from a target parent, whisked away to a new town and given a new identity, still long to be reunited with the lost parent. The loss cannot be undone. Childhood cannot be recaptured. Gone forever is that sense of history, intimacy, lost input of values and morals, self-awareness through knowing one's beginnings, love, contact with extended family, and much more. Virtually no child possesses the ability to protect him- or herself against such an undignified and total loss" (Clawar & Rivlin, p. 105).

References

Attachment Center - At Evergreen (ACE). www.attachmentcenter.org/">What is attachment disorder?, May 99.

Clawar SS, Rivlin BV: Children held hostage: Dealing with programmed and brainwashed children. ABA Section of Family Law, ISBN No. 0-89707-628-1.

Diagnostic and Statistical Manual of Mental Disorders - Fourth Edition (DSM-IV). American Psychiatric Association, Washington DC, 1994.

Garbarino J, Guttmann E, Seeley JW: The psychologically battered child: Strategies for identification, assessment, and intervention. San Francisco, Josey-Bass Publishers, 1986.

Greif GL, Hegar, R: When parents kidnap, New York: Free Press, 1993.

Greif GL: The Impact of Parental Abduction on Children. Personal communication and public speaking notes provided by GL Greif, May 27, 1999.

Hoff PM: Parental kidnapping: Prevention and remedies. Parental Abduction Training and Dissemination Project, American Bar Association Center on Children and the Law, 1997.

Huntington, DS: Parental kidnapping: A new form of child abuse, 1982.

Huntington DS: The forgotten figures in divorce, in Divorce and Fatherhood: The struggle for parental identity. Edited by Jacobs JW, Washington DC, American Psychiatric Association Press, 1986.

Johnston JR, Campbell LE: Impasses of divorce: The dynamics and resolution of family conflict. New York, The Free Press, 1988

Jones M, Lund M, Sullivan M: Dealing with parental alienation in high conflict custody cases. Presented at the conference of the Association of Family and Conciliation Courts, San Antonio, TX, 1996.

Lalli, AN: Arguments For Human Research Subject Protection Without Waivers or Exceptions, Sept 97.

Levy TM, Orlans, M:

Attachment, trauma, and healing: Understanding and treating attachment disorder in children and families. Child Welfare League of America, 1999.

Rand DC: The spectrum of the parental alienation syndrome. American Journal of Forensic Psychology, 15-3, 1997.

Stringer K: What is attachment? ToddlerTime, May 99.

Tucker-Ladd, CE: Psychological Self Help. University of Iowa, 1960.

Van Bloem LL: Attachment oriented individual and family therapy. Attachment Home Page, Feb 99.

Wallerstein JS, Blakeslee S: Second chances. New York, Ticknor & Fields, 1989.

Wallerstein JS, Kelly JB: Surviving the breakup: How children and parents cope with divorce. New York, Basic Books, 1980


 


next: Be Caring, Cautions When Dealing with a Rape Victim
~ all abuse library articles

APA Reference
Staff, H. (2008, November 15). The Impact of Parental Child Abduction, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/abuse/articles/impact-of-parental-child-abduction

Last Updated: May 6, 2019

Communicating with Your Depressed Child

If your child is down or depressed, it's important to talk about it. Here are suggestions for communicating with your depressed child or teen.

Even though a depressed child may be hard to talk to, it is really important for someone to try to make contact and to understand what has set off the depression. If parents do not have success with this, get help from someone the child can trust. This may be a relative (for example, aunt or grandparent), friends or someone from the child's school.

In talking to children the following things are important.

