Brain Fag Syndrome – Neglected, But Revisited, Associated with Suicidal Ideation, and Moderated by Assertiveness

Research Article | DOI: https://doi.org/10.31579/2637-8892/336

Brain Fag Syndrome – Neglected, But Revisited, Associated with Suicidal Ideation, and Moderated by Assertiveness

  • Emmanuel O. Ugwu *
  • Euckie U. Immanuel
  • Ikechukwu C. Eze
  • Chinwendu G. Ezea
  • Obinna M. Ezeora
  • Mimidoo ALijam
  • JohnPaul N. Nwachukwu
  • Mabel U. Okereke
  • Nneoma M. Okwor
  • Oluchi M. Osondu

Department of Psychology University of Nigeria, Nsukka.

*Corresponding Author: Emmanuel O. Ugwu, Department of Psychology University of Nigeria, Nsukka.

Citation: Emmanuel O. Ugwu, Euckie U. Immanuel, Ikechukwu C. Eze, Chinwendu G. Ezea, Obinna M. Ezeora, et al, (2025), Brain Fag Syndrome – Neglected, But Revisited, Associated with Suicidal Ideation, and Moderated by Assertiveness, Psychology and Mental Health Care, 9(5): DOI:10.31579/2637-8892/336

Copyright: © 2025, Emmanuel O. Ugwu. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: 26 May 2025 | Accepted: 06 June 2025 | Published: 20 June 2025

Keywords: reiki psychological mechanism; protective-compensatory human resources; reiki psycho-emotion-energy basis; stress-resistance; ancient-eastern rehabilitation techniques; body self-restoration

Abstract

Reiki technique alleviates varied negative symptoms and enriches the person’s wellbeing, but no targeted studies were conducted regarding its psychological nature and mechanism. Our aims are to assess Reiki efficiency, its feasibility of integration into multiple activities and for interprofessional training, and offer scientific psychologically-based Reiki definition, disclose its mechanism and provide an analysis of Reiki psycho-emotional-somatic-physiological functioning. This review used systematic search-strategy and identified 120 publications in Scopus, Web of Science, PubMed, etc. databases. Reiki proved to improve the body functioning in vide spheres, but it is still being studied at a clinical-medical level without any psychological rationale. We are the first to present Reiki doctrine-technique as emotionally-induced therapeutic means within the author’s explanatory-functional paradigm, focusing on the psychological essence/roots of Reiki which integrate into adequate innovative definition. Psycho-emotional functional mechanisms of Reiki influence on normalization of physiological-somatic indicators, strengthening protective-compensatory resources and circulation of psycho-bioenergetic flow are highlighted. 

Highlights

  • Reiki improves the paramount parameters of the person’s psycho-emotional functioning of the body.
  • Reiki can act as an effective tool in interprofessional practice aimed at enhancing and exchanging alternative rehabilitation techniques.
  • For the first time, Reiki doctrine-technique was explained within the framework of the author’s psychological explanatory-functional paradigm.
  • An innovative psychological-physiological definition of Reiki was given.
  • Psycho-emotional-somatic-physiological mechanism of Reiki essence was revealed.

