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social, health, political imagery through the lens of George J Huba PhD © 2012-2017

Search results for mental health

As of today this blog has almost 500 posts. Since I usually employ mind maps to make major points, there are considerably more than 1500 on the site and the number is growing very rapidly.

If you see an interesting post (or mind map) when you follow a link to the site, use the search button on the site to find related posts.

Keywords which will turn up dozens of posts include #caregiver, #dementia, #cognitiveimpairment, #mentalhealth, #neurodegenerative, #neurological, #psychology, #neuroscience, #HIV, #drugabuse, #socialjustice, #disenfranchised, and dozens of others.

The search box is located near the links to my book on Amazon and iBookstore on the left margin of each page.

Also note that the book, released in early 2015, has a number of mind maps and issues which are not discussed on the web site including long justifications of why I think the mind mapping methods I propose will work well for many (although not everyone) as a means of improving quality of life.

There is a lot more on the site and in the book than just what is in my past dozen posts.

Please explore my ideas with the search box on the site. Oh … and of course please buy the book.

Thanks,

George

And … I am glad to report that the wizard, bandaid man, Frank, geek boy, the sage, superboy, R2D2, the turtle who won the race, and my dog Sabra all agree with me. Donald Trump does not.


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ObamaCare revised/enhanced?

Trump/RyanCare another draft not submitted to Congress?

Within the extant and mythical healthcare plans, additional dementia care services need to be included. Most are cost-neutral or may actually save money while providing better patient outcomes.

Case Management makes existing healthcare services (doctor visits, medications, emergency care) work better. At a very small cost that should actually SAVE money, case management can provide better total patient care, cut unnecessary emergency room visits, and achieve better medication outcomes. What isn’t there to like?

Dementia Caregivers are most often UNPAID, female family members forced to juggle their own jobs/finances, families, and general lives to care for a loved one. Support is required for Dementia Caregivers in the forms of training, support, advice, and FINANCIAL COMPENSATION for their services. They do the work, they should get paid for their time. An upgraded system of paid family caregivers should make DementiaCare more effective and reduce other costs in the healthcare system to such a degree that it will be cost-neutral. An unnecessary hospital stay or emergency room visit can cost as much as $10,000 — $20,000. A family caregiver could be paid for 500 hours at $20 per hour for $10,000. Train family caregivers, pay them, and you have a cost neutral system. What isn’t there to like?

Mental Health issues often lead to huge patient distress, anxiety, and medical management problems. They can frustrate caregivers and lead to nonadherence to medication recommendations. Therapy and counseling can help patients and caregivers as well as cutting overall medical costs. What isn’t there to like?

Group Adult Daycare can provide needed respite for family caregivers as well as important social and recreational experiences for patients, thus enhancing their lives and to some degree ability to function independently. What isn’t there to like?

The following mind model provides some details. Click the image to expand it.

 

People who learn to take responsibility for their own actions could save me a lot of money.

They

  • have less kids born into families that cannot support them saving me money on social programs
  • are less likely to contract STDs especially HIV thus saving me money on STD prevention and treatment programs
  • graduate from high school (and college and grad school) thus qualifying them to be in higher tax brackets and save me from higher tax rates and subsidizing their living costs
  • live longer because they forgo tobacco and drinking alcohol to excess thus saving the entire health care system from huge wasted services
  • pick up their garbage and put it in trash receptacles thus saving me having to pay someone to pick up after them
  • recycle thus cutting the bill for environmental cleanup

The USA should incentivize self responsibility by granting payments to

  • every student who ever graduates from high school
  • every student who ever graduates from college
  • every student who ever earns a graduate degree
  • every 18 year old who has never had an STD
  • every 18 year old woman who has never been pregnant
  • every 18 year old man who has never fathered a child
  • every 21 year old who has never been convicted of a DUI offense
  • every 21 year old who has never used tobacco
  • every 21 year old who has a “normal” weight and is neither obese nor dangerously underweight
  • every 40 year old who has a “normal” weight and is neither obese nor dangerously underweight
  • every 50 year old who has never been convicted of a DUI offense
  • every 60 year old who has a “normal” weight and is neither obese nor dangerously underweight

Incentives would be in the form of one-time tax credits for the individual or the individual’s family. This means that incentives are only paid to workers and their families.

Oh, the government would supply free voluntary services to all residents on birth control methods including condoms freely available to all children old enough to conceive, unlimited voluntary counseling on avoiding self destructive behaviors, unlimited voluntary counseling on leading a healthy life, and unlimited voluntary counseling for reasons of family instability, mental health, child rearing, and birth control. None of these free services would include any components related to any religion. And legitimate and effective education at all levels from preschool through college would be free to any American resident of any age and with support services to ensure anyone can graduate.

If the USA were to provide fairly significant incentives for learning and exercising self responsible behaviors we could produce a citizenry that creates less problems and is less dependent upon social network and support programs for themselves and their children. This will leave a lot of money to spend on those who truly cannot deal with their own medical and psychological problems no matter what they personally do and probably leave some over for lower tax rates.

Wow. Incentives for studying, working hard, becoming a productive member of society, and paying for needed and fully effective programs for all of those who have mental or physical or developmental disease and cannot legitimately assume full responsibility for all aspects of their lives.

I’d love to see a similar set of ways to incentivize healthcare and education workers. Small increases in productivity and job satisfaction among these critical citizens saves a lot of money and produces a much more healthy society.

Oh, I know, I am a dreamer. After all, my proposal could never make it through Congress. Even though it will save lots of money, promote better lives through self responsibility, and leave sufficient resources for those who truly need medical and mental health services because of factors beyond their control, this is truly an anti-American proposal that expects self responsibility and does not let big religion bully small religions, agnostics, or atheists around.

Every once in a while we need a little revolution.

Imagine.

[Musings of a very liberal, very capitalist, individual who believes in self responsibility and taking care of anyone who cannot take care of themselves with first-rate, state-of-the-art programs.]

Healthcare (medical, health, mental health, nursing, and other health professions) mind models (or mind maps) are not the same as those plain old “knowledge” mind maps you are used to seeing.

When you start to put a compelling and artistically sophisticated mind map together that gives symptoms for diseases or recommended treatments or medical information ranging from how to put on a bandage to how deal with your elderly mom’s dementia, you have entered the realm where misinformation can hurt people. Most of the health and medical information mind maps on archival websites like Biggerplate.com have errors of content ranging from being out-of-date to misleading to downright harmful. It is not necessarily enough to read something even from a definitive source and mind map it. Rather, you have to identify definitive sources and then know how to evaluate their claims against more recent research and regulations and criticisms by credible sources.

Being called (by yourself or another source) a professional or expert or inventor mind mapper does not mean that you are qualified to mind map health or medical information. It takes at least 22 years of total education to get through the formal training and supervised practice to meet the requirements of most types of professional health-related licensure in the USA. Physicians and nurse practitioners may need to complete as as many as 32 years of formal education and supervised practice. All licensed healthcare professionals are subject to requirements for continuing education requirements after completing training and licensure in most US jurisdictions for most fields.

So before you decide to read a book on dementia and make one of your wonderful artistic mind maps, think about whether you have the necessary professional training and experience to read the relevant research and clinical literature accurately and with the perspective and sophisticated judgment that can reject erroneous claims. And when you start to make claims that mind mapping or some herbal supplement or yoga or cognitive training or crossword puzzles or some exotic mumblings you heard in Haiti can cure or treat or prevent dementia, make sure you realize that if you provide false information you may be hurting people and possibly incurring a financial liability. I respect and use mind maps (and especially Huba mind models) from people who clearly have expertise in healthcare, medicine, psychology, and related fields. I do find the mind maps of “professional mind mappers” and mind map “inventors” and mind map developers to be very poor in their content when they try to stray into healthcare-related content they really do not understand and do not stay in the areas of management consulting, training, and brainstorming where they made their fortunes.

This is a consumer-beware situation as no one regulates mind maps and their content.

A mind model (AKA mind map) looking at the issues that can arise because healthcare mind maps are not typically within the expertise of individuals identified as expert mind mappers who have not been trained in a health-related field.

