Method for weight correction in case alimentary obesity

FIELD: medicine, human weight correction.

SUBSTANCE: while elaborating self-realization formula a dietologist should develop weight correction mode for a patient during certain period of time without health deterioration. A psychotherapist should detect several targets for weight correction followed by psychotherapeutic seance by applying neurolinguistic programming. For this purpose, a patient should provide picturesque and detailed description of desirable function. Moreover, a psychotherapist detects positive, emotional and autonomic manifestations to form conditionally reflector relationship due to tactile contact. Under supervision of a psychotherapist due to suggestion technique a patient should imagine "a part of personality" responsible for weight correction. Then his psychotherapist has communication with mentioned "part of personality", arouses patient's attention to desirable result and fixes elaborated conditioned reflex. Then a psychotherapist illustrates communication with physical feelings that correspond to either negative or positive answer and their appearance in "a part of personality". At establishing tactile contact a psychotherapist suggests to choose new ways of behavior directed onto weight correction, obtains agreement from "a part of personality" to take care of this very function, which a psychotherapist should monitor by physiological manifestations and fix with conditioned tactile contact. A patient suggests new ways of alimentary behavior, analyze them and choose not less than 3 really achievable ones and "a part of personality" is responsible for automatic implementation of these new ways of alimentary behavior in patient's next life and at achieving positive answer from "a part of personality" sйance of psychotherapy should be finished by returning a patients into awakening state. Moreover, one should prescribe a diet at decreased caloricity of 800-900 kcal during the 1st mo, then - 1200 kcal for another month with subsequent achieving its value to correspond to normal body requirements. Psychotherapy lasts for 3-4 seances in 3-5 d at repeated maintenance therapy in a month, 1 seance. The method enables to achieve stable weight decrease during preset period of time for prolonged terms.

EFFECT: higher efficiency of weight correction.

1 cl, 1 ex

 

The invention relates to medicine and can be used in the correction of body weight.

Any accumulation of fat in the body occurs due to the predominance of the parish of energy over its flow rate (positive energy balance), i.e. obesity can always be seen as the result of overeating, and therefore it may be called alimentary regardless of whether obesity is primary or secondary.

The modern treatment of alimentary obesity is recognition of the chronic nature of obesity and, consequently, the need for long-term treatment. The desire for a short period of time to get rid of a large number of pounds leads to a compensatory increase in food intake and repeated weight gain (so-called “rebound syndrome”). Accordingly, the weight loss of 5-10 kg over 4-6 months and preservation of this result for a long period of time more than the loss in a short period of 15 kg and the acquisition of 20 kg (Butrova S.A., Bad A.A. Treatment of obesity: modern aspects. - Russian journal of medicine, volume 9, No. 24, 2001. - C.1140-1146).

Correction power is the basis of treatment and today is recognized by all the authors (Tereshchenko IV, the problem of obesity. Clinical medicine, No. 7, 2002. - P.9-13; Melnichenko G.A. Obesity in PRA the tick endocrinologist, Russian journal of medicine, Volume 9, No. 2, 2001. - C-87). Simultaneously with diet therapy should be changing nutritional behavior, as most patients are observed violations of the psychological form of dietary behavior, contributing to increased craving for food (ALEXANDER Vakhmistrov, ascension YEAR, staves SR Clinical-psychological analysis of eating disorders in obesity. Journal of neurology and psychiatry, No. 12, 2001. - P.19-24).

There is a method of lowering body weight with the help of autogenic training (Lindeman X. Autogenic training, M: Med., 1985. - S). Autogenic training is a suggestion in the state of relaxation (lower level) or hypnotic trance (the highest level). However, the method has disadvantages any autogenic training, applied in isolation.

Also known is the method of complex treatment of obesity, including multi-step complex treatment using at each stage of therapy, physical therapy, drug therapy, physiotherapy, psychotherapy (Kreslavsky Y.S. Therapy in the rehabilitation of patients with alimentary-constitutional obesity. Ter. Archive, 1984, C. No. 10. - S-107).

