Psychological assistance to long-distance seafarers

Short communication | DOI: https://doi.org/10.31579/2642-973X/032

Psychological assistance to long-distance seafarers

  • V.Stepanenko 1*

Research Center of Psychotechnics

*Corresponding Author: V.Stepanenko

Citation: V. Stepanenko. (2022). Psychological assistance to long-distance seafarers. J.Brain and Neurological Disorders. 5(3); DOI:10.31579/2642-973X/032

Copyright: © 2022 V. Stepanenko, 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: 27 May 2022 | Accepted: 11 July 2022 | Published: 28 July 2022

Keywords: psychosomatics; anxiety; anxiety; health; help

Abstract

In the conditions of long voyages, the need for psychological help arises when the team has the following more or less pronounced psychological characteristics that manifest themselves in relationships and relationships. A state of stress arises and developsas a consequence of increasedinternal (psychological) tension.

Introduction

when the team has thefollowing more or less pronounced psychological characteristics that manifest themselves in relationships and relationships. A state of stress arises and developsas a consequence of increasedinternal (psychological) tension.

Externally, it can manifest itself in two forms:

  1. increased emotionalresponse to all influences; intemperance in relationships; a sharp, inadequate reaction to incoming information; irritability over trifles;
  2. reduced activity, the desire for solitude, "withdrawal into oneself", heavy internal experiences, "ostentatious" desire to becalm and balanced;

Hysteria is usually the result of prolonged stress:loss of control over their behavior, intemperance of speech, illogical words and actions, "fixated"on failures;

The state of affect occurs suddenly and develops rapidly, in conditions of prolonged physical and mental fatigue. The primary causative agent is, most often, an unexpected strong external influence (information, someone's act, some kind of behavior, the action of personnel. On the contrary, for many it manifests itself in the improvement of personal properties and qualities, in the desire for self-regulation. Homesick for his family, the sailor thinks about a lot, evaluates himself and his relationships in a new way, seeks to correct what he has done as a result of a mistake. But for some, especially inexperienced young sailors, nostalgia can acquire the property of apathy or depression, and then it can be very difficultwithout the help of the command staff or experienced sailors.

Apathy, arises and develops gradually, as physical and moral stress increases. It manifests itself in a decrease in business activity, the appearance of indifference, indifference to their duties, to public life. In its extreme manifestation, a person in a state of apathy descends, ceasesto take care of himself, does not even follow the basic rules of personal hygiene (does not wash, stops shaving,does not keep track of his clothes, order in the cabin, etc.); Depression, characterized by a negative emotional background, which has a retarding effect on physical and mental activity. It arises and develops gradually in the process of increasing longing for the shore, repeated heavy experiences of isolation from the earth, from relatives and friends. In extreme cases, a feeling of hopelessness, depression, resignation to fate is possible. Under the influence of such difficult experiences, volitional regulation of one's behavior is lost. Their duties are burdensome, time drags slowly. A person gets tired quickly, makes mistakes, can leave his post, not react to the given command, fall asleep on watch;Obsession, as a mental state, is formed in some sailors under the influence of such features as the everyday monotony of repetitive events and life facts from day to day. T/X is following a set course, the ocean is moderately calm, everything around is familiar, recognizable, even if it is the first time in these areas. The daily routine of life on the ship is painted to the smallest detail. Watchkeeping, rest and leisure are all according to plan. Nothing new, no surprises. In these conditions, someone directs their efforts to improve their specialty, others participate in amateur performances, many are fond of sports, fiction, art, creativity. Some sailors have painful ideas about their past and future, which are not peculiar to him and, as it were, imposed from the outside. These alien-imposed thoughts, opinions, ideas are unpleasant to him. He would like to get rid of them, but the more he strives for this, the more they stop his consciousness. They are always with him and often he wakes up in a cold sweat from dreaming of these very phenomena. The negativeimpact of obsessive stateson individual seafarers can be very significant.

  • Nostalgia, a condition characteristic of all sailors, in which longing for a distant Homeland, forthe shore, for home, for family is expressed. In most cases, nostalgia does not have a negative impact on the behavior and activities of personnel. On the contrary,for many it manifests itselfin the improvement of personalproperties and qualities, in the desire for self-regulation. Homesick for his family, the sailor thinks about a lot, evaluates himself and his relationships in anew way, seeks to correct what he has done as a result of a mistake. But for some, especially inexperienced young sailors, nostalgia can acquire the property of apathy or depression, and then it is difficult without the help of a specialist.

