Editorial Decembrie - Profesor Dr. Aurel ROMILA

Romanian Christmas Carols - MADRIGAL

                                S  E N S

      Este cuvintul chee in prezent. Se leaga de fiinta umana, de echilibrul sau dezechilibrul ei pentruca, in definitiv, orice nu este intregul ci doar o parte a lui, care da sens acestei parti.
Este chintesenta analizei existentiale si desigur Frankl are meritul  de a sustine sensul ca cea mai importanta motivatie a omului, chiar si daca toate s-ar reduce la 4, cum sustine urmasul lui Frankl, Langle.
      Deaceea se poate spune ca omul cauta sensul si isi gaseste odata cu el o maturitate implinita.
      Este si cazul psihiatrului sau psihologului. Daca n-are un sens nu are ce sa sugereze in psihoterapia cazului.
Sensul psihoterapiei pare a fi tocmai convertirea cazului dintr-o framintare psihologica esuata intr-o adaptare sociala cu sens moral si o integrare in circuitul cultural, politic si nu in ultimul rind economic, adica o trecere dela dependenta parintilor la independenta unei noi familii.
      Important este sa ai convingerea ca exista o multitudine de sensuri care se ierarhizeaza dela cea mai simpla fiinta pina la Dumnezeu.

                                                                         Profesor Aurel ROMILA

* Povesti pentru examen

An I
Psihicul este instrumentul organismului pentru adaptare,pentru
,supravietuire,pentru cucerirea realitatii adevarate,pentru o existenta
fericita.Pentru asta trebuie sa cunoasca,sa simta si sa actioneze ca sa
aleaga binele si sa evite raul,pericolele.Deaceea psihicul normal are
Instrumentele psihicului sunt trei: cunoasterea,afectivitatea si
Cunoasterea presupune atentie,perceptie,memorie,
gindire si imaginatie.
Cunoasterea satisface sau frusteaza simtirea dindu=i
emotii,sentimenete,pasiuni si o dispozitie.
Cunoasterea simtita da inteligenta si vointa care indruma activitatea.
Cunoasterea,simtirea si activitatea se devolta dela copilarie la audlt si
devin aptitudini psihice.
Aptitudinile sunt dirijate de caracter( ego) si temperament ( sine
Astfel constiinta prezenta a cunoasterii,afectivitati si activitaii se
transforma la maturitate in aptitudinile
creatoare care dau destinul personalitatii.
Egoul individual se adpteaza la egoul socio-cultural,arhetipal si istoric si
da rominul secolului XXI.
Lumea este in criza,este dezadaptata sufera de psihopatii,nevroze,psihoze si
Psihologul se angajeaza impreuna cu psihiatrul si asistentul social sa
amelioreze aceasta suferunta care apasa pe societatea deja in criza.Cum?
Tratamentul este mixt:biologic si psihologic.
Psihologul raspunde de tratamentul psihologic.
Mijloacele psihologului sunt metodele de psihoterapie.
El trebuie sa le cunoasca si sa poata sa le aplice macar citeva.
Fiecare metoda se bazeaza pe o teorie si pe o experienta mondiala.
Metodele sunt sute dar se pot clasifica dupa accentul pus pe functia psihica
implicata in principal.
Putem avea metode cognitive,afective si comportamentale( de activitate)
Metodele cognitive predate;psihoterapia spirituala,psihoterapia
religioasa,naliza existentiala,dasein-analiza,
relaxarea, autogene
centered therapy.
metodele afective predate:psihanaliza,psihologia analitica,psihologie
Metodele comportamentale: desensibilizarea,grup terapia,resocializarea

Imagini de Curs An I + II Master Psihologie 2010-2011 UEB

Sa Vedem Calatorind

Sa Calatorim Sa Vedem


1. Arizona

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2. Venetia Panorama

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3. Torre Eiffel

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4. Norway - music Grieg

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5. Neuschwanstein Castle

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6. Namibia

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7. Asia de Sud -Est

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8. Izland

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9. Photo Geniale

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Frumusetea Imaginii si a Cuvintelor

Frumusetea Imaginii si a Cuvintelor


1. Ciresii Japonezi

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2. Danseaza Lent

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3. Carmen

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4. De ce Iubim Femeia

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5. Birds

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6. Beautiful Pictures

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7. Despre Fericire

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8. Frumusetea Fotografiei

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9. I Love Blue - music Gary Moore

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10. From The Sky

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11. Expresul de Orient

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12. Erik Johansson - Scare spre Cer

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13. Diego Rivera

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14. Imagini rarisime

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15. Iubeste-te Omule!

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16. Japon

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17. Jeff Nishinaka

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18. Legendele Trandafirului

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19. Valsul Trandafirilor

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20. Urmeaza-ti Visele

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21. Sunset

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22. Story

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23. Sa Stii

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24. Octavio Ocampo

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25. IUBIREA ( Marcel Iures - Corinteni)

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26. Vive la Net!

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27. Zi de Toamna - R.M. Rilke

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28. Andrew and Bolero

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29. Andre Rieu

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30. A Very Old City From 1950's

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31. Seif Pentru Sfarsitul Lumii

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32. That's GOD

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33. Pueblo Hollandes Sin Calles

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34. Eau

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35. Buna Dimineata Prieteni

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Deepak Chopra

Is Life's Mystery in Money?

posted by Deepak Chopra Nov 3, 2008 5:00 am

The basic problem with money seems obvious: It pulls the mind toward worldly things, it fills up one's hours with business and commerce, it distorts the true values of spirit by replacing them with pleasure and possessions. To me, this doesn't say that money is evil or non-spiritual. It says that money is a distraction, and sometimes so powerful a distraction that people fail to go beyond it. The failure here is to unite spiritual and material values, but I believe the way of peace shows us that this is not only desirable but totally necessary.