This tactic of psychotherapy in the treatment of obesity, as shown by practical experience, is ineffective because patients require long-term mobilization of emotion is the super-strong-willed effort, and the majority of patients are unable to adhere to the restrictions in the diet and increase physical activity for a long period of time.

There is a method of weight correction using the techniques of suggestion in the waking state and altered level of consciousness with the formation of negative emotions (“nausea”) to the abuse of food with high energy density (RF Patent No. 2019996, MCL 5 And 61 M 21/00, bull. No. 18, 1994). However, a single session of psychotherapy are not always able to create a sound installation for rational food human behavior.

As the prototype is considered a method of treating alimentary obesity, which is also using the techniques of psychotherapy form a mental attitude of rejection of excess food, support the installation of irritation acupuncture points, expect the program to reduce weight for a specified period of time and combine this program with the reception and dive into a light trance state (Patent RF №2056116, MCL 6 And 61 M 21/00; a 61 K 31/485; bull. No. 8, 1996).

However, these therapeutic techniques are able to reduce the weight only for a short period of time and does not contribute to the consolidation of the new eating behavior for a longer period. In addition, as a result of a psychotherapist is not considered recommended to the number of pounds, want to lose weight without harm to health and to eliminate the possibility of weight gain in the future.

The present invention is to achieve a stable weight for scheduled doctor together with the patient time for a long period by forming a new rational stereotype eating behavior.

This object is achieved in that includes a personal interview with a patient of the psychotherapist and nutritionist, conducting rational-rational psychotherapy with knowledge of the problems of the patient and increase motivation for treatment by suggestion in the waking state, the preparation of formula samosoznania, including age, weight, height, body mass index, number of pounds, which will decrease the weight, the diet. When writing the formula of self-awareness nutritionist is prepared for the patient's mode of weight loss for a certain period of time without damage to health. Psychotherapist revealed several motifs for weight correction, followed by a psychotherapy session using neuro-linguistic programming. For this the patient recounts the colorful and detailed description of the desired function, in which is achieving the recommended weight reduction. therapist also notes positive, emotional and Vegeta is positive manifestations and forms a conditional reflex connection between tactile contact. Under the guidance of therapist, the patient imagines “part of personality that is responsible for weight correction. therapist enters into communication with the name “part of the personality”, activates the patient's attention on the desired result, establishes emerged physiological reaction using tactile contact and reinforces developed a conditioned reflex. Next, therapist means a connection with certain physical sensations, the respective negative or positive response and their appearance in “part of personality” when establishing tactile contact. Offering the patient to choose new behaviors aimed at weight correction, therapist obtains consent “part of the person” responsible for this function, which is then monitored by a doctor on the physiological manifestations and secured with conventional tactile contact. The patient offers new ways of eating behavior, analyzes and selects at least three of the most realistic of ways. “Part of the personality” takes responsibility for the automatic implementation of these new ways of eating disorders in later life of the patient. Upon receipt of a positive response from “part of personality psychotherapy finish. Nutritionist prescribes the diet with low-calorie 800-900 kcal in the PE the first month, then 1200 kcal - 1 month and then bringing it to a value corresponding to the normal needs of the body. Psychotherapy is carried out course 3-4 sessions 3-5 days, repeated maintenance treatment in 1 month, 1 session.

The novelty of the method. When writing the formula of self-awareness nutritionist is made real, reasonable medical, patient optimization result weight.

Psychotherapist revealed the patient's motivation for weight correction, followed by a psychotherapy session using neuro-linguistic programming. For this the patient recounts the colorful and detailed description of the desired function, in which is achieving the recommended weight reduction. Thus therapist notes the positive, emotional and autonomic manifestations and forms a conditional reflex connection between tactile contact. Under the guidance of therapist, the patient imagines “part of personality that is responsible for weight correction. therapist enters into communication with the subconscious mind and activates the patient's attention to recommended result. Then reinforces emerged physiological reaction using tactile contact and reinforces developed a conditioned reflex.