Click on the image to expand it.

A Healthcare Mind Model (Mind Map) Must Be More Than A Regular Mind Map

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It is not illegal in the United States to ask job candidates to take physical and psychological examinations before being hired for a job that has huge physical and psychological demands. For instance, such public employees as police officers, firefighters, military personnel, and others take appropriate physical and psychological tests both before and during employment. They also take tests to detect illegal drug use.

As Americans like to say, the POTUS job is the most powerful person in the world. There is no question that the job has the huge physical demands of prolonged periods of 12-16 hour days under high stress condition. Many problems can be made much worse by such a lifestyle. The president also makes make key decisions, often under high duress and without full data, than can affect the lives and welfare of thousands if not millions of individuals throughout the world. We all know about the use or not of the nuclear codes, but remember that the President may make decisions daily or weekly that affect the safety and well beings of US and other world citizens in profound ways such as food distribution, medical aid and research, international trade agreements, and regulations on the US stock market and financial institutions.

Most Americans agree that we want healthy law enforcement officers that can assist in situations requiring physical fitness without harm to themselves. We also agree that we do not wish to have psychologically distressed individuals without mental stability intervening into situations of aggression, ambiguity, potential harm to bystanders, or mistaking innocent individuals for those who have committed a crime. The same is true for all other first-responders, military personnel, nuclear plant operators, airline pilots, and many more.

Why are willing to let someone be hired for the job as President of the United States (through the process of majority vote) without complete physical, psychological, and neuropsychological examinations conducted by a team of physicians, psychologists, and other appropriate healthcare professionals. A team of 3-9 individuals could be appointed through some type of consensus process among professional associations and political parties. Even better, we could make use of some of the thousands of highly qualified and brilliant healthcare professionals who are officers of the US Military and already sworn to protect the Constitution and laws of the United States without regard to partisan issues.

If there was ever a time to implement this, it is before the November presidential election this year.

I do not want an individual as the “most powerful person in the world” who is physically and/or mentally unfit for the job unknowingly hired by the electorate. I am especially concerned that candidates above the age of 50 could have untreatable neurodegenerative diseases (such as I have) that affect decision making processes, especially under stress.

If POTUS is the most powerful job in the world, it should have the most stringent job requirements including physical, mental, and neuropsychological health making it possible to adequately perform the high demands of the job. Cutting through all of the politics, I believe that the physicians, psychologists, nurses, and other healthcare professionals of the US Military are capable of making competent, non-partisan judgments about fitness requirements for ensuring that the Constitution of the US is protected and followed.

Given the public statements being made by both presumptive presidential candidates this year, it is time to ensure that the contentious statements made by both are not the product of physical, mental, or neuropsychological illness, and rather are being made by motivated but angry, expressive but overly so, individuals using typical standards of normal and healthy logic and decision making. The electorate deserves to be informed about the results of such fitness exams before making the decision in November whether to hire one or none of these candidates.

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Walmart today eliminated health insurance coverage for 30,000 workers who work less than 30 hours per week. Trader Joe’s, Target, and Home Depot had already done the same.

What do you think a low wage employee at Walmart or Target or Trader Joe’s or Home Depot would do if their employer offered them the opportunity to work 31 hours per week instead of 29?

I smell a rat that the Republicans are calling Obamacare and I would call the GOP (Non-)Insurance Plan. Either way, many US workers are screwed by the actions of these big employers.

And who works for Walmart and Target and Home Depot and Trader Joe’s? When you shop there do you conclude it is the elderly who still need to work in their 70s because they never worked at companies that ensured that they would have enough funds in their retirement or high school dropouts (often single moms) or the disabled or recovering drug abusers or those with mental health issues or an over-representation of minority workers, many of whom are recent immigrants? I do.

So these big box stores are basically selecting an unempowered, vulnerable group of workers who can be paid minimum wage (or close to it), denied healthcare plans, and work under what often appear to be draconian conditions. Who pays to fix this? You and I pay taxes to provide Medicaid (and Medicare Disability) benefits to those who have nowhere else to go, and of course you and I also provide additional services to dependent children in the families of these Walmart and Target and Home Depot and Trader Joe’s employees. All of the money you and I pay to fix the Walmart mess is  so that billions of dollars more can go to benefit a half dozen of the wealthiest Americans holed up in Arkansas.

We need to get this fixed. It is very clear that neither American political party has the acumen, motivation, humanity, and pure “guts” needed to right this situation once and for all.

Walmart and Home Depot and Trader Joe’s and Target will notice it if their sales come down 10 percent as a consequence of the poor treatment of their employees. Heck, they would notice if the sales came down 1 percent.

This is not a Democrat or Republican or Independent or “I don’t vote because it doesn’t matter” issue. This is not a minority issue nor is it an elderly issue nor is it an immigrant issue. The issue is quite simply that it is not right to tell a worker who goes into a fairly hostile work environment, works hard while there, and wants to continue to work instead of being dependent on public programs that they cannot work more than 29 hours a week because the company can make a lot more money by employing lots of “almost full-time” workers rather than full-time workers because it can deny workplace worker benefits.

These companies are causing their workers great pain and suffering by not paying living wages and providing enough hours to workers so that they can qualify for benefits and keep their families out of public programs. After all, the American dream is that working hard 40 hours a week will permit your family to enjoy at least a moderately comfortable life and provide your children with a good education and you with adequate healthcare and savings for retirement.

Your elected officials aren’t going to do anything. YOU can find other retailers that treat their workers fairly and buy your dog food, clothes, medications, motor oil, music and video disks, garden supplies, vacuum cleaners, condoms and lube, aspirin, watches, and cameras there. And I am sure there is a humane company who will sell you all of the power tools you want at the same price as Home Depot and also provide its workers with health insurance.

Make a loud enough noise and some alternate vendors are going to come out and show that they do pay their workers fairly and they would be glad to sell you the same goods you can buy at Walmart or Target or Home Depot or Trader Joe’s at the same or better prices. The free market is a powerful force for good as well as having a potentially dark side.

Capitalism is a great thing. Give your business to a humane company that will sell you the same stuff as the big box stores while also making the lives of their workers better and you will be practicing Humane Capitalism that rewards businesses for having great prices AND good conditions of employment.

My dog is not going to be eating Walmart food any longer. Hopefully your dog will not be eating it either. And I am no longer searching through those big bins of $3.99 DVDs in search of a movie with lots of plane, train, and automobile crashes.

After all, Walmart is already the worse kind of a train wreck imaginable.

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The title of this post is the #1 question (comment) I receive on Twitter when I make a post about content on this site.

The answer to the question is a guarded yes. Most (in excess of 85%) cover basic issues in caregiving, healthcare, patient management, note-taking, self description, cognitive issues, case management, family management, and resources within the healthcare system. Some is specific to dementia (mind maps on types, treatments, research, experiences of those with dementia).

My expertise, research and personal interests, and personal theories derive from within the context of dementia in terms of my professional interests, experience as a caregiver for my mother and grandfather, research, test development and personal experiences. So I always present my ideas targeted toward persons living with dementia, their caregivers and medical providers, dementia care/case managers, and those adults concerned with improving and or maintaining their own cognitive skills or preparing for cognitive decline.

There are many applications of my ideas to many chronic and acute healthcare conditions. Caregiving issues are in many cases the same, healthcare management of different conditions may be fairly similar, and nobody has enough resources to do what they actually want to do.

Where I have great reservations in applying (or extending) my ideas about cognitive skills and quality of life is in understanding and intervening in cognitive and the other medical, and mental health issues of children and adolescents. ADHD, adolescent suicide prevention, youthful problem behaviors, dyslexia, and many other conditions require very specialized professional training. Caregiving by family members and paid trained-paid caregivers often requires different skills, knowledge, and emotional supports than it may for adult patients. While many trivialize the issues and state that declining older adults are like children, such a statement makes minimizes (in a way both pathetic and potentially dangers) the very real and large differences in the care of these groups at either end of the age spectrum.