Money serves to bring pleasure, security, social position, and the ability to raise a family. Those are good values, and there is no reason to suppose that they displease a God who loves his creation. God is not either/or in my view. It isn't that you either live for him or you don't. The process of integrating material life, with all the good it has to offer, and spiritual life, with all the good it has to offer, is a lifelong challenge.

If you live as though money brings the only happiness, clearly something has gone wrong. You have neglected the entire world of spirit, with the implication that the surface of life is enough. We are here to discover who we are. We are here to transform our surroundings in keeping with who we really are.

Great spiritual teachers have said that we are ultimately here to transcend matter, to worship our maker, to appreciate the infinite creation and learn humility before it. All those things may emerge once we know who

we really are. That is life's central mystery, and money doesn't come close to answering it.

Adapted from Peace is the Way, by Deepak Chopra (Harmony Books, 2005)

Love Your Self

posted by Deepak Chopra Nov 19, 2010 5:01 am

If you want to feel love as God feels it, you must fill all your voids, for God can only love from the state of fullness. To be a perfect lover would mean to have no secret weakness or wound you want someone else to fix for you.

Searching out your own voids is your first step, filling them with Being or essence is the second. This process is usually called learning to love yourself, but we must be careful with that term. Too often it is synonymous with learning to love your self-image. Self-image is simply ego; it is denial papering over the void of lack.

If you honestly look at your past, which is now stored as thousands of memories inside you, you will always find a mixed bag–some experiences may have aroused love of self or others, many did not.

Memories of shame, guilt, rejection, hatred, resentment, and other unloving feelings cannot be converted to love. These images are what they are. Accept them and move to a higher sense of Self, which is unconnected with memory.

Memory can only lock you into a suffocating sense of your personal past. Beyond memory is the quiet experience of Being, simple awareness without content. This is the region of love, the region of yourself entered through meditation.

Many kinds of mediation exist; their tradition in both East and West is guided by the principle that you have a core Being or essence that can be entered. Access comes not by thinking or feeling. Rather, to meditate is to go directly to the silent region within.

Adapted from Twenty Spiritual Lessons for Creating the Life You Want, by Deepak Chopra (Harmony Books, 1995)

The Hidden Nature of You

posted by Deepak Chopra Nov 22, 2010 5:01 am

You keep asking who you really are. If you want to know intellectually, then you are pure awareness, the changeless background against which all thoughts occur. This pure awareness is a continuum. It is not broken up by time or space–it just is, ever and always.

When you witness yourself, what you are experiencing is your real nature. This is the key to freedom. Freedom is the experiential knowledge of one's own nature. You already have elements of this. Many times you definitely seem to be witnessing your body and your environment. You even stand aside from your own thoughts.

Far from radiating silence, most of us radiate hysteria, reflecting the mental turmoil inside. When that inner turmoil subsides, it leaves a space for change to begin. Your mind is quiet by nature, but you have to settle down to realize this. Everything sorts itself out correctly and spontaneously once you become quiet.

In the light of calm, steady self-awareness, a feeling of wholeness will wake up inside you. This wholeness is not a thought of any kind; it is simply your own mind, empty of thought but full of you. You do not have to do anything to reach this state; the process is effortless. You do not even have to consciously let go. A quiet mind is all you need.

It takes repeated dips into silence, in and out every day, for a person to accept that this immense, motionless, eternal state of being is himself. Then the door is open for an experience that truly does transform oneself and the world.

Adapted from Unconditional Life: Discovering the Power to Fulfill Your Dreams, by Deepak Chopra (A Bantam Book, 1991).

Is Reality What We Think It Is?

posted by Deepak Chopra Nov 23, 2010 5:00 am

A mystic and a materialist will both stub their toes if they kick a rock. But the mystic believes that the rock is a projection of a deeper reality, whilst a materialist believes that the rock is all there is–reality doesn't go deeper than things.

To a materialist, clouds and mountains are no more than things, their beauty being beside the point. A newborn baby is a thing, too, its humanity being equally beside the point. In a world of things, there is no room for a loving intelligence known as God who presides over creation and gives it meaning.

Yet on the path to joy you discover that meaning is the very basis of life. A baby is a thing only in the most superficial sense. In reality a baby is a field of infinite potential expressing the highest intelligence in Nature. I don't think of this as a mystical belief, but as a truth that lies deeper than the surface picture; where life looks like a stream of random physical events.

Meaning is born deep within. Spiritual optimism is also an inner experience. It is based on the love, beauty, creativity, and truth that a person discovers at the level of the soul.

When you explore yourself on the inner plane, you are working with intuition. It's a common misconception that intuition is at odds with science. In truth, science and spirituality both depend upon intuition, for the greatest scientific discoveries are made through creative leaps, rather than by following a linear trail of established facts.

Adapted from Why Is God Laughing? The Path to Joy and Spiritual Optimism, by Deepak Chopra (Harmony Books, 2008).

You Are the Light of the World

posted by Deepak Chopra Nov 24, 2010 4:00 am

Through second attention, you can perceive yourself as awareness itself, not as one of its products and creations. There are many ways to catch such glimpses: Meditating to reach inner silence; sensing the purity of nature; sudden flashes of innocence; an impulse of love; an intuitive connection to your muse; sensing inner guidance, a source of wisdom; a feeling that you belong in the larger scheme of life.