  • Listening to what they have to say, really listening. This is easier said than done and means not interrupting, not reacting and saying "that's silly" or, "it's your own fault", or even leaping in to try and cheer up or reassure. Just let children say whatever they can say and try to imagine what they are feeling as they speak.
  • You can ask a few questions to help understand the child's story, but do not quiz them, or ask 'why'. They may not know 'why', but they may know how they feel and they may know what they want to be different.
  • Showing you have heard is helpful, by repeating the words the children have used or, writing them down.
  • Letting them know you can see how they feel is also helpful. e.g. "I can see you are very sad about it".
  • If children cannot talk about it, they may be able to draw something that shows how they feel, or show it with dolls or puppets, or find a song or book that describes it.
  • Say and show you care how they feel. Sometimes a parent just holding and cuddling a child can do more to make the child feel better than all the words in the world. For friends and teachers a hug around the shoulder, a touch on the arm or just sitting alongside can show you care.
  • There are some topics you might mention just in case the child is too embarrassed or afraid and needs you to start. Ask if anyone is hurting them and has told them not to tell. Tell them nothing is too awful to talk about, and that you will love them no matter what happened.

Once you feel you have tried to understand the reason for the child's sadness here are some suggestions.

  • Tell the child that feelings of sadness do get better eventually and that there are things that can be done to help that happen.
    • If children are blaming themselves for something unreasonably, tell them they are not to blame.
    • Offer practical help to make a plan for change. There may be a lot of things that can be changed; help in making new friends, finding activities the child can succeed at, taking the pressure off by stopping some activities, protection from a bully at school or from an abusive person.
    • Make sure children know they have the support and someone to turn to when the feelings get bad, especially when the situation is something that won't change (such as a death or divorce).
    • Help children learn to notice what makes the feelings worse and what helps.
    • Help children find ways to express sad feelings. Boys may need particular help with this.
    • Make sure the children know this could happen to anyone - they are not weird or strange.
    • Encourage or help the child to do the things you know they used to enjoy.
  • Notice the things they do well and tell them about it.
  • Get a physical checkup with a doctor.
  • Encourage or help children to eat well (offer their favorites), get some exercise and find ways to relax.
  • Make sure your children know you love and approve of them.

If the child's sadness is not helped by what you have done or you cannot find a reason for the depression, it would be wise to seek professional help.

Sometimes this is hard for parents to do, from fear of what others will think of them. It is important you don't let this stop you getting help for your child. People will respect you for seeking help.

Sources:

  • Barbara D. (1996). 'Lonely, sad and angry: a parent's guide to depression in children and adolescents'. Main Street Books.
  • Graham P. and Hughes C. (1995). 'So Young. So Sad. So Listen'. Bell and Bain: Glasgow.
  • Children, Youth and Women's Health Service

APA Reference
Staff, H. (2008, November 15). Communicating with Your Depressed Child, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/parenting/depression/communicating-with-your-depressed-child

Last Updated: August 19, 2019

Recovering from Codependency: The Emotional Frontier Within

The Journey to the Emotional Frontier Within

"I had to become aware that there were such things as emotions that lived in my body and then I had to start learning how to recognize and sort them out. I had to become aware of all the ways that I was trained to distance myself from my feelings."

Further Journeys to the Emotional Frontier Within

"Perhaps the most common story telling diversion is to get very involved in the details of the story she said. . . . . then I said. . . . then she did. . . . . The details are ultimately insignificant in relationship to the emotions involved but because we do not know how to handle the emotions we get caught up in the details."

The Journey to the Emotional Frontier Within

"Until we can forgive ourselves and Love ourselves we cannot Truly Love and forgive any other human beings - including our parents who were only doing the best they knew how. They, too, were powerless to do anything any different - they were just reacting to their wounds.
It is necessary to own and honor the child who we were in order to Love the person we are. And the only way to do that is to own that child's experiences, honor that child's feelings, and release the emotional grief energy that we are still carrying around".

"We cannot learn to Love without honoring our Rage!

We cannot allow ourselves to be Truly Intimate with ourselves or anyone else without owning our Grief.

We cannot clearly reconnect with the Light unless we are willing to own and honor our experience of the Darkness.

We cannot fully feel the Joy unless we are willing to feel the Sadness.

We need to do our emotional healing, to heal our wounded souls, in order to reconnect with our Souls on the highest vibrational levels. In order to reconnect with the God-Force that is Love and Light, Joy and Truth".