NO posts or mind models in this blog are specialized for the very real unique needs of children, adolescents, and sometimes younger adults.

Click on the image to expand.

 

 

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The focus of the blog is on the issues shown below. If you click on the image, it will expand.

hubaisms

Click Links Below for Selected Posts

Dementia

Healthcare

Healthcare Reform

Mind Maps/Mapping/Models

Huba’s Integrated Theory of Mind Modeling/Mapping

Writing in Mind Map

Case Management

Self Care

Caregiving

Mental Health

Visual Thinking

Computer Program Reviews

Frontotemporal Dementia

Alzheimer’s Disease

Cognitive Decline

“Normal” (Typical) Aging

HIV/AIDS

Big Data

Statistics

Politics

Personal Story (g j huba phd)

Universal Human Rights

Stories from a Lifetime

Hopes and Wishes

Personal Favorites

Hubaisms Blog – WHY?

ALL

Ever notice how often you yourself is as a person with dementia is confused? Ever notices how often a family member or person with dementia you care for is confused? Ever notice how often a healthcare/medical patient-client you serve is confused?

This post is about my own confusion while experiencing dementia (major neurocognitive disorder). I have no idea if my experience with confusion is representative of many or a few persons with dementia or only me. So let’s treat it as my self observations and let you decide if what I experience is like yourself or a patient-client.

Confusion is the most personally frustrating part of dementia for me. I suspect that my confusion — and not the forgetting of names or my occasional sharp tongue or my inability to censor my thoughts or tendency to get anxious and angry — is probably the aspect of my condition that is most difficult for others to deal with and understand. It is hard for another person to see why it is so difficult for me to decide which colors of fountain pen ink to use or which two t-shirts to choose for an overnight trip and but it still easy for me remember stories from throughout my career or how to use sophisticated statistical programs or to analyze my own behavior using skills I developed over the past 30 years. Confuses me too.

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What helps me confront confusion is to get as much information I can piece together on a single computer screen in a usable VISUAL form so as to facilitate seeing all of the pieces and arguments and information and associations that should be included in a conclusion and action plan.

Here is my favorite tool for visual. thinking and dealing with confusion – my own variant of the MindMap which I call the MindModel.

Maybe this will help you care for yourself or another under your daily care or a family member or a medical or mental health dementia. Maybe all of this is just idiosyncratic to me.

I do think that you should consider the possibility that I am onto something, both in terms of where all that confusion comes from and what I (and others might) do to try to deal with it.

Click on the image to expand the size.

Confusion in Dementia Personal Experiences of Contributing Factors

The first dirty little secret of mind mapping is that consultants on mind mapping who know little (or in most cases nothing) about neuroscience and cognitive psychology and dementia will make mind maps with dementia content that is “questionable” or just completely wrong and do not hesitate to share it on the Internet or through other forms of marketing. Many commercial claims such as “discovery” or “research” will be made. But it is very likely that the maps being sold are not valid or relevant and could “hurt” persons with dementia.

The second dirty little secret is that many of the content dementia mind maps are made by computer program developers who just want some colorful maps to sell their programs. These companies do not use current evidence-based research or expert consultants or persons with dementia as a source of information.

The third dirty little secret of mind mapping is it takes years to learn dementia care and a 1-3 days o learn mind mapping to an acceptable level to develop nicely-formated mind maps.

Who do you think is more likely to produce mind maps relevant to the health care system that will not hurt patients by providing poor information? Category 1 or Category 2?

  1. Someone who studied healthcare, medicine, nursing, social work, psychology or a related field for 4-8 years and learned mind mapping in a few days and then spent significant time thinking about how to correctly integrate mind mapping tools into healthcare or a person with dementia who has learned to use mind mapping to express themselves and is a good observer of their own feelings and behaviors or a caregiver who has significant experience with dementia by caring for a family member or other persons with dementia AS COMPARED TO …
  2. Someone who developed training methods, a lucrative business consulting practice, or a computer program for mind mapping but knows little about healthcare and psychological content?

The answer is a no-brainer. If you cannot see the difference between valid information from Category 1 mind mappers and that from Category 2 mind mappers you should not be producing dementia or other health-medical mind maps.

A mind map with the issues follows. Click to expand it.

Anyone Can Show You Some Mind Maps and Say They Will Help Your Dementia

The following automatic presentation shows the major issues in assessing the value of mind maps offered for sale (or free). It contains identical information to the mind map above but is formatted so as to show one part of the map at a time. If you would like to run the presentation manually, hit the pause button within the presentation and use the arrow keys on your keyboard to work through the presentation at your own pace.

This slideshow requires JavaScript.

Mind maps are powerful thinking and communication tools. But, especially in the fields of healthcare, social care, medicine, and mental health, mind maps need to reflect established evidence-based research OR clinical observations OR careful observations of persons with a condition and their caregivers. For the professionals, individuals should be licensed by their local jurisdiction as required by law. Patients and caregivers should be receiving treatment and information from physicians or other licensed professionals as part of the person with treatment.

Medical and health mind maps must developed to a much higher standard than business mind maps. In the business arena, the content in mind maps typically is developed from personal theories of individuals and is rarely substantiated by peer-reviewed research, careful observation, and is typically motivated by obtaining and retain consulting clients.

While I personally believe business mind maps should also be developed to a higher standard for their content and theoretical as well as business motives, I KNOW that medical and healthcare mind maps for people with dementia must carefully reflect the experience of the person with dementia, family members, caregivers, clinical observations, and peer-reviewed research.

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This is not psychological advice. If you are inclined to make a transition in how you think and behave, consult your doctor or a licensed mental health professional. My suggestions are ones that I believe have worked for me. They may or may not apply to you and you will not know if change is a good idea or not for you unless you consult with a qualified medical or mental health professional.


 

To live better and to live well, you probably need to make the transition from thinking how things were or could have been THEN and deal with the fact that this is NOW and no amount of wishful thinking is going to make things the way were before dementia hit you or someone for whom you provide care. It will never be easy for anyone to deal with dementia but you can probably make a transition if you are willing to let go of the past.

A few issues in making the change are in the mind map below. Click on it to make the map larger and to zoom in.

Note. PWD (or pwd) means person with dementia.

THE NECESSARY TRANSITION TO LIVE BETTER WITH DEMENTIA

 

This presentation focuses in on parts of the map above. It will run automatically. If you would like to go through at your own pace, hit the pause button and then the arrow keys to manually move among the slides.

This slideshow requires JavaScript.

 

Medical patients can use a lot of help in managing their treatment, lifestyle needs, mental health services, and social care.

Doctor visit? Got it. Food? Yup. Transportation? Here’s the taxi. Funds to help from the State? Let’s file the forms together. Frustrated? OK, they are jerks at the government office but I know a person who can help us. Which doctor? Everybody loves Dr B and thinks she is terrific. Forget to take a pill? Let’s look up the instructions for that medicine.

Case managers — be they nurses, social workers, peer counselors, other healthcare providers, caregivers, the local religious social services agency — make the health system work. Equitably. Rapidly. Efficiently. Effectively. Masters of greasing the sticky door.

For the masters of multi-tasking, being interrupted, needing to work rapidly, required to document everything, and needing to stay calm and collected what better professional tools than a costume with a cape (and flight capacity) and a mind map to guide the way?

Up up, and away!

MIND MAPPING AS A CASE (CARE) MANAGEMENT TOOLI

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Case Managers!

The BIG D — currently the most dreaded way to die in the world.

I occasionally get tweets when I write columns on living well with dementia stating that the writer will — if he or she gets dementia in later years — consider committing suicide. At times people imply that I should also.

I regard most of these arguments as emotional masturbation although I also know that some people will go through with such a plan. I feel very sorry for them and wish that we had a better mental health system to deal with their pain and confusion.

You saw your Mom or your Gramps suffer (or at least you thought they were suffering while they were causing work and other problems for you). It scares you, it enrages you that lifetime savings are wiped out and do not pass between generations, it messes up your own relationships with your own nuclear family. You feel powerless and guilty and angry and helpless. And very, very tired.

