Treatment of psychosomatic disorders and borderline neuropsychic disorders

 

(57) Abstract:

The invention relates to medicine, in particular to psychotherapy, and can be used for correction of psychosomatic disorders and borderline neuropsychic disorders. The method involves manual intervention in the form of full and/or local stretching of the kinematic chain of joints and movements, stimulated washability impulse action, in the form of rotation in the direction of pain. Additionally, during this exercise verbal effect, consisting in imperative laconic dialogue in intense pace at which maintain the synchronicity of the rhythm and volume of the voices of the doctor and the patient, giving a report on their experiences, and the impact of repeat 2-3 times. The method allows to increase the degree of involvement of different layers of the psyche in the elimination of chronic muscle tension for correction of psychosomatic disorders and borderline neuropsychic disorders.

The invention relates to medicine and can be used as the active acceptance of the improvement by correction of psychosomatic disorders and borderline neuropsychic disorders.

In the long-term the disease - develop functional, the so-called borderline mental illness, usually denoted by the term "neurosis". Range of methods of treatment of neuroses very great.

A known method of treatment of neuroses by deep psychotherapy by S. Grof, including the use of psychoactive drugs substances [S. Grof, human unconscious: research experience with LSD, MTM, Moscow, 1994, SS.25-36]. It is the use of psychoactive substances is an obstacle to wide spread method, since during the procedure is complicated medical monitoring of the patient and not always have the option to terminate the session in case of any complications.

A known method of treatment of neuroses by body-oriented psychotherapy Century by Reich [Rrich W. The function of Orgasm. New York-Orgon Institute Press, 1942, S. 240-275]. Body-oriented psychotherapy focuses on the treatment of neuroses with biophysical items and contains the physiological elements. The primary injury and the pulses are kept out of consciousness with the help of chronic muscle tension - "muscular armor", which belongs to the function of protecting the individual from painful and dangerous inner and outer lane is excited. In healthy individuals there is no such restriction and its energy, without restraining "muscular armor", can flow freely. The method uses direct physical contact and hyperventilation in order to achieve patients subordination of spontaneous and involuntary movements that normally accompany the breathing process.

If it succeeds, the respiratory wave is called the wave-like movements of the body, which are called "orgasm reflex".

The disadvantage of this technique is mostly physiological approach, which complicates the treatment of disorders of the deep layers of the psyche.

Psychotherapeutic techniques in conjunction with certain postures, gestures and manual intervention amounted method of body-oriented therapy, proposed by A. Loewen and called "bioenergy" [A. Lowen, Therapy that works with the body (Bioenergy) SPb.: Speech, 2000, SS. 241-272]. This method is the closest to the claimed essence and the achieved result.

However, method A. Loewen has a significant drawback - it is limited to working with mainly biographical level of consciousness, which lengthens the duration of treatment.

ZADAChAKh muscle tension for correction of psychosomatic disorders and borderline neuropsychic disorders.

This problem is solved by the method of correction of psychosomatic disorders and borderline neuropsychic disorders, including elimination of chronic muscle tension through manual intervention and movements, which according to the invention of manual intervention is carried out in the form of full and/or local stretching of the kinematic chain of joints and body movements exercise by turning towards pain, stimulated washability impulse action, and additionally carry out verbal impact.

Known methods full stretch kinematic chain joint according to the method of E. Zuev I. [Zuev E. I. Magic power stretch marks, M.: Soviet sport]. Stretching, according to the invention, supplemented by verbal techniques impact with feedback from the patient, which allows us to determine the initial state of the unconscious. This algorithm impact on the patient is new. The addition of stretch marks washability impulse action, causing discomfort, and then rotate in the direction of pain provide so abrupt release chronic muscle tension that at the time of rotation of the body, the patient loses control of NBAA state of consciousness is a new and in addition, when the patient's presence in a particular state of consciousness verbal impact suddenly able to achieve the destruction of pathological stereotypes, i.e., an internal picture of the disease. Using the techniques in the new population according to the claimed method allows to eliminate chronic muscle tension, which is closely connected with mental and partly is his measure, and thus to produce the correction of psychosomatic disorders and borderline neuropsychic disorders.

