Context is Complex: Challenges and opportunities addressing contextual factors in manual therapy mechanisms research

International journal of osteopathic medicine, Journal Year: 2025, Volume and Issue: unknown, P. 100750 - 100750

Published: Jan. 1, 2025

Language: Английский

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Exploring the impact of robot interaction on learning engagement: a comparative study of two multi-modal robots

Smart Learning Environments, Journal Year: 2025, Volume and Issue: 12(1)

Published: Jan. 29, 2025

Abstract In recent years, there has been a growing interest in using robots within educational environments due to their potential augment student engagement and motivation. However, current research not adequately addressed the effectiveness of these facilitating inclusive learning for diverse populations, particularly those with dyslexia. This study proposes an system developed on two multi-modal robots, Kebbi Minibo, interactive (i.e., movable hands) straightforward features. The integrates various elements, such as animations, songs, dance, gestures, touch, enhance students’ engagement, interaction, motivation cater needs. aims examine influence different features from unique levels students with/without dyslexia needs when engaging robot learning. Two questions are posed: (1) What that could effectively improve engagements dyslexia? (2) learning? To this end, comparative is conducted where 64 participate five-day robot-led training program, while another 73 receive traditional teacher-led training. Pre/post questionnaires administered evaluate levels, semi-structured interviews obtain additional insights. findings reveal better suited Kebbi. contrast, without may prefer more which can still promote Multi-modal boost through novelty cognitive load management. Emotional connections empathetic customizable features, outcomes.

Language: Английский

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Osteopathic Care as (En)active Inference: A Theoretical Framework for Developing an Integrative Hypothesis in Osteopathy

Frontiers in Psychology, Journal Year: 2022, Volume and Issue: 13

Published: Feb. 18, 2022

Osteopathy is a person-centred healthcare discipline that emphasizes the body’s structure-function interrelationship—and its self-regulatory mechanisms—to inform whole-person approach to health and wellbeing. This paper aims provide theoretical framework for developing an integrative hypothesis in osteopathy, which based on enactivist active inference accounts. We propose osteopathic care can be reconceptualised under (En)active as unifying framework. Active suggests action-perception cycles operate minimize uncertainty optimize individual’s internal model of lived world and, crucially, consequences their behaviour. argue offers evince mechanisms underlying dyadic triadic (e.g., paediatric care) exchanges outcomes. this underpin across lifespan, from preterm infants elderly those with persistent pain other physical symptoms. In situations chronicity, ecological niche, patient-practitioner dyad provides osteopath patient set affordances, i.e., possibilities action provided by environment, through shared intentionally, promote adaptations restoration productive agency. Through therapeutic relationship, they engage niche’s affordances—a structured affordances agents—osteopath actively construct sense-making narrative realise generative relation niche. general, touch plays critical role robust alliance, mental state alignment, biobehavioural synchrony between practitioner. However, particularly crucial fields neonatology paediatrics, where it becomes central regulating allostasis restoring homeostasis. standpoint, niche underwrites effectiveness care. Considerations implications model—to clinical practice research, both within- outside osteopathy—are critically discussed.

Language: Английский

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Digitalized therapy and the unresolved gap between artificial and human empathy