The BIG D your Dad and Grandmother had are becoming the little d. Treatments are being developed for all types of dementia causing conditions, and you can expect them to be available in the not too distant future of 10-20 years. Behavioral interventions can greatly improve quality of life. Treatment will get less expensive over time (and even less so if we nationalize Big Pharma for the good of the world). Improved housing, professional caregiving, education of healthcare providers to make early identifications of impending dementia, and cost saving measures make it easier and cheaper to have a continuing good quality of life while living with dementia. Yes, I am too advanced to probably benefit much from forthcoming huge changes in dementia care and treatment, but my children and yours will which is something to look forward to.

OK, you are sitting there saying this guy is full of shit. Not really. In 1992 I started two decades of evaluating and helping improve some of the most creative and innovative programs for HIV/AIDS treatment and prevention funded by the US government. From 1992-6, I watched literally dozens of my friends and coworkers die of AIDS 20 to 40 years before their life expectancy in an AIDS-free world. In the mid-90s I had dozens of additional friends in their 20s through 40s with HIV/AIDS who had a life expectancy of a few years and a miserable death ahead of them. Then came the medical miracle of antiretroviral drugs. Almost all of the folks I was close to who moved onto the new treatment regimen are alive now 20 years later and living pretty “normal” lives. Many moved from being uneducated street youth to PhDs and program administrators and federal employees and teachers and parents. Yes, parents. And quite good ones. Also, good taxpayers.

The BIG H (HIV/AIDS) was tamed for those who could be identified early and were in countries where antiretroviral drugs could be made available for a reasonable cost within differing levels of national average income. Much more remains to be done to fully tame HIV/AIDS, especially in Africa, a continent ignored by the rich nations. But the tools are there and the money should be. Should the big governments of the world not be willing to make this happen, perhaps the big religions of the world who have amassed reserved of valuable property and cash could use their funds to solve these medical problems.

I have no doubt the BIG D can be tamed like the BIG H and that the same problems with sharing the costs for treatment in the developed and undeveloped world will occur. And I greatly doubt various political factions will want to spend the dollars needed for research and developing treatments and making them universally available along with lifestyle training programs to help prevent certain kinds of dementia.

Stop thinking about suicide if you get dementia and start thinking about electing politicians who know that the horrible diseases of the past and their somewhat milder versions of the present can be tamed far more rapidly if resources are turned into medical research and treatment rather than bombs and trying to control countries with different religions and peoples of different colors than your own. Elect someone who has the guts to take on the aggressive capitalists of Big Pharma and conservative governments.

And do not send me tweets suggesting that you are morally superior to me because you will commit suicide to save society money if you get dementia. I think that is VERY wrong.

The BIG D is going to be a disease that will be solved eventually. And you will have a milder and less lifestyle disrupting version than your grandparents and parents. Speed up the process of making these advancements by fighting to devote resources to the development of the solutions. Emotional masturbation that maybe you will commit suicide in the future to “save society the cost after it is helpless for me” is not doing a damn thing to solve the mysteries of the neurological diseases that cause dementia. Devote the later stages of your life to looking for solutions, not giving in and accepting misery for yourself and your descendents or thinking Donald Trump is going to solve your problems.

Dementia care and treatment is changing for the better in a manner that is far more rapid than the garbage you read about in the news channels on the Internet. On the other hand, the politicians who allocate public monies are being more stoopid about health issues than ever, a fact rarely stated in its full ugliness in the press.

Here is how I see the situation. Click on the mind map to expand it for easier viewing.

YOUR DEMENTIA EXPERIENCE WILL DIFFER FROM THAT OF YOUR GRANDPARENTS AND PARENTS

And don’t give up. It is not going to be as bad as it was for your grandparents and parents. And you have lots of technologies and treatment innovations to make your quality of life better.

And use the time you gain from the advances in dementia treatment and care to help speed the progression of the work to solve this and all other diseases.

This is an extract from a news item on the Kurzweil web site two days ago (July 20, 2015).

[Click on the text to expand.]

contest

My contest entry is as follows.

Dear Humble and Enlightened Being Who are Probably Figments of the Imagination of Dr. Hawking:

Should you actually exist, I hope that you will realize that the search is being made by an arrogant Billionaire and several arrogant Academics who put their own egos and needs for fame ahead of the billions of people on our planet who do not have enough food, water, or healthcare.

Should you receive their cell call, I suspect your response might be, “WTF did you waste $100M on a phone call to us when you could have used it to feed starving children on your own planet?”

Alternately, if you would like to save money on the return call, sending back “WTF” as your message would probably suffice and convey the full meaning.

George Huba

PS. This new initiative may be because our planet does provide effective education, ethical training, and mental health services to its inhabitants.

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If I win I will donate the prize to an effective non-profit organization that will lobby billionaires to spend their money wisely to benefit the poor of our planet. If the rich donate more money than is needed to end planetary deprivation, then perhaps we could consider using the remaining funds for long-distance cell-telescope calls to beings who probably are not at home.

Of course people with dementia feel stress, maybe especially because they have dementia and how it limits the way they can deal with the others and others will try to deal with them.

In my case, I have recently started to have problems understanding what people are saying to me. Spoken words are easily lost in echoes, the background noise of social situations, different styles of speaking such as diminishing volume when people are saying something private, hypersensitivity to perceived anger in areas of behavior about which I am self conscious (don’t tell me I missed an area shaving after I put the shaver down because of the environment), and don’t assume because I do not immediately respond to a question that I cannot hear you or do not understand you. I may not multitask as well as I did before. Sometimes I just have to respond to the most important things first and shaving is not the most important.

People around those with dementia may quite often misinterpret the behavior or words of the person with dementia. For many with dementia, facial expressions and other nonverbal behaviors do not match those of the majority of the population and while someone might look angry with you because their facial expression seems quite “unusual” they might actually be laughing heartily at a joke you just made. Lack of smiling does not necessarily mean lack of interest or lack of happiness. In fact, it is even quite likely that the person is most happy at those times they have a rather blank looking face because they are thinking so much about something good and enjoyable that the energy is not going into moving facial muscles.

All of this “disconnect” behavior can lead to stress for the person with dementia or cognitive impairment, the person dealing with other issues (everybody has issues), and the pair trying to have an enjoyable and productive time together.

How to cope? I have a few ideas that often work for me. Will they work for you? I DO NOT CLAIM TO KNOW NOR AM I CITING ANYONE WHO HAS ESTABLISHED EMPIRICALLY THE VALIDITY OF WHAT IS SAID BELOW. THE INFORMATION IN THE MIND MAP IS BASED ON OBSERVATIONS I HAVE MADE OF MYSELF.

THE INFORMATION BELOW IS NOT PSYCHOLOGICAL OR MEDICAL ADVICE. SEE AN APPROPRIATE MEDICAL SPECIALIST OR LICENSED MENTAL HEALTH PROVIDER IF YOU HAVE THESE ISSUES. I HAVE NEVER HAD A CLINICAL PSYCHOLOGICAL PRACTICE WITH PATIENTS, I AM NOT A PHYSICIAN, AND I DO NOT CLAIM ANY EXPERIENCE IN PROVIDING PSYCHOLOGICAL SERVICES OF A CLINICAL NATURE.

So here is a perspective based on me and containing actions I take. I make NO claim that these fit you or that any of the reactions I have are the same as yours. TALK TO A DOCTOR OR OTHER LICENSED PROFESSIONAL. Think of the following as set of hypotheses only one person (me) believes and I am not claiming that I believe that these ideas fit you.

Having said that, here are issues I think about for me.

Click the image to expand it.

stress and dementia

Want to learn more about my experiences with cognitive impairment and dementia and attempts to fight back using visual thinking methods and mind mapping to understand and communicate the problems and solutions?

<<<<<=== Over there on the left. Click on one of the book icons to obtain my new book Mind Mapping, Cognitive Impairment, and Dementia. Versions are available for Apple devices on the iBooks store and all other common devices on the Amazon Kindle store. There are 100s of essays like that in this blog post. And because I know the information is unique and valuable, I am charging about the same as others who write books on dementia or mind mapping. If you cannot afford to purchase the book, contact me and we will figure out a way to get it to you.