Next, suggesting a link with certain physical sensations, sootvetstvujushchijemu or positive response, and their appearance in “part of personality” when establishing tactile contact, offers the patient to choose new ways of eating behaviors aimed at weight correction. The patient receives consent “part of the person” responsible for this function, which is monitored by a therapist physiological manifestations and secured with conventional tactile contact.

Selected new behaviors by the patient is the lowest at least three ways that mentally reviewed by the patient, and “part of a person” accepts responsibility for the automatic implementation of these new ways of behaving in the future life of the patient and upon receipt of a positive response from “part of the personality”. At this session of psychotherapy finish.

Assign the diet is calorie-reduced 800-900 kcal in the first month, the next month is 1200 kcal and then bringing it to a value corresponding to the normal needs of the body.

Psychotherapy is carried out course 3-4 sessions 3-5 days, repeated maintenance treatment in 1 month, 1 session.

Existing algorithms for the treatment of obesity (diet therapy, physiotherapy, physical activity) without taking into account the psychological aspects are not sufficiently effective, because it does not provide as the main target setting - the formation of RA is optional, adequate to the real needs of psychological type of eating behavior. Neither the reduction of the volume and caloric content of food consumed, nor locomotor activity by themselves may not provide a positive treatment outcome. Only a comprehensive approach combining psychotherapy and diet therapy, is a reliable method with which you can fix the correct dietary habits of the patient. Therefore, in practice, the treatment of obesity are increasingly used various methods of psychotherapy.

Psychotherapeutic effect provides: stabilize emotional condition; understanding of the connection - “Overeating” is a psychological defense (secondary benefit of extra pounds); “Jamming” - correction of negative emotions; strengthening self-confidence; a significant increase effect compliance with therapy; enhancing motivation to reduce weight; the stability of the achieved results. The proposed algorithm for the treatment preferred by the fact that instead of working with the content of a problem, he would streamline the internal processes of a person by leveraging resources and the free flow of communications within a person. It is based on the involvement of creative abilities of the person using it will be able with the help of therapist, and later himself to model its DeVoe behavior. Because human behavior is diverse, there is a vast multitude of parts, shaping his behavior. Therefore, we introduce the concept of the personality responsible for misconduct, for one or another symptom, in particular for the feeding behavior of the patient. “Part of the personality” you can come in contact. Ask her questions and get answers. Questions mentally specifies the patient. Answers come in any human modality: in the form of words, pictures, sounds. This is often kinesthetic imagery - sense of warming or cooling, the emergence of some new feeling or disappearance. Actually it is working with the subconscious mind, which will make a person more flexible and will give him the opportunity to apply acquired change in other life situations. And also involves the development of possible reasons that led to the excess weight. It is isolating and removing them on a psychological level allows you not only to lose weight but also to maintain the achieved results.

Nutritional aspect provides: knowledge about how to determine normal weight (body mass index); how many pounds and how much time is recommended to reduce the weight; what range is possible for the individual fluctuations of body weight without increasing the risk of health disorders, assessment of caloric and p the food value of the required set of products and dishes (taking into account individual preferences), which should be used in accordance with the recommended scheme of diet. The patient is trained to maintain a food diary.

The method is as follows.

When handling patient complaints overweight diagnosis of the cause of obesity. After this excluded cerebral and endocrine forms of obesity.