The activity of seafarers in conditions of long-distance navigation is caused by a violation of habitual life activity, the constant presence of crew members in conditions of limited space, monotonous activity, a sharp narrowing of external social ties, in particular separation from family, relatives, increased risk of emergencies, etc. One of the complex complex mental states that occur in persons in conditions of limited space and special conditions of professional activity at sea, is a state of loneliness. The perception of loneliness in a situation of group isolation of the professional activityof seafarers is conditioned by a combination of psychoemotional states generated by objective and subjective factors.The study and understanding of the peculiarities of the subjective perception of loneliness will allow us to determine the main ways of psychological assistance to long-distance seafarers, choose the most effective means of correctional work with them by a psychologist, develop appropriate programs for psychoprophylaxis of the consequences of experiencing loneliness of seafarers. Crew members often find it difficult to adapt to the conditions on the ship. Stress factors include confined space, vibration, jet lag, daily routine, limited social circle, and so on. Unlike coastal specialists, a sailor cannot leave the watch at any moment, see and mentally relax with his loved ones, throw out what worrieshim. Any reproachexpressed (rightly or wrongly) can shake an already stressed psyche. In this regard, the command staff has an additional task to rally the crew intoa single team.

The personal reasons for loneliness also include low self-esteem. The feeling of loneliness generated by such self-esteem often leads to a person's feeling of unfitness and worthlessness. A lonely person is an emotionally detached subject of communication, having relatively changed structures of values and social needs, avoiding social contacts and responsibility for decision- making in a particular interpersonal situation. That is, one of the main criteria of loneliness in the socio-psychological aspect is the level of communication. In my opinion, the determinants of loneliness are most often manifested in a complex,that is, in a certainrelationship and interdependence. Both experiences and the state of loneliness are first considered only in one negative modality. Recently, more and more researchers tend to see loneliness not only as a form of crisis,but also as a conditionfor personal development. Considering this, it should be determined that along with the manifestation of the patterns and psychological determinants of loneliness described above, the psychological nature and factors of loneliness experienced by long-distance sailors are supplemented by the specific content of the special conditions of their activities and the system of ideas and attitudes to family life.

According to the results of unstructured interviews conducted by V.Stepanenko, it can be noted that theperception of loneliness by sailors has two main vectors:

  1. perception of the temporary emotionalstate associated with work at sea;
  2. perception of lifestyle, regarding the creation of a family and establishing relationships with others. Thus, the theoretical analysis of various approaches to substantiating the psychological nature of loneliness allows us to define it as a complex phenomenon expressing a certain form of self-knowledge; a psychogenic factor of the emotional state and experience of a person who is in isolation conditions; the essential characteristic of the psychological development of the individual. Among the psychological determinants of a person's loneliness, the most prominent are the internal psychological properties of the personality, as well as certain psychological states, such as self-doubt, isolation, depression, inner emptiness, low self-esteem, avoidance of interpersonal communication, stress factors.

Much attention is paid to the diagnosis of mental states in psychology. To do this, they use various methods, including testing for attention, logical thinking, and memory.

For example, in order to determine the level of emotional and stressful states, testing is most often used. There are 50 statements in the questionnaire of this scale. Answering them, it is necessary to write "Yes" if you think that this statement corresponds to your behavioror character, "No" if you do not agree with this statement, "I do not know" if you find it difficult to answer.

Questionnaire for long-distance seafarers.