Introduction

In conditions when a person faces unprecedented stressful situations (pandemics, wars, diseases, natural disasters), existing ancient Eastern means of (self)rehabilitation of the body can act as an effective psychological emotional-oriented form of bioenergy therapy that led to a significant leveling of negative psycho-emotional reactions. How seriously stress will affect health depends on individual psychological-genetic characteristics. Nonetheless, a long staying in an extreme-crisis state in one way or another injures the most important systems of the human body. Although, importantly more than interestingly, stress as itself may be interpreted as a condition for its own overcoming, since in a stressful-critical situation, the person’s efforts are often concentrated and his protective-mobilization mechanism is spontaneously activated involving all internal reserves at maximum, which affords a huge potential and resources for self-recovery. Consequently, stress itself can combat the dangerous psycho-emotional and somatic-physiological repercussions that arise because of stressogenic effects. Notwithstanding, all this negativity leaves a deep imprint on a mental-psychological-spiritual state: reduces adaptation capabilities and stress-resistance, impairs memory and cognitive functions, provokes pessimism, depression, isolation, anxiety and other symptoms of psycho-emotional maladaptation.  Regarding Ukrainians, in addition to the monstrous consequences of the global COVID-19 pandemic, their critical psycho-emotional state of the last almost three years is aggravated by shocking physical-mental suffering associated with Russia’s ongoing treacherous attacks on Ukraine. What can level, neutralize their psycho-emotional distress and improve critical condition they still experience? In our opinion, nothing but strengthening and stabilization of positive emotions. Health management is carried out according to the cause-and-effect relationship of the universal law of Nature, namely, through the psyche to the physical body. After all, the first symptoms of the disease are a kind of SOS-help that the body cries for, at the same time indicating that the human bio-energy field was distorted and unable to recover/normalize on its own, since the internal psychological mental-somatic-physiological-energetic unity in the body was disrupted because of extreme tension and stress: illness NEVER comes out of nowhere, although any disease seems to take a person by surprise and ailment emergence looks to him unexpected. This is where non-invasive non-drug psychological techniques and alternative complementary methods can benefit (such as emotional stimulation, improved attention control, music-/aroma-therapy, preventive breathing exercises, Reiki, Yoga, meditation, guided internal visualization, acupuncture etc.) which really led to significant relaxation and allow to diminish internal overload, modifying negative feelings into a more well-balanced positive inner-state. Everyone can apply any of antique biofield practices without neither restriction, since they do not harm. The key-point of all ancient Oriental body-practices are focused on taking into account a multi-stratum structure of a human body: the basis of this construction is the interconnection of the unity of “mind/spirit-body”, which creates a harmonious, coherent, strong connection between the physical-emotional and spiritual spheres of a person. In modern traditional science it is generally accepted that if facts cannot be dissected, broken down into small parts, then these phenomena, manifestations of some events simply do not exist, since they are not explainable from the point of view of classical science. The positive changes that manifest while using Reiki, meditation, Yoga and other ancient Eastern techniques can also be attributed here. Therefore, according traditional science, such salutary, health-bringing, beneficent replacements should be classified under the heading of parapsychology, esotericism, pseudoscience, and so on. And only a few representatives of the scientific world take into account these facts, visible effects, impacts and try to disclose their essence, nature, mechanism in order to understand how these phenomena function and why these facts occur. All these self-restabilizing means primarily balance the body that produce mental relaxation, which totally is nothing more than the introduction of all functional systems of the body into a normalized channel. In this state, the internal organs function normally, which creates all the necessary conditions for the proper acting and regenerating of the entire organism. The aforementioned inner relaxing balance occurs thanks to a calmed psyche, which is induced by the musical accompaniment and the impact on the energy centers of the body during the Reiki session. Due to such emotional-mental self-perception, a person is projected onto a favorable outcome of some event, fact, etc., which creates an internal positivity in which reside. Then it often happens, as they say, that positive thoughts materialize.  From the point of view of traditional Chinese medicine, just emotions play a paramount role in maintaining the vital functions of the body, internal self-feeling and, accordingly, the person’s health. Excessive negative overloads lead to blocking of inner regulation in the human body, affect the balance among internal organs, thereby causing an imbalance in the functioning of the main body systems, which may cause pathologies and diseases. That is why it is so important to work on maintaining interior harmony and emotional balance which normalize the psyche. This can be achieved both by working by oneself (without using special means, but only by own willpower, directing to this all interior resources), and with the help of ancient-Eastern methods. For example, surplus emotional tension can be pacified by means of acupuncture in order to balance the work of internal organs and improve emotional-cognitive processes. Acupuncture, which has long been used in ancient China as a means of restoring health, has now firmly taken its rightful place among the methods of traditional classical medicine. In the process of using acupuncture, biologically active points of the body are affected by a needle, which increases blood flow, normalizes the regulatory effect of hormones on metabolism and physiological functions in various organs. As a result, a calming anti-stress effect is created. Acupuncture improves the immune and endocrine systems functioning, has a positive effect on reflex centers, which brings a healing effect and helps refine the psychophysiological state of the body. Reiki produces a similar effect. What do Reiki and acupuncture differ by? Principally, only by the duration of the sessions and the fact whether this technique is recognized or not in traditional medicine. In essence, both Reiki and acupuncture affect biologically active points of the body, but in different ways, i.e. by different means: in acupuncture, these are medicinal needles, and in Reiki, the instrumental modus is the energy of the person himself, concentrated in his palm, curved into a hemisphere. Negative somatic and disruptions in the physiological functioning of the body, often accompanying various diseases, were usually eliminated by medical-pharmacological (often expensive) means that did not always bring the required result or even caused an undesirable side effect; whereas varied alternative self-rehabilitation techniques brought noticeable relief, leveling such emotional and psychological symptoms as pain, anxiety, depression and the like. Such a positive impact of Reiki on the body could not remain unnoticed. This is probably why the scientific community turned to its study, whose interest in alternative ancient methods of self-healing/self-rehabilitation of the human body did not arise out of nowhere, but was logical, rightfully, quite justified and not without rationale. Such arts of restoration of healthy body-status (Yoga, Reiki, meditation and others), being in essence bioenergetic techniques, have existed for centuries in the cultures of the ancient peoples of the Far East and Latin America. And only over time, precisely thanks to scientific, digital and Internet technologies of recent decades, these practices were spread and became widely known, which allowed the world community to use them as supplementary – apropos, simple, beneficial, non-drug, and most importantly, easy-to-use and financially economical – means of health improvement and recovery (Bridges & Sharma, 2017; Elstad et al., 2020; Ivanchenko, 2020; Lee et al., 2019). After all, what is no less important is that Reiki can act as an effective tool in interprofessional practice aimed at enhancing and exchanging alternative rehabilitation techniques. Nowadays, many of these techniques are successfully introduced both to reduce certain undesirable psychosomatic-physiological symptoms and against specific diseases. As for the other ancient Eastern methods of self-destabilization of the body, they still have to go through a difficult path to obtain deserved recognition, full approval in the modern world conventional science and acceptance in medical-pharmacological area. Reiki is no exception. Scientific discussions and debates about what Reiki is and what benefits this biofield therapy provides still continue, herewith, only clinical-physiological data and medical-somatic rationale have been provided. Since in scientific psychological literature there has not yet been a comprehensive study of the positive effect of Reiki (considered and dissected just under a psychologist’s focus), so an analysis of the psychological basis and mechanism of this ancient-Japanese doctrine-technique has not been made, too. We tried to fill this gap in our research. The aim of this review was to present the results of the analysis of experimental, theoretical and review Reiki research conducted in the world and published after 2000 in peer-reviewed journals. The main strategic directions were aimed not only at revealing the Reiki impact, but at providing a psycho-physiological definition of Reiki, at understanding its impact on the human body and explanation of its psycho-somatic functional mechanism. That was presented from the psychological point of view and carried out for the first time in psychological research. Based on the foregoing, we hypothetically assume that in the world scientific literature there is a predominantly positive view on Reiki as a supplementary means of beneficial, regenerative-healing influence on the human body. Another hypothesis of this study is that issues concerning the phenomenology of the Reiki technique (related specifically to the psychological justification-explanation of the essence and functional mechanism of Reiki) still remain completely open in all the studies conducted. The main objectives of this review are the following: 1) carry out a systematic analysis of studies on the Reiki impact and a generalized assessment of the results obtained; 2) just from the standpoint of psychology, to present the author’s opinion/view on the definition of Reiki, understanding the nature of Reiki and the interpretation of its psycho-emotional, physiological-somatic functional mechanism. 

Materials And Methods

This research project was approved by the Research Ethics Committee and Review Board of Kharkiv Institute “Interregional Academy of Personnel Management”, protocol number BE-10/1-5 on May 22d, 2024. The study was conducted in accordance with the directives of the Experts on Ethics of Kharkiv Institute “Interregional Academy of Personnel Management”, approval letter number B-03/11 on June 4th, 2024.This Reiki review employed a systematic search strategy to detect scientific publications across the databases Scopus, Web of Science, PsycInfo, Google Scholar, PubMed and others (120 publications in total). The search was fulfilled in June-August 2024. The search string included the items or keywords Reiki, Reiki effect, Reiki mechanism, Reiki psychological definition. Search procedure and criteria. Potential studies were identified, full-text articles were obtained, and then assessed according to the adopted selection scheme. Peer-reviewed scientific studies of Reiki that met the inclusion criteria were carefully screened using a critical analytical-descriptive tool. The selection was made on the basis of the titles of articles/reviews, followed by an analysis of the abstract and text, after which a decision was made on whether to select a given publication for an analytical review or not. Inclusion criteria according to which Reiki publications were taken into account: 1) scholarly, peer-reviewed research; 2) Reiki should be the goal of research; 3) original articles with various clinical samples; 4) review articles; 5) empirical or theoretical studies conducted from a psychological point of view; 6) English, Russian, Ukrainian, Spanish and French as publication languages; 7) the time period of research work should cover the last 20 years. Our review was focused on those studies that were generally conducted with sufficient sample size and, where possible, robust statistics (at least arithmetic mean, p-variance calculation, or other statistical analysis). 

Results

Our search procedure and strategy identified 253 publications, from which 39 duplicates and 11 off-topic, that were removed. Hereupon, the remaining 203 articles were screened by title and abstract to determine whether they met the inclusion criteria. In consequence, 120 materials published in scientific journals (articles and reviews) were subjected to our further thorough peer-review. In strict adherence to our aim, but avoiding a reproducing the cited works (since the reader can read them independently), we express below our point of view on their results. In general, the titles of the selected papers were moderately brief, scientifically formulated, included abstracts with keywords, and corresponded to the research aims. The text of the articles/reviews was well-structured, divided into subheadings, and formed according to the scheme of the scientific presentation of the material, parameters of brevity, conciseness, logic, and completeness of information that ensured quick effective browsing of the presented information. Our paper included articles/reviews that were predominantly published in rigorous peer-reviewed journals with mandatory peer-reviewing and evaluation, which are indexed in world-recognized databases such as Scopus, Web of Science, PubMed, etc., but master’s and doctoral dissertations were excluded, since the above-mentioned scrupulous control-analysis methods are not applied to them. In order to test the first hypothesis of this study and in accordance with its objectives, in this section we present the results of our analysis conducted in two areas, namely

1) Empirical studies focused on identifying the following facts: A) reduction of negative physiological-somatic symptoms; B) positive impact on overall health; C) lack of both positive and negative effects of Reiki on the human body; D) negative impact on a person’s wellbeing as a result of using Reiki; 

2) Review papers of scientific articles studying the effects of Reiki.