Frontiers in Psychiatry, Journal Year: 2025, Volume and Issue: 15

Published: Jan. 7, 2025

Empathy is a cornerstone in psychotherapy for building trust, connection, and understanding between therapist client. Studies meta-analyses continue to support that empathy significantly correlates with positive therapeutic outcomes (Elliott et al., 2018;Garfield & Bergin, 1971;Watson 2014). However, not the sole pathway psychological change. Constructs such as validation, autonomy support, attunement, authentic curiosity also contribute recovery mental well-being (Soto, 2017). There are recent development importance of some non-interpersonal methods, including training mindfulness, expressive writing, focusing, computer-aided cognitive bias modification; these, too have produced changes favorable outcome. (Schnur Montgomery, 2010).Given this multi-psychological framework, how essential core construct from which interventions take part remains moot debate. The role powerful influential but only whole net mechanisms (Voutilainen 2018). This paper discusses special significance change, its limitations, risks associated misrepresentations by AI. It postulates AI's strengths may be better utilized enhancement non-empathic pathways hence provides an alternative focus AI health care.Empathy has traditionally been regarded backbone relationship. multicomponent concept involving emotional resonance or sharing feelings, perspectivetaking another's viewpoint, compassionate action taking steps alleviate distress (Jordan, 2000). These dimensions enable offer environment noncritical safe. there emerging body research questions whether determinant Instead, other factors equally, if more, important (Garrote-Caparrós 2023;Schnur 2010). For example, validation confirms client's feelings experiences effort establish sense trust reduce isolation. Similarly, promoting support-for instance, encouraging clients responsibility their own healing process-promotes long-term aligns modern models centered around client (Steiger therapist's attunement-approach, he himself state, improves rapport. conveyed interest exploratory promote self-reflection insight (Feiner-Homer, 2016;Seikkula 2015).Beyond interpersonal mechanisms, very empathy-free An example mindfulness-based interventions: MBSR proved successful reducing stress enhancing regulation mood (Ghawadra 2019).Experiences writing about events active processing consequences (Mordechay 2019). On hand, even spots corrects negative thinking so address symptoms anxiety depression (Hallion Ruscio, 2011). Gendlin's focusing training, emphasizes awareness processing, tested found effective intervention (Hinterkopf, 1983). underpin, together, multifaceted nature change emphasize needs augment rather try replace pathways.Artificial feature AI, whereby it able recognize then simulate empathic responses based on data text, tone, facial expressions (Asada, 2015). While indeed great achievement technology, lacks depth, intentionality, cultural sensitivity, ingredients (Tubadji Huang, 2023;Zhang 2024). limitations appear most manifestly three areas: First, struggles contextual since cannot holistic individual's life experiences, because unable meaning context, would first limit faces. second one insensitivity, algorithms emotion recognition quick misinterpret simplify cues across different contexts. Finally, resonance, draw lived service deeper connections clients. relying emulating care.Despite these setbacks, argued through simulation empathy, democratizes care insofar increases access services (Balasubramanian 2023). systems can provide immediate serve entry points those who feel uneasy traditional therapy (Lopes Poorly aligned over-and-over robotic could alienate destroy any might needed relationship (McParlin 2022). Given risks, perhaps should shift than trying emulate by, giving real-time, feedback generating personalized insights human therapists.Future priorities must addressed securing position developing responsible health. Development multi-modal combine evidence speech, expressions, physiological signals approach go emotions holistically (Mamieva With effectiveness, empirical study hybrid assessed regarding impacts satisfaction will immensely useful trusting informing user-friendly system designs while perceptions therapy. Furthermore, refinement ethical guidelines, requirement challenges privacy, transparency, consent (Alfano Lastly, roles well investigated include monitoring progress, personalization treatment plans, supporting mindfulness potential extend utility minimizing risks.While psychotherapy, neither nor irreplaceable Evidence underlines effective, training. risk misinterpreting focused models. Coupled developments, enhance delivery without losing human-centered approach. In future, envisaged act substitute ally solving rapidly increasing demand services.

Language: Английский

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An Enactive–Ecological Model to Guide Patient-Centered Osteopathic Care

Healthcare, Journal Year: 2022, Volume and Issue: 10(6), P. 1092 - 1092

Published: June 12, 2022

Osteopaths commonly face complexity and clinical uncertainty in their daily professional practice as primary contact practitioners. In order to effectively deal with complex presentations, osteopaths need possess well-developed reasoning understand the individual patient's lived experience of pain other symptoms how problem impacts personhood ability engage world. We have recently proposed (En)active inference an integrative framework for osteopathic care. The enactivist active frameworks underpin our hypothesis. Here, we present a clinically based interpretation hypothesis by considering ecological niche which care occurs. Active enables patients practitioners disambiguate each other's mental states. patients' states are unobservable must be inferred on perceptual cues such posture, body language, gaze direction response touch hands-on A robust therapeutic alliance centred cooperative communication shared narratives appropriate effective use enable contextualize experiences. Touch enhance alliance, state alignment, biobehavioural synchrony between patient practitioner. Therefore, osteopath-patient dyad provides alignment opportunities construction. Arguably, this can produce experiences reduce prominence given high-level prediction errors-and consequently, top-down attentional focus bottom-up sensory errors, thus minimizing free energy. This commentary paper primarily aims critically consider value appreciating complexities delivering person-centred

Language: Английский

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An Active Inference Account of Touch and Verbal Communication in Therapy