Yeah, I know, shameless self promotion. How else do you expect me to get the message out about the “real issues” in dementia care and some very low cost methods of assistance that may help some (or many) and potentially increase the period of independence and get away from stacking people up in hospital beds where their lives become very limited. As someone who lives with the problems I describe, I only have a limited period of time left for my brain to function well enough to get the message out, and I am going to use it as effectively as possible to make my messages stick in the minds of people with dementia, caregivers, family, healthcare providers, decision makers, those aging, those with other types of cognitive impairment, and other interested parties. Expect more shameless self promotion. Doesn’t bother me at all. In fact, I am kind of proud of the fact that I want to shake up and expand your conception of what the problems are and what are some possible solutions most have never even considered.

Let’s do this together.

Recently I have had a number of discussions with Tony Buzan (@Tony_Buzan) about how the relationships between art and creativity and dementia support the conclusion that mind mapping may be useful in helping those with cognitive impairment. I believe that my my conclusions are supported by a sufficiently large scientific literature of credible studies to make the assertion of the probable link and to suggest that additional research should prove to be fruitful.

Here is how I access credible scientific research in the fields of medicine, healthcare, mental health, and related fields. Note that in addition to my searches, the same system works the same way with searches for information about cancer, heart disease, ADHD, autism not being related to vaccination, and organ enhancement of various kinds. Patients, scientists, and those who make medical claims late at night on informercials may want to consult this database. Especially informercial producers who disseminate inappropriate, biased, and wrong health information and claim it is medically-proven.

Click to expand.

Scientific Literature  on Dementia,  Art, Creativity

 

Back in 2012, I published a mind map on this blog suggesting that giving people one chance to learn (as in, you only get one taxpayer-subsidized educational opportunity) or to receive free treatment for drug abuse (as in, if you can’t quit the first time you are morally undeserving because you do not have the moral strength) or to receive specialized behaviorally-related healthcare (as in, you let yourself get fat or nicotine-dependent or out-of-shape so you pay the consequences) is an obscene abuse of other individuals,

It’s just as true now as it was then. I know more about mind mapping now and am even more irritated by those who want to balance the budget by not helping others enough, or even at all. So I thought I would revise my mind map and make this a post a lot more angry that we do not give people second (or even eighteenth chances).

Show me a drug abuse treatment  provider who says you can go through treatment one time and it will “stick” and I’ll show you a snake oil salesperson who is trying to sell services to 18 year old entertainment industry billionaires surrounded by a media feeding frenzy. Do you really want to deny additional free education to someone who realizes in their 30s or after going to prison or after achieving a stabilized life without drugs or while serving our country in the Armed Services that they need more education to get good jobs and be successful and much better citizens? Mental health services should not be denied or limited to tossing people pills because someone lost the genetic lottery and has a life-time disease or experienced trauma (like a rape victim or maybe somebody unlucky enough to have lived in an earthquake or hurricane zone or in a dangerous neighborhood or in an Armed Services encampment in Afghanistan, Iraq, or Vietmam).

Enough said. The picture will tell more than 100,000 words ever could. And if one fails after 18 chances?

Well, there’s always a 19th chance or a 36th chance waiting. [And a special ring in hell waiting for those who would only offer people one chance at happiness or productivity or health. Or the politicians who supported this position to get (re)elected.] Oh, and if you were one who denied others a second chance, you have a second chance to act in a more moral and supportive way and give others that second or 18th chance.

Click on the image to expand. Then think about whether we should invest in people and families or in creating the wealthiest uber-class in the history of the United States?

18th Chance 2014

 

 

R

Or,

  • I sometimes use the words your kids hear hourly (partially, but only partially, concealed under the scratch sounds) on your local Pop/HipHop radio stations.
  • I sometimes discuss topics often portrayed but not named on Prime Time broadcast television.
  • I sometimes use the slang words for various types of sexual intercourse and excrement (as applied to government, especially in the USA) that your children probably learned at home or in first grade. They probably learned to use these words to describe government from you.
  • I often use rare words and phrases like LEARN, TAKE RESPONSIBILITY, READ, and NEWSPAPER. Your child might ask you what these words mean.
  • I make it clear that even if you don’t like it, you need to EAT VEGETABLES, GO TO COLLEGE AND GRAD SCHOOL, VOTE, RESPECT DIVERSITY, EXERCISE, PAY TAXES TO HELP DISENFRANCHISED INDIVIDUALS AND FAMILIES, and stop worrying about Kardashians, Bieber, athletes who take performance enhancing drugs (just ban and  jail them), and Miley. I frequently endorse the art of Lady GaGa, Miles Davis, John Lennon, and Andy Warhol as well as the “defies simple categorization” music of Yo-Yo Ma, Bela Fleck, and Chris Thile. And although I think Obamacare is flawed (in that it does not go far enough), I continue to strongly endorse it.
  • There may be discussion and pictures of the human breast, vagina, and penis was well as brain scans, tooth decay, politicians, the effects of smoking, the destruction of the environment, and income disparities and poverty. I avoid the use of words like boob (for politicians and the breast), prick (for politicians and the penis), and asshole (for politicians and the anus), although your children may be more familiar with the slang than the proper anatomical terms or politicians’ names and responsibilities.
  • I support all religions that respect diversity and humanity and peace and do not try to harm or forcibly convert those who practice other faiths or no faith at all. So far as I am concerned any branch of any “religion” that treats women as “second class participants” is not a religion. That includes the ultra-orthodox and some orthodox factions of my own religion.
  • Research has “proven” that gender, sexual orientation, race-ethnicity, skin color, place of origin, and organized religious group are NOT correlated with a lack of human kindness, human intelligence, human ethics, human fairness, human acceptance of other viewpoints, the search for peace, and the willingness to experience new cultures, knowledge, and friendships. I expect others to be interested in ways of ensuring that we do not stereotype peoples of any type. The only people I rant about are those in the US government because my observations make it clear that many (but I hasten to add not all) US politicians do not aspire to the ideals of kindness, intelligence, ethics, fairness, diversity, and peace and many do not want to ensure that all are free to have their own religious beliefs. I also scream about lack of healthcare, mental health services, food, safety, peace, education, and respect for all groups in all countries. And I believe that all abusers of children, elders, minorities, and women should be housed in a special corner of Hell next to those who build or use weapons of mass destruction against anyone and those “leaders” who have attempted “ethnic cleansing.”

Please plan accordingly.

Management

DGS_Monsters-13

R

Or,

  • I sometimes use the words your kids hear hourly (partially, but only partially, concealed under the scratch sounds) on your local Pop/HipHop radio stations.
  • I sometimes discuss topics often portrayed but not named on Prime Time broadcast television.
  • I sometimes use the slang words for fornication and excrement (as applied to government, especially in the USA) that your children probably learned at home or in first grade. They probably learned to use these words to describe government from you.
  • I often use rare words and phrases like LEARN, TAKE RESPONSIBILITY, READ, and NEWSPAPER. Your child might ask you what these words mean.
  • I make it clear that even if you don’t like it, you need to EAT VEGETABLES, GO TO COLLEGE AND GRAD SCHOOL, VOTE, RESPECT DIVERSITY, EXERCISE, and stop worrying about Kardashians, Bieber, and Miley. I frequently endorse Lady GaGa, Miles Davis, John Lennon, and the Swedish Millenium (Dragon Tatoo) Film series as well as Yo-Yo Ma and Chris Thile. And although I think Obamacare is flawed (in that it does not go far enough), I continue to strongly endorse it.
  • There may be discussion and pictures of the human breast, vagina, and penis was well as brain scans, tooth decay, politicians, the effects of smoking, the destruction of the environment, and income disparities and poverty. I avoid the use of words like boob (for politicians and the breast), prick (for politicians and the penis), and asshole (for politicians and the anus), although your children may be more familiar with the slang than the proper anatomical terms or politicians’ names and responsibilities.
  • I support all religions that respect diversity and humanity and do no try to harm or forcibly convert those who practice other faiths.
  • Research has “proven” that gender, sexual orientation, race-ethnicity, skin color, place of origin, and organized religious group are NOT correlated with human kindness, human intelligence, human ethics, human fairness, human acceptance of other viewpoints, the search for peace, and the willingness to experience new cultures, knowledge, and friendships. The only people I rant about are those in the US government because observation make it clear that many (but I hasten to add not all) US politicians do not aspire to the ideals of kindness, intelligence, ethics, fairness, diversity, and peace. I also scream about lack of healthcare, mental health services, food, safety, peace, education, and respect for all groups in all countries. And I believe that all abusers of children, elders, minorities, and women should be housed in a special corner of Hell next to those who build or use weapons of mass destruction against anyone and those leaders who have attempted “ethnic cleansing.”