Consider if you have ever experienced such things; begin to notice them now, and be on the lookout for those moments when you can sense something lies behind the veil of appearances. Even though we all live by first attention and therefore lose our selves in constant activity, we are also equipped to perceive the world through second attention.

Whenever you have a flash of love, innocence, inspiration, awe, wonder, or joy, remind yourself: This is the real me. Don't let such moments simply pass you by. Stop and appreciate them, and ask that you receive more in the future. In this way you open a feedback loop between first and second attention.

You will continue to view the physical world as such, but its significance will change. You will start to see consciousness at work, Being in motion. In this way, the realms of change and non-change begin to merge. Light starts to enter the world, until the world is eventually seen as made of light and nothing else.

Adapted from The Third Jesus: The Christ We Cannot Ignore, by Deepak Chopra (Harmony Books, 2008).

Acquiring and Sustaining Wealth

posted by Deepak Chopra Feb 19, 2009 4:49 am

In order to acquire wealth–or for that matter anything in the physical universe–you must intend it, make a decision to go for it. The decision is unchangeable with fixity of purpose not countermanded by anything. The universe handles the details, organizes and orchestrates opportunities. You have simply to be alert to these opportunities.

Helping others make money and helping other people to fulfill their desires is a sure way to ensure you'll make money for yourself as well as more easily fulfill your own dreams. The best way to motivate other people to help you fulfill your goals is to help them fulfill their goals.

Money is like blood; it must flow. Hoarding and holding on to it causes sludging. In order to grow, it must flow. Otherwise it gets blocked and, like clotted blood, it can only cause damage. Money is life energy that we exchange and use as a result of the service we provide to the universe. And in order to keep it coming to us, we must keep it circulating.

Tithing means giving away a certain portion of your income without conditions or strings attached. When you give, a vacuum is created that attracts even more of what you have given away.

Love yourself. Love your customers. Love your family. Love everybody. Love the world. There is no power stronger than love. Also, adopt luxury as a lifestyle. Luxury is our natural state. Adopting luxury as a lifestyle sets the preamble, the preconditions for the flow of wealth.

When we seek money, or a good relationship, or a great job, what we are really seeking is happiness. The mistake we make is not going for happiness first. If we did, everything else would follow.

We must never pretend appreciation, but if we feel it, then we must express it. The expression of gratitude is a powerful force that generates even more of what we have already received.

Cleansing Nature

Rain can be experienced through all of your senses, allowing you to understand how important each drop of water is.

There are times when we might feel the need to wash away all of our troubles and call forth freshness into our lives. Since perhaps the most cleansing substance on this earth is water, we can think of the joy rain brings as an energetic bath, rejuvenating our minds, bodies and souls. Just being able to spend a few moments every time it rains to become aware of the healing powers water brings to us can renew us in so many ways. As we do this we will find that the more we appreciate the universe's gift to us in the form of rain, the more we can see that a gentle rain shower is a strong reflective tool that has the ability to cleanse our entire being.

The next time it rains might be a good chance to experience the rain through all of your senses, allowing you to truly understand just how truly important each and every drop of water is. First, take a few minutes to look outside and notice how each individual raindrop seems to come down in a continual stream. By noticing this you can contemplate how it takes many small accomplishments to create the whole of your existence, for nothing exists in isolation. Then you might wish to focus your attention on the sound of the rainfall, letting the sounds of drops penetrate into the innermost recesses of your self. Listening in this way may bring you a greater sense of connection with nature and the world around you, knowing that the sounds you hear are an integral part of not just the physical sustenance you require but also nourish your spirit as well.

Consciously using our senses to feel nature's healing energy as it comes to us in the form of rain is an act of internal cleansing. Just as the rain physically washes over the earth and rinses out any impurities and imperfections, so it also bathes our spirit in the joy that comes from knowing that we are in fact one with the world around us.




Part of the Process
Feeling Stuck

If you are feeling stuck in your life, it is possible you are clinging to an old reality or thoughts.

When we feel stuck in our lives it's important to take stock of what is going on and find out if there is something we are doing or not doing that is keeping us stuck. Sometimes the situation is out of our control, and we need to look within to find the patience required to wait with equanimity until things move forward again. Many times, though, we can find the source of our stagnation in our own hearts and minds. Sometimes we are clinging to old ideas about reality and we need to make adjustments that will bring us back in tune with life, so we can flow again. Sometimes we find that fear of change is what's keeping us stuck, and we can resolve to find ways of facing that fear.

If introspection does not provide the answers we need, it can sometimes be helpful to ask those around you if they notice anything obvious that you might not be able to see. Remember to ask someone whom you can trust to be kind and sensitive as well as honest. Try to let go of your resistance because whenever there is something we can't see ourselves, it's because we don't want to see it. Try to listen with an open mind, and remember that you are always the final judge of what you need. Anything offered to us from an outside source will need to be processed within before its wisdom can take hold.
In all this, be kind to yourself and remember that we all get stuck sometimes. Think of it as a part of your process, a necessary step on your journey, rather than as a problem that shouldn't be happening. This can help to keep your frustration at bay and give you the space you need to take a deep breath and really figure out what's going on.





Undistracted Energy
Pure Thoughts

Pure thought is focused attention which creates power and energy because there is no distraction.