Frontiers in Psychology, Journal Year: 2022, Volume and Issue: 13

Published: May 20, 2022

This paper offers theoretical explanations for why “guided touch” or manual touch with verbal communication can be an effective way of treating the body (e.g., chronic pain) and mind emotional disorders). The active inference theory suggests that pain disorders attributed to distorted exaggerated patterns interoceptive proprioceptive inference. We propose nature is abductive. As such, rectify aberrant processes, we should change “Rule” abduction, “prior beliefs” entailed by a patient’s generative model. means pre-existing models replaced new models. To facilitate such replacement—or updating—the present treatment proposes weaken prior beliefs, especially one at top level hierarchical models, thereby altering sense agency, redeploying attention. Then, belief installed through inner along touch. several hypotheses possible experimental studies. If guidance proven effective, this would demonstrate relevance implicit prediction model behavioral level. Furthermore, it open possibilities employing interventions, including self-talk training, wide range psychological physical therapies.

Language: Английский

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Therapeutic Alliance as Active Inference: The Role of Therapeutic Touch and Biobehavioural Synchrony in Musculoskeletal Care

Frontiers in Behavioral Neuroscience, Journal Year: 2022, Volume and Issue: 16

Published: June 30, 2022

Touch is recognised as crucial for survival, fostering cooperative communication, accelerating recovery, reducing hospital stays, and promoting overall wellness the therapeutic alliance. In this hypothesis theory paper, we present an entwined model that combines touch alignment active inference to explain how brain develops “priors” necessary health care provider engage with patient effectively. We appeal empirically integrative neurophysiological behavioural mechanisms underwrite synchronous relationships through touch. Specifically, offer a formal framework understanding – explaining role of hands-on in developing alliance synchrony between providers their patients musculoskeletal care. first review importance its clinical facilitating formation solid regulating allostasis. then consider used clinically promote demonstrate empathy, overcome uncertainty, infer mental states others lens inference. conclude plays achieving successful outcomes adapting previous priors create intertwined beliefs. The ensuing may help healthcare field use strengthen alliance, minimise prediction errors (a.k.a., free energy), thereby recovery from physical psychological impairments.

Language: Английский

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Reconceptualizing Somatic Dysfunction in the Light of a Neuroaesthetic Enactive Paradigm

Healthcare, Journal Year: 2023, Volume and Issue: 11(4), P. 479 - 479

Published: Feb. 7, 2023

Background: Palpatory findings are considered a central element of osteopathic practice, especially when associated with patient's altered regulative functions than named somatic dysfunctions. Although theories for dysfunction could be plausible, the clinical applicability concept is debated, because it largely related to simple cause-effect models care. In contrast linear kind diagnosis "tissue as producer symptoms", this perspective article aims provide conceptual and operational framework in which evaluation process seen neuroaesthetic (en)active encounter between osteopath patient. Subsections relevant subject: To summarize all concepts hypothesis, enactive neuroaesthetics principles proposed critical foundation assessment treatment person, specifically addressing new paradigm dysfunction. Conclusions, future directions: The present represents proposition blend technical rationality informed by neurocognitive social sciences, professional artistry experience traditional tenets, overcome controversy around dysfunction, rather dismissing concept.

Language: Английский

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Reconceptualizing the therapeutic alliance in osteopathic practice: Integrating insights from phenomenology, psychology and enactive inference

International journal of osteopathic medicine, Journal Year: 2022, Volume and Issue: 46, P. 36 - 44

Published: June 24, 2022

Language: Английский

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Insights into how manual therapists incorporate the biopsychosocial-enactive model in the care of individuals with CLBP: a qualitative study

Chiropractic & Manual Therapies, Journal Year: 2025, Volume and Issue: 33(1)

Published: Feb. 18, 2025

Abstract Background Chronic low back pain (CLBP) presents a significant challenge for manual therapists. Recent advancements in research have highlighted the limitations of traditional biomedical and biopsychosocial models, prompting exploration alternatives. The biopsychosocial-enactive (BPS-E) model has emerged as promising alternative. This study aims to explore application BPS-E by therapists managing CLBP initiate meaningful dialogue about its use. Methods adhered Standards Reporting Qualitative Research. Guided constructivist grounded theory, we conducted semi-structured interviews with ten who are experts model. Data collection, conceptualization, analysis were systematically carried out identify key themes insights. Results core theme identified was “The person-centred approach,” three subthemes: “Opportunities implementing model”, “Utilizing Integrating Diverse Skills Holistic Care”, “Challenges model”. Conclusion provides insights into how incorporate their practice, demonstrating advantages over findings highlight need further training effectively implement clinical settings. begins an essential discussion on potential enhance care patients.

Language: Английский

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