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Donne che sanno navigare in acque agitate | Alessandra Gorini | TEDxPolitecnicodiMilanoU


[Applause]
I’m a psychologist and for a while
I take care of studying i
patients who have oncological diseases
and cardiovascular and of course one
of the questions we focus on
very often our attention is of
go to understand how much weight they have
psychological factors in the onset e
in the prognosis of these pathologies
well it’s hard enough to go to
understand it because as you all know it
pathologies are characterized by
very many aspects very many factors
but let’s say that going to study
patients who have had a diagnosis of
cardiological or oncological type
we realized that there are not
we are naturally also there
literature he says there are gods
characteristics that share a lot
these patients
in particular these patients
they generally tell that also and
especially in the phase preceding the
diagnosis have always been people who
they have dealt very much with the others
taking care of the problems
of the others taking charge of the di
help solve the problems of the
others have this characteristic of
personality that appears very often
they are people and often anxious that
they tend to live situations with one
following compared to others are
people who in their pre-diagnosis life
they have been subjected above all in the
cardiological pathology but not only too
in the cancer one to stress a lot
high levels both in the workplace and in
family and are people who a
times they have had periods or periods
depressive phases often among other things
evaluated carefully or not taken in
consideration carefully
so it would seem that actually there
they are characteristics that are
often present in this type of
diseases
today we talk about suburbs and well second
me for the center
if we talk about the human being the center
we must be we are and we must be
ourselves but if we consider everything
what I told you before but maybe
when we worry too much about the
others when we are satisfied by da
stress from anxiety from worries
excessive
maybe we’re going to move the center from the
our ego to what is around us and
so let’s start moving into a first one
suburban phase where we give a lot
less attention to those that are i
our needs are ours
will
if you think this is a speech
exaggerated and that psychological factors
basically they can not have that much
effect on the pathology well I’ll do a
example that applies to all that is
the example of this pathology that one
heart disease called
tako tsubo syndrome is a pathology
which is very much like a heart attack but
it is not a heart attack is not caused by the
fact that the arteries are street and like
the heart attack has a very different prognosis
in the sense that there is often a recovery
very very fast and is characterized
from an enlargement of the ventricle
left that takes on this form of vase
Japanese which is called tako
tsubo well what are the characteristics
There are two main features of this condition
basically one is striking
almost exclusively women and the second
is that it arises when there are no others
obvious risk factors but
these women live a situation
very strong stress
a situation that can be a mourning
that can be a robbery that can be
a dismissal and when it is not
accompanied by this much stress
high is always present in people
women who as I told you before have
this very common feature
take care of yourself so much
others this is what these
so evidently patients tell
yes, the psychological aspects have a weight
relevant aspects beyond this
psychological can bring us a second
suburban form which is a suburb
that goes a little beyond the psyche is that
suburbs for which we know that often
people very stressed people a lot
anxious depressed people above all
they begin to put those into practice
that we call bad live habits
tile bad live tile then smoke then
bear excessively eat
excessively do not do physical activity
these are very linked characteristics
to psychological problems and there
they bring precisely to this second level
of suburbs which is a suburb in which
even the physical is compromised and for
then get to the disease
both these psychological factors and of
lifestyles obviously accompanied to
more biological genetic aspects of
predisposition etc. are factors
that lead to illness
the disease that can be considered
the periphery of the suburbs if
we consider the self as a center because
periphery of the suburbs but because the
when it comes to us
diagnosed with a disease and in general
any kind of illness then precisely
in particular two pathologies like the
cardiological oncological pathology that
they lead to delle
important lifestyle changes
which lead to a change in expectation
of life that lead above all that
oncology to the idea of ​​death
Well, an emotional tsunami is a situation
in which from the emotional point of view not
we know more how to move we do not understand
What’s going on
we no longer know what decisions to make
we are in an extreme situation
suffering a situation in which
we must necessarily implement gods
changes of changes that often and
gladly they are caused by the limits are
caused by non-acceptance by the fact
that I realize that I am no longer
the first one I can not do anymore
what I did before and maybe not
I’ll never do it again until you get to a
a situation of extreme anger that is
the situation in which patients are
they ask why me, however, this
it’s the culmination this is what
the experience that patients tell
but what we see also very often
and that made us see Giulia very much
well before I think it’s not here anymore
but he made us understand a lot
clearly the disease
after reaching this pcie often
It becomes an opportunity I believe this
painted represents that very well
that happens in the patients this ce
we hear him talking many times
especially from female patients for
the note that they received one
diagnosis of cancer pathology this
framework represents was done in a
moment of great suffering
of the artist and represents precisely
the artist who frets kahlo who doubles
and it doubles in the sense that there is the frida
dressed in white with a dress
bleeding who is the free duck and suffers
and next to it there is the frida that was
happy and wants to go back to being happy
as you see these two entities are
sessions on the same bench are held
by the hand and are joined together in
very significant way from this
cord that passes from one heart to another
from a heart that is going out has a
heart that is bright red instead and that
dressed in white, the one who suffers has
a scissor in his hand
the idea is precisely that which
wants to survive that is with the
colored dress you want to separate dall
other entity and that this separation
is a painful separation like
highlighted by the fact that neither
they manage to look at each other, though
this separation is necessary
separation is what it brings back to
life is what in the moment of
disease in the stories of disease of the
patients of the patients is the one who
they tell how I understood that
I had to return to the center I had to
take back possession of my life that