Hence, what is currently known in the scientific literature about the psycho-emotional therapeutic technique of Reiki?

Reiki Empirical Research 

Here we present supporting results consistent with our first research hypothesis that there is a predominantly positive attitude towards Reiki which is applied as a complementary means of regenerating the human body. We structure them according to four abovementioned rubrics, namely.

A) Reduction of negative physiological-somatic symptoms

In order not to overload our reference list, we present here the most recent publications. The selected experimental studies indicate that Reiki supports to reduce the following negative symptoms: pain and anxiety (Çinar et al., 2023; Gantt & Orina, 2020; Jahantiqh et al., 2018; Shaybak et al., 2017; Şişman & Arslan, 2023; Topdemir & Saritas, 2021a), stress and disquiet (Topdemir & Saritas, 2021b; Utli & Doğru, 2023b), including also stressogenic overload related to the work-activity (Cuneo et al., 2011). Reiki-methoddecreases general discomfort, insomnia, depression, nausea (Jurkovich & Watson, 2020), promotes relaxation, sleep quality, well-being and reduces anxiety, pain, fatigue (Birocco et al., 2012; Tsang et al., 2007), elicits the relaxation, positively alters emotions and facilitates subjective regenerating effect that in total improve physical-psychological health (Dyer et al., 2019; Dyer et al. 2022), benefits young children and adolescents with various health problems (Bukowski & Berardi, 2014; Das et al., 2017; Koçoğlu & Zincir, 2021; Love et al., 2022; Thrane et al., 2022; Zucchetti et al., 2019), is safe in use even for newborns at risk of neonatal abstinence syndrome (Radziewicz et al., 2018). Self-Reiki practice, along with direct Reiki, has not yet received convincing support from conventional medicine, but it can be safely assumed that it brings positive results in the treatment of chronic pain and fatigue (Billot et al., 2021; Buyukbayram & Citlik Saritas, 2021), has great potential to reduce depression, frustration, stress, pain, anxiety (Winters, 2023), and has a calming/anti-stress/relaxation effect (Bukowski, 2015). Reiki, applied even by simple family members for home-based cancer patients, resulted in decreased nausea, fatigue, improved memory, mood, and emotional well-being (Chen et al., 2023). There are some particular cases. Thus, Reiki application, enhanced by aromatherapy, helps reduce anxiety before upper gastrointestinal endoscopy (Keşer et al., 2023); Reiki interventions alternated with acupuncture (Utli et al., 2023a) or hand massage (Kurebayashi et al., 2020; Sevgi Ünal Aslan & Çetinkaya, 2023; Utli & Yağmur, 2022; Vergo et al., 2018) were effective in reducing levels of pain, fatigue, depression and anxiety. In addition to psychosomatic enhancement in the general body state, post-Reiki treatment has recorded an improvement of physiological parameters, namely: respiratory rate, heart rate and stress scores were significantly decreased (Hailey et al., 2022), blood pressure was reduced and pulse rate regulated (Baldwin et al., 2017; Özcan Yüce, & Taşcı, 2021; Salles et al., 2014), a sIgA secretion was enhanced by stimulating the autonomic nervous system (Díaz-Rodríguez et al., 2011a), parasympathetic nervous system functioning of the healthcare workers with burnout positively was improved (Díaz-Rodríguez et al., 2011b). It was determined that alongside with directly applied Reiki sessions, even distant Reiki reduced the pain, fatigue and anxiety severity (DiBenedetto, 2022; Gálvez Escudero & Reyes-Bossio, 2022; Yeşil Bayülgen & Gün, 2023; Yilmaz et al., 2024), improved participants’ holistic well-being, developed a positive mood, subjective vitality, cognitive awareness and reduced feeling of sadness (Özcan Yüce ei al., 2024), increased optimistic approach, energy level and social support will (Bektaş Akpınar et al., 2024), significantly decreased pain, anxiety and fatigue in oncology patients (Demir et al., 2015), and when combined with musical therapy/intervention there was increased people’s confidence in their ability to cope with stress, anxiety, depression and to adapt to negative emotions, while the risk of professional burnout decreased (Bremner et al., 2016; Liu & Liu, 2022). The efficiency value of distant Reiki declared undoubtful, nevertheless this approach would not replace in full a person contact (Abdurahman & Payne, 2022). Mindfulness-based stress reduction techniques, which include Reiki, can provide a viable alternative to clinical interventions, being used in tandem with psychotherapy, when applied to the former military personnel (Barrett & Currin, 2023) that has relevance for all trauma-exposed individuals regardless of country and nationality. Therefore, being a part of complex therapy, Reiki make it possible to counter the development of varied stress-based symptoms. 

B) Positive impact on overall health

Research has shown that various types of energy therapies (including Reiki) based on the philosophy of bioenergetic fields are safe, promote person’s well-being, and have a beneficial effect on improving overall quality of life by reducing stress-depression symptoms (Demir et al., 2013). Particularly Reiki enriches wellness, elevates holistic well-being and life quality (Karaman & Tan, 2021; Unal et al., 2024), makes a beneficial effect on sleep grade (Costa et al., 2022), provides emotional relaxation, a feeling of soothing warmth during a session, improved mood, and a sense of relief, all of which contribute to an overall increase of well-being (Graziano & Luigi, 2022), enhances work-performance, positivizes the meaning of life, expands the perception of life in many aspects (Orsak et al., 2015; Pereira et al., 2023), helps reduce negative everyday affect, thus increasing positive emotions, pleasant sensations and life satisfaction (Oliveira et al., 2021), produces a salutary impact on overall health by reducing depression in older adults living in nursing homes (Erdogan & Çinar, 2016), generates significant reduction in perceived stress and enhancement in subjective wellbeing (Vasudev & Shastri, 2017), has a long-term, continuing for the next year, therapeutic effect on reducing psychological depression and perceived stress (Shore, 2004), demonstrates significant effectiveness in burnout decrease among psychiatrists (Rosada et al., 2015), considerably develops overall well-being, both spiritually and existentially (Santos et al., 2020), as well as overall mood, wellbeing and sleep (Alarcão & Fonseca, 2016; Bowden et al., 2011).