Please plan accordingly.

I’m currently doing a lot of research on several issues using PubMed and other free literature databases. I used Endnote for several decades (but left all of my copies behind when I sold the company; giving up Endnotes has greatly improved my mental health). Today I looked at CHEAP alternatives (think $10 instead of $250) and found that Bookends ($10) or its cheaper sibling PubMed on Tap do everything I need. After you play with the fully functional PubMed on Tap, you will probably want all of the extra databases covered by Bookends.

As an aside, I find reading the abstracts off an iPad is much better than sitting in one place trying to read them off an LED panel while I am tempted to jump to the Twitter, WordPress, and ESPN windows.

My review, as usual, as a mind map. Click to expand the image.

Bookends for iPad Review

a HubaMap™ by g j huba phd

This post does not contain psychological advice. If you are in need of psychological advice or services, see a local mental health provider or ask your primary care doctor for a referral. 

George Kelly was an American clinical psychologist in the middle of the 20th Century. Kelly developed one of the earliest cognitively-based, personality theories applicable to clinical and research settings.

Kelly’s Personal Construct Theory is a proposal that different individuals organize their perceptions of events, social relationships, objects, timelines, emotions in idiosyncratic ways. A personal construct system is the way that objects are clustered together or the set of dimensions along which objects are ranked by the individual. Mind maps are a good way to summarize the personal constructs of the individual.

Here is a series of six schema for grouping animals. There are, of course, many more ways to group these animals, and to explain what the groupings mean. Your way(s) of grouping these animals could be quite different.

Please click twice on the picture to see it at full size. A single graphic includes all six schema.

Schemata

If you think that there are a lot of different ways to group a few animals, consider the different ways that people might group (perceive) their acquaintances, ethical dilemmas, marital roles, work stressors, and justifications and priorities for spending money. Kelly’s theory was one of determining the personal construct systems of individuals and then helping them assess whether such ways of thinking were associated with positive or negative consequences within the present culture.

The underlying model of Personal Construct Theory is that “Each Person is a Scientist” making observations, organizing them, and using these schema to make decisions or observations that then influence emotion, social interaction, happiness, and perceived quality of life. Kelly stresses that the flexible individual is always seeking to test, validate, enhance, and expand the personal construct systems.

While a clinician and a client can draw diagrams to explain how the client appears to group ideas, it is also possible to use empirical (statistical, data analytic) means to do so. Kelly himself proposed an old data analysis method (P-technique factor analysis); better alternatives using present day methodologies are multidimensional scaling, cluster analysis, correspondence analysis, or ordinal factor analysis. These latter statistical techniques will be the subject of future posts.

The bottom line here is that mind maps are a very good way to visually portray personal construct systems. More about theoretical and methodological refinements in forthcoming posts.

Sitting here in 2013, I am going to be making some predictions about how my own field of Psychology and other disciplines will change over the next few decades. In Psychology, the single most significant change will be the rise of Neuroscience (Cognitive and other areas) as the most important applied discipline. Also, clinical psychologists will rarely do therapy, but like their colleagues in Psychiatry primarily design therapies and mental health systems. One big advance and one big step backward.

image

Content is Queen. The ultimate point of any mind map is to use and present information clearly in a way that communicates conclusions  that are valid, reliable, and important.

Some examples. Are all of those mind maps floating around showing psychological variables and purporting to illustrate major findings and theories actually using valid information? (Guessing what all people feel like or how they learn and thinking it must be valid since, after all, you are a human, is probably not an indication that you are using highly valid data.) What is the expertise of the individuals who generated the information portrayed in the mind map? Was the information based on empirical studies, well-established theory, the musings of a pop psychology writer, what your Mom taught you, what your best friend thinks, what you saw in a movie? Did you (as a student or casual reader) just read a popular psychology book and accept what that person wrote on how you can be more rich, famous, happy, socially connected, sexy,and thin?

Much attention in mind mapping goes into the “artistic presentation” aspects of the maps, the colors, the rules, the images. And yes, prettier, neater, more original, and more creative maps are probably better received than those that use none of the great tools of visual thinking. But the reality is that the clothing does not make the person nor does the artistry of the map make the content more valid or reliable or important.

The first mind map below shows some of my thoughts and suggestions about how mind maps should be reviewed by experts in the content areas being addressed if the map will be used for purposes other than personal learning or process documentation or as art. That is, if the point of the map is to present facts, then the purported facts really need to be checked by someone who is an expert in the content area. In most cases, I have no problem with authors being responsible for their own work so long as they clearly state their own expertise levels and where the data for the mind maps originated. I have a big problem with someone who is not a trained mental health professional telling the world how to diagnose depression or ADHD. If the author of the map is not an acknowledged expert presenting her or his own work, then the source and limits of the information in the mind map need to be stated, and in some cases, independently evaluated.

Evaluating Mind Maps with Expert Content

The second mind map is actually just the first one produced in iMindMap exported into the alternative computer program MindNode Pro. Is the first map prettier than the second? Sure seems so to me. Is the first map more valid? No. It contains identical information. Does the first map communicate better than the second? Sure seems so to me.

Keep in mind that the goal of most mind mapping is to present valid, reliable, and important information in way that is easily understood, easily remembered, and easily communicated. Using this criterion the first map is probably significantly better.

iMindMap5 Map

The third mind map is identical in content to the two maps just considered but was generated using default options in the program XMIND. The style of the mind map is similar to that of another program (Mindjet AKA MindManager), and is that many argue is the best for presenting information to those in business.

XM Evaluating Mind Maps with %22Expert Content%22

Hopefully by the time you read this, you will have looked carefully at the actual content of the mind map in one or more of the variations. Content is Queen; it is all about the ideas. In the process of mapping, we need to incorporate references to the source of the information displayed. Pretty is good and memorable, but is not more important than the information presented. Content is Queen, although she does look better in a nice dress or business suit.

Keyword Boardtopics and sub-topics: evaluating mind maps with “expert content” criteria information accurate source stated authoritative recognized cited by others opinion? state adult learning multi-channel non-hierarchical non-linear iterative approximations successive small steps link existing knowledge experience emotions cultural memory consensus neuroscience “catchy” style serious disease disaster war human toll horror funny often many topics “lighter” facts graphic usually images fonts colors this opinion mine g j huba phd @drhubaevaluator © 2012 all rights reserved based professional judgment experience 15 years healthcare professionals researchers physicians nurses psychologists social workers others administrators no science citations but read dr seuss really early lexical mind mapper organic style tony buzan thinking flexible suggestions discussion @biggerplate quick notes iteration 1 imindmap mac written on limited to content purportedly expert reproducible empirical “textbook” peer review? content content content content most important meaningful valid reliable educational goals objectives audience mind maps uniqueness used color fonts non-linearity “artistic” memorable by established experts content visual thinkers other concerns mission critical data good empirical public never present as perfect examples medical safety criminal justice financial mental health reproducibility mind map logic data logic education logic expert knowledge conclusions

To my fellow citizens of the USA, here are some options we have to choose among.