Codependence: The Dance of Wounded Souls by Robert Burney


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Emotions are energy. Actual physical energy that is manifested in our bodies. Emotions are not thoughts - they do not exist in our mind. Our mental attitudes, definitions, and expectations can create emotional reactions, can cause us to get stuck in emotional states - but thoughts are not emotions. The intellectual and emotional are two distinctly separate though intimately interconnected parts of our being. In order to find some balance, peace, and sanity in recovery it is vitally important to start separating the emotional from the intellectual and to start setting boundaries with, and between, the emotional and mental parts of our self.

Many of us learned to live in our heads. To analyze, intellectualize, and rationalize as a defense against feeling our feelings. Some of us went to the other extreme and lived life based on our emotional reactions without any intellectual balance. Some of us would swing from one extreme to the other. Living life in the extremes or swinging between the extremes is dysfunctional - it does not work to create a balanced, healthy, happy life.

If you learned to live life in your head it is vitally necessary to start becoming more aware of your body and what is happening in your body emotionally. Where is there tension, tightness? Where is the energy manifesting in my body? I learned that when there is energy congregating in my upper chest it was sadness. If it was around my heart chakra it was hurt. Anger and fear manifest in my stomach. Until I started to become aware of, and identify, the emotional energy in my body it was impossible for me to be emotionally honest with myself. It was impossible for me to start owning, honoring, and releasing the emotional energy in a healthy way until I became aware that it was there.
I had to become aware that there were such things as emotions that lived in my body and then I had to start learning how to recognize and sort them out. I had to become aware of all the ways that I was trained to distance myself from my feelings. I am going to mention a few of them here to help any of you reading this in your process of becoming emotionally honest.

Speaking in the third person. One of the defenses many of us have against feeling our feelings is to speak of ourselves in the third person. "You just kind of feel hurt when that happens" is not a personal statement and does not carry the power of speaking in the first person. "I felt hurt when that happened" is personal, is owning the feeling. Listen to yourself and to others and become aware of how often you hear others and yourself refer to self in the third person.

Avoiding using primary feeling words. There are only a handful of primary feelings that all humans feel. There is some dispute about just how many there are primary but for our purpose here I am going to use seven. Those are: angry, sad, hurt, afraid, lonely, ashamed, and happy. It is important to start using the primary names of these feelings in order to own them and to stop distancing ourselves from the feelings. To say "I am anxious" or "concerned" or "apprehensive" is not the same as saying "I am afraid". Fear is at the root of all those other expressions but we don't have to be so aware of our fear if we use a word that distances us from fear. Expressions like "confused", "irritated", "upset", "tense", "disturbed", "melancholy", "blue", "good", or "bad" are not primary feeling words.

Emotions are energy that is meant to flow: E - motion = energy in motion. Until we own it, feel it and release it, it cannot flow. By blocking and repressing our emotions we are damming up our internal energy and that will eventually result in some physical or mental manifestation such as cancer or alzheimers disease or whatever.

Until we can start being emotionally honest with ourselves it is impossible to be truly honest on any level with anybody. Until we start becoming emotionally honest with ourselves it is impossible to know who we Truly are. Our emotions tell us who we are and without emotional honesty it is impossible to be True to our self because we don't know ourselves.

Of course there is a very good reason we have had to be emotionally dishonest. It is because we are carrying around unresolved grief - suppressed pain, terror, shame, and rage energy from our childhoods. Until we deal with our unresolved grief and start releasing the suppressed, pressurized emotional energy from our past it is impossible to be comfortable in our own skins, in the moment, in an emotionally honest, age-appropriate way. Until we become willing to take the journey to the emotional frontier within us we cannot Truly know who we are, we cannot Truly start to forgive and Love ourselves.


Further Journeys to the Emotional Frontier Within

"The way to stop reacting out of our inner children is to release the stored emotional energy from our childhoods by doing the grief work that will heal our wounds. The only effective, long term way to clear our emotional process - to clear the inner channel to Truth which exists in all of us is to grieve the wounds which we suffered as children. The most important single tool, the tool which is vital to changing behavior patterns and attitudes in this healing transformation, is the grief process. The process of grieving.

