IZ Adaptive model Joanne, at the end of the runway Friday night at Dare to Wear Love for the Stephen Lewis Foundation gala.
Can we freakin taLK ABOUT THIS THOUGH?! Girl, werk.
radically-disabled lookit how fabious and peacocky!
I HAVE A LOT OF FEELINGS ABOUT ALL THIS BEAUTY
Novel ‘Avatar Therapy’ May Silence Voices in Schizophrenia
By Deborah Brauser, Medscape Medical News
A novel treatment may help patients with schizophrenia confront and even silence the internal persecutory voices they hear, new research suggests.
Avatar therapy allows patients to choose a digital face (or “avatar”) that best resembles what they picture their phantom voice to look like. Then, after discussing ahead of time the things the voice often says to the patient, a therapist sits in a separate room and “talks” through the animated avatar shown on a computer monitor in a disguised and filtered voice as it interacts with the patient.
In addition, the therapist can also talk by microphone in a normal voice to coach the patient throughout each session.
In a pilot study of 26 patients with treatment-resistant psychosis who reported auditory hallucinations, those who received 6 half-hour sessions of avatar therapy reported a significant reduction in the frequency and volume of the internal voices ― and 3 reported that the voices had disappeared altogether.
"Opening up a dialogue between a patient and the voice they’ve been hearing is powerful. This is a way to talk to it instead of only hearing 1-way conversations," lead author and creator of the therapy program Julian Leff, MD, FRCPsych, emeritus professor at the Institute of Psychiatry in London, told meeting attendees.
"As the therapist, I’m sharing the patient’s experience and can actually hear what the patient hears. But it’s important to remind them that this is something that they created and that they are in a safe space," Dr. Leff told Medscape Medical News after his presentation.
Two presentations were given here at the International Congress of the Royal College of Psychiatrists (RCPsych) 2014 the day after the study results were released in the print edition of Psychosis.
According to the investigators, 1 in 4 people who hear phantom voices fail to respond to antipsychotic medication.
Dr. Leff explained that this program started a little more than 3 years ago, after he had retired “and could start thinking clearly again.” He had been interested in the phenomenon of phantom voices for more than 40 years.
"Our mind craves meaningful input. That’s its nourishment. And if it’s deprived of nourishment, it pushes out something into the outside world," he said. "The aim of our therapy is to give the patient’s ego back its mastery over lost provinces of his mental life."
The researchers used the “off-shelf programs” Facegen for the creation of the avatar faces and Annosoft LIP-SYNC for animating the lips and mouth. They also used a novel real-time voice-morphing program for the voice matching and to let the voice of a therapist to be changed.
In fact, Dr. Leff reported that one option the program provided changed his voice into that of a woman.
After a patient chose a face/avatar from among several options, the investigators could change that face. For example, 1 patient spoke of hearing an angel talk to him but also talked about wanting to live in a world of angels. So the researchers made the avatar very stern and grim so that the patient would be more willing to confront it.
Another patient chose a “red devil” avatar and a low, booming voice to represent the aggressiveness that he had been hearing for 16 years.
For the study, 26 participants between the ages of 14 and 74 years (mean age, 37.7 years; 63% men) were selected and randomly assigned to receive either avatar therapy or treatment as usual with antipsychotic medication.
The length of time for hearing voices ranged from 3.5 years to more than 30 years, and all of the patients had very low self-esteem. Those who heard more than 1 voice were told to choose the one that was most dominant.
During the sessions, the therapist sat in a separate room and played dual roles. He coached the participants on how to confront and talk with the avatars in his own voice, and he also voiced the avatars. All of the sessions were recorded and given to the participants on an MP3 recorder to play back if needed, to remind the patients how to confront and talk to the auditory hallucination if it reappeared.
"We told them: It’s like having a therapist in your pocket. Use it," said Dr. Leff.
All of the avatars started out appearing very stern; they talked loudly and said horrible things to match what the patients had been reportedly experiencing. But after patients learned to talk back to the faces in more confident tones, the avatars began to “soften up” and discuss issues rationally and even offer advice.
Most of the participants who received avatar therapy went on after the study to be able to start new jobs. In addition, most reported that the voices went down to whispers, and 3 patients reported that the voices stopped completely.
The patient who confronted the red devil avatar reported that the voice had disappeared after 2 sessions. At the 3-month follow-up, he reported that the voice had returned, although at night only; he was told to go to bed earlier (to fight possible fatigue) and to use the MP3 player immediately beforehand. On all subsequent follow-ups, he reported that the voice was completely gone, and he has since gone on to work abroad.
Another patient who reported past experiences of abuse asked that his avatar be created wearing sunglasses because he could not bear to look at its eyes. During his sessions, Dr. Leff told him through the avatar that what had happened to the patient was not his fault. And at the end of 5 sessions, the phantom voice disappeared altogether.
Although 1 female patient reported that her phantom voice had not gone away, it had gotten much quieter. “When we asked her why, she said, ‘The voice now knows that if it talks to me, I’ll talk back,’ ” said Dr. Leff.
"These people are giving a face to an incredibly destructive force in their mind. Giving them control to create the avatar lets them control the situation and even make friends with it," he added.
"The moment that a patient says something and the avatar responds differently than before, everything changes."
In addition, there was a significant reduction in depression scores on the Calgary Depression Scale for Schizophrenia and in suicidal ideation for the avatar participants at the 3-month follow-up assessment.
A bigger study with a proposed sample size of 140 is currently under way and is “about a quarter of the way complete,” Dr. Leff reports. Of these patients, 70 will receive avatar therapy, and 70 will receive supportive counseling.