The first stage of treatment is the awareness of the problem by the patient. During the initial interview with the doctor, psychotherapist and nutritionist is set to gain trust on conscious and subconscious levels. This is done with the help of questions aimed at assessing the existing views of the patient about his condition: “What is obesity, overweight? What are the consequences of obesity? How to deal with it? Whether You overweight? Why you want to lose weight? Do you have experience of reduce weight, what? How would you feel in that moment felt? How fast and how much you want to lose weight? You will buy new things or to alter old? And it is real? In what part of the body you want to lose weight, why? What will you do to lose weight? You will lose weight, but your skin is still elastic, without folds? What is your stomach (show hand)? How much food it will hold, so that You were satisfied?”. Then therapist gives information about the psychological is asite - a secondary benefit for the correction of excess weight.

Then a dietitian is an explanation about the real problems of malnutrition. Provides information on hunger, appetite, rational feeding behavior. Is the calculation of body mass index of the patient according to the formula: BMI=weight (in kg)/height2(in cm). On the basis of indicators of body mass index with the patient agreed achievable results: how many pounds and how long you want to reduce weight, since the desire for short term get rid of a large number of pounds leads to a compensatory increase in food intake and repeated weight gain (so-called “rebound syndrome”), and may cause damage to health.

In the second stage should identify motivation for weight reduction. Trying to lose weight, actually for weight loss is doomed to failure. Success awaits only those for whom a slim figure is not an end but a means to improve their health and appearance, to solve any problem in life (look attractive to climb stairs without difficulty, to appeal to men).

The actual therapy. The method involves the following stages therapist with the patient. The patient sits in a chair, he offered to take a comfortable posture, followed by psychotherapeutic session is.

The patient lays out featured result: how many pounds and how long it will reduce the weight without compromising health disorders. The doctor monitors the symptoms of emotional reactions of the patient and changes its physiological parameters: vegetative reactions, eye movement, tone, tempo, volume, speech, non-verbal (dumb) behavior, facial expressions, pantomimic.

The first step for a better understanding and awareness of the problem is the use of the phrase "part of the personality" - a term referring to the combination of psychological and physiological stereotypes associated with it (overweight). Previously, the patient is told about the many parts functioning in its integral “I”, each of them exists only in order to benefit. Therefore, therapist invites the patient to come into contact with the part, which will be responsible for feeding behavior. To contact “part of the personality”, the doctor asks the patient to close their eyes, concentrate on internal sensations and mentally ask, “does part of me creating this feeding behaviour, to speak with me?”. The patient is closely monitoring emerging or disappearing sensations. The doctor fixes the emerging physiological (autonomic) reaction using tactile Comte is one changing the settings of voice, facial expressions, gestures, so that when you repeat a doctor these actions occur, the same physiological (autonomic) response, that is a conditional reflex.

In the future, therapist establishes a strong conditioned reflex connection between positive emotions of the patient, his description of the desired state (to reduce weight). Method of suggestion the command is given to the patient by using the "part of personality" to find a few that are most important for him a way to resolve the problem without awareness. This is done as follows: the patient is asked to choose a “name” or “name” for this "part of personality, and if possible - and to imagine it as an image with color, size, localization, allowing you to find the best ways to resolve the problem without awareness, focusing on inner feelings. The patient is asked to determine which of the internal sensations corresponds to the verbal answer is "Yes", and what the word "No"answer, i.e. to calibrate the sensations. The doctor asks the patient: "you have “part of the personality”, which will be responsible for reducing Your weight?" Answer: "Yes." And where is this part? Shows the patient's finger at the level of the head, or heart, or any other body. therapist asks: “is She inside?”. PA is ient: "Yes." Therapist: “What form? What size? It has color? What is it? As I do this part? ". The patient describes their sensations that are similar to the bodily, temperature, movement, and density.

Then the patient is asked to choose three new ways (not to eat 2 hours before bedtime; follow the recommended diet; daily from work to walk home), which will meet the new nutritional behavior. As the answers are generated by the internal processes of the patient, it is a great way to get around the obstacle in the form of a position: “I can't”. Sometimes therapist can suggest possible answers.