C) Neither positive nor negative influence of Reiki (i.e. neutral effect)

Alongside, a statistically insignificant, unclear result from the use of Reiki was also recorded (Joyce & Herbison, 2015). It was revealed that there were no changes in blood pressure or heart rate among Reiki practitioners; however, these same authors confidently confirmed that Reiki is a potential coping resource due to providing relaxation, has a therapeutic effect by reducing pain, depression, anxiety, and promotes a replacement of negative thoughts with positive ones (Richeson et al., 2010). Due to the declared by Bat (2021) limitations and the pilot nature of his study, which, apropos, could have influenced the author’s conclusions, he did not find a statistically significant difference in the indicators before and after the Reiki practice, concluding that it was of zero effectiveness (in our view, the 10-minute Reiki session used in this study, is too short to see a notable, statistical reduction in heart rate, blood pressure and body temperature). Kundu et al. (2014) have not supported the effectiveness of Reiki as an adjunct therapy to opioid one for postoperative pain control in children; simultaneously they admitted that thanks to the noninvasive nature and possibility to provide comfort and relaxation, Reiki may be a valuable adjuvant pediatric therapy. Assefi et al. (2008) found that neither Reiki nor touch or no touch distant therapy improved the symptoms of fibromyalgia, at that, there were no negative or side effects after Reiki application. 

D) Negative impact of Reiki using

While stating that the evidence for Reiki’s efficiency is not compelling – see section C) above – none of these studies reported any adverse effects, namely, no study directly claimed that Reiki had a negative or harmful effect on a person’s subjective wellbeing or health. Be that as it may, the overwhelming majority of positive opinions about the advisability of its use have been identified and confirmed from a medical point of view. So, it was noted that Reiki appears to be safe and salutary, however, further research into Reiki is needed. 

Review Articles Concerning Reiki Impact

Most of the review articles we analyzed take into account various selection criteria and focus at the following parameters, namely, randomization of the article, blinding, sample quantity, accountability of all patients, etc. For the present article, such a scrupulous consideration of the articles is not required, since our main objective is to identify what opinions regarding the Reiki therapeutic technique are in the scientific literature and what psychophysiological parameters of evidence are provided to confirm this or that point of view. Therefore, a much larger number of publications are included in this review. Almost all, albeit few, reviews on Reiki we found strongly support the effectiveness of its use. Their authors searched for the publications for citing in reputable scientific databases, used valid selection criteria, chose a huge number of papers, but left only 3 to 18 articles for analysis: moreover, it is noteworthy, the same researchers periodically noted that other articles non-selected for their review «supported the benefits of Reiki in balancing physical, mental, and emotional needs» (Morero et al., 2021, p. 197). Our search revealed 22 reviews and established the following. Compared with placebo, Reiki consistently demonstrates greater therapeutic benefit in restoring mental health for clinically significant levels of stress, depression and anxiety (McManus, 2017; Zadro & Stapleton, 2022). Nurses can use Reiki to practice self-care, to cope with burnout or unhealthy situations they encounter in their daily work (Lipinski & Van De Velde, 2020). Thrane & Cohen (2014) selected 12 articles, based on Cohen’s statistics, which provided evidence that Reiki therapy can be effective for various types of pain and anxiety. Reiki has proven to be an effective method not only for pain, anxiety, depression relief (Demir Doğan, 2018; Santos et al., 2021), but also in improving quality of life and mood (Billot et al., 2019), in cancer pain management (Yıldırım & Erceylan, 2022), in reducing anxiety and improving the life perception of patients undergoing chemotherapy (Botelho et al., 2021), as well as in the symptomatic management of chronic diseases, maintenance of wellbeing, and relaxation both in patients with anxiety, depression, gastrointestinal pain and in the general population (Çinar & Alpar, 2017; Guo et al., 2024). Besides, Reiki can be successfully included in the complex of physiotherapeutic measures, as an additional means, due to its positive sustainable consequences for human well-being (Heera et al., 2022). According to the approach of evidence-based medicine when the emphasis on “non-maleficium” is made, Reiki demonstrates a statistically significant, although very subtle, reduction in pain without specific side effects; however, the opposite was also hypothetically assumed, namely, the presence of its controversial effectiveness and the possibility of side effects (Ferraresi et al., 2013). So, what point of view do these authors adhere to? There is also another opinion on Reiki. Joyce & Herbison (2015) stated that the articles they selected for analysis did not provide evidence that Reiki was beneficial or harmful to the population they studied. Whatever the case, it is surprising that both the above review and the Ferraz et al. (2017) paper, each had only three articles as the research subject. In our opinion, such a number of analyzed works is insufficient and unconvincing to state a clear conclusion of Reiki low-efficiency. Vander Vaart et al. (2009) believe that, according to the Modified CONSORT criteria or the Jadad Quality score, all 12 studies they selected were not reported at the highest scientifically accepted level, nevertheless, 9 of them have detected a significant therapeutic effect of the Reiki intervention. In line with the above, it can be assumed that the more complex the criteria by which the article is assessed, the greater the chances of making a conclusion that negates in this way or another the real positive emotional-psychological and physiological-therapeutic effect from the use of Reiki; and such a tendency is quite natural in conventional medicine if it contradicts the medical-pharmaceutical tasks and objectives. More detailed reviews with an effectively organized structure and scientific presentation of the results were also identified (Humphreys et al., 2023). However, in our opinion, these authors focus on excessive and superfluous information, i.e. off-point of just Reiki-efficiency topic, namely, writing style, title/abstract conciseness, clear study aim, logical sequence of the article, ethical considerations, methodology, recommendations, etc. Such analysis we considered unnecessary and redundant because it distracts the reader’s attention to irrelevant features of the article. That is why a less rigorous critical approach was chosen for this review, which allowed us to cover and analyze a wide range of scientific publications.  In conclusion of our review, it is appropriate to dwell on certain atypical analysis of Reiki in some reviews. So, in Rogers et al. (2021) paper this ancient-Eastern technique was represented in a mystic-spiritual aspect, mantra/meditation-based foundation, i.e. as «a form of ritual to reconnect with the Spirit before beginning the journey of healing» (idem, p.165), along with another similar statements. However, they rightly highlight that «the mind-body energy healing therapies seem to work positively and improves quality of life and quality of sleep, reduces depressive symptoms and fear and enhances mental health conditions» (idem, p.166), adding that nothing known about how the various methods of healing function. At that, in conclusion, these authors declare that despite weak evidences (lack of randomization, etc.), the mind-body energy-rehabilitation modalities «can be employed by nurses and healers ... to provide better mental relief and healing» (idem, p.168). All of the above can be interpreted as a contradictory conclusion, but quite reasonable, understandable since the authors professionally belong to the medical and not psychological area. The following 5 reviews also worth mentioning. They discuss the biofield therapy, its ancient-Eastern essence and generic efficiency of complementary-alternative medicine, Reiki as one of its techniques. Over the past decades, there has already been a tendency to affiliate Reiki (along with other ancient-Eastern techniques for self-rehabilitation of the body, such as Yoga, Qigong, various types of meditation, massage, acupuncture, and so on) to biofield therapy. At the moment, the biofield effect on the human body of the above methods has not yet been thoroughly studied, although the prospect of studying biofield therapy is now arousing keen scientific interest in the world. However, since the origins of Reiki come from the ancient Far Eastern Japanese-Chinese medical and healing tradition, it can partially be attributed to each of these areas. From our point of view, studying the peculiarities of biofield therapy seems very promising. Therefore, the Reiki technique, analyzed in the light of biofield therapy, and complementary-alternative medicine will become the subject of our further research. So, in these reviews was established the following. Reiki therapy and Traditional Chinese Medicine have clear similarities both in their paradigm, ancient history, concept of energy and philosophical foundations (Pontes et al., 2018). Besides, Hammerschlag et al. (2014), while assessing the efficiency of a biofield therapy in humans, reported that 12 selected trials evidenced partial primary outcome with statistically significant beneficial treatment outcomes, namely, Therapeutic Touch (7 articles), external Qigong (3), Reiki (1), and Healing Touch (1). This is important in light of the enhancing value of biofield clinical trials for the researchers who explore the nature and physiologic basis of biofield healing (which fact will expedite their goal-oriented investigations and help to the decision-making as to their clinical practice application). In more recent review, basing on 25 studies, it was shown that manipulative CAM may be effective and had significant positive effects on varied symptom outcomes during cancer management: pain, fatigue, quality of and mood (Calcagni et al., 2019). In 9 systematic reviews among 35, it was provided the clinical effectiveness of 5 CAM means, namely, Acupuncture, Massage, Naturopathic care, Osteopathic manipulative treatment and Therapeutic touch (Rattanachotphanit et al., 2010). Howbeit, it was noted that most trials suffered from methodological flaws such as small sample size, inadequate study design and poor reporting (Lee et al., 2008). Nonetheless, importantly more than interestingly, that the Reiki doctrine-technique, alongside the other CAM methods, really may benefit the emotional-psychological somatic-physiological state and human health. 