If we make no effort at all, our thoughts usually scatter in a vast array of directions. They start and stop and move in surprising ways from one second to the next. If we try to follow our thoughts without controlling them, we will be amazed at how truly inconsistent they are. Yet, if we apply our minds to a specific task, especially one that interests us, they gather together and allow us to focus our attention, creating great power and energy. This is what is known as pure thought, because it is undistracted.

The law of attraction—like attracts like—influences all energy, including our thoughts, and this is what makes pure thought so potent. Our undistracted thoughts create a powerful magnet that draws similar energy into our vibrational field. As a result, the longer we are able to hold positive thoughts in our minds, the more powerful the positive energy around us becomes. We don't need to focus on action and controlling so much when we are surrounded by energy that draws what we want toward us. We can simply respond to the opportunities that naturally come our way. When this is the essence of our experience, we can go with the flow, knowing that we will be okay.

If pure thought is a body, it is our emotions that supply the heart that can really bring it to life. Our thoughts and feelings exist in relation to one another, and they form a feedback loop through which they communicate and empower each other. When we hold a thought in our mind without being distracted, we have achieved pure thought. When we have a positive emotional response to that thought, we enable it to dance and move and breathe itself into existence.





Outside the Comfort Zone
Things We Don't Want to Do

Putting off doing what scares us and brings up fear only creates more obstacles in our lives.

Most of us have had the experience of tackling some dreaded task only to come out the other side feeling invigorated, filled with a new sense of confidence and strength. The funny thing is, most of the time when we do them, we come out on the other side changed and often wondering what we were so worried about or why it took us so long. We may even begin to look for other tasks we've been avoiding so that we can feel that same heady mix of excitement and completion.

Whether we avoid something because it scares us or bores us, or because we think it will force a change we're not ready for, putting it off only creates obstacles for us. On the other hand, facing the task at hand, no matter how onerous, creates flow in our lives and allows us to grow. The relief is palpable when we stand on the other side knowing that we did something even though it was hard or we didn't want to do it. On the other hand, when we cling to our comfort zone, never addressing the things we don't want to face, we cut ourselves off from flow and growth.

We all have at least one thing in our life that never seems to get done. Bringing that task to the top of the list and promising ourselves that we will do it as soon as possible is an act that could liberate a tremendous amount of energy in our lives. Whatever it is, we can allow ourselves to be fueled by the promise of the feelings of exhilaration and confidence that will be the natural result of doing it.




Surrendering the Ego
Dark Night Of The Soul

The dark night of the soul invites us to fully recognize the confines of our ego's identity.

Whenever a word is overused, it is most likely being misused, and over time, it begins to lose its meaningfulness. For example, we often refer to a fleeting feeling of depression or a period of confusion, as a dark night of the soul, but neither of these things qualifies as such. A dark night of the soul is a very specific experience that some people encounter on their spiritual journeys. There are people who never encounter a dark night of the soul, but others must endure this as part of the process of breaking through to the dawn of higher consciousness.

The dark night of the soul invites us to fully recognize the confines of our ego's identity. We may feel as if we are trapped in a prison that affords us no access to light or the outside. We are coming from a place of higher knowing, and we may have spent a lot of time and energy reaching toward the light of higher consciousness. This is why the dark night has such a quality of despair: We are suddenly shut off from what we thought we had realized and the emotional pain is very real. We may even begin to feel that it was all an illusion and that we are lost forever in this darkness. The more we struggle, the darker things get, until finally we surrender to our not knowing what to do, how to think, where to turn. It is from this place of losing our sense of ourselves as in control that the ego begins to crack or soften and the possibility of light entering becomes real.

Some of us will have to endure this process only once in our lives, while others may have to go through it many times. The great revelation of the dark night is the releasing of our old, false identity. We finally give up believing in this false self and thus become capable of owning and embracing the light.





Tearing Down to Rebuild
Rethinking Complaining

When we complain we are tearing down an undesirable structure in order to make room for something new.

We all know someone who has elevated the process of complaining to a high art. Sometimes funny, sometimes exhausting, these people have the ability to find a problem just about anywhere. In its more evolved form, complaining is simply the ability to see what's not working, in one's own life or in the external world, and it can be quite useful if followed to its natural conclusion—finding a solution and applying it. However, many of us don't get that far, and we find that complaining has become an end in itself. In small doses, this is not a big problem, but if complaining has become a huge part of our identities, it may be time to take a good look at how we are spending our energy.

Complaining is a person's way of acknowledging that they are not happy with the way things are. In a metaphorical way, when we complain or criticize, we are tearing down an undesirable structure in order to make room for something new. But if all we do is tear down, never bothering to summon the creative energy required to create something new, we are not fulfilling the process. In fact, we are at risk for becoming a stagnant and destructive force in our own lives and in the lives of the people we love. Another issue with complaining is that we sometimes tend to focus on other people, whom we can't change, as a way of deflecting attention from the one person we can change—ourselves. So transforming complaining into something useful is a twofold process that begins with turning our critical eye to look at things we can actually do something about, and then taking positive action.

When we find ourselves complaining, the last thing we need to do is get down on ourselves. Instead, we can begin by noticing that we are in the mode of wanting to make some changes. But rather than lashing out at somebody or an organization, we can look for an appropriate place to channel this energy—not our neighbor's house, but possibly parts of our own. Finally, we can ask ourselves the positive question of what we would like to create in the place of whatever it is we want to tear down. When we do this, we channel a negative habit into a creative process, thus using our energy to change the world around us in a positive way.




Interconnected Experiences
Noticing Synchronicity

Synchronicity may appear random, but at closer look you will see that the universe is giving what you asked for.