We are all carrying around repressed pain, terror, shame, and rage energy from our childhoods, whether it was twenty years ago or fifty years ago. We have this grief energy within us even if we came from a relatively healthy family, because this society is emotionally dishonest and dysfunctional".

Codependence: The Dance of Wounded Souls by Robert Burney

Last month I mentioned two of the ways that many of us learned to distance ourselves from our feelings - talking in the third person and avoiding owning our feelings verbally, - a third very prevalent technique is story telling.

This is a very common method of avoiding our feelings. Some people tell entertaining stories to avoid feelings. They may respond to a feeling statement by saying something like "I remember back in `85 when I. . " Their stories might be very entertaining but they have no emotional content.

Some people tell stories about other people. This is the stereotypical Codependent of the joke about when a Codependent dies someone else ís life passes before their eyes. They will respond to an emotional moment by telling an emotional story about some friend, acquaintance, or even a person they read about. They may exhibit some emotion in telling the story but it is emotion for the other person, not for self. They keep a distance from their emotions by attributing the emotional content to others. If this type of stereotypical Codependent is in a relationship everything they say will be about the other person. Direct questions about self will be answered with stories about the significant other. This is a completely unconscious result of the reality that they have no relationship with, or identity as, self as an individual.


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Perhaps the most common story telling diversion is to get very involved in the details of the story "she said. . . . . then I said. . . . then she did. . . . " The details are ultimately insignificant in relationship to the emotions involved but because we do not know how to handle the emotions we get caught up in the details. Often we are relating the details in order to show the listener how we were wronged in the interaction. Often we focus on how others are wrong in reaction to the situation as a way of avoiding our feelings.

Here are two very typical examples of this type of emotional distancing recently. A person in obvious pain spoke for twenty minutes about a loved one who was dying. For 19 and 1/2 minutes of that twenty the person talked of what the doctor and nurses were doing wrong, of the details of incidents which happened. For a few brief seconds the person touched on their own feelings and then very quickly jumped back to the details of what was happening. The other example is my mother who is terrified of having a stroke and being partially paralyzed for several years like her mother was. Recently her older sister had a stroke. My mother, in talking about what is happening, cannot talk about her fear or pain, instead she talks about how her sister ís children are behaving incorrectly.

I am very sad to see people in this kind of emotional pain. I am sad that they do not know how to be emotionally honest about what they are feeling. This is very typical and common in this emotionally dishonest society. We have been trained to be emotionally dishonest and need to go through a learning process in order to retrain ourselves to allow ourselves to own the feelings.

An integral part of that learning process is grieving the wounds from our childhood and earlier life. By not grieving earlier losses there may be so much suppressed energy that any current loss threatens to burst the whole dam of emotions. This literally feels life-threatening.

When I started to do my own emotional healing it felt like if I ever really started crying that I wouldn't be able to stop - that I would end up crying in a padded room someplace. It felt as if I ever really let myself feel the rage that I would just go up and down the street shooting people. It was terrifying.

When I first became willing to start dealing with the emotions it felt as if I had opened Pandora's Box and that it would destroy me. But I was led by my Spiritual guidance to safe places to start learning how to do the grieving and safe people to do it with.

Doing that grieving is overwhelming terrifying and painful. It is also the gateway to Spiritual Awakening. It leads to empowerment, freedom, and inner peace. Releasing that grief energy allows us to start being able to be emotionally honest in the moment in an age-appropriate way. It is, in my understanding, the path that the Old Souls who are doing their healing in this Age of Healing and Joy need to travel to get clearer about their path and accomplish their mission in this lifetime.

next: Emotional Incest

APA Reference
Staff, H. (2008, November 15). Recovering from Codependency: The Emotional Frontier Within, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/relationships/joy2meu/recovering-from-codependency-the-emotional-frontier-within

Last Updated: August 6, 2014

Botanical Dietary Supplements: Background Information

Herbal remedies, aka botanical dietary supplements, are popular for treating mental health conditions, but are they safe and effective?  Find out.