  1. Prioritize mental health services higher and make programs designed to prevent and treat mental illness available in all communities.
  2. Put a police officer in front of every school in the USA between 1 hour before opening to 1 hour after closing. Lock schools to permit access only by the police officer and install locks on all other doors as well as windows with street access.
  3. Implement an effective gun control system in the USA permitting guns to be used by only a tiny percentage of the population in dangerous occupations. This includes limiting the use of guns for hunting.
  4. 1 and 3.
  5. All of the above.
  6. Do nothing but watch TV and whine about “them.” The consequence of this choice is watching our children and fellow citizens slaughtered.

This is a choice all Americans need to make using moral values, love for our citizens and especially our children, and commonsense.

I prefer to proceed by implementing effective gun control and effective mental health services. If this does not prove to be sufficient to achieve the goal of removing random shootings of our citizens, we will also need to add armed police stationed at every school and place of worship in the United States.

Don’t let Rush Limbaugh and Fox News decide this issue for you.

The really important functional professional bio.

veni vidi didici

I came, I saw, I learned (except when I was too bleeping arrogant to listen).

 

Click on the mind map to expand it.

 

george huba  the summary


Click to open a window with my Curriculum Vitae in the standard form that is supposed to strike fear into the hearts of all who would compete against me for grant funding. A former co-worker (editor) said upon looking at my CV and those of other PhDs in the office … “I guess it means you know how to write.”

The following is a short professional bio that I have put into hundreds of scientific grant proposals and marketing materials. Kind of boring.

George J. Huba, PhD, President of The Measurement Group LLC, is a 1977 graduate of the Psychology Program at Yale University and is a Fellow of Divisions 5 (Evaluation, Measurement, and Statistics) and 50 (Addictive Behaviors) of the American Psychological Association; he is also a Fellow of the Association for Psychological Science. Dr. Huba has held faculty appointments at the University of Minnesota and UCLA and has over 300 publications on methodology, program evaluation, and psychological testing, especially related to health care, social services, substance abuse, mental health, and HIV/AIDS services. Dr. Huba was the Vice President at Western Psychological Services, a major psychological test publisher, and in that role developed both paper-and-pencil and computerized tests. While Dr. Huba has published in the areas of quantitative psychology, measurement, and program evaluation for 30 years, his research has expanded in the past decade to include significant work on qualitative analysis methodologies in program evaluation and he has published a number of papers using such methods or mixed-method evaluations in conjunction with converging quantitative indicators. Dr. Huba is also expert in conducting in-depth interviews with service providers and service administrators (having interviewed several thousand such individuals working in more than 400 agencies in the past 10 years) and documenting strengths and weaknesses of different service models. Most recently Dr. Huba has turned his attention to better ways of disseminating knowledge including organic mind mapping, data visualization, short videos, and social networks. Dr. Huba has served recently as the lead evaluator on The Measurement Group’s evaluations of projects serving older adults and on TMG cross-cutting evaluations.

Or you could say the following about me.

Heck the picture above was taken for a “professionally written and photographed” report for a big foundation. This is the only hour of my life I looked like that and I used the photo from 2003 until 2011 when I retired. What you see is not what you got. On the other hand, I do look a lot like that egg cartoon above. Always have, although in the old days I had hair that came down to the middle of my back and a beard that covered the shirt collar.

 

This is the personal blog of George J Huba PhD. I was trained as a research psychologist, have 35 years of experience in research and program evaluation of healthcare models, and was diagnosed with a neurodegenerative disease in 2010. Since my medical early retirement in 2011, I have focused my personal research on evaluating and developing inexpensive visual thinking methods (such as mind mapping/modeling) for those with cognitive decline, dementia, typical aging, or for adults who wish to minimize future cognitive decline. Having professionally worked with several thousand health- and social-care professionals over 35 years, my work is informed by the dozens of disciplines working on neuroscience research, patient care, aging, caregiving, and healthcare systems development.

6

The focus of the blog is on the issues shown below. If you click on the image, it will expand.

hubaisms

Click Links Below for Selected Posts

Dementia

Healthcare

Mind Maps/Mapping/Models

Case Management

Self Care

Caregiving

Mental Health

Big Data

Politics

ALL

I was old enough to vote in my first presidential election in 1972 when I was 21 years old. I voted Democratic then and since then I have always voted for the Democratic candidate often as a perceived lesser of two evils. I voted for Hillary Clinton last year not because she was a good candidate or a good person (in my judgment) but she was better than Mr Trump who was the most extreme political presidential candidate since George Wallace and the most “out of it” candidate since Ross Perot. Before I could vote, I lived through the presidencies of Eisenhower, Kennedy, Johnson, and Nixon’s first term.

I have a neurodegenerative condition that makes me almost uncontrollably anxious at times, obsessive-compulsive at others, and not particular good at decision making. But more than ever, I think that Trump’s Fake Populism is a horrible way to run the USA and the World and I am pretty sure that in spite of cognitive decline my perceptions of Trump are accurate.

Trump’s behavior makes me very anxious and deeply concerned about the USA I will be leaving behind soon. A lot of Americans (according to recent polls, the majority) share my concerns that Trump is an extremely bad President.

I would personally feel much better if the USA required its presidential candidates to take non-partisan medical, neuropsychological, and psychological evaluations before assuming office and annually. My belief is that a group of actively practicing medical doctors enlisted in the Uniformed Services of the United States could make an overall assessment of an individual’s fitness to be “the most powerful person on earth” and commander in chief of the world’s largest army and largest biggest nuclear arsenal, as well as the architect and steward of the world’s largest budget. I note that medical doctors and other healthcare professionals in the US Uniformed Services have sworn an oath to uphold the Constitution of the United States. It is reasonable to expect that the medical practitioners of the United States Uniformed Services can use due diligence and state-of-the-art medical skills to ensure that an individual honored with the duties of the President of the United States is physically and mentally fit to deal with the stresses of the job. I also note that 14 members of the 115th US Congress (2017-2019) are physicians (and 2 are Democrats while 12 are Republicans) and that I have confidence that their medical ethics and competence in medicine would permit a nonpartisan panel to oversee such an assessment (even though I vote as a very liberal Democrat). Perhaps Mr Trump has a medical condition affecting his ability to perform the duties of his office or perhaps he is just a bigoted, narcissistic, incompetent jerk who is quite successful at manipulating the voters of the USA, even without the assistance of Mr Putin and his hackers.

Is my cognitive decline causing my perceptions to slip in their accuracy or are my observations accurate descriptions of living for several months in #TrumpWorld?

Click on the image to expand.

Note. None of the 14 physicians in the current Congress has formal training in neurology. Since a neurological assessment is an important part of a medical exam for a 70-year old person, independent neurologists of either political party should also be part of a supervisory and assessment panel.

 

A few years ago I set out — as I have discussed in this blog many times — to “prove” that a person with dementia can use mind mapping in numerous ways to improve the quality of life.

Yes, a big “clinical trial” is the right way to make such a test. But I had no resources to run a clinical trial and even more importantly, no time and energy. And I mean time defined as “productive, predicted remaining life span.”

But I did have a willing participant with dementia (me) and a huge audience on social media. It is now about 4 1/2 years since I first posted a mind map on my blog site. The blog site www.Hubaisms.com now contains more than 1,000 mind maps and more than 700 posts.

Through my blog posts and their observations, usefulness to others, and my medical path, I’ve demonstrated that the technique can by used at least for one person on this planet daily and with results shown on the Internet for all to see.

No one should assume that because I believe that the method has proven effective for me that it will be effective for them. You should consult your own health care providers if you wish to try this for yourself or a person under your care.

There are many, many, many examples of the use of the methods on the blog site. What’s you excuse for not spending an hour reviewing them? My methods are useful with my dementia, but most also apply to — with a few adaptations — many other physical and mental diseases.

Click on the image below to expand it.

i-mind-map-because-2017

Nomenclature: FTD is an acronym for Frontotemporal Dementia, the most common form of young onset (before age 65) dementia.

Mind modeling is an advanced form of mind mapping.

Part 2 of this series can be opened in a new window  by clicking here.

If I had to use one newspaper article of general interest to describe my fascination with mind mapping while I have frontotemporal dementia, I would select one that appeared in the New York Times in 2008. Interestingly the article appeared while I was in the beginning or middle stages of FTD but before diagnosis.