The method is as follows.

Each stretch is performed by gripping one or both limbs simultaneously with the subsequent alternating voltage with relaxation and return to its original state. The duration of one stretch, including the initial position, the execution of the grip, direct stretch and return to its original position ranges from 40 to 60 with minimum effort 5-7 kg, maximum of 15-25 kg Verbal impact on the patient is in dialogue with him, based on the following principles: aprerequisite (imperative), brevity, stressful pace of the dialogue (the response time is limited to 3-5 with in caus the different voices of the doctor and the patient.

Unexplosive pulse exposure is carried out, as a rule, in areas Zakharyin-Ged, using the following techniques: pressurei (one, two, three fingers, elbow, knee, forearm), stringed, percussion, "the corkscrew". Hardness pulse effect decreases with increasing surface contact, plucked the method preferred in places of high incidence of soft tissue.

The impact on the patient can be done and not Stripping it through the clothes.

Example.

Patient D., 42 years. Diagnosis: Hyperacid gastritis, confirmed fibrogastroskopiej research. Pain have a clear relation to dietary habits. Corresponding to this state therapeutic diet and antacid therapy are unstable in nature. Often pain syndrome manifests itself in the background on a strict diet, but when expressed emotional fluctuations. The patient is suspicious, irritable, withdrawn, conflict with family environment, suffers from sleep disorders. Repeatedly cured permanently without the expressed positive effect. When viewed draws attention to the overall muscles of the body. Especially pronounced spasm in the epigastric area. Due to the existing tense the cells causes a disturbance of posture (stooped), limiting excursions of the lungs and leads to disruption of external respiration, causing a corresponding coloration of the skin and mucous membranes.

The patient in the clothes laid on the massage table on his back. Full stretching kinematic chains start with the grip by the hands of the doctor by the wrist of the patient for transfer pulse, and then stretch the joints: wrist, elbow, shoulder, and then the spinal column and then the hip, knee and ankle joints. Full stretch on the right was taken 45 and the load was 16 kg and left, respectively 41 and 13 kg For determining the value of efforts dynamometer was fixed between the brush of the patient and the brush of the doctor. Then carry out a sequential stretching in reverse order, starting with the grip for the foot of the patient. The momentum transfer to the right is 38 at a load of 14 kg, and the left - 36 and 11 kg, respectively. Stretching repeat series and already the duration of the 5-th stretching to the right is 29 with at a load of 7 kg, and the reverse - 27 at a load of 6 kg, and left indicators differ slightly. The stretching process is subjective registers the patient in the dialogue with the doctor who is in the imperative form asks the patient a short opinie images the projected patient: during 1st marks the process of pulling the patient is described as the stretching of a rubber strap, and during the last stretch, the patient will exhibit the way of free flowing water.

After performing stretching the patient retains the position lying on the back". The doctor, standing to the right of it densely covers the palm of the front surface of the right shoulder joint, left the doctor's hand tightly to the back surface of the corresponding shoulder joint. The doctor then with increasing force performs a circular pumping movements of the right (active) by hand until the patient has discomfort in the location of dynamic contact with the palm of the doctor. At this point he throws his right hand behind his head, the hand of the physician performs covering stroking the top and prevents the movement of the hand of the patient. The patient himself, throwing a hand up, turns on the right side. Scheme manual exposure, repeat 2-3 times. In the verbal contact doctor - patient latter gives verbal report about his feelings: injection during the first exposure initially the patient perceives as the spreading of the leaden heaviness in his right hand, and during the last impact - lateral surface of the thorax, and the doctor tightly folded 2nd, 3rd and 4th fingers of the left hand produces a pulse Pressor effect (duration less) in the mid-axillary line in the area of the 5th intercostal space. Feeling the discomfort, the patient is quickly turned on its right side.