Total Summary

In line with just aforementioned publications, some other randomized/non-randomized original investigations and reviews, conducted on different samples, in different geographic regions, published during 2003-2021 in peer-reviewed journals indexed/non-indexed in SCOPUS should be also mentioned, that demonstrated similar positive results of Reiki application and confirm its beneficial, non-invasive, without side-effects output (Baldwin et al., 2013a; Bondi et al., 2021; Charkhandeh et al., 2016; Erdoğan & Çınar, 2011; Kirshbaum et al., 2016; Midilli & Eser, 2015; Notte et al., 2016; Sagkal Midilli & Ciray Gunduzoglu, 2016; Siegel et al., 2016; Thrane et al., 2017; Thrane et al., 2021; Toms, 2011; Vitale & O’Connor, 2006; Whelan & Wishnia, 2003; Zins et al., 2019). Likewise, there are dozens of other valuable academic publications on the topic of Reiki positivity in various scientific journals identifying the analogic results of its beneficial effect, but limited space in the reference list did not allow us to include them in our review. Thus, as a result of the analysis of the articles selected for our review, it was found that 114 out of 120 established a positive effect of Reiki on the (self)restoration of the healthy state of the body, 6 publications made a neutral conclusion, i.e. neither positive nor negative effect was identified, nonetheless, not a single study has revealed and recorded ANY NEGATIVE Reiki impact. This fact, in itself, already indicates the expediency of using Reiki as a means of (self)restoration of the body’s healthy state, which should have to be an evident testimonio for the classical medicine, since medical-pharmacological authorities must have proving that Reiki or other ancient-Eastern methods are safe and effective. An overwhelming number of investigations have revealed such positive changes in the body as relaxation, inner peace, improved mood, emotional balance, which testifies stabilization of a person’s emotional sphere. This seems extremely important since emotions dominate in the functioning of the body, they set the direction, power and rhythm of the work of all internal human systems, and their optimization normalizes physiological-somatic parameters. Additionally, the investigations we analyzed were published mainly in scientific Scopus-indexed journals (namely, 101 versus 19); they provide double peer review, are inserted mainly in 1 or 2 database system Quartiles, have an average index of 30-184, some even 327 or 493, locate in the USA (88 journals), England (15), Brazil (6), Switzerland (2), Thailand (2), Germany (2), Singapore (1), Ireland (1), India (1), Taiwan (1), Iran (1). Such high and rigorous characteristics/indicators of journals, at our view, indicate a serious approach to the works they publish. Besides, not a few authors had PhD degrees in Nursing, Medicine, Philosophy, or were Reiki-Masters. But the authors of only 11 articles were related to psychology (worked in a department/school of Psychology), but without having any scientific degree in Psychology, except Dr. Saumya Suresh Vasudev which in 2017 had fulfilled her PhD in Psychology (Industrial and Organizational Psychology) at Jain University, Bangalore, India and from 2018 is a Consultant-Psychologist (Vasudev & Shastri, 2017). The overwhelming majority of authors belongs to the field of medicine and pharmacy. And, what is noteworthy, it was pharmacists who gave a not entirely positive opinion about the Reiki technique (vander Vaart et al., 2009). To date, the main investigations dedicated to Reiki have analyzed parameters of pain, anxiety, stress, including heart rate, blood pressure, immune response, salivary cortisol, as well as the level of burnout at work, the effectiveness of care, overall well-being or mood. However, psychological measurements, which include quality of life, a person’s satisfaction and self-esteem, reduction of destructive emotions, can more clearly and significantly demonstrate the Reiki benefits, especially as an anti-stress. The summarized nucleus of the results presented in this paper confirm our first hypothesis, namely: (1) there is multilateral relationship between the use of Reiki and the leveling of various negative symptoms; (2) Reiki unequivocally improves the somatic-physiological body functioning, strengthens defense response and optimize protective mechanism; (3) although the literature on Reiki is quite extensive, the core point is that Reiki has so far been studied only at the clinical-medical level; there are no large-scale comprehensive studies of Reiki; contemporary classical medicine does not support Reiki despite the fact that the real benefits of this technique have been documented many times in scientific publications; (4) IMPORTANTLY, the psychological roots of Reiki are not considered at all in the conducted studies/reviews: not a single work reveals just the psychological genesis and origin of Reiki, therefore nothing is known about its psychological basis and psycho-physiological-somatic operational mechanism. Thus, the conducted review confirmed our second hypothesis that the issues of Reiki psycho-phenomenology (i.e. the psychological justification-explanation of the essence and mechanism of action of this technique) have not been studied at all. 

Discussion

As to our second hypothesis, which concerns the psychological justification-explanation of the essence/mechanism of Reiki functioning, a complete absence of such data was revealed.