After this, therapist offers originally labeled “part of the identity of the patient to use the new food behaviour and to take responsibility for its implementation. Then, dialogue is ongoing patient with this part of the personality”: “do you Agree that these new opportunities for me to be more useful and convenient than the old ones? Do you agree to use these opportunities?” If “part of the personality” gives a negative answer, the doctor instructs the patient to go inside yourself and find another “part of personality that will agree to do it.

After consent "part of personality" to have three new ways to reduce weight, therapist monitors it on a physiologically is a mere manifestations of the patient and supports conditional stimulus touch the index finger of the right hand against the skin in the area of the metacarpal-phalangeal joint of the index finger of the left hand of the patient is always one and the same movement, in the same place, with the same force. The patient, his "part of personality that is responsible for the normalization of weight, I propose to examine the choices. therapist offers "part of personality" to take responsibility for the automatic implementation of these new, chosen, ways of eating disorders in future life of the patient. If you receive the same feeling, which previously meant "Yes", it means that the activity of the patient to achieve the goal high. If objections are raised, “No”, psychotherapy begins again. therapist explains the patient, what is the objection, then the patient is again asked himself: “do it “part of the personality” to take responsibility for the automatic implementation of the three new methods (not to eat 2 hours before bedtime; follow the recommended diet; daily from work to walk home), which will form a new feeding behavior”. When the patient receives an affirmative answer, the session ends. The duration of a psychotherapy session an hour and a half. Tactile contact is performed by the touch of yasat the high finger of the right hand of the patient to the skin in the area of the metacarpal-phalangeal joint of the index finger of the left hand is always one and the same movement, in the same place, with the same force.

The patient returns after a session in the waking state.

After each session of psychotherapy with the patient for 1.5 to 2.0 hours training methodology of diet, including the production of food habits of rational behavior. To do this, the dietitian recommends ways of reducing diets for weight loss and to maintain the achieved weight. The selection of dishes to suit individual preferences. At the stage of weight loss that lasts 1 month, it is recommended that a set of products and dishes low energy value. The first month calorie diet is 800-900 calories a day. Then calories, depending on the rate of weight loss, increased sequentially to 1200 kcal bringing it to the value corresponding to the normal needs of the body for nutrients and energy, taking into account gender, age, height, weight and physical activity. The basis of the diet is based on these key principles: normal protein intake, limiting consumption of animal fat limit legkousvojaemyh carbohydrates. Course 3-4 sessions 3-5 days, again in 1 month, 1 session.

Low-calorie diet is quite easy to carry thanks to psihoterapevticheskii reached anorexia (decreased Appeti is (a).

Example. Patient L., 36, a teacher, asked about overweight and also reducing the health, feelings of weakness, shortness of breath during physical activity. Weight 80 kg, height 171 see

During the initial interview, the patient said that for two years notes increased appetite, worse in the evening, resulting in weight increased by 8 kg in Parallel with the increase in weight was noted weakness, decreased performance, irritability. Often occur at work, psychological stress, “removed” by eating sweet and bakery products. Twice tried to reduce weight: first through diet, then use fasting. However, after resulting from these activities reduce weight in a week for 5 kg added within 1 month 8 kg

During the initial conversation with the patient nutritionist has determined that the patient is diagnosed alimentary obesity, the body mass index is 27,6, which means the presence of excess body weight. Normal weight in this case should be 72 kg the recommended weight loss of 8 kg of the Patient and configured wants to lose weight in 1 month to 10 kg. But to prevent return to the original weight (80 kg) and permanent preservation of the achieved results nutritionist recommends a course of l is treatment for 5 months: 1 month 3 kg, 2-month - 2.5 kg, then 800 grams per month. To assess the power of the patient nutritionist gives explanations on doing a “food diary”, in which will be recorded the number and the name of the eaten food.