Scheme impact repeat 2-3 times. In the verbal contact doctor - patient latter gives verbal report about his feelings: original impulse effect of the patient perceives as the penetration of the train crutch, and the last impact as the tickling soft ball. Continuing external pain impulse effect, the doctor thumb of the left hand squeezes the soft tissue in the zone of intersection of liners line with the bottom edge centurywas the pectoralis major muscle. Feeling the discomfort, the patient is rotated to the right side. Scheme impact repeat 2-3 times. In the verbal contact doctor - patient latter gives verbal report on his impressions: the first pulse of the patient perceives as the nail driving, and the latter as the tickling elastic rubber ball.

This is the same as on the left side, only on the shoulder area overlaps the left hand and the right performs the passive consisted of 4 treatments made for 11 days with breaks for 3 days. In the subsequent 4 years, the patient neither inpatient nor outpatient not treated, pain in the stomach wore unstable situational character and is not required medicamentosas correction, while decreased levels of conflict, mood swings, improved night's sleep.

The inventive method correction of psychosomatic disorders and borderline neuropsychic disorders was tested on the basis of the medical-sanitary unit 530 of the Kola nuclear power plant and the employees "Kolenergo" (Murmansk region). In the process of testing in correctional measures were involved 225 people (including 95 children). In group testing method included patients in the following categories:

1) persons with post-traumatic stress disorder of varying severity (92 people);

2) children and adolescents with somatoform disorders of the gastrointestinal tract (88 people);

3) having sexual disorders of various origins (16 people). In these subgroups, the inventive correction method was the only method of exposure to patients. In accordance with the criteria of the International classification of diseases-10 during the examination no earlier than 6 months after provalue in group 2, in 67% of cases in group 3.

In addition, the inventive method was tested in the integrated rehabilitation of cancer patients (19 persons). It turned out that the correction of psychosomatic disorders and borderline neuropsychic disorders, achieved when using the proposed method, has a tonic effect on the body, contributing to the rapid elimination of side effects such as radiation and chemotherapy, as well as socio-psychological adaptation of cancer patients and their families.

Treatment of psychosomatic disorders and borderline neuropsychic disorders, including elimination of chronic muscle tension through manual intervention and movements, characterized in that manual intervention is carried out in the form of full and/or local stretching of the kinematic chain of joints and movements, stimulated washability impulse action, carried out in the form of rotation in the direction of pain, and additionally that you are carrying out verbal effect, consisting in imperative laconic dialogue in intense pace at which maintain the synchronicity of the rhythm and volume of the voices of the doctor and the patient, giving from the

 

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FIELD: medicine, narcology.

SUBSTANCE: one should detect satisfaction insufficiency syndrome due to performing genetic analysis by the presence of, at least, one of the genes coding the exchange of neuromediators being the constituents of human satisfaction system. One should compensate satisfaction insufficiency due to performing, at least, one complex of physical exercises. Moreover, in case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture in patient one should apply the complex of physical exercises including those to provide sedative effect, and in case of availability of pathological gene allele of dopamine-beta-hydroxylase protein one should apply the complex of physical exercises including those that induce an activating effect. In case of availability of pathological gene allele of dopamine D2 receptor and/or protein gene of reverse dopamine capture one should apply additional food biologically active additives based upon amino acids being the precursors of neuromediators, such as taurine, D-, L-phenylalanine in combination with 5-hydroxytryptophan, hypericin and vitamin B6, and in case of pathological gene allele of dopamine-beta-hydroxylase protein one should additionally apply food biologically active additives based upon amino acids being the precursors of neuromediators, such as: taurine, tyrosine and/or dimethylaminoethanol, lecithin and group B-vitamins. The present innovation enables to take into account pathological disease mechanism.

EFFECT: higher efficiency of prophylaxis.

14 cl, 5 ex

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