Background: Chronic Pain (CP) has serious medical and social consequences, and leads to economic burden that threatens the sustainability of healthcare services. Thus, optimized management of pain tools to support CP patients in adjusting to their condition and improving quality of life is timely. Although Acceptance and Commitment Therapy (ACT) is considered an evidence-based psychological approach for CP, evidence for the efficacy of online-delivered ACT for CP is still scarce. At the same time, studies suggest that self-compassion mediates the change (...) in disability and psychopathological symptoms in ACT interventions for CP, although self-compassion is not a specific target in ACT. Thus, an explicit focus on self-compassion might increase the efficacy of ACT interventions for CP, although this hypothesis has not been tested. This study aims to develop an eHealth ACT and compassion-based self-management intervention for CP, the iACTwithPain, and to compare its efficacy in improving health outcomes to a similar ACT-only intervention and a waiting list group. Methods: The eHealth platform that will host the interventions will be developed using a flat design identity and will be interactive. The iACTwithPain intervention will comprise 8 weekly self-management sessions, and will be developed taking into consideration the psychological flexibility model applied to CP, with the addition of explicit compassion-based components. To analyse whether the iACTwithPain intervention will present superiority in improving CP’s impact and related health markers over the two other conditions, this study will follow a RCT design with three arms. CP patients will be recruited through direct contact with patient associations and healthcare services and a national press release in Portugal. Outcome measurement will be conducted at baseline, post-intervention and at 3- and 6-months follow-ups. The interventions’ acceptability will also be assessed. Discussion: The iACTwithPain intervention is expected to improve CP patients’ psychosocial functioning, quality of life, and empowerment, by promoting adaptive disease management and regulation of pain-related internal experiences. Results will contribute to a better understanding on the pertinence of adding compassion elements to ACT for CP and to reach an optimized intervention for CP. (shrink)

BackgroundThis pilot study aims to test the usability of the iACTwithPain platform, an online ACT-based intervention for people with chronic pain, to obtain information on which intervention and usability aspects need improvement and on expected retention rates.MethodsSeventy-three Portuguese women with chronic pain were invited to complete the first three sessions of the iACTwithPain intervention assess their quality, usefulness and the platform’s usability. Twenty-one accepted the invitation. Additionally, eight healthcare professionals working with chronic medical conditions assessed the platform and the intervention (...) from a practitioner’s point of view.ResultsThis study presented a considerable attrition rate (71.43%) among chronic pain participants, with six completers. There were no significant differences in demographic or clinical variables between dropouts and completers except for completed education (participants who dropped out presented less education than completers). Reasons for dropout were related to difficult personal events occurring during the time of the intervention, lack of time, or having forgotten. There seemed to be an overall satisfaction with both the intervention, its contents and form of presentation of information, and the platform, concerning its design, appearance, and usability. Real image videos were preferred over animations or audio by chronic pain participants. Healthcare professionals emphasized the appealing and dynamic aspects of the animation format.ConclusionThis study informs the ongoing improvement of the iACTwithPain platform and provides valuable information on aspects researchers should consider while developing online psychological interventions for chronic pain. Further implications are discussed. (shrink)

Therapeutic strategies capable of inducing and enhancing prosthesis embodiment are a key point for better adaptation to and acceptance of prosthetic limbs. In this study, we developed a training protocol using an EMG-based human-machine interface that was applied in the preprosthetic rehabilitation phase of people with amputation. This is a case series with the objective of evaluating the induction and enhancement of the embodiment of a virtual prosthesis. Six men and a woman with unilateral transfemoral traumatic amputation without previous use (...) of prostheses participated in the study. Participants performed a training protocol with the EMG-based HMI, composed of six sessions held twice a week, each lasting 30 mins. This system consisted of myoelectric control of the movements of a virtual prosthesis immersed in a 3D virtual environment. Additionally, vibrotactile stimuli were provided on the participant’s back corresponding to the movements performed. Embodiment was investigated from the following set of measurements: skin conductance response, crossmodal congruency effect, ability to control the virtual prosthesis, and reports before and after the training. The increase in the skin conductance response in conditions where the virtual prosthesis was threatened, recalibration of the peripersonal space perception identified by the crossmodal congruency effect, ability to control the virtual prosthesis, and participant reports consistently showed the induction and enhancement of virtual prosthesis embodiment. Therefore, this protocol using EMG-based HMI was shown to be a viable option to achieve and enhance the embodiment of a virtual prosthetic limb. (shrink)