In conversation with therapist, the patient explained the motivation for treatment for those who want to be more attractive to wear elegant clothes, like men and move up the career ladder. Then he described his feelings and emotions: “I will be easy gait. Clothing size will be smaller. Others will tell me how well I look.” therapist says: “Your skin is still elastic, without folds? And what You have stomach (show hand)? How much food it will hold, so that You were satisfied?” At this time the patient is in a state of wakefulness (awake). therapist observes symptoms (physiological, vegetative) positive emotions of the patient: the volume and pace of speech, definition, pronunciation, revitalizing facial expressions. The patient flushed face, the voice became louder, the movements are smooth, relaxed, noted the symmetry and uniformity of the gestures, the predominance of (stereotypical) eye movements up - right and down (the patient is right-handed). This meant that the patient is actively tuned to recovery is giving. After this, therapist asked the patient: "do You Have "part of the personality", which could be responsible for weight loss. The patient replied: "Yes." Therapist: “Where is it situated?”. The patient showed this “part of the personality” at the level of the head, however, she said that “part of the personality” orange color and radiates heat sensations. therapist asked the question: "Will this “part of the personality” to join with us in contact." The patient responded positively. The patient exhibited dilated pupils, smoothing nasolabial folds, some reduction in the volume and pace of speech, a slight slowing of movements, muscle relaxation, which indicates a light hypnotic trance. After completion of a session, therapist returned to the patient in the waking state. In the second session, therapist asked the patient to come in 5 days with hunger.

The next session was started with the fact that the doctor said: "How wonderful You look! Your outfit was free! How do you feel?". The patient replied that appetite has decreased, the mood is good, the weight is decreased by 500, therapist touched the hand of the patient in the conversation and watched symptoms of positive emotions, as well as signs of mild hypnotic state. Then understandable to the patient's language was clarified that this hunger, ka which it occurs this process is controlled. After that, the doctor asked the patient: "do it "part of personality that is responsible for hunger". The patient answers "Yes". Where it is located? The patient shows at the level of the stomach. Therapist: “How do You feel hungry?”. The patient says, “Sucks, “spoon”. therapist asks the question: “How shall ye know that hunger?”. Answer: “It is blue”. Therapist: "Is this the part that is responsible for hunger, to enter into contact with us?" The patient answered “Yes”. Then therapist asked: “How to cope with hunger? The patient replied that "part of the personality" have agreed with him, and this feeling does not exist currently. Therapist: “And what about Your stomach?” Answer: “He became less”. Therapist: “So, the first saturation in the meal You received when “stretched” the stomach was full?”. Answer: “Yes.” Therapist: “Now Your stomach food will accommodate less?” Patient: “Yes.” Therapist: “And You will be satisfied?” Answer: “Yes, I will.” This behavior, this reaction indicates that the patient is already in a light hypnotic trance. The patient during the session was observed dilated pupils, smoothing nasolabial folds, some reduction in the volume and pace of speech, a slight slowing of movements, muscle relaxation. The village is e session therapist returned to the patient in the waking state.

After completion of the second session of psychotherapy to work with the patient began nutritionist. He together with the patient, performed the analysis of the food diary. It turned out that the diet has a surplus of legkousvojaemyh carbohydrates (breads, sugary drinks, confectionery), products that contain hidden fats (meats, mayonnaise and other), lack of vitamins and minerals required for normal metabolism, fiber (vegetables, fruits and lean protein-containing foods (meat, fish, legumes). Nutritionist appointed the patient a diet with reduced calorie 900 kcal - set products and dishes taking into account the above principles and the individual preferences of the patient.

In this second session ended. The third session was asked to come in 5 days.

The third session. The patient came to the reception cheerful, weight decreased on 600 g from the initial weight. Third psychotherapeutic session similar to the first.

After the third session weight decreased to 205 g, the mood became smooth, peaceful sleep. After a month, the weight decreased by 1 kg, 100 g, was planned according to the body mass index of 1 kg

Then the dietitian provided to the patient recommendations for the preservation of the achieved results: caloric intake in the first month 900 kcal, then 1200 kcal -1 month and then bringing it to a value according to the current needs of the body, i.e. 1900 kcal.