  1. I usuallywork with a lot ofstress.
  2. After the watch, I fall asleep with difficulty.
  3. Unexpected changesin the usual environment are unpleasant for me.
  4. I often have nightmares.
  5. It is difficult for me to concentrate during exercises, classesand trainings.
  6. I have extremely restless and intermittent sleep
  7. I would like to be as happy as, in my opinion, others are happy.
  8. Of course,I lack self-confidence.
  9. My health worries me a lot.
  10. At times I feel completely useless.
  11. I often cry, I have "wet eyes".
  12. I noticethat my hands start to shake when I try to do something difficult or dangerous.
  13. At times, when I am confused, I have severe sweating and this extremelyworries and confuses me.
  14. I often catch myself worrying about something.
  15. I often think about things I don't want to talk about.
  16. Even on cold days, Isweat easily.
  17. I have periods of such anxiety that I cannot be on watch.
  18. Ship's watchis almost alwaysassociated with extraordinary tensionfor me.
  19. I am much more sensitive than my comrades.
  20. I am easilyconfused.
  21. My position among my comrades worries me greatly.
  22. It is verydifficult for me to concentrate on performing my duties on watch.
  23. In swimming, I feel anxiety almost all the time because of the expectation of danger.
  24. Sometimes I get so excitedthat it's hard for me to fall asleep.
  25. I had toexperience fear even when I knew that nothing was threatening me.
  26. I tend totake things too seriously.
  27. It sometimes seems to me that such difficulties are piled up in front of me that I cannot overcome them.
  28. Sometimes it seems to me that I am good for nothing.
  29. I feel insecure about my abilities almost all thetime.
  30. In swimming,I am very worried about possible failures.
  31. Expectations always make me nervous.
  32. There were periods when heavy premonitions deprived me of sleep.
  33. Sometimes I get upset over nothing.
  34. I am an easily excitable person.
  35. I am often afraid that I am about toblush.
  36. I do not have the spirit to endure all the upcoming difficulties of swimming.
  37. Sometimes it seemsto me that my nervous system is shaken, and I am about to fail.
  38. Usually, my hands and feetare quite warm.
  39. I usuallyhave a smooth and goodmood.
  40. I almostalways feel quite happy.
  41. When I have to wait for something for along time, I can do it calmly.
  42. I rarelyhave headaches after experiencing worries and troubles.
  43. I don't have a heartbeat when waitingfor something new or difficult.
  44. My nerves are no more upset than other people's.
  45. I am confident in myself.
  46. Compared to my friends,I consider myself quite brave.
  47. I am no more shy than others.
  48. I'm usuallycalm and it's not easy to get me out of myself.
  49. Practically I never blush.
  50. I can sleep peacefully after any troubles. To processthe received data,it is necessary:
  • Count the number of "Yes" answers in statements from 1to 37;
  • Count the number of "No" answers in statements from 38 to 50;
  • Count the number of "Don't know"responses across the entire questionnaire and divide them by 2;
  • Summarize the results obtained.

The larger the amountreceived, the greater the state of anxiety anxiety. This is especially noticeable in stressful situations when emotional tension reaches high values. In long voyages, the occurrence of such conditions is not uncommon. Therefore, the diagnosis of mental states of personnel using theconsidered methodology may be justified. Of course, an anxious state, increased anxiety is not stress yet. But this is already a very likely prerequisite for stress, and possibly a stronger discharge of accumulated internal tension. Sigmund Freud also emphasized that stress occurs when a person has an unbearable idea that comes into sharp conflict with fundamental values. "An unbearable idea," he wrote, "is excluded and forms an isolated mentalgroup together with everything connectedwith it. But initially it had to be presentedin consciousness, entering the main stream of thoughts, otherwise there would not have been a conflict that is the reason for such an exclusion." It is these moments that Freud considers "traumatic". It is then, he claims, that the conversion takes place, as a result of which there is a "dismemberment of consciousness" and a "hysterical symptom" occurs. In this case, there is resistance to any attempt to establish a connection between unbearable ideas and conscious processes.

Therefore, in order to prevent stress, it is necessary to find out the cause of unbearable ideas (inour case, anxiety, anxiety) and help a person get rid of them. However, the whole difficulty lies precisely in finding out the causes of a particular mental state of a person, because most often mental phenomenado not manifest themselves accordingto the clear principle of "cause investigation". The same mental state can have a variety of reasons, and it is very difficult to understand which case the psychologist is dealing with. Moreover, even if this understanding exists, it is just an assumption or interpretation. In our case, the cause of anxiety in a young sailor participating in a long voyage for the first time was identified with a high degree of reliabilityand timely assistance was provided to him in overcoming those "unbearable ideas" that gave rise to anxiety and anxiety.

Another variant of the express survey is based on choosing from the proposed list of adjectivesthose of them that, in the opinion of the interlocutor, most correspond to his mental state. In this case, he is offered a list from which he selects 5-7 words. To work with personnel on a hike, the following list of words is recommended:

Table

The analysis of the words chosen by the interlocutor allows us to judge to a certain extent about his mentalstate and emotional predisposition. In a long voyage,the sailor's self-assessment of his mental state is of great importance. A person always and in any conditions to some extent observeshimself, tries to understand his feelings and perceptions, in his relationships and relationships. For many, this happens involuntarily and therefore is not always realized. In such cases, changes in his condition mayhave both a positive and a negative orientation.