When events appear to fit together perfectly in our lives it may seem at first that they are random occurrences, things that are the result of coincidence. These synchronous happenings, though, are much more than that, for, if we look at them more closely they can show us that the universe is listening to us and gently communicating with us. Learning to pay attention to and link the things that occur on a daily basis can be a way for us to become more attuned to the fact that most everything happens in our lives for a reason – even when that reason is not clear right away.

When we realize that things often go more smoothly than we can ever imagine, it allows us to take the time to reflect on the patterns in our lives. Even events that might not at first seem to be related to each other are indicators that the universe is working with, not against, us. This idea of synchronicity, then, means that we have to trust there is more to our lives than what we experience on a physical level. We need to be willing to look more closely at the bigger picture, accepting and having confidence in the fact that there is more to our experiences than immediately meets the eye. Being open to synchronicity also means that we have to understand that our lives are filled with both positive and negative events. Once we can recognize that one event is neither more desirable nor better than the other – they all have an overall purpose in our lives - then we are truly ready to listen to the messages the universe gives us.

While we may not be able to see everything in our lives as being synchronous, we can certainly use hindsight to be more aware of how the universe guides us. This sense of wonder at the mysteries of the universe and the interconnectedness present in our lives will help us see our overall ways of being and will in turn make it easier to work more consciously towards our spiritual evolution.






Making Time for Reflection
Going on Retreat

Putting our trust in the retreat process will make space and dedication for the necessary work we have to do.

Giving ourselves time to reflect and heal can be a powerful way to process the things that are happening in our lives, and one of the best approaches to do this is by going on a retreat. Going on a retreat means that we have set the intention to heal and learn more about our spirit, and doing this is a decision that we make for ourselves.

Since everyone sees and experiences the world differently, it is important to choose a type of retreat that works best for us. Even though a friend or loved one may recommend something, we have to trust our intuition and select a path that really connects with what our soul needs most at the time. The most essential thing is to be willing to respect our unique stage of development and to be patient with ourselves since any thoughts or issues that arise are simply part of the process of healing. Just remembering that a retreat is an intense period of time where serious soul searching takes place can help us allow whatever may happen to us to fully unfold. Going on retreat may sound like a vacation, but most retreat experiences ask you to look deep inside of yourself, and sometimes this can be uncomfortable or stir the pot of our soul.

Putting our trust in the retreat process will make space for the necessary work we have to do, making it easier for our hearts and minds to explore wholly the innermost reaches of our soul. By paying attention to these messages, we pave the way for greater healing and transformation, since spending time in contemplation at a retreat will give us the gift of insight and understanding that we can use in all aspects of our daily lives.




Repeating Patterns of Meaning

Many people are seeing 11:11 right now, which can be interpreted as an energetic gateway that has opened for you.

Glancing at the clock may cause us to look again sometimes, especially when we notice that we've caught it at the same time over and over again. Maybe we see the same number pattern echoed everywhere we look—whether on license plates or appliances—over a period of hours or even days. When we accept that there are no coincidences, we know there is a message in the numbers for us, and we know to pay attention to the repeating patterns and search for their true meaning.

Numerology has its basis in the ancient world and tells us that each number carries its own vibration and symbolic significance. It can mark the stages of our soul's evolution as we move from one frequency to the next. Repeating number patterns in our lives may call us to focus on certain aspects of our lives and rise to approach them from the best within us. Once we've recognized that there is something we must look more deeply into, we also must trust that we will be guided to the people and places that hold the right answers for us.

Numbers, as symbols, can carry personal meanings as well. We may have our own lucky number that has served us well throughout our lives and another that reminds us of certain events of significance. If these are the numbers that are appearing, it may be the right time to delve into the past for clues about how to handle a present situation. Many people are seeing 11:11 right now, which can be interpreted as an energetic gateway that has opened for you and is ready to manifest your thoughts into reality. Whatever explanations you receive about the numbers that are appearing everywhere you look, the important thing is to trust your own guidance as to what they are telling you. Each culture attaches different meaning to the numbers, so a Chinese interpretation may be different than an interpretation from Kabalah. It is up to us to use our intuition to see which is the best fit for us. If someone has an explanation that doesn't feel right, then this is not the answer for you but! may be just a clue to keep you moving on the path. By paying attention to the numbers around us, we use them as tools to improve our connection to the universe and our awareness of our choices in life.

British Journal Of Psychiatry - The complete Table of Contents - Up To Date

December 2010; Vol. 197, No. 6
The complete Table of Contents for the current issue is available online at: http://bjp.rcpsych.org/content/vol197/issue6/

The following content is available online at: http://bjp.rcpsych.org/cgi/content/full/197/6/A22

Highlights of this issue

Kimberlie Dean, MD

Trial research: adolescent depression, treatment recommendations, treatment adherence, CBT for borderline personality disorder and home treatment in the elderly

Four randomised controlled trials (RCTs) and one RCT meta-analysis are featured in the Journal this month. The latter is a review of trials of newer-generation antidepressants and cognitive–behavioural therapy (CBT) for adolescent depression (Dubicka et al, pp. 433–440). In an area of clinical practice plagued by controversy, the authors of this review were able to contribute the finding that adding CBT to antidepressants confers only limited advantage over the use of antidepressants alone. They found no benefit in terms of impact on depressive symptoms, suicidality or global improvement after acute treatment or at follow-up but did find a significant advantage of the combination for short-term impairment. In a randomised experimental study, Mendel et al (pp. 441–447) tested whether psychiatrists are prompted to reveal their personal rather than professional perspectives on treatment recommendations when confronted with a patient asking What would you do if you were me, doctor? The authors did not find evidence for such a change in recommendation role prompted by this question but did find that psychiatrists tended to choose different treatments for themselves than those they recommended to patients. In a Dutch study of treatment adherence therapy – an intervention tailored to the reasons for an individual s non-adherence to psychosis treatment – improvements in service engagement and medication adherence were found (Staring et al, pp. 448–455). A trend towards reduction in involuntary readmissions was also noted.