I had to start taking care of myself
itself
removing all that periphery that is
until now I’ve always been busy
besides, I always take care of the
others to work too hard not to have
time for me and so there is this
disease that can be considered
always through
thanks to the psychological factors that
they may have been the cause in this
case I am the strength to return to the
normality
indeed literature tells us
that especially in the case of patients
oncology only 5 15 percent
of them shows a symptomatology
anxious depressive after the illness
while 90 percent say that the
disease with the disease reported
at least one benefit and nine out of ten of
these patients say that there was a
change in their life that in 30
percent is an important change
significant here is where opportunities lie
this is where the opportunity lies
patients say they find out in the moment
in which they realize that there is
big risk of not being able to go
forward when they are
in front of an experience that can be
a death experience well, what a thing
we did we decided to do one
project that is a project a bit
we are doing it now and now
we decided to take women
cancer patients and to bring them
on the island of an island in the island of
sense that the island on which we carry them and
the island of caprera which is an islet
della maddalena which is an island of the
sardegna and make them live
this experience they live
this experience for a week in
which make sailing school and two hours of
psychotherapy a day because we have
chosen this place and this mode
Well we chose this place because it is
an extremely isolated place is an island
on which there is nothing but the center
sail is an island that does not know where it is not
there are no distractions there is not
there is no possibility of doing anything else
bars no restaurants there is nothing
you arrive and the patients even before
arrive and tell us an apple said
the other day he told me but we there
we already know all I said but no in
reality you have never seen malt no
we already know each other because
we lived that experience
however it makes us know more than what
we can know more
that other one is an island where there are not
infrastructures where there are not
superstructures in the sense that we are all
the same you get naked of everything and you live
this intense week in the last
photos you see that psychotherapy is also
quite particular in the sense that
it is made in a kind of hut and
and it’s a very busy week where
the patients united by this
experience tell about their experience but
above all they do something they do not have
never done any of them has ever been in
sailboat and sailboat is one
very special experience
we also talked about boat limits
sail for patients who have had one
pathology so important that often
they also have physical suffering
it really means deciding to jump
and to put all their game into play
forces to resume returning to the center
of themselves besides this the boat a
sailing is one has been chosen because it is rich
the first one is rich in metaphors
metaphor eh well surely in the moment
where you go out on the boat for the first one
time it turns out that nothing on the boat
it is called with the same name with which it is
call earth and the same thing that
it happens during the illness when it comes
made a diagnosis for the first time the
patient is in front of a doctor
which often uses terms that are not
notice that the patient does not understand
he talks about therapies that the patient does not know
what they are and so there is no confusion
total the same confusion that is created
on the boat you leave the first time
you go out you realize that yes
abandons what is the safe harbor
the earth in a situation where it does not know
rule a boat though
of course there are the boats on the boat
instructors and
and above all we understand something that
we must rely on an entity that is
totally uncontrollable than in the wind
and again it’s what happens in the
disease there is nothing controllable
in the disease
what can be done, however, the wind between
the other is a is a significant force
against which you can do everything except
one thing to go against it
and indeed to go boating and you can
just try to get around the wind and
to use it to get where you need to
arrive you find out that to get from
point to another then for
reach the goal you have to do one
series of paths that can change
they change continuously depending on where
the wind is the same thing that happens
during daily life in the
illness and by boat
it happens that you have to do what you do
sometimes jibe the jibe
it’s a complicated operation that upsets
the whole boat and the patients very often
they realize that in the life of
jibes they have made but above all
after this experience they decide to do it
they decide to do it with a single purpose
to return to be to put back
if it was in the center and therefore above all
what is taught in this
week and that it is not useful to try to
check what is not controllable
but it is useful to try to use all of them
resources that you have available for
reaching the goal is an experience that
leads to results for now we have
done three weeks we will bring 150
patients is an experience that leads to
those that we and the patients have
defined of the small miracles happen
things that did not expect happen
things that had not happened in the past
life and why fundamentally
there is such a strong involvement
psychological that exchanges and decides
we had patients there
they said that for the first time
when the wave came on him
they managed to cry and they did not have
never cried from the diagnosis until that
moment so it is an experience
beautiful I would like to show you there
I would like to show two minutes of video
because what I tell is
certainly very little compared to that
that tell them, unfortunately, the video is
a little disturbed by the fact that there is the
wind but the wind is part of it
whole wheat
go how the day went today
contented surpassed the imposing waves and
I’ve got it, I ‘ve told you
what you can do it alone
ok believe me
thank you
and changed more than they are lost
but you can not your own image in
reality comes so truly they count
all the rest yes there is however
it is something that is not so fundamental
[Music]
Go
6
click luckily in a time we are
you have been obliged to bring out a lot
more quickly a whole series of
issues that perhaps individually
we have postponed reported left
instead of losing here we are in some
way forced to me by the point of
relational view also because we are
glad we were with unknown canvases
even a situation that is never
liked what they are different
it can only benefit because it makes you
read about things
from some points of view you did not have
contemplated and this is very useful
[Music]
yes we are so strong these are
all patients who have recently
passed the end of therapy and then
that in short, not much time has passed
I must say that they teach us each one
week they teach us that really
it is worth returning to the center of us
same before all this happens
[Applause]
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