It often happens that a sailor, under the influenceof the monotony of ship life, fatigue,changes in physicalwell-being (the appearance of headaches, insomnia, loss of appetite), begins to developirritability that is not characteristic of him, inattention to comrades, intemperance. Observing themselves, assessing changes,many sailors consciously try to regulate their states and intuitively find effective ways of such self-regulation. But for some it doesn't work out. In this case, he closes himself in, becomes gloomy, sullen, inattentive. Another sailor, on the contrary, is excessively active, talkative, obsessive.

In all these cases, it is possible to correct the negative socio-psychological tendency that hasappeared in the crew with timely psychological help. And one of the most effective ways of such assistance would be a timely explanation to the personnel before the voyage, possible conditions of a long voyage, their expected impact on the well-being of sailors and their training in self- assessment techniques available in ship conditions of their mental statesand their self-regulation.

In the psychological method, the followingfour types are distinguished accordingto the techniques used and the methods of their implementation, regardless of the specific living conditions:

— The first type is unconscious self—regulation, carried out when a sailor, being in a seriousstate of high internal tension (possibly on the verge of a psychological breakdown, hysteria, affect) tries to distracthimself, do anotherthing, change the situation. At the same time, he fusses, grabs one thing, throws it, moves on to another. He needs to speak out, to vent his inner energy on others. For some in this case, a good way out is hard physical labor.

But on a ship with its strict schedule and the strictestorganization, the set of such opportunities is limited to the limit. Therefore, a sailor, if he has not completely lost control over himself, most often intuitively limits his activity, restrains himself by willpower, as if calms down. But inside it continues to rage and this energy rushes from the brain to the internal organs, affecting the work of the heart, stomach, lungs. "Centrifugal reactionto internal organs hits weak organs the hardest. Ultimately, they may not work, they may not withstand strong tension, they may "break down". That is why most coronary diseases and diseases of the gastrointestinal tract have a psychogenic system." Moreover, it should be borne in mind that the translation of a person's external reaction to internal restraint does not completely eliminate the mental stress that has arisen and, therefore,its negative effect on the body continuesand can accumulate, so to speak, in a "canned" form.

The provision of psychological assistance in such cases should be aimed at relieving the internal tension of a person in compliance with all the norms and rules of statutory relationships in the crew. Experience shows that in such cases, the role of such assistance can be performed by any thoughtful external influence, includinga clear order from thecaptain.

— The second type — as well as the first — is unconscious self-regulation. It is based on the physiological possibility of activating the central nervous system through muscular nervous impulses. Without going into the physiological subtleties of this process, I note that with strong muscle tension,the central nervoussystem is activatedthrough the medium of reticularinformation. "With muscle relaxation, on the contrary, the influx of nervous impulses into the brain is reduced, thereby reducing the overall level of activation of the body... Thus, an increase or decrease in muscle tone causes, respectively, an increase or decrease in the activity of the central nervous system." Consequently, by arbitrary relaxation or tension of the muscles of the corresponding areas of the skeletal musclescan strengthen or weaken (drown out) certainemotional states. For example, it has been found that "In depressive states, the respiratory muscles are strained, in the emotions of fear, the muscles of the speech motor apparatus and the back of the head are strained. And if we learn to relax the corresponding muscles, then we can get rid, as a rule, of unpleasant emotions."

For example, many experienced crew members have learned in practice that if, while on watch, equipment that requires high attention in the absenceof other stimuliand therefore has a soporific effect, adjust their breathing so as to slow down the inhalation and exhale quickly, then sleep is like never before. The drowsy state disappears, cheerfulness appears, mental activity is activated. Thus, experienced sailors, as it were, unconsciously, intuitively in a difficult and dangerous situation, regulate their states, overcome fear, act boldly and decisively. But in reality, "this self-regulation is still subordinated to consciousness, since the physiological mechanism of this mental activity is carried out under the influence of the dominantmotivation at the moment."

Consequently, the very possibility of one's own influence on one's mental state ultimately depends on the learned, in this particular case, motive of the shift specialist's activity, since "practically generalexternal information enteringour central nervoussystem is inevitably compared and evaluated on the scales of this dominant motivation at the moment." Psychological assistance to a particular watchman,taking into accountthe considered psychological mechanisms of self-regulation of mental states, will largely be determined by its focus on the formation of the appropriate motivation of the watch and the ability to use their muscular potential.