Psychological category and construct of Reiki technique 

Thus, from our point of view, the psychological roots, genesis and psychological essence of the doctrine-practice of Reiki are based on viewing a person and the vital activity of his body as an inextricable mechanism “body-mind-emotions-spirit”, in which the emotionality (in the form of power of thought) is of no small importance. Just this emotional power allows one to project the work of the body internal systems towards self-rehabilitation/self-recovery. The thought power factor plays a leading role in positive psychology. Already centuries ago, the forceful operative power and value of positive thinking has been recognized by many ancient philosophers-thinkers. To restore the lost internal balance and harmonious order between the energy-informational shells located around the human physical body, there is no simpler and more effective means than positive thinking. In traditional Chinese medicine, the psyche and body are never divided: a person is considered a single psychosomatic creature, all elements of which are functionally connected not only with each other but also with external space, and the origin of pathologies is associated with the lifestyle, inner world of a person, the terrain and climatic conditions of one’s residence. This postulate is fully consistent with modern points of view of classical world medicine, which fact evidences the common roots of ancient and contemporary medical systems. Generally, all ancient-Eastern directions/branches of medicine always proceeded from the only position: every person is a priori knowledgeable, skilled in the self-government of own body, represents by himself a powerful machine with a unique nature-provided, built-in mechanism which any individuum can launch on one’s own (Ivanchenko, 2014, p. 255, 263). As a result of such self-government, a harmonious balance in the area of emotional health is restored. In the process of using Reiki, a special positively oriented emotional mood is created: internal contact arises both with one’s own psycho-emotional-spiritual world and with external events, wherein, a person involuntarily manages to abstract, distance himself from harmful or irrational challenges. The appearance of this emotional state, characteristic of all ancient-Eastern body self-recovery techniques, stimulates the formation of positive thinking, which promotes awareness of the causes of problem situations and the identification of possible ways for resolving. For this reason, instead of projecting himself onto illnesses, a person tries to direct own thoughts towards self-rehabilitation (which is nothing more than self-inculcation, a widely used method of psychotherapeutic work in modern medicine, based just on the unity of “body-mind-emotions”). Reiki in this case is a type of psychotherapy: a person helps himself through emotional self-projection, by means of focusing exclusively on positive expectations, on desire to change himself, his life for the better and express gratitude/kindness to people, but, at the same time, enjoying the life in accordance to the philosophical principle «Hic et Nunc» («Here and Now»). At this point, the emotional and mental substrates of human essence, of person’s nature are inextricably linked, therefore the emotional and mental spheres are closely intertwined in the body activity. Consequently, the psychological roots and primordial essence of Reiki are emotions, included in the inseparable interdependent and mutually influencing psycho-energetic complex “body-mind-emotions”. The capability-ability to manage emotions (namely, suppress-neutralize negative self-feelings and activate-create positive ones) is a unique tool for activation/mobilization of internal reserves while overcoming traumatic factors or prolonged overexertion, which allows one to positivize hormonal body background, to cope with extreme-crisis situations, level stress-depressive states and produce endorphins (so-called “hormones of happiness”). 

Innovative explanatory-functional paradigm of Reiki: psychological rationale, definition and mechanism of Reiki 

Thus lack of a psychological justification for the essence of Reiki and an explanation of its psychophysiological mechanism does not allow us to clearly understand the beneficial influence of this technique on psychosomatics and the social sphere of human life (albeit, understanding the psychological aspect of Reiki functioning would have contributed to greater Reiki scientific recognition and larger use in a multinational community). As far as it is known, we are the first to announce the all-important significance and necessity of identifying/explaining the Reiki psychological mechanism of action. In this regard, we would like to emphasize that our vision of Reiki (as a means of enhancing a person’s protective functions, achieving balanced psychophysiological functioning of the body, emotional competence and a healthy lifestyle) analyzes this method exclusively from a psychological point of view, since a purely medical-physiological or clinical-somatic experimental approach is only additional, effective, but insufficient for revealing the true, original essence and functional mechanism of Reiki. To the best of our knowledge, there has been made the only one attempt to define and explain Reiki (Townsend, 2013), although Townsend has discussed not the Traditional Japanese Reiki that we analyze. The author introduced a «new type of Reiki», specifically – Temari Reiki (as some form of Reiki offshoot), and during last 10-13 years applies it for clients at own Temari Reiki center in Washington, USA. Believing that Dr. Mikao Usui’s Traditional Reiki «needed refinement», she defines Temari Reiki as follows: «In contrast to traditional Reiki, Temari Reiki, as a hands-off technique, is a simultaneously physical, emotional and spiritual experience…» (idem, p. 34, 35), highlighting that Temari Reiki influences exclusively on the chakras in order to «transmit energy through the balls to the chakras» (idem, p. 36). It should be clarified that this understanding-explanation of Reiki is fundamentally different from ours; we have tried to present Reiki as professionally from a psychological-physiological point of view as possible. However, we fully agree that the author connects Temari Reiki with an emotional background – «emotional experience», and rightly supposes that the «bodies’ innate ability to heal» in her clients is often inactive that can provoke body’s psycho-somatic disbalance (idem, p. 36).The ancient-Eastern Reiki doctrine-technique, being a system of the body self-regeneration, is based on two fundamental starting points: the first baseline is that a person is perceived as an integral structure, consisting of various interconnected and mutually influencing parts; the second comes from the inextricable unity of “mind-body”, in which just the psyche is of paramount importance, which includes a positive emotional attitude, well-inclined thoughts and favorable mood. If to rely on the psychological and philosophical foundations of ancient Chinese medicine and the roots of Indo-Tibetan healing traditions, a person’s internal positivism harmonizes the spiritual-creative sphere, changes consciousness at the psycho-bio-physiological level and at the same time regenerates the relationship between the energy-informational shells surrounding the human physical body, thereby restoring the integrity of the biofield (Ivanchenko, 2022). Most importantly, using Reiki allows you to achieve relaxation, a sense of inner well-being, peace of mind, increased self-confidence, reduced irritability/stress and the development of an optimistic outlook on life, which simultaneously creates a balanced, positive energy flow. Such emotional positivity stabilizes physiological parameters necessary for the normalization of the immune system. Positiveness of the thoughts has a regenerative effect on the entire body, while the normalized body functions, in response, contribute to an increase in positive, goodness-filled thoughts. From a physiological point of view, Reiki leads to inhibition of the posterior and sympathetic areas of the hypothalamus, which optimizes the body’s sympathetic reactions to stressful stimuli and restores regulatory reflex mechanisms destroyed by stress (Ivanchenko, 2014). It is worth particular mentioning, as established, the use of Reiki technique by Reiki-Masters does not create high-intensity electromagnetic fields, i.e. does not increase the strength of the electromagnetic field emanating from their hearts and hands, that was measured, apropos, in all possible situations, namely: (i) when Reiki-Masters did not use Reiki on a client, (ii) when Reiki was applied at a distance, and (iii) to a person located in the same room (Baldwin et al., 2013b). Hence, the positive effect is created not by the Personality of the Reiki-Master, but by exactly Reiki technology itself, which transforms the state of the human body for the better due to the inducing the energetic centers of the human body, namely, switching on bio-neurological-active points. Nonetheless, the phenomenology of Reiki is still associated with an unresolved psychological problem, which concerns overcoming the traditional gap between the bioenergetic basis of Reiki and the psycho-emotional somatic-physiological reaction that occurs in the human body during and after its application. To begin with, it should be recognized that this psycho-biotherapeutic method affects two most important interconnected aspects of the human psyche: emotions and behavior. It is this relationship that underlies our innovative explanatory-functional psychophysiological paradigm, that was the cornerstone on which all our previous studies, related to methods of body self-rehabilitation, were based (Ivanchenko, 2020; Ivanchenko & Zaika, 2017; Ivanchenko et al., 2024). But only here, below, is the full range of the main arguments, conclusions, concepts and original thinking patterns that shaped this paradigm presented in as much detail as possible. Based on these reasonings, view and assumption, we should highlight the most important thing. In the process of applying the Reiki technique, emotions are regulated by changing the affective reaction from negative to positive: such a liberating transformation of emotions helps to reduce emotional overload, increase one’s own stress-resistance and, thereby, improve subjective well-being at the psycho-emotional-somatic-physiological level of a unified sphere of human life-activity. Physiologically, the effects of Reiki can be partially compared with methods long recognized and applied in classical and biophysical medicine, namely: 1)  an acupuncture that stimulates nerve receptors, and thus increases blood flow, activates the brain subcortex and metabolism, enhances the body’s resistance and promotes the production of endorphins; 2)  applying the microwave radiation for the treatment of human internal organs, i.e. the use of focused effect of electromagnetic waves on concrete organ of the human body which leads to the activation of the functioning of this organ (but such an impact must be at certain resonant frequencies, carried out with a certain radiation power and last for a certain period of time). All in all, similar to a number of cognitive-physical activities (such as sports, dancing, reading, drawing), Yoga, acupuncture or meditation, Reiki fulfills a preventive function, acting as an internal protective-regenerative mechanism and providing a total therapeutic effect.  Within our paradigm, we consider the Reiki technique like a «psychoprotective neuroprophylactic emotion-oriented kind of therapy» and interpret it as a means of self-rehabilitation/self-stabilization, leading to the formation of a specific (enough permanent) emotional state and ensuring the balanced operation of a single “mind-body” interconnection. From a psychological-social point of view, Reiki should be assessed as a psychically-emotionally-oriented form of therapy that unites, mutually binds the mental, spiritual and physical foundations of a person that contributes to increasing his stress-resistance and developing optimal social interaction in society. Violation of the psycho-energetic unity of the human body (which is often just the root-cause of any disease) will always be primary, while damage to the body shell will be secondary. Based on the above, precisely the following definition of the Reiki seems logical, reasonable, founded, justified and valid from a psychological point of view, namely: Reiki is an emotionally-oriented psychotherapeutic means of maintaining a healthy status of the human body, which is leaned on the ancient Eastern philosophical-psychological tradition of considering and accepting the human body in the unity of the inextricable triad “body-emotions-mind”. 