In a 6-year follow-up of patients with borderline personality disorder randomised to 1 year of CBT or treatment as usual, Davidson et al (pp. 456–462) found that the initial benefits seen in suicidal behaviour were maintained and, although a statistically significant cost-effectiveness advantage was not found, the cost of services was lower in the CBT group. In line with other longitudinal studies, the authors also found that less than half those meeting criteria for borderline personality disorder at study entry continued to do so at the 6-year follow-up point. Finally, Klug et al (pp. 463–467) report on the results of an RCT of home treatment v. conventional out-patient care for depression in the elderly. Those receiving home treatment had fewer depressive symptoms, better global functioning and a higher subjective quality of life at both the initial (3 month) and later (12 month) follow-up point. Advantages in care costs and likelihood of nursing home or in-patient admission were also found.

Influences on parental disorder and parental help-seeking for offspring

Following a previous qualitative study, Hanlon et al (pp. 468–475) examined the impact of sociocultural practices on postnatal common mental disorders in an Ethiopian setting. The authors found no evidence for a protective effect of traditional attitudes on incident postnatal disorder but did find that discordance between endorsing such traditional practices and carrying them out postnatally was associated with increased incidence and persistence of disorder. The authors comment on the impact of changes occurring in rural Ethiopian society which might increase the occurrence of the latter. In a qualitative study involving parents with concerns about their child s mental health, Sayal et al (pp. 476–481) found that although most of the children in question had clinically significant mental health symptoms or impairment, parents identified a number of barriers to help-seeking in primary care. Short appointment times, embarrassment, stigma associated with mental health problems and concerns about labelling were among the barriers identified.

Neuroanatomy of psychosis in epilepsy

In a voxel-based morphometry study of ten individuals with emporal lobe epilepsy (TLE) with psychosis and ten matched controls with TLE only, Sundram et al (pp. 482–492) found evidence of grey and white matter deficits in medial temporal lobe structures extending to lateral temporal and extratemporal regions. The authors of the study comment on the regional overlap of these structural deficits with those found in schizophrenia.

Non-fatal self-harm in England

Self-harm presentations to six general hospital emergency departments in three centres in England over an 8-year period (2000–2007) were examined by Bergen et al (pp. 493–498). The authors noted a decline in rates of self-harm presentation for males in three centres and for females in two centres. The declines were accounted for mainly by a reduction in rates of presentation for self-poisoning. The authors comment that their findings may reflect evidence of the success of prevention strategies undertaken in England since the introduction of the national strategy in 2002, together with favourable societal factors.


MDLinx - New Interesting Articles

Your Article Summary

Cognitive Behavior Therapy for Schizophrenia and Psychosis: Current Status and Future Directions (>> click to go to the journal's website)
Clinical Schizophrenia & Related Psychoses, 11/02/10
Tarrier N – Cognitive behavior therapy (CBT) is an empirically based psychological treatment, which has a strong evidence base in a range of psychological disorders and, more recently, has also been applied to more serious disorders such as schizophrenia and psychoses (CBTp).

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Levomepromazine for schizophrenia
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Peripheral oxytocin is associated with reduced symptom severity in schizophrenia
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Effect of a Motivational Intervention on Exercise Behavior in Persons with Schizophrenia Spectrum Disorders (>> click to go to the journal's website)
Community Mental Health Journal, 11/29/10
Beebe LH et al. – Ninety seven outpatients with schizophrenia spectrum disorders (SSDs) were randomly assigned to the Walk, Address Sensations, Learn About Exercise, Cue Exercise Behavior for SSDs (WALC–S), a motivational intervention designed to increase exercise in SSDs (n = 48), or a time and attention control group (TAC, n = 49). This study is among the first to examine interventions designed to enhance exercise motivation in SSDs.

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Nutritional and herbal supplements for anxiety and anxiety-related disorders: systematic review (>> click to go to the journal's website)
Nutrition Journal, 10/08/10

Lakhan SE et al. – Based on the available evidence, it appears that nutritional and herbal supplementation is an effective method for treating anxiety and anxiety–related conditions without the risk of serious side effects. There is the possibility that any positive effects seen could be due to a placebo effect, which may have a significant psychological impact on participants with mental disorders. However, based on this systematic review, strong evidence exists for the use of herbal supplements containing extracts of passionflower or kava and combinations of L–lysine and L–arginine as treatments for anxiety symptoms and disorders.

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Smelling Chemosensory Signals of Males in Anxious Versus Nonanxious Condition Increases State Anxiety of Female Subjects
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Psychotropic medication use mediates the relationship between mood and anxiety disorders and obesity: Findings from a nationally representative sample
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Topiramate for the Treatment of Alcohol Dependence: Comparison with Naltrexone (>> click to go to the journal's website)
European Addiction Research, 10/28/10
Florez G et al. – Topiramate at a mean dose of 200 mg/day was better than naltrexone at a mean dose of 50 mg/day at reducing alcohol intake and cravings throughout the study.