Herbal remedies, aka botanical dietary supplements, are popular for treating mental health conditions, but are they safe and effective? Find out.

Table of Contents

What is a botanical?

A botanical is a plant or plant part valued for its medicinal or therapeutic properties, flavor, and/or scent. Herbs are a subset of botanicals. Products made from botanicals that are used to maintain or improve health may be called herbal products, botanical products, or phytomedicines.

In naming botanicals, botanists use a Latin name made up of the genus and species of the plant. Under this system the botanical black cohosh is known as Actaea racemosa L., where "L" stands for Linneaus, who first described the type of plant specimen. In the Office of Dietary Supplements (ODS) fact sheets, we do not include such initials because they do not appear on most products used by consumers.


 


Can botanicals be dietary supplements?

To be classified as a dietary supplement, a botanical must meet the definition given below. Many botanical preparations meet the definition.

As defined by Congress in the Dietary Supplement Health and Education Act (http://www.fda.gov/opacom/laws/dshea.html#sec3), which became law in 1994, a dietary supplement is a product (other than tobacco) that

  • is intended to supplement the diet;
  • contains one or more dietary ingredients (including vitamins; minerals; herbs or other botanicals; amino acids; and other substances) or their constituents;
  • is intended to be taken by mouth as a pill, capsule, tablet, or liquid; and
  • is labeled on the front panel as being a dietary supplement.

How are botanicals commonly sold and prepared?

Botanicals are sold in many forms: as fresh or dried products; liquid or solid extracts; and tablets, capsules, powders, and tea bags. For example, fresh ginger root is often found in the produce section of food stores; dried ginger root is sold packaged in tea bags, capsules, or tablets; and liquid preparations made from ginger root are also sold. A particular group of chemicals or a single chemical may be isolated from a botanical and sold as a dietary supplement, usually in tablet or capsule form. An example is phytoestrogens from soy products.

Common preparations include teas, decoctions, tinctures, and extracts:

  • A tea, also known as an infusion, is made by adding boiling water to fresh or dried botanicals and steeping them. The tea may be drunk either hot or cold. Some roots, bark, and berries require more forceful treatment to extract their desired ingredients. They are simmered in boiling water for longer periods than teas, making a decoction, which also may be drunk hot or cold.

  • A tincture is made by soaking a botanical in a solution of alcohol and water. Tinctures are sold as liquids and are used for concentrating and preserving a botanical. They are made in different strengths that are expressed as botanical-to-extract ratios (i.e., ratios of the weight of the dried botanical to the volume or weight of the finished product).

  • An extract is made by soaking the botanical in a liquid that removes specific types of chemicals. The liquid can be used as is or evaporated to make a dry extract for use in capsules or tablets.


Are botanical dietary supplements standardized?

Standardization is a process that manufacturers may use to ensure batch-to-batch consistency of their products. In some cases, standardization involves identifying specific chemicals (also known as markers) that can be used to manufacture a consistent product. The standardization process can also provide a measure of quality control.

Dietary supplements are not required to be standardized in the United States. In fact, no legal or regulatory definition exists for standardization in the United States as it applies to botanical dietary supplements. Because of this, the term "standardization" may mean many different things. Some manufacturers use the term standardization incorrectly to refer to uniform manufacturing practices; following a recipe is not sufficient for a product to be called standardized. Therefore, the presence of the word "standardized" on a supplement label does not necessarily indicate product quality.

Ideally, the chemical markers chosen for standardization would also be the compounds that are responsible for a botanical's effect in the body. In this way, each lot of the product would have a consistent health effect. However, the components responsible for the effects of most botanicals have not been identified or clearly defined. For example, the sennosides in the botanical senna are known to be responsible for the laxative effect of the plant, but many compounds may be responsible for valerian's relaxing effect.


 


Are botanical dietary supplements safe?

Many people believe that products labeled "natural" are safe and good for them. This is not necessarily true because the safety of a botanical depends on many things, such as its chemical makeup, how it works in the body, how it is prepared, and the dose used.