Explanation of the psychological-physiological functional mechanism of Reiki's impact on the human body 

A Reiki session/auto-session, conducted under quiet, calm, harmonizing melodies, implements as follows. Primarily, the palms of the hands, bent in the hemisphere, alternately are applied to the 12 bio-neurologically active points of the human body to activate them (i.e. to the points of accumulation/intersection of nerve endings), in Indo-Tibetan medicine, some of these biologically active points, or energy centers, are called chakras. Simultaneously, the information that a person receives meanwhile, is perceived through auditory-tactile receptors. Impulses entering the brain are created and processed in the limbic system of the cerebral cortex, which is responsible for the emergence and processing of emotions. Emotion is a biochemical derivative of the hypothalamus in response to a specific stimulus entering the brain. The amygdala of the limbic system is connected to sensory centers and systems that control the autonomic-hormonal response. Since the stimuli arriving the brain are positive (thanks to harmonious soothing music), they produce a beneficial response, namely, they have a normalizing physiologic-somatic therapeutic effect on many bio-regulatory and psycho-behavioral processes, particularly: cortisol levels decrease, pulse and breathing normalize, mood improves, calmness, tranquility and relaxation appear. Accordingly, various types of discomfort, namely fatigue, irritability, fear, stress and others, are leveled, reduced or completely disappear. At that, negative emotions are replaced by positive ones, which normalizes the functioning of the cardiovascular, nervous, respiratory systems of the human body, and then reflects in balanced indicators of blood pressure, encephalogram, pulse rate and others. So, the psychophysiological mechanisms of Reiki are activated by psychodynamic and emotionally-oriented influence on the bioenergetic points of the human body. This promotes the effective interaction of the first and second signaling systems of the brain, which, in turn, forms a stable connection between the emotional-motor centers of the brain and the cortex. Reiki leads to inhibition of the posterior and sympathetic areas of the hypothalamus, which fact optimizes the body’s sympathetic reactions to extreme-negative stimuli and restores regulatory-reflex connections impaired by stress or severe overload. Feelings are formed on the basis of emotions. Emotions and feelings are closely interrelated. Emotions are created on the basis of those stimuli that enter the brain and since they are positive in our case, the effect is beneficial. The positiveness of music-therapy is beyond doubt (Li et al. 2021). Feelings, in turn, shape thoughts, so we guess, would be correct to accept the idea that emotions directly influence a person’s thoughts and behavior. Since the research of Friedman et al. (2010) medically supports our Reiki definition and explanation of its mechanism, their work deserves special mention. The authors, professionals in medicine, measured the base parameters of human body that were bettered in post-Reiki condition. As a second aim, they deliberately examined the participants’ emotional response: comparing the Reiki group with the music-therapy group and the control group, they found a significant increase in all positive emotions and a decrease in all negative emotions in the participants after Reiki therapy. This research confirms our vision on the emotional component in the Reiki technique as a basic paramount foundation while producing the beneficial, no-side effect, and long-term impact that result in the healthy body functioning. Unfortunately, the emotional component of the Reiki technique was not taken into account and under study till now, whereas Reiki’s emotion component, we suppose, is of paramount significance. The stress condition or staying stressed is atypical, alien state for a person, contrary to his nature as homo sapiens. Nevertheless, throughout the life people repeatedly find themselves in one or another extreme-crisis situation. It is common knowledge that stress, especially protracted one, leads to disruption of the entire body, provoking various negative symptoms, primarily from the cardiovascular, nervous systems and gastrointestinal tract. However, minor/short-term stress often allows us to adapt, mobilize, harden the body, thereby activating and releasing a person’s internal protective reserves in order to stimulate the elaboration of an optimal response stereotype to traumatic events. Howbeit, the truth is that stress in any case causes the body’s organs and systems to work at an undesirable, unusually intense pace and function. When such a situation occurs, Reiki not only improves the somatic-physiological functioning of the human body, reduces undesirable affective-behavioral reactions and replenishes its protective-compensatory resources, but also normalizes the circulation of internal psycho-bioenergy flow: as a cumulative positive effect, physiological-somatic indicators improve. Importantly, Reiki (similar to meditation, Yoga) brings the nervous system into a unified state of recreation-refreshment-comfort, physiologically comparable to statically balanced wakefulness, namely: Reiki induces the human brain to enter a certain state, which can be easily registered encephalographically in medical parameters, explained with the help of physiological-somatic data and interpreted biochemically. When the nervous system and brain are in such a beneficial state, a person can better tolerate stress, anxiety, huge fatigue or the impact of other negative stimuli. In other words, the human body’s reaction to external stress factors becomes more adequate, calm and balanced. This is explained by the improvement of the regulation of the nervous system, the strengthening of the endocrine and immune systems, which is expressed in the normalization of motor-behavioral reactions. A Reiki auto-session is comparable to a self-psychotherapeutic emotion-stabilizing work: the brain areas responsible for emotions enter a state of regulated comfort, which allows achieving optimal psycho-emotional and somatic-physiological functioning of the body; at the same time, positive thinking develops, supported by the power of positively filled thoughts. 