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An Assessment of the Demographic and Clinical Correlates of the Dimensions of Alcohol Use Behaviour
Alcohol and Alcoholism , 09/30/10

Discrepancy between how children perceive their own alcohol risk and how they perceive alcohol risk for other children longitudinally predicts alcohol use
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Increase in Alcohol Intake, Reduced Flexibility of Alcohol Drinking, and Evidence of Signs of Alcohol Intoxication in Sardinian Alcohol-Preferring model Exposed to Intermittent Access to 20% Alcohol
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Milnacipran: a unique antidepressant? (>> click to go to the journal's website)
Neuropsychiatric Disease and Treatment, 08/27/10
Kasper S et al. – Milnacipran, one of the pioneer serotonin reuptake inhibitors (SSRIs), was designed from theoretic considerations to be more effective than SSRIs and better tolerated than Tricyclic antidepressants (TCAs), and with a simple pharmacokinetic profile. Milnacipran has the most balanced potency ratio for reuptake inhibition of the two neurotransmitters compared with other SNRIs (1:1.6 for milnacipran, 1:10 for duloxetine, and 1:30 for venlafaxine), and in some studies milnacipran has been shown to inhibit norepinephrine uptake with greater potency than serotonin (2.2:1). Clinical studies have shown that milnacipran has efficacy comparable with the TCAs and is superior to SSRIs in severe depression. In addition, milnacipran is well tolerated, with a low potential for pharmacokinetic drug?drug interactions. Milnacipran is a first–line therapy suitable for most depressed patients. It is frequently successful when other treatments fail for reasons of efficacy or tolerability.

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Antidepressant use and colorectal cancer risk: A Danish population-based case control study
British Journal of Cancer, 10/06/10

Augmentation of venlafaxine and selective serotonin reuptake inhibitors with zolpidem improves sleep and quality of life in breast cancer patients with hot flashes: a randomized, double-blind, placebo-controlled trial
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Selective Serotonin Reuptake Inhibitor Suppression of HIV Infectivity and Replication
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Chronic Migraine: Epidemiology and Disease Burden
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Behavioral treatment programme contributes to normalization of contingent negative variation in children with migraine
Cephalalgia, 11/16/10

Allergy and Immunotherapy: Are They Related to Migraine Headache
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Efficacy of music therapy treatment based on cycles of sessions: A randomised controlled trial (>> click to go to the journal's website)
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Raglio A et al. – The analysis of single Neuropsychiatry Inventory (NPI) items shows that delusions, agitation and apathy significantly improved in the experimental, but not in the control group. This study suggests the effectiveness of music therapy (MT) approach with working cycles in reducing behavioural disorders of severely demented patients.

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Music therapy in the context of palliative care in Tanzania
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Hormone Therapy Increases Risk Of Ovarian Cancer
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British Journal of Psychiatry, 11/10/10
Saarni SI et al. – Depressive symptoms are the strongest predictors of poor quality of life (QoL)/health–related quality of life (HRQoL) in psychotic disorders. Subjective loss of QoL associated with psychotic disorders may be smaller than objective loss of functioning suggests. The EQ?5D is problematic as an outcome measure in psychotic disorders.

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Paternal age at birth of first child and risk of schizophrenia
American Journal of Psychiatry, 10/20/10

Lower Mortality Among Stroke Patients With Schizophrenia: A Nationwide Population-Based Study
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To be grandiose or not to be worthless: Different routes to self-enhancement for narcissism and self-esteem (>> click to go to the journal's website)
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Horvath S et al. – Individuals with genuine high self–esteem in contrast, self–presented more moderately and also used the more socially accepted discounting of negative traits. Subsequent increased accessibility of positive self–information, only shown by narcissists, indicates that their desire for self–worth is hard to fulfill. These findings continue to illuminate the distinction between narcissism and self–esteem.

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Acceptability of the Talking Touchscreen for Health Literacy Assessment
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The relational turn in psychoanalysis: revolution or regression
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Acute Pancreatitis with an Emphasis on Infection
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Memantine for patients with Parkinson's disease dementia or dementia with Lewy bodies: a randomised, double-blind, placebo-controlled trial (>> click to go to the journal's website)
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Emre M et al. – Memantine seems to improve global clinical status and behavioural symptoms of patients with mild to moderate dementia with Lewy bodies, and might be an option for treatment of these patients.

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Cerebrovascular risk factors in early-onset dementia
Journal of Neurology, Neurosurgery, and Psychiatry , 10/15/10

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Cerebrospinal fluid biomarkers in the differential diagnosis of Alzheimer's disease from other cortical dementias
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Atherosclerosis and incident depression in late life (>> click to go to the journal's website)
Archives of General Psychiatry, 11/03/10
Newson RS et al. ? Atherosclerosis does not appear to increase the risk of incident depression in older adults. These findings do not support the vascular depression hypothesis and, alternatively, taking findings from prior studies into account, suggest either that depression contributes to vascular burden or that both result from an underlying biological substrate. Methods
  • Prospective, population-based study
  • Set within Rotterdam study, participants were assessed on objective measures of generalized atherosclerosis at baseline (1997-1999) and followed up for an average of 6 years for incident depression
  • Baseline sample consisted of 3564 participants (56% female) with mean age of 72 years who initially did not have depression or dementia
  • Depression categorized into symptoms or syndromes and assessed in a multidimensional manner from physician and mental health specialist reports, pharmacy records (antidepressant usage), a clinical interview, and self-report
  • During 21 083 person-years, 429 incidents of depressive symptoms and 197 incidents of depressive syndromes occurred
  • Individual atherosclerotic measures and a composite measure not predictive of incident depressive symptoms (composite measure HR, 0.93; 95% CI, 0.83-1.05) or incident depressive syndromes (composite measure HR, 0.97; 95% CI, 0.81-1.16)