"In order for others to master this therapy, it is necessary to construct a treatment manual and this has now been completed, in preparation for the replication study," write the investigators.
"One of its main aims is to determine whether clinicians working in a standard setting can be trained to achieve results comparable to those that emerged from the pilot study," they add.
"Fascinating" New Therapy
"I think this is really exciting. It’s a fascinating, new form of therapy," session moderator Sridevi Kalidindi, FRCPsych, consultant psychiatrist and clinical lead in rehabilitation at South London and Maudsley NHS Foundation Trust in the United Kingdom, told Medscape Medical News.
"I think it is a novel way of approaching these very challenging symptoms that people have. From the early results that have been presented, it provides hope for people that they may actually be able to improve from all of these symptoms. And we may be able to reduce their distress in quite a different way from anything we’ve ever done before."
Dr. Kalidindi, who is also chair of the Rehabilitation Faculty for the Royal College of Psychiatrists, was not involved with this research.
She added that she will be watching this ongoing program “with great interest.”
"I was very enthused to learn that more research is going on with this particularly complex group," said Dr. Kalidindi.
"This could be something for people who have perhaps not benefitted from other types of intervention. Overall, it’s fantastic."
International Congress of the Royal College of Psychiatrists (RCPsych) 2014. Presented in 2 oral sessions on June 26, 2014.
Psychosis. 2014;6:166-176. Full text
people who hate what you ship and still stick with you when you have otp emotions
Yes thank you
These are from a wonderful book called The Art Of Comforting. Check it out and learn how to be better at supporting people going through difficult things.
I hope everyone reblogs this.
We love our pitbull. He’s an enthusiastic, loving dog who’s a big marshmallow.
Fun fact : In the 19th century pitbulls were used as ”nanny dogs”, meaning they babysat small children and kept them safe while they played.
What facebook feels like on ur birthday.
[Image: Dr. Herukhuti in rainbow dashiki with the quote, “Dr. Herukhuti on Sexual Imperialism.”]
Dr. Herukhuti on Sexual Imperialism & Homonormativity:
"Sexual imperialism is manifested in a number of ways in the history of European colonialism. It has meant that non-European people have been the targets of European fantasy; projected desires; guilt and shame; and scientific surveillance and experimentation. People of European descent have placed our genitalia on display, experimented upon our bodies, created theories of sexuality based upon the perceived differences between us and them, etc.
In the contemporary moment, sexual imperialism also looks like the campaigns the U.S. religious right has fermented in Africa to encourage religious intolerance toward homosexuality. It also looks like what Professor Ibrahim Farajajé calls “rainbow flag imperialism” — a sexual imperialism in which LGBT people of European descent direct campaigns into Africa to encourage queer folks in Africa to adopt Western ways of being queer. This is how homonormativity is created, perpetuated, and maintained.
Both the U.S. religious right and the mainstream LGBT movement tend to ignore the indigenous forms of sexual and gender diversity that have existed in Africa for millennia.. The religious right’s efforts depend upon the colonial roots that Christian missionaries planted in Africa centuries earlier. The mainstream LGBT movement’s efforts depend upon the neoliberal capitalist roots planted by multinational corporations and NGO missionaries decades earlier.
So we now have zealot African Christian converts leading the intolerance and violence against other Africans, using the language of indigeneity and authenticity but based upon their indoctrination into Western forms of Christianity. And Africans in urban settings who may be invested in Westernization and looking for models of queerness outside of traditional forms because of the ways Western forms of queerness are promoted in Western-controlled popular media. In both cases, you have people of European descent telling African people what is and is not good for them.
One of the main conflicts between Western homosexuality and African cultural values is about procreation. African cultures value children for a number of reasons. And people have responsibilities to the community to produce children. Western homosexuality poses a threat to those responsibilities, particularly for people who do not have access to the wealth and privilege of Western technologies to produce children outside of reproductive sex. Bisexuality, the ability to be sexually open or engaged with people across a number of genders, does not pose those same challenges to the responsibilities that African people have. Historically, bisexuality has been practiced in Africa in a variety of forms. Because Western bisexuals and people of African descent in the West have been traditionally marginalized by mainstream gay activists, the bisexual aspects of African sexualities have either been mislabeled “gay” (i.e., bi-erasure) or have been ignored (i.e., bi-invisibility).”
"I think bi-erasure is so entrenched and pervasive because of the strategy of mainstream Western gay movement activists. Their strategy was to promote a representation of queerness that was not queer in the ways queerness means “different” or “askew.”
Their strategy was an assimiliationist agenda. They chose to pursue an agenda to make heterosexuals believe that queer people were just like them. To do so, they had to make queer people appear just like heterosexuals but, too often, they were willing to settle for making all queer people appear to be just like gay, middle-class men of European descent.
This kind of work meant that mainstream Western gay movement activists had an ideological and strategic motivation to engage in bi-erasure, respectability politics, and whitewashing.
They continue to be informed by that motivation, which is why you see no mention of polyamorous relationships in mainstream marriage equality materials, bisexual people prominently positioned in HIV prevention policy decision-making, or bisexual or trans people in leadership positions at any national organization that is supposed to serve LGBT people — and definitely no bisexual or trans people of color in senior leadership/management positions.”
[Dr. Herukhuti for One+Love.]
We live in a society that’s sexist in ways it doesn’t understand. One of the consequences is that men are extremely sensitive to being criticized by women. I think it threatens them in a very primal way, and male privilege makes them feel free to lash out.
This is why women are socialized to carefully dance around these issues, disagreeing with men in an extremely gentle manner. Not because women are nicer creatures than men. But because our very survival can depend on it.
The whole article sadly hits very close to home.
god bless sdcc
this scene was wild from start to finish