Conclusions

Our review revealed the following: 1) the majority of analyzed studies confirmed the efficiency of Reiki; it was statistically established that the use of Reiki has a positive effect on a person’s subjective wellbeing, psychosomatics and social sphere; 2) the attention of universal scientific community to the study of Reiki has increased over the past two decades; 3) since the first research of Reiki appeared in the world, there has not been a single directly psychologically based comprehensive fundamental study: not a single study has revealed the psychological essence, roots and mechanism of Reiki; 4) an innovative definition of Reiki and an explanation of its psychological functional mechanism within the framework of the author’s Explanatory-Functional paradigm are presented.  Overall, the high research interest in Reiki is well justified. First, Reiki is fully supported by patients and nurses who consistently report the efficiency of Reiki in reducing pain, anxiety and normalizing the major body systems functioning. Second, the implementation of Reiki has already begun: it has shown positive results among students and teachers who have included it into the educational process in order to carry out holistic care for their own psychosomatic state, as well as in hospital structures among nurses and patients with various disease profiles (Berger et al., 2013; Bremner et al., 2014; Fleisher et al., 2014; Hahn et al., 2014; Kryak & Vitale, 2011; Mehl-Madrona et al., 2011). At our view, Reiki can be easily learned and integrated into numerous intentionally-focused or interprofessional activities. Coordinated interprofessional practice can ensure effective cooperation between professionals to improve health services, which implies mutual respect, competence, trust and synergy among team specialists. The use of Reiki techniques seems particularly relevant at present, namely in war conditions: on the one hand, there is an urgent need for training/rehabilitation of personnel of professional contingents of security, defense and emergency rescue forces not only in Ukraine but also in other countries; on the other hand, the use of Reiki can promote work with the population as a whole, aimed at improving people’s health.This article is a review with a less rigorous methodology. It provides substantial attempt to present a comprehensive clarification the psychological essence of Reiki, as well as to delve into the disclosure and adequate explanation of the mechanism of its psychological functioning: Reiki doctrine-technique with its innovative definition is given for the first time, just within the framework of the author’s explanatory-functional psychological paradigm.However, more studies into the effects of Reiki is still needed to achieve strict standardization, control over results, and consistent, detailed coverage of the problem at hand. Based on our findings and the accompanying psychological-analytical substantiation of the issue, future research should evaluate the usefulness of Reiki for the relief of a wider range of psychosomatic symptoms, focus on deeper understanding of Reiki mechanism and elucidate how this technique can help level undesired symptoms and improve subjective well-being. Measuring the statistical-therapeutic effect of Reiki (from a psychological standpoint) will expand the possibilities of future research, in order this technique might have been used as an additional intervention model or a part of psycho-emotional-social rehabilitation program, as well as a means of “mind-body” system for a person self-stabilization. 

Author Contributions

Andreyanna Ivanchenko: Conceptualization, Methodology, Investigation, Formal analysis, Validation, Data curation, Project administration, Supervision, Writing-original draft, Writing-review version and editing. The author has read and approved the submitted version. 

Strengths And Limitations

Conspicuous strengths of this study lie not only in the strategy of a systematic search for scientific articles on Reiki, but also in identifying a psychological explanation for the essence and mechanism of action of this ancient-Eastern technique of self-regenerating of the human body. The limitations are that this review lacks results involving larger ethnographic researches.   

Disclosure Statement

No potential conflict of interest was reported by the author(s). 

Funding

None. 

About The Author

Andreyanna Ivanchenko is Full Professor, Doctor of Psychological Sciences (2017), PhD in Psychology (1985), a researcher working at the Department of Practical Psychology of Kyiv M. P. Dragomanov National Pedagogical University and at the Department of Psychology of Kharkiv Institute “Interregional Academy of Personnel Management”. Her research interests include Social psychology, psychology of psychoemotional negative effects, Positive and Creative psychology, Extreme and Crisis psychology, psychology of ancient-Eastern mind-body therapies, Sport and Political psychology.

Data availability statement

The data presented in this study are available from the corresponding author on request. 

References

Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.

img

Virginia E. Koenig

Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.

img

Delcio G Silva Junior

Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.

img

Ziemlé Clément Méda

Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.

img

Mina Sherif Soliman Georgy

We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.

img

Layla Shojaie

The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.

img

Sing-yung Wu

Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.

img

Orlando Villarreal

Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.

img

Katarzyna Byczkowska

Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.

img

Anthony Kodzo-Grey Venyo

Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.

img

Pedro Marques Gomes

Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

img

Bernard Terkimbi Utoo

This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.

img

Prof Sherif W Mansour

Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

img

Hao Jiang

As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

img

Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

img

Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

img

Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

img

Dr Suramya Dhamija

Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

img

Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

img

Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

img

Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

img

Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

img

Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

img

Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

img

Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

img

S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

img

Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

img

George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

img

Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

img

Khurram Arshad

Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.

img

Gomez Barriga Maria Dolores

The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.

img

Lin Shaw Chin

Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.

img

Maria Dolores Gomez Barriga

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.

img

Dr Maria Dolores Gomez Barriga

Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.

img

Dr Maria Regina Penchyna Nieto

Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, The review process for the article “The Handling of Anti-aggregants and Anticoagulants in the Oncologic Heart Patient Submitted to Surgery” was extremely rigorous and detailed. From the initial submission to the final acceptance, the editorial team at the “Journal of Clinical Cardiology and Cardiovascular Interventions” demonstrated a high level of professionalism and dedication. The reviewers provided constructive and detailed feedback, which was essential for improving the quality of our work. Communication was always clear and efficient, ensuring that all our questions were promptly addressed. The quality of the “Journal of Clinical Cardiology and Cardiovascular Interventions” is undeniable. It is a peer-reviewed, open-access publication dedicated exclusively to disseminating high-quality research in the field of clinical cardiology and cardiovascular interventions. The journal's impact factor is currently under evaluation, and it is indexed in reputable databases, which further reinforces its credibility and relevance in the scientific field. I highly recommend this journal to researchers looking for a reputable platform to publish their studies.

img

Dr Marcelo Flavio Gomes Jardim Filho

Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”

img

Zsuzsanna Bene

Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner

img

Dr Susan Weiner

My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.

img

Lin-Show Chin

My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.

img

Sonila Qirko

My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.

img

Luiz Sellmann

I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.

img

Zhao Jia

Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."

img

Thomas Urban

I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.

img

Cristina Berriozabal

To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.

img

Dr Tewodros Kassahun Tarekegn

"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".

img

Dr Shweta Tiwari

I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.

img

Dr Farooq Wandroo

Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.

img

Dr Anyuta Ivanova

We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.

img

Dr David Vinyes

My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.

img

Gertraud Teuchert-Noodt

To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina

img

Dr Elvira Farina

Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.

img

Dr Oleg Golyanovski

Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.

img

Dr Susan Anne Smith

Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.

img

Dr Farahnaz Fallahian

Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.

img

Dr Victor Olagundoye

Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.

img

Dr Susan Anne Smith

Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD

img

Dr Eric S Nussbaum

Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.

img

Hala Al Shaikh

Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.

img

Dr Rakhi Mishra