Intercontinental Open University


An outgrowth of landmark research   , non-profit Intercontinental Open University, founded in 2009, functions online as the Institute for Open Understanding, and focuses on the development, improvement, and advancement of palliative communication, first and foremost as it relates to intellectually impaired individuals   , through the reduction and ultimate elimination of Pilate Syndrome™ .

Jewish historian, Flavius Josephus, portrays Pontius Pilate, Roman military governor, or procurator, of the imperial province of Judea from 26 to 36, as a harsh administrator who fails to understand the religious convictions and national pride of the Jews. Though he had complete judicial authority over all non-Roman citizens, many cases, particularly those relating to religious matters, were decided by the Sanhedrin, the Jewish supreme council and tribunal. Gospel accounts relate that after the Sanhedrin, lacking authority to impose the death penalty, finds Jesus guilty of blasphemy, it commits Him to the Roman court. Pilate refuses to approve the judgment without an investigation. The Jewish priests further accuse Jesus, and Pilate questions Him privately. Impressed with the dignity and frankness of Jesus' answers, Pilate tries to save Him but succumbs to two blind spots: Failure to understand his constituency, and fear of an uprising within it. He accedes to the demands of the populace, and Jesus is executed.

Thus shown to have resulted in death by default, Pilate Syndrome™ negatively affects a caregiver's ability to communicate, increasing the risk of patient death by default. To counter this, the university offers Accreditation in Palliative Communication and an honoris causa Higher Doctorate in Palliative Communication , thereby exemplifying the World Health Organization's definition of palliative care  and, in so doing, addressing the future of health care . Acknowledged  by top-ranked  Duke University School of Medicine , the university is an institutional member of the U.K.-based Worldwide Hospice Palliative Care Alliance , and its president is an individual member of the U.S.-based Global Palliative Care Quality Alliance .


Welcome to Intercontinental Open University, the Hellenic Republic's only signatory to the People’s Charter to Create a Nonviolent World. 

According to the National Institute on Aging, end-of-life care "is the term used to describe the support and medical care given during the time surrounding death.” . This implies a delineated perimeter outside of which support and medical care are given during what supposely is "surrounding" it. Yet time does not surround death. It exists alongside death. Not subject to time, end-of-life care is not an experience constrained by some fixed duration. As time is timeless, so too is end-of-life care timeless. Only in terms of timelessness can end-of-life care be defined correctly, be engaged appropriately, and be understood for what it is: an undying presence among the dying. What is this timelessness that a caregiver is to personify? How is it to be expressed? How is it to be communicated?

In answering these questions, our Accreditation and honoris causa Higher Doctorate programs prepare future caregivers to act upon those answers. Is your calling to be there for those dying and alone? I invite you to learn from us. Is your calling to be there for those who have that calling but who are not able, even notwithstanding our free of charge tuition policy, to respond to it for lack even of out of pocket expenses? Then I ask that you please consider making a donation to help them . Thank you. May it be noted here that no one involved with Intercontinental Open University, including the undersigned, receives any salary whatsoever.

Constantine A. Constantopoulos, Ph.D.
President and Distinguished Clinical Professor of Communication


Intercontinental Open University operates in the person of its President, an inaugural member of the Society for Spirituality, Theology and Health . Its Center , instrumental in establishing the Society, is based in the Center for the Study of Aging and Human Development  at the Duke University School of Medicine, accredited regionally by the Southern Association of Colleges and Schools Commission on Colleges , and professionally by the Liaison Committee on Medical Education .

Read the current edition of Crossroads .


Pilate Syndrome™, "failure to understand" a patient coupled with "fear of an uprising" in that patient, undermine end-of-life care by disabling the palliative communication of a caregiver, causing it to become dysfunctional, as opposed to enabling it and empowering it to become functional. With Constantopoulos (1999, p. vi, vii, 2, 22 and 99  [cf. Gardner  ] ) having laid the initial groundwork for assessment of such a risk, and with Bachner and Carmel (2009, p. 530  ) having drawn attention to that risk, Pilate Syndrome™ now can be identified in terms of style, and can be assessed in terms of that risk, by using the paired comparison equivalent of a global positioning system, created and developed by the former, presented by him in 2008 at the 1st Annual Meeting of the Society for Spirituality, Theology and Health at the Duke University School of Medicine, and both alpha-tested by him in primary care facilities for five years, then beta-tested by him in a variety of pastoral settings for ten years.


Predisposed to underlying conditions outlined by the Duke Health Profile , and externalized as a communicator style (cf. Norton and Pettegrew, 1977  ), Pilate Syndrome™ is diagnosed using the Hexaquest™ protocol, allowing for instinctive end-user reactions to forced-choice, biaxial, dependent variable alternatives of varied light intensity, originally examined from the perspective of biological chemistry by Constantopoulos and Bloch (1967  ), each option signifying a fractional inclination for conveying palliative communication relationality, examined by O'Connor, Davis and Abernethy (2010  ), to an exigence, examined by Bitzer (1968, p. 6  ), he having dovetailed it off of Aristotle (350 BCE  , Part 2, Sentence 1), thereby reconfirming systemic interdependence of vision and hearing to be the key to preparation and readiness, examined by Duke University neuroscientists . If, after risk assessment, that style is anticipated to result in disabled palliative communication, then the disorder can be reordered in the appropriate manner . Thus, with a structure and a metabolism that are, so Palade (1963, p. 614  ) emphasizes, two aspects of the same set of phenomenon, Pilate Syndrome™ proves to be not as much a "response" to them as it is a reaction to them, one that can be relieved and reversed.

Access Hexaquest™

Step 1 of 2:  Complete the Hexaquest™ protocol.


The university's flagship, and its sole academic, program is the honoris causa Higher Doctorate in Palliative Communication. The Doctor of Humane Arts (D.H.A.) for any creative work, the Doctor of Letters (Litt.D.) for scholarly research, or the Doctor of Science (Sc.D.) for scientific research, be it quantitative or qualitative, descriptive, explanatory or predictive, or basic or applied, is conferred throughout the calendar year subsequent to double-blind peer review of whatever the output submitted by the candidate. Tuition is free of charge.

The university's sole vocational program is the Accredited Palliative Companion designation, identified by the post-nominal letters A.P.C., whereby, following one calendar quarter of monitored candidate interaction with patients or residents at an approved medical facility or in a home environment, and further requiring, at the candidate's choice, a 120-question, 30-minute multiple-choice test, or a 2-hour, single-question, comprehensive written examination, or a 90-minute, peer-reviewed, face-to-face capstone encounter, the designation is then conferred. Tuition is free of charge.


Intercontinental Open University is led by its founder, globally recognized communication specialist, Constantine A. Constantopoulos, Ph.D.   , President and Distinguished Clinical Professor of Communication. From 2011 to 2018, founding director, George C. Constantopoulos (1923-2018), Ph.D., of the National Institute of Neurological Disorders and Stroke (Retired), and lead author  for 1964 Nobel Laureate, Konrad E. Bloch, served as President (honoris causa), with Nickas C. Constant (1926-2007), A.D., having served as Director Emeritus of Grants and Scholarships .

Congratulations to the newest leaders among us: Linda Elaine Vogt Turner from Vancouver, British Columbia (Canada), awarded the Doctor of Humane Arts degree on June 27, 2017, and Michael Frangogiannis from Galatas, Peloponnese (Greece), awarded the Doctor of Science degree on October 1, 2017.


Intercontinental Open University (Servers)
Vasiliou Tou Megalou 10
118 54 Athens

iou.edu.gr (Skype)
https://appear.in/iou (appear.in)
https://www.gruveo.com/iou (Gruveo)