The third type of self-regulation of mental states is carried out consciously by changing the external conditions of their life and activity. Suppose, for some reason, a person has been in a state of constant stress for a long time. To eliminate the causes, he can change the situation, engage in other activities, organize his life in a new way, etc. But in conditions of a long voyage, these opportunities are extremely limited.

Nevertheless, even in these conditions, experienced sailors adapt to the peculiarities in such away that they find favorable conditions for self-overcoming difficult experiences and mental states caused by prolonged separation from land, family, Homeland. It is not by chance that various types of creative activity in the field of independent passion for literature, art, and sports are widely developed on merchant ships and in the fishing fleet. It is in the use of these opportunities that the purposeful organization of psychological assistance to personnelin swimming consists.

The fourth type of self-regulation of mental states occurs when the first three types have ended in vain. This happenswith the strongest internalhuman experiences in the form of prolonged stress, frustration, constant apathy or depression. Most often, sailors, being in such states, stop trying to overcome them, so to speak, "obey fate." And if they are not provided with appropriate assistance, then gradually this condition is fixed in the corresponding features and properties of theseafarer's personality.

This is how gloomy, sullen,unsociable sailors with such charactertraits as selfishness, stubbornness, suspicion is formed in the navy. It is important to keep in mind that some of them get used to this lifestyle and therefore are very difficult to be influenced by education. Moreover, psychological assistance to such sailors requires high professionalism. But the need for such assistance is very high due to the fact that, such; sailors, as a rule, are great specialists, have a significant impact on the crew. And often this influence can have negativemoral and psychological consequences.

Methods of psychological assistance

In the practice of psychological support and educational work on ships on long voyages, anumber of proven methods, methods, and techniques of psychological assistance to personnel are used. Some of them are used as preventive measures, others are included in the arsenal of the command staff to adjust the mental states of subordinates in order to maintain a positive moral mood, others are most effective in overcoming severe mental overloads and stressful states. As a recommendation, we will take a closer look at those that are applicable in long-distance navigation conditions.

Purposeful change in the content of disturbing ideas, obsessive thoughts, unbearable conclusions,which, by definition, Z. Freud's "form a purposeful mental group" in consciousness, subjugate the main stream of thoughts that generate the emergence and development of stressful states. The most effective means of overcoming such states is a critical analysis of the emergence in one's consciousness of such "unbearable ideas" and, accordingto the apt definition of Z. Freud"displace" them from his consciousness. In other words, the essence of psychological assistance in this case is to stimulate a person to consciously regulate his mental states. It is clear that to do this, it is initially necessary to divert his attention from traumatic thoughts to other problems and then switch to these problems of his needs and interests. There can be many specific techniques and ways of such individual work with subordinates. The main thing in their choice is that the verbal impact providedis carried out taking into account the individual characteristics of a personand cannot be defined as the captain's often formal concern for his subordinate.

Best of all, the displacement of disturbing ideas is achieved by switching thoughts to the reallyright direction, which for some natural reasons was suspended during the flight. This can be started even before the flight event.

The process of displacement of disturbing ideas can be carried out in various ways. This depends on many reasons, including the specific conditions of a long voyage, the socio-psychological atmosphere in the crew, the personal characteristics of the subordinate, his official status, etc. In one case, the captain may need to hold more than one meeting with the sailors; in another, it will be enough to talk frankly with him about some acute problems that have arisen as a result of his behavior and some specific actions. Speaking of an order as a means of psychological assistance in the displacement of disturbing ideas from consciousness, we do not mean a change in the personal qualities of a subordinate, as discussed above, but only a way to help subordinates return to their normal mental state, which has changed under the influenceof negative factors of a long voyage.

The impact on the external manifestations of various stressful states, including affect, increasedemotionality, aggressiveness.

As a rule, the state of increased emotional excitability in its extreme forms of manifestation (affects, tantrums) on the ship, although they happen, are not typical. Firstly, because the vast majority of seafarers have a sufficiently high mental resistance to the effects of traumatic factors of long-term navigation and, secondly, because of the decisive importance of the statutory ship organization, capable in any conditions, if not to prevent, then to put a reliable barrier to the uncontrolled manifestation of such conditions. Nevertheless, although rare, but still such cases happen.The charter clearlydefines how the captain shouldact if an ongoing nervousoutburst has led to a violation of the statutory order and negatively affects the solution of the tasks set. At the same time, acting according to the charter,the captain can also use the advice of a psychologist.

