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”If you only have a hammer, you are looking for a nail, but if you have a toolbox, you can learn to learn / train to use it in a tailor-made adapted way that benefits you – no matter what problems you face and can prevent, or if not, urgently handle more effectively!”
Welcome to BOAIM2 is Bo von Schéele, Professor & founder, is greeting you!
(NB) new website (2022-04-28) updates methods from the 1980s) but also, right now, the Swedish ”welcome” is more updated than this one – will be updated shortly!
Foreword: This website is my scientific & clinical a first comprehensive approach (after 40 years) to discuss my somewhat unusual paradigm (because I feel am obliged to explain) which I hope will further develop in many increasingly healthy years to come.
The content is strong (and for many hard-hitting) criticisms in most areas of human related medicine/psychology/psychiatry with the best of positive intentions while I strive to also demonstrate scientifically and clinically experienced based alternative to what I am criticizing!
Reductionism in pharmacological iron grip and its destructive consequences on virtually all levels can be changed, given political and professional interest exists but perhaps the most important for me is ”The patient who is reasonably competently trained (in groups according to popular education pedagogy but clinically .. see as an example HELLA, not just to be considered in Medicine? | Cultural Medicine intertwined practical clinical knowledge) resource and coworker in own rehab” as a platform (with biopsychosocial toolbox tailored by patient during guidance both in preventive health development (where we have a lot to learn in Eastern medicine) and rehabilitation especially for lifestyle-related diseases! My background as a pianist with conductor ambitions, totally paralyzed at the age of 20 and academic studies approaching first c 40 years made me work in parallel with what I had to and what I wanted – which was what comes below, but at the time in the form of immature idea seeds… 2022-09-23
Brief introduction:
1. One of the fundamental focuses of BOAIM2 – Bergvik Open Academy for Innovative Medicine Management – is to further develop a still quite new clinical method = ”Patient as a reasonably competent trained resource and co-worker in their own rehab”, which I, inspired by George Kelly (Personal Construct Theory, 1955 and his ”man as a scientist”- approach specifically based on in my doctoral thesis, in 1986, Uppsala University – then followed by scientific and clinical work in the following years, a system integrated biopsychosocial medicine based on a psychophysiological behavioral medicine paradigm platform further developed. More described on HELLA, not just to be considered in Medicine? | Cultural Medicine
While this method may seem obvious to many, it is very complex to change traditional rules/habits/laws/policies,
(a) not only through knowledge and concrete practical methodological training of healthcare professionals, but
(b) it is basically also a fundamental change in/of attitudes to where patients ”personally” also in reality constitute (usually group-educated and in the supervised) ”hub” of their own rehab. In addition, the patient has often internalized helplessness and dependence, not easily noticeable ”resistance”, because ”learned” basically rely on external ”factors”/governance/non-conscious nudging, in their actions/behaviors/role as a patient.
However, we intend to enable as efficiently as possible on this website based on at least 40 years of clinical experience – which we are now restarting based on our educational, biopsychosocial medical paradigm on which we build our work!
2. Perhaps mention a little more, among other things, we work
(a) on the problems that it is often not ONE cause of complex symptoms (while usually often looking for a ”reductional based paradigm one”), which instead need replacement of requiring a multidisciplinary approach/method/paradigm one,
(b) the development of knowledge and practice is ”exploding”, which means we need a new kind of clinical profession = monitoring developments and be able to integrate assumed useful ones into current knowledge and work routines, e.g. None-Tubercle Mycobacteria (NTB, there are c 170 variants) can be a common causal problem we have not even thought of … until now?
3. Maybe also? Symptom tracking (does not refer here to infection tracking, but well what dysfunctions cause/spread the symptoms – spreads because some symptoms may be ”far from the dysfunction”), where we try to find partly what could be called differential (not diagnoses, but well) different dysfunctional possible causal options, to exclude step by step what prioritized (list) can constitute the main (often several) dysfunctional(s) cause(s) on which the symptoms are based. One problem here, of course, is that often psychological deposits/aggradation of levels on physiological processes as well as the reverse occur. Here we have an advantage with psychophysiological measurement methods to, to some extent, be able to exclude certain ”parts” in the symptom tracking process.
Necessary symptom tracking? Yes, because (a) a lot of comp0lexa dysfunctions are severe or not possible based on today’s knowledge/experience and (b) the symptoms can be extremely biopsychosocially complex and this in itself justifies more in-depth tracking. I have several examples of this where also simply that the patient has not linked certain symptoms with current problems. Sometimes there can be so many, ”unclear” and apparently unrelated that you don’t want to seem too ”symptom-prone”.
4. External treatment and self-care (which can also become habitual behavioral changes that over time increase and/or maintain one’s health development). In the case of lifestyle-related diseases / problems in particular, it is both the direct interventions but also future health development that in principle always justifies that external interventions include self-care not only formally but also concretely via learning and training are included with high priority. That was one of the reasons for my doctoral dissertation’s biopsychosocial prototype manual for training and individual tailoring of the tools in the toolbox.
5. How we can deal with the absence of absolute knowledge also in health care is central both for healthcare professionals but also for patients. See e.g. To SEE (vision) but not to SEE (understand) may not be a impossible problem sometimes: We may find out options in spite of not understanding? | Biopsychosocial Medicine + Challenges for future care: Here focusing only on ”who decides – normative evidence vs clinical ideographic evidence” | Biopsychosocial Medicine + How to deal with not absolute knowledge – which no one of us have access to | Biopsychosocial Medicine + Summarized of the paradigm used by Bo von Schéele | Biopsychosocial Medicine
For those of us who represent knowledge, especially those related to human health, it is important on the one hand to realize that we do not possess absolute knowledge when it comes to, above all, complex processes but at the same time have good self-confidence, given that we do our best for each patient to explain from the knowledge we have acquired what we consider based on current knowledge and experience. Important we feel safe based on the paradigm we are working from.