You can open that article in a new window by clicking the image below.

2016-08-12_09-16-57

Here is another article that recently appeared in the Wall Street Journal. I literally just read this article for the first time this morning while doing final editing of this post. I say that this was funny to me because I have started wearing old Hawaiian shirts from vacations to the islands of Hawaii I made in the 1990s and 2000s. [There is a reference in this article by EJ Sternberg MD to a man who with FTD who wore Hawaiian shirts every day.] I do note that I wash the shirts after wearing them one time and that it is in the 90s all summer in North Carolina. Click the image to open the article and learn about Hawaiian shirts, art, and frontotemporal dementia.

2016-08-12_09-06-15

There are a number of similar articles on the Internet.

While I have only rarely (as an example of what you could do) set out to create a mind map that was “Art” (with a capital A), I think many of my thousands of mind maps in this blog can be viewed (as incredibly boring and elementary or interesting and mind capturing) “art” (with a lower case a).

I create mind maps as a way to organize thoughts, manage my life, communicate with others, and document the course of my neurodegenerative condition and methods of coping with it. As art, not really, but I greatly enjoy merging colors and shapes and especially fonts with information and VISUAL THINKING. But over five years, I have gotten pretty good (at least in my estimation) in applying the colors and designs and elements of paintings into my computer-assisted mind maps. As my conception of a traditional Buzan-style mind map has evolved significantly, I have also entered another plane of combining information with elements of art to express my conclusions better and worked out a theory of mind modeling that expanded the concept of the mind map. This blog has more than 750 posts and several thousand mind models/maps ALL created since I have had diagnosed with FTLD (formerly as the PSP variant and then as FTD).

You can access my concept of the MIND MODEL by clicking the link. More important for an INDEX of my mind model theoretical writings, click this second link The results open in a new window.

Based on my experience — and my experience ONLY — I wonder if my use of organic mind models (AKA mind maps) with professional experience, observations, data, and my conclusions show how artistic impulses can be combined with mind models as a communication method during various stages of FTD.

Below are some examples of my recent mind models (AKA mind maps). Art is in the eye of the beholder and I hope you have a benevolent eye. Clicking on any of the images will expand its size.

The process of my mind models is described throughout this blog. In simple summary, it takes me 1-2 hours to create one of these mind models (now). When I walk away from the computer I often forget what map I am working on and an hour of two after posting it on my blog I have no idea what my most recent posts were and I have to go to the web site and look at the index. However, when I open a post and look at the map for even a minute or two, I can immediately recover my logic for creating it.

Yeah, it baffles me too even after 35 years of practice as a psychologist doing research on altered states of consciousness (drug abuse and its treatment), imagery and daydreaming, elder abuse and dementia, aging and nursing models, mental illness, neuropsychological testing, and evaluating healthcare and social care.

During this same period of neurodegenerative disease I have become a rudimentary sketch noter, doodler, and sketcher who spends several hours a day “playing” with pens and pencils and more recently watercolor inks and an assortment of typing papers and artist sketch pads. Am I any good at that stuff. NO. But, it does help organize my life and plan and remember. Most importantly, it makes me feel calmer and happy.

Click on the images to expand them.

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Mind Model vs Organic-Style Mind Map

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Adult Coloring Books & Imaginative Drawing & Doodling & MindModeling & Aging

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And I typically make between 10-50 like doodles like the following examples daily, often while watching TV or sitting in my bright kitchen looking out the window. It helps soothe the savage beast! And, I am especially obsessed with color shades.

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Click here for an index of all HITMM 2016 blog posts and links.

Starting April 18, 2016, I am uploading a series of posts collectively comprising Huba’s Integrated Theory of Mind Mapping or HITMM. These are being marked with the year of publication 2016 and a number in parentheses indicating the order of the post in the series.

Note that this series of posts is an overall theory of the best practices for mind mapping in real applied fields (that is, just about everything but the itsy, bitsy teeny, weeny, fairly trivial examples used in mind mapping books and courses).

My goal has been to develop a series of guidelines that are practical for patients, caregivers, clients, general folks, professionals, healthcare providers, scientists, organizations, and yes, even butchers, bakers and possibly even attorneys.

Watch for the first five or six posts this week. I am anticipating about a dozen or more posts on this topic.

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It’s taken me a year to develop these guidelines and justifications and about 1000 mind maps written for actual applications, not toy maps like those used by others. I have also tested a lot of my ideas with various readers of my blog including people with cognitive impairment and dementia, students, health care providers, the general public, caregivers, doctors, lawyers, family members of medical patients and those with mental illness, and many other types of people among the more than 110,000 people who get direct notices of my blog posts via Twitter, Linkedin, Pinterest, and Facebook.

I believe that this is the first set of mind mapping guidelines which has ever received so much comment through the wizardry and participation opportunities in social media and world-wide opportunities to study it on a web site of 600 blog posts.

Oh, and in case you wonder, I am not a relative of P. T. Barnum. Rather, I have worked 35 years as a research psychologist-program evaluator-psychometrician, received honors from the two major psychological associations in the USA, visited more 500 clinics serving most types of behavioral and medical diseases and disorders and studied their operations, and have lived well for a number of years with dementia and used these techniques myself. I also worked for a few years on the development of several major neuropsychological diagnostic tests and know how to read peer-reviewed papers in cognitive psychology, cognitive neuroscience, and clinical neurology. And I am not going to promote outdated (often fictional) ideas attributed to psychology and neuroscience and neurology such as split brains, 90% of the brain’s work being done by 10% of the brain, or digital models of an analog brain typically found in mind mapping books.

The guidelines I am presenting are the best ones I know of to help you develop mind maps that may help you to have a more productive, happier, and maybe healthier life or help you help someone else. I am not claiming that mind maps will change your brain (no definitive research has ever been on that issue which seems quite sad given the amount of money made by those who teach $5,000 courses and have $10,000 per day consulting practices justified by implying that definitive research supports everything they sell). To be specific to my case, I do not claim mind maps can cure or prevent dementia or fix up a damaged brain. But do I think it is easier to navigate the typical or dementia-affect world in a way that is joyful with a higher quality of life than one would otherwise have been able to have without using mind maps, other visual thinking tools, or related tools. What I present are NOT brain training methods of which I am somewhat skeptical, but rather thinking tools (much as traditional arithmetic and mathematics, letter writing and the creation of literature, as well as organizing, filing, using balance and spreadsheets, and drawing charts are commonly used thinking tools).

A lot of kids grow up wanting to be football players or ballerinas or doctors or musicians or lawyers or politicians or POTUS or dog catchers or (heaven forbid) whale trainers at Sea Wiorld. When I was 10 I used to write Huba’s Theory of [Whatever I was Working On at the Time] in my school notes and doodles. I was still doing so in graduate school working on my PhD degree.

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Am I trying to sell you something? Not really. All of what I know — in the most accessible way I know how to present it while having dementia — is in the posts on this blog. Yes, I copyright the posts and images so that they will not be taken from here and taken out of the context of the larger work. And yes, I may choose to synthesize the work in books or applications. But the core information is all here, free, and will continue to be so. Please cite the work appropriately if you use or quote it.

You can read all of this for free and comment on it for 100,000+ other people to see in the comments section of every post. Love it, say so and why. Hate it, say so and why. All I ask that you do not hide behind a pseudonym or “anonymous” identity. The only comments I do not approve for the site are those that contain blatant advertising, attacks on individuals other than me, spam detected by automatic processors, malware and viruses, bigotry, and possibly offensive statements that go far beyond the usual four, five, and six letter words I use to make emphatic points.

I cannot and will not give individual psychological, health, or medical advice and nothing in this blog should be interpreted as such. Except in very rare cases, I cannot help you develop or debug any of your own work. That’s just the way it has to be in my universe of trying to get as much done as possible while undergoing cognitive decline. I’m happy with the way I am approaching all of this.

George Huba, PhD
Chapel Hill, North Carolina, USA
April 2016

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