Koln 75

The film Koln 75 was very enjoyable ...

'Brandes quit the music business a few years ago, after a very successful career. Why? "Digital formats were taking over the record industry, which was giving away entire repertoires to companies like Apple with a completely idiotic accounting system in the background, which would never, ever allow for the artists to get properly remunerated for their rights. The whole industry thought that digital would be the biggest portion of whipped cream on top of the cake that they would continue to be eating until the end of all time.'"

Instead, inspired by a 1993 study that found that listening to classical music-specifically Mozart-enhances spatial-temporal reasoning, and by Don Campbell's bestselling 1997 book The Mozart Effect: Tapping the Power of Music to Heal the Body, Strengthen the Mind, and Unlock the Creative Spirit. Brandes studied psychology at university and then, funded by the Austrian Ministry of Culture, established the Research Program for Music-Medicine at the Paracelsus Medical University in Salzburg. "Being a music producer, I dreamt about doing scientific research on the effect of music and trying to figure out what effects music has on us - cognitive, emotional, whatever," she says. "Since then I have developed a method to use music to help people with chronic depression."

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cognitive emotional chronic depression
Jazz

Stuart Jeffries, How a teenager helped to make jazz history, Life&Arts, FTWeekend, 30/31 May 2026. p.15.

See also: https://www.youtube.com/watch?v=3CrFdGMj4cM

Dear Doctor, I have a list . . .

It seems reasonable to suggest that my trips to see the GP as a child:

"What's the problem Mrs Jones?"

"It's Peter, he's not eating!"

"Well, does he seem ill? ... Is he lying down all the time?"

"No, he's running around all day"

"Well he sounds OK but let's check" ... ... ...

"Say arr!"

 (That's to me - not you reader!)

"Argh!"

"Mmm.. ok, ok. ... What does he eat?"

"Tomato soup, chips, chicken, beans on toast, raw carrot, boiled egg."

"Oh! And jam butties!"

"Well he's of slim build, no doubt underweight, but he's fine. Keep the jam butties rolling, and I suspect he'll keep running around."

- were in the days pre-one-problem-per-visit to the surgery. Even now I wonder is this an urban (rural) myth. But then it rears itself with a comment by family, or overheard. The 1960s and 1970s were a different time, a different age. We always saw the same doctor. Continuity mattered then. Thankfully, I was not a regular 'visitor', or the more derogatory term frequent flyer.

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Ever since starting in the NHS as a nursing assistant, you became aware of the anxiety provoked by many patients when it is their turn to see the doctor. Being asked to bring the patient and any relative(s) through. It often entailed a walk.

I remember one instance their being 12 professionals. Learners can soon increase numbers and restrictions were imposed. Voices were raised. Patients did see the doctor separately. Back in 1980s, I became a CMHN (CPN) in 1985, I used to encourage patient's to prepare, to make notes of points - questions they wanted to ask. I framed it as their time, their opportunity. A learning opportunity too. Of course, humour always needs to be used carefully, but on occasion we would joke about walking into the meeting with a list.*

In case of long-term mental illness families are also greatly involved. Sometimes a case review would take place in the patient's home. If it's care in the community, delivered by the community team then surely the administration can be organised in support?

At times, I would offer to assist and the team were always responsive. This role of advocacy has changed, transformed over the decades, but it is still there. As a nurse you listen for the voice: but have to be ready to 'pick this up' on another's behalf. Ready

*Lists: Long a tool for safety and situational awareness.

The Pain of Parity of Esteem

"Chronic pain is defined as pain that lasts more than 12 weeks or persists beyond the usual healing time (Treed et al., 2015)."

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"Functional magnetic resonance imaging studies of the brain have shown that emotional pain stimulates the somatic pain system, and the somatic pain system activates the nuclear accumbens and ventral tegmental areas, which are the seats of emotion and reward pathways (O'Connor et al., 2008). This biological evidence underscores the complex and bidirectional association between physical and emotional pain." (p.14).

12 weeks "the mesocortico-limbic dopaminergic pathway and endogenous opioid system"

 

Majeed MH, Naveed S. Chronic Pain in Youth: Can Mental Health Services Provide Relief?. J Psychosoc Nurs Ment Health Serv. 2018;56(11):13-16. doi:10.3928/02793695-20181012-03

See also:

Morton, J., & O’Reilly, M. (2019). Mental health, big data and research ethics: Parity of esteem in mental health research from a UK perspective. Clinical Ethics, 14(4), 165–172.

https://doi.org/10.1177/1477750919876243
 

RCN: Parity of Esteem – Delivering Physical Health Equality for those with Serious Mental Health Needs

https://www.rcn.org.uk/professional-development/publications/pub-007618