For patients, it is important that they should feel confident in us, i.e. that we really do our best based on current conditions. It includes a constructive, well-meaning response as well as explaining the investigations/diagnoses and measures that we propose!
Above all, we should not behave like know-it-alls, but reassured, confident that we represent our professional field in a knowledgeably representative manner. More the patient cannot ask for! At the same time, recognize our own limitations and then refer on.
6. Similarly, we can work with ”safe-place” tracking, where also positively individually related smell Clinical Cultural-Sociology | Biopsychosocial Medicine plays an important role (elaborated in more details below). Why? Well, by further building up emotionally positive Limbic memory construct clusters through so-called reconsolidation (http://skillsbeforepills.com/clinical-thoughts/reciprocal-inhibition-reconsolidation-and-meditation/ where an individual’s favorite smell (associated with Limbic memory constructs) can participate in the tracking process. Since we can measure some important parameters in our psychophysiological laboratory, we can see the impact on general central systems and thus draw conclusions about at least the impact on individual´s general condition, which has relevance direct and/indirect on biopsychosocial systems.
More in-depth knowledge and practical use of the concept ”safe place” is discussed more under other tabs on this website, but right now see e.g. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4445935/
Note that the term reconsolidation often refers to PTSD with a focus on influencing destructive memories, but here we intend instead to use to reinforce existing positive memories for inflation in positive general conditions in general but also reciprocally build in habitually positive influences in case of negative stress. Thus, automatically built-in, something that I used in this way in working with e.g. torture victims
Can Safe place be Self-Effectively-Trained and its development outcome measured?
First, “safe place” refers here to an individual´s spatial memory construct clusters (in Limbic system in our brain), which we can “Safe place tracking” (see also Welcome | BOAIM2: Bergvik Open Academia for Innovative Medicine Management), if not already an effective “safe lace” concept is identified. More, we can also use “safe behaviors”, referring here to doing/executing behaviors usually causing in “safe feeling/emotions”.
Now to the question: Yes, is the answer. How come? Basically, this is thanks to our increased understanding of Limbic memory construct cluster reconsolidation (Nader et.al., reconstruction, Kelly 1955). Not very easy but is actually based on old knowledge/skills in a new light! I have elaborated this at Toward development of a guide facilitating knowledge and practice-based use of human Limbic systems information processing in general and health care services in particular | Cultural Medicine
7. Since we believe that Western Medicine has much to learn from Eastern Medicine and our psychophysiological behavioral medicine paradigm facilitates integration, we have the through-years of clinical work integrated in a number of ways. Especially from Chinese traditional medicine, e.g. we psychophysiological measurements guided patients to find their own tailored breathing training method (we measure not only the functionality of the autonomic nervous system including its oscillation read out in respiratory sinus arrhythmia pattern behaviors, but also parts of cell metabolism/respiration), where we integrate individually adapted movement behaviors together with e.g. hypnosis strategies. See e.g. Eastern and western medicine – can they both meet in win-win using an integrating psychophysiological platform? | Cultural Medicine
Complicated? Yes, but we always work on the basis of non-absolute knowledge. But this can increase the likelihood of ”hypothetically finding the right alternative and/or the right way to move forward”, which is validated continuously in IBED, Individual Biological Evidence Documentation, see e.g. HELLA, not just to be considered in Medicine? | Cultural Medicine
Projects right now under planning:
A: Take the temperature of your blood pressure, and if necessary fix it yourself via trained tailor-made education – self-efforts with supervision if necessary.
B: … (text coming)
Content at this page:
1. Brief overview for interested in to get an easy-readable introduction
2. Missions in terms of what you benefit from joining in concrete terms
3. Focused project we will start up a head … preview
4. (Already some text inserted) More detailed definitions and more …
5. Summarizing and what is coming at sub pages …
1. Brief overview for interested in to get an easy-readable introduction
Text coming
2. Missions in terms of what you benefit from joining in concrete terms
Text coming
3. Focused project we will start up a head … preview
Text coming
4. More detailed definitions and more …
First, a brief description that includes our mission BOAIM2 refers to
Bergvik 82667 in Sweden) is our home base
OPEN means open to all independent of previous education and
Academia here means scientific community (open to anyone seriously interested)
… text will
Innovative ..
Medicine “art of healing – “the art of medicine can be defined as being how we apply evidence based medicine to clinical work. We are to use the evidence based normative evidenced based research solely as guidelines, while more focuses on single case designs enabling meeting each and every patient´s specific biopsychosocial medicine prerequisite’s/needs/symptoms/problems .. that is, the right to be treated as an individual. As individuals they often don’t all fit the evidence based medicine algorithms as perfectly as the guidelines require.” https://www.kevinmd.com/2011/11/happened-art-medicine.html – NB also that medicine is not defined as pills/pharmacological substances as well as!
Management is considered as a science because it has an organized body of knowledge which contains certain universal high” … BvS-> probabilities (while not absolute truth, see more references inserted here …. “It is called an art because managing requires certain skills which are personal possessions of managers”
https://en.wikiversity.org/wiki/Is_management_a_science_or_an_art%3F
5. Summarizing and what is coming at sub pages …
Text coming