The action of botanicals range from mild to powerful (potent). A botanical with mild action may have subtle effects. Chamomile and peppermint, both mild botanicals, are usually taken as teas to aid digestion and are generally considered safe for self-administration. Some mild botanicals may have to be taken for weeks or months before their full effects are achieved. For example, valerian may be effective as a sleep aid after 14 days of use but it is rarely effective after just one dose. In contrast a powerful botanical produces a fast result. Kava, as one example, is reported to have an immediate and powerful action affecting anxiety and muscle relaxation.

The dose and form of a botanical preparation also play important roles in its safety. Teas, tinctures, and extracts have different strengths. The same amount of a botanical may be contained in a cup of tea, a few teaspoons of tincture, or an even smaller quantity of an extract. Also, different preparations vary in the relative amounts and concentrations of chemical removed from the whole botanical. For example, peppermint tea is generally considered safe to drink but peppermint oil is much more concentrated and can be toxic if used incorrectly. It is important to follow the manufacturer's suggested directions for using a botanical and not exceed the recommended dose without the advice of a health care provider.

Does a label indicate the quality of a botanical dietary supplement product?

It is difficult to determine the quality of a botanical dietary supplement product from its label. The degree of quality control depends on the manufacturer, the supplier, and others in the production process.

FDA is authorized to issue Good Manufacturing Practice (GMP) regulations describing conditions under which dietary supplements must be prepared, packed, and stored. FDA published a proposed rule in March 2003 that is intended to ensure that manufacturing practices will result in an unadulterated dietary supplement and that dietary supplements are accurately labeled. Until this proposed rule is finalized, dietary supplements must comply with food GMPs, which are primarily concerned with safety and sanitation rather than dietary supplement quality. Some manufacturers voluntarily follow drug GMPs, which are more rigorous, and some organizations that represent the dietary supplement industry have developed unofficial GMPs.

What methods are used to evaluate the health benefits and safety of a botanical dietary supplement?

Scientists use several approaches to evaluate botanical dietary supplements for their potential health benefits and safety risks, including their history of use and laboratory studies using cell or animal models. Studies involving people (individual case reports, observational studies, and clinical trials) can provide information that is relevant to how botanical dietary supplements are used. Researchers may conduct a systematic review to summarize and evaluate a group of clinical trials that meet certain criteria. A meta-analysis is a review that includes a statistical analysis of data combined from many studies.


What are some additional sources of information on botanical dietary supplements?

Medical libraries are one source of information about botanical dietary supplements. Others include Web-based resources such as PubMed (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?holding=nih) and FDA (http://www.cfsan.fda.gov/~dms/ds-info.html). For general information about dietary supplements see Dietary Supplements: Background Information (http://ods.od.nih.gov/factsheets/dietarysupplements.asp) from the Office of Dietary Supplements (ODS), available at http://ods.od.nih.gov.

Disclaimer

Reasonable care has been taken in preparing this document and the information provided herein is believed to be accurate. However, this information is not intended to constitute an "authoritative statement" under Food and Drug Administration rules and regulations.

General Safety Advisory

The information in this document does not replace medical advice. Before taking an herb or a botanical, consult a doctor or other health care provider-especially if you have a disease or medical condition, take any medications, are pregnant or nursing, or are planning to have an operation. Before treating a child with an herb or a botanical, consult with a doctor or other health care provider. Like drugs, herbal or botanical preparations have chemical and biological activity. They may have side effects. They may interact with certain medications. These interactions can cause problems and can even be dangerous. If you have any unexpected reactions to an herbal or a botanical preparation, inform your doctor or other health care provider.

 

Source: Office of Dietary Supplements - National Institutes of Health


 


next: Dietary Supplements: Background Information

APA Reference
Staff, H. (2008, November 15). Botanical Dietary Supplements: Background Information, HealthyPlace. Retrieved on 2024, July 5 from https://www.healthyplace.com/alternative-mental-health/treatments/botanical-dietary-supplements

Last Updated: July 8, 2016