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Depressive symptoms and executive functioning in stroke patients: A follow-up study
International Journal of Geriatric Psychiatry, 10/27/10

Predictors of incident major depression in diabetic outpatients with subthreshold depression
Diabetic Medicine, 10/26/10

Association of high-sensitivity C-reactive protein with de novo major depression
British Journal of Psychiatry, 11/03/10


Your Article Summary

Comorbidities and factors related to discontinuation of pharmacotherapy among outpatients with major depressive disorder (>> click to go to the journal's website)
Comprehensive Psychiatry, 11/10/10
Hung CI et al. ? The impact of the duration of depression (chronic depression) on adherence may be more important than the severity of depression, anxiety comorbidities, and migraine. Education of MDD patients and society in general to improve understanding of MDD and antidepressants is needed to enhance adherence to pharmacotherapy. Methods
  • 135 subjects (34 men, 101 women) with MDD enrolled
  • MDD and anxiety comorbidities diagnosed using Structured Clinical Interview for DSM-IV-TR (Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision), migraine diagnosed based on International Classification of Headache Disorders, 2nd Edition, and depression severity evaluated using Hamilton Depression Rating Scale
  • Subjects with chronic depression, migraine, panic/agoraphobia, or posttraumatic stress disorder attended follow-up for longer before discontinuation than those without
  • Chronic depression and greater age independently predicted longer follow-up before discontinuation.
  • Concern about and intolerance of SE of antidepressants and lack of insight into MDD independently predicted discontinuation within 2 months
  • Concern about and intolerance of SE of antidepressants and lack of insight into MDD independently predicted discontinuation within 2 months
  • ?Self-reported recovery? was most common reason for discontinuation; however, 53.8% of subjects who cited this reason did not reach full remission

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Other articles in Internal Medicine

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Association of high-sensitivity C-reactive protein with de novo major depression
British Journal of Psychiatry, 11/03/10

Recovery and recurrence following treatment for adolescent major depression
Archives of General Psychiatry, 11/04/10

Plasma homocysteine levels and major depressive disorders in Alzheimer disease
American Journal of Geriatric Psychiatry, 10/27/10


Your Article Summary

Pirlindole in the Treatment of Depression: A Meta-Analysis (>> click to go to the journal's website)
Clinical Drug Investigation, 11/16/10
Macedo A – This systematic review and meta–analysis showed that all randomized controlled trials included reported efficacy outcomes for pirlindole comparable to those of its comparators, and that pirlindole was significantly better in terms of reducing anxiety symptoms. However, the analysis of these results should take into account the quality of the original included articles, which had a mean Jadad trial quality score of 3.7 (out of 5). Therefore, further clinical trials should be conducted to evaluate the benefits of pirlindole.

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Other articles in Internal Medicine

>> Click here to see the complete list

Depressive symptoms and executive functioning in stroke patients: A follow-up study
International Journal of Geriatric Psychiatry, 10/27/10

Predictors of incident major depression in diabetic outpatients with subthreshold depression
Diabetic Medicine, 10/26/10

Atherosclerosis and incident depression in late life
Archives of General Psychiatry, 11/05/10

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Your Article Summary

Deep brain stimulation in the treatment of depression (>> click to go to the journal's website)
Acta Psychiatrica Scandinavica, 10/26/10
Blomstedt P et al. – Deep brain stimulation (DBS) is a promising treatment for therapy–refractory major depressive disorder (MDD). The published experience is, however, limited, and the method is at present an experimental therapy.

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Other articles in Internal Medicine

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Depressive symptoms during the first chemotherapy cycle predict mortality in patients with advanced non-small cell lung cancer
Supportive Care in Cancer, 09/24/10

Predictors of incident major depression in diabetic outpatients with subthreshold depression
Diabetic Medicine, 10/26/10

Influence of depression symptoms on serum tumour necrosis factor-alpha of patients with chronic low back pain
Arthritis Research & Therapy, 10/15/10


Your Article Summary

Melatonin Receptor Agonists: New Options for Insomnia and Depression Treatment (>> click to go to the journal's website)
CNS Neuroscience & Therapeutics, 10/29/10
Spadoni G et al. – Well–documented effects of agomelatine suggest that this MLT agonist offers an attractive alternative for the treatment of depression, combining efficacy with a favorable side effect profile. Despite a large number of high affinity nonselective MLT receptor agonists, only limited data on MT1 or MT2 subtype–selective compounds are available up to now. Administration of the MT2–selective agonist IIK7 to rats has proved to decrease NREM sleep onset latency, suggesting that MT2 receptor subtype is involved in the acute sleep–promoting action of MLT; rigorous clinical studies are needed to demonstrate this hypothesis. Further clinical candidates based on selective activation of MT1 or MT2 receptors are expected in coming years.

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Other articles in Internal Medicine

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Efficacy and safety of doxepin 6 mg in a model of transient insomnia
Sleep Medicine, 09/15/10

Persistent Insomnia in Chronic Hypnotic Users Presenting to a Sleep Medical Center: A Retrospective Chart Review of 137 Consecutive Patients
The Journal of Nervous and Mental Disease, 10/26/10

Societal costs of insomnia
Sleep Medicine Reviews , 10/25/10

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