Al comienzo del De Visione Dei ,Nicolás de Cusa nos pone ante un icono del mirar divino y nos invita a una experiencia muy personal, a una acción inicialmente envuelta en la reflexión metafórica, la contemplación mística. Trabajando con la metáfora de la mirada, el Cusano nos sitúa ante la mirada del creador y la mirada de la creatura. En De Visione Dei, el mirar divino es creador y amante. El mirar de Dios ve, crea y ama. De esa manera, (...) el presente trabajo procurará reflejar la importancia del mirar, intentando trazar en el De Visione Dei una relación entre la unidad de la mirada del creador y la multiplicidad de la mirada de la creatura. (shrink)

O presente artigo tem por objetivo expor o debate acerca do dinamismo da busca pela verdade absoluta (Deus) a partir da filosofia de Nicolau de Cusa (1401-1464). Mais que pensar sobre a existência ou não de Deus, tema recorrente e central na Filosofia da Idade Média, o filósofo alemão encontrava-se preocupado com a possibilidade do seu conhecimento. Portanto, nesse texto, nosso esforço é explicitar as nuances e o dinamismo presente no pensamento de Nicolau a partir do pressuposto da _nulla proportio_ (...) entre a mente humana que é finita e a verdade absoluta que é infinita. (shrink)

Resumo Neste artigo, pretendemos abordar o pensamento de duas mulheres por meio dos conceitos de aniquilamento, que encontramos em Le mirouer des simples ames de Marguerite Porete, e descriação que aparece em Pensateur et grace de Simone Weil. Também usaremos a obra de Weil La connaisance surnaturelle composta pelos Cahiers d’Amérique e Notes ècrites à Londres, onde ela faz referência ao livro de Marguerite Porete. Deste modo, apresentaremos, num primeiro momento, a mística de Marguerite Porete, focando no conceito de aniquilamento. (...) Depois, num segundo momento, mostraremos um pouco da mística de Simone Weil por meio do conceito de descriação. A partir deste segundo momento, já iremos traçando alguns paralelos para mostrar a semelhança entre a mística das duas pensadoras que se refletirá no terceiro momento deste artigo, onde apresentaremos Weil como leitura de Le mirouer des simples ames.In this article we intend to approach the thought of two French philosophers through two concepts: annihilation, found in the Le mirouer des simples ames of Marguerite Porete, and decreation, which appears in the Pensateur et grace of Simone Weil. We will also refer to Weil’s La connaisance surnaturelle, composed of the Cahiers d’Amérique and Notes ècrites à Londres, where she refers to Marguerite Porete’s book. First we present the mysticism of Marguerite Porete, focusing on the concept of annihilation. Next we discuss the mysticism of Simone Weil through the concept of decreation. We then draw some parallels to show the similarity between the mysticism of the two thinkers, and discuss Weil as a reader of Le mirouer des simples ames. (shrink)

En este artículo se intentará poner de manifiesto cómo, para Plotino, el retomo pasa, primeramente por una preparación intelectual que tiene por objeto evitar la caída del alma al contemplar la belleza sensible. Se tratará de mostrar también que el camino de vuelta, a su vez, es un camino contemplativo, ya que los varios grados de la contemplación corresponden a las diversas etapas en búsqueda de lo divino, y que el hombre, contemplando la belleza sensible a través del alma, se (...) eleva hasta la Inteligencia, y ésta, contemplando el Uno, se simplifica con El. En ese sentido, evidenciaremos que hay una estrecha relación entre la actividad contemplativa y la idea de lo bello, una vez que el hombre al contemplar, contempla lo bello y contemplándolo, vuelve al Uno: principio y fundamento de la filosofía plotiniana. (shrink)

Procuramos, neste artigo, apresentar a reflexão de Nicolau de Cusa sobre a Trindade, em dois dos seus textos: De coniecturis e De visione dei. Nesses dois livros, a Trindade recebe uma série de outras designações diferentes daquelas que aparecem nas citações bíblicas ou, como ele próprio afirma, diferentes das usadas pelos nossos doutores. Nesse sentido, objetivamos mostrar, também, que as expressões da Trindade podem ser lidas como expressões do amor no pensamento do filósofo alemão. We seek in this paper to (...) present the Nicholas of Cusa's reflexion on the Trinity in two of his works: De coniecturis and De visione dei. In these two books the Trinity receives several different designations from those which appear in biblical citations or, as he affirms, different designations from those used by our doctors. In this regard, our objective is to show also that the expressions of the Trinity can be read as the expressions of the Love in the thought of the German philosopher. (shrink)

Procuramos, neste artigo, apresentar a reflexão de Nicolau de Cusa sobre a Trindade, em dois dos seus textos: De coniecturis e De visione dei . Nesses dois livros, a Trindade recebe uma série de outras designações diferentes daquelas que aparecem nas citações bíblicas ou, como ele próprio afirma, diferentes das usadas pelos nossos doutores. Nesse sentido, objetivamos mostrar, também, que as expressões da Trindade podem ser lidas como expressões do amor no pensamento do filósofo alemão.