It is known that the most important thing in these conditions for a person is to "let off steam", that is, to get rid of that high activity that suddenly appeared in consciousness and cannot be balanced in their own brain systems. Therefore, a person instinctively seeks to switch at least part of it to external motor and speech reactions. What to do? Anything, but not to persuade, not to shout yourself,not to go beyond the normal relationship, not to threaten.It is advisable to just let the sailor speak out, pour out his soul, listen calmly, gradually, if possible, without entering into an argument, insert non-verbose soothing phrases such as: "Yes, of course, you can think about it", "Well done, of course you are right about that", "The main thing for us now is calm", "No need to fuss," etc. In such an environment, feeling support and sympathy, he begins to restrain his emotions by willpower, slow down gestures, suppress facial expressions, which helps to weaken the arousal that has arisen, balance nervous processes.

Ways to stimulatesubordinates to self-regulate their mental states.Among them, the organizational activity of the command staff is of great importance for the purposeful use of the time provided on the ship by the daily routine for leisure, sports, intellectual self-improvement. It is at this time that seafarers can engage in the recommended methods for self-regulation of their mentalstates, including:

  • independent training on switching your attention to stimuli of various emotional significance. The methodology of such training does not require special training. In his free time from work and occupation, the sailor settles down in a place reserved for rest and tries to distract himself from what is happening around him, mentally reproduces in his mind the events and facts of his life that cheer up, act reassuringly, strengthen self-confidence, strengthen strong-willed attitude. It is only important that such a screening is carried out regularly, preferably daily, if possible, at the same time. Its duration can be no more than 15 minutes. Pleasant memories will not only distract from obsessive thoughts or anxious premonitions generated by the actual difficulties of a long voyage, but also, positively coloring thoughts, images,events, phenomena, will cause aspirations for active activity, improve mood, strengthen strong-willed perseverance.
  • short-term, but intense physical workout. This does not mean classical sports training, namely physical warm-up in ways and means possible in the conditions of the vessel. This is, as a rule, a set of simple physical exercises (squats, pull-ups, push-ups, etc.). As well as independent mental training, such a warm-up not only distractsfrom difficult experiences and mental stress caused by external influences on the psyche of a sailor, but also improves well-being, strengthens self- confidence, in their abilities and capabilities. It is only important to strive to ensure that physical warm-up is carried out regularly, preferably at the same time with a systematic increase in the load on the body. By the way, on many ships in long voyages for these types of physical exercises, competitions are held in which the entire crew participates. There is no need to convince how much the authority of, say, the captain rises if he becomes the champion of the vessel in pull-up or any other exercise.
  • practicing special breathing exercises. I mentioned above that skillfulregulation of one's breathing, especially when carrying out such watches, where high attention is required, and maximum concentration with the monotonous soporific effect of the equipment on the human body helps to maintain one's condition in the necessary working mode. But in order to skillfully use this opportunity, it is necessary to master the process of purposeful breathing in advance.

The system of providing psychological assistance to subordinates may include various methods of auto-training. Moreover, at present, autogenic training, as the most effective means of self- management, is attracting more and more attention. This is facilitated by a sufficient number of techniques for self-mastery of auto-training.

It is possible to recommend auto-training as psychological assistance to personnel to master this method, it is necessary to create conditions that are not only incompatible with the conditions on the ship, but also contradict them. For example, it is very important to eliminate all extraneous stimuli during classes, including the noise of working mechanisms, the shock of waves, pitching, etc. Moreover, the instructions require that during training a person completely disconnects from the surrounding realityand is in a kind of trance state, which is incompatible with the requirements of constant readiness to perform their duties on the ship.

Disconnect from the surrounding noise for a few minutes, fixing your attention on one of them.Let's assume on the impact of waves on the side of the ship, imagining at the same time how deftly the mighty stem deals with the incomingnext wave; in time with the pitching,"purr" your favoritemelody to yourself. If you succeeded, then you are in a great mood.

It can be assumed that thanks to these simple exercises, there was a conscious regulation of one's mental state. Now the sailor is quite satisfied with himself and this satisfaction, reflected in his face, attracts, encourages communication without fear of spoiling his mood.

In the same selective variant, you can use other forms of auto-training, adapting to them in the specific conditions of a long voyage. Therefore, V. Stepanenko decided to propose a method, "Regressive psychotherapy"

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