HELLA, not just to be considered in Medicine?

HELLA Human Elaboration Lifelong Learning Approach

Synopsis; My clinical approach focus on
(a) a biopsychosocial medicine toolbox, where, when it seems main problems are psychological still also physiological (diet, breathing, endorphin-like exercise, etc.) are important part of the personal guided/supervised tailoring process as well as the same for the seemingly physiological/biological ones.
(b) “patient as an educated reasonable competent resource and co-workers in own rehab”, based on my dissertation 1986 represent the manual and
(c) psychophysiological measurements are important part in examination/investigation, education/practice (including sometimes integrated biofeedback) and evaluation as well.    The educational process suggested in groups enable not only reasonable understanding, active co-working (including self-activities) but also increased motivation (they see – observe and understand – what they do and do what they see) as well as develop a biopsychosocial effective life style habit enabling sustained or increased health development. Too much and too expensive and too complex? Maybe, but this is not my experiences. Critical is to invite to a laying-puzzles workshop series enabling working full time, have family and …  – this is what I try to do at www.ipbm.se and the same time as my work is practically documented – which is not done due to time limitation.

Below I do not discuss eastern medicine but refer to Eastern and western medicine – can they both meet in win-win using an integrating psychophysiological platform? | Cultural Medicine Why? While I do think we have much to learn, especially from Qui Kung, about thousands of years experiences of health promotion and prevention of diseases due to self-care activities/behaviors. Representing a tradition we may respect in our mainly pharmacological based western medicine – something we can learn very much from. Working with psychophysiological stress medicine, it has been easy to learn and modify for Swedish use – an attitude perhaps not many share with me.

 

NB the below is very incomplete so far, just add it to refer to those I think it can give some idea of my work since 1986, not really anything published after my dissertation, but my thesis is over the years refined during clinical work with many different patient populations.
Below is (at last) a very first very small step to document my work during the years… more will come when my health is better  …
The reason for not publishing is not only lack of time (many patients in priority but also money to write) but also that I each day improve my work so all will be old next day. First now, I will focus on writing on websites, where I can update continuously …

Draft:
Much is discussed about critical education, e.g. Thales (Summarized of the paradigm used by Bo von Schéele | Biopsychosocial Medicine – NB in Swedish = Vetenskap | Stressmedicinsk Centrum (stressmedcenter.com) but not much about an evolutionary point of departure of human development including Triune Brain https://en.wikipedia.org/wiki/Triune_brain as well as Dual-coding theory https://en.wikipedia.org/wiki/Dual-) coding_theory#:~:text=According%20to%20Paivio%2C%20there%20are,is%20used%20to%20represent%20information.&text=Both%20visual%20and%20verbal%20codes%20can%20be%20used%20when%20recalling%20information
I also work with a quite new way to try to in practice based my understanding on Quantum Biology concretized in a very special psychophysiological approach – first with myself as the subject, before I (by “Hippocrates” reason) start with some clinical cases …

NB I do not discuss details below, and I only have the links above as indication of (a) what (I regard) we need to consider about the evolution of human and especially human brain as a gradually extension over million of years – as Zimbardo said – “a house jerk”. Reptilian, Limbic Mammalian (spatial) were human brain (verbal) is the last step – so far – and we have to be aware and consider this impossible possibility  – what we are “equipped” with!  Hard? But, that is what we have to deal with. The good news is that we do could  survived thanks to our ability to process incomplete information, which is not the case for (especially old) computers.

So, in spite of lack of knowledge about how spatial and verbal systems interplay as well as with more basic reptilian brain (in humans), we do need to try to incorporate it while it is apparently what is the foundation of human mental information processing.

Relying on the work of George Kelly, who was much influenced by John Dewey https://en.wikipedia.org/wiki/George_Kelly_(psychologist) and further develop his “man as a scientist”-metaphor, I have used in my pedagogical clinical work all years, an approach I now call HELLA.

By focusing on “?” independent of what is the present “?-target” – also used it as folk high school teacher – I have found it promising in patient group education using a manual based on my dissertation 1986 “COOL, Chief of One Own´s Life” = “Co-Decision” in Life, (the Swedish “Medbestämmande livet” can not really be translated while a special part of our cultural development) in the clinical expression “patient as a reasonable well educated resource and coworker in own rehab”, that is a biopsychosocial medicine toolbox where patient are tailoring there own tools.

Here is the HELLA included to be used when an individual have a “?” or are encourage to become asking a “?”.

Below I only discussed HELLA strategy briefly. Later on, writing in more detail.

But first the toolbox COOL

Then the HELLA strategy

Comments:
First, patients´ group education was “normally” 2 hours each week in 6-10 weeks. Goal was to result in a practical knowledge base where they have started up tailoring of their tools. Hopefully, also influence there general health development due to more life style health promoting behaviors (based on our actual knowledge we (supervisors) have learned/used (ourselves) etc.

Then, important following Kelly´s approach (as I have used it in this case) try to start from the person´s knowledge position and base changing processes on dialogue, enabling the person to internalized changes. Really feeling being an active (not passive) part of their own development

Furthermore, …

 

More is to come .. I  hope