Psychotherapy is carried out course 3-4 sessions 3-5 days, repeated maintenance treatment in 1 month, 1 session.

Catamnestic - after 5 months the weight has been reduced to 8 kg and held for twelve months within 72 kg Patient received a promotion, normalized family relationships, the effect of therapy pleased.

Thus, the proposed method can achieve weight loss within the set time, save the result in a long time.

The method is used during the “School correction of excess weight in the Municipal center of preventive medicine in the endocrinology clinic at MPB No. 1 core.

1. The correction method of weight with alimentary obesity, including a personal interview with a patient of the psychotherapist and nutritionist, conducting rational-rational psychotherapy with knowledge of the problems of the patient and increase motivation for treatment by suggestion in the waking state, making the formula of self-awareness, including age, weight, height, body mass index, number of pounds, which will decrease the weight on the conduct of the diet, characterized in that in the preparation of the formula of self-awareness nutritionist is for the patient, the mode of weight loss for a certain period of the ez health disorders, therapist identifies several reasons for weight correction, followed by a psychotherapy session using neuro-linguistic programming for this patient describes a colorful and detailed description of the desired function, in which is achieving the recommended weight reduction, while therapist notes the positive, emotional and autonomic manifestations and forms a conditional reflex connection between tactile contact, under the guidance of a psychotherapist method of suggestion, the patient imagines the part of the person” responsible for the weight correction, therapist enters into communication with called “part of the personality”, activates the patient's attention on the desired result and assigns arising physiological reaction using tactile contact and reinforces developed a conditioned reflex, further indicates the connection with the physical sensations, the respective negative or positive response and their appearance in “part of personality” when establishing tactile contact, offers the patient to choose new behaviors aimed at weight correction, the consent “part of the person” responsible for this function, which monitors therapist physiological manifestations and reinforces conventional tactile contact, the patient is exposed to the t new ways of eating behavior, analyzes and selects at least three of the most realistic ways for him and part of a person” accepts responsibility for the automatic implementation of these new ways of eating disorders in later life of the patient and upon receipt of a positive response from “part of the personality to finish the psychotherapy session, return the patient in the waking state and prescribe the diet is calorie-reduced: 800-900 kcal in the first month, then 1200 kcal - 1 month and then bringing it to a value corresponding to the normal needs of the body, psychotherapy spend 3-4 sessions 3-5 days, repeated maintenance treatment after 1 month, 1 session.

2. The method according to claim 1, characterized in that the tactile contact is performed by the touch of the index finger of the right hand of the patient to the skin in the area of the metacarpal-phalangeal joint of the index finger of the left hand is always one and the same movement, in the same place, with the same force.



 

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1 cl

FIELD: medicine, in particular, narcology.

SUBSTANCE: method involves using computer as apparatus for displaying on monitor screen of brain colored images reflecting at least two states of brain: before coding by separating portions colored with yellow, green and blue colors and tints thereof reflecting increasing extent of brain affection, and after coding by separating big portion of bright-red color on the background of portions colored with yellow, green and blue colors and tints thereof, respectively; explaining to patient that portion of bright-red color is his dominant code resulted from treatment; before coding procedure, applying and fixing on patient's forehead electrodes simulating elimination of brain potentials; in the course of coding, exposing patient to light flashes with switched-off common illumination and to continuous acoustic signals generated by means of acoustic synthesizer; during coding procedure, exposing patient to light flashes issued from, for example, stroboscope, said light flashes being emitted at frequency of 1-3 Hz; providing immediate suggestion by means of microphone and telephone headsets electrically connected to microphone and secured on patient's head. Method allows preliminary treatment procedure to be avoided.

EFFECT: increased therapeutic effect.

4 cl, 3 dwg, 1 tbl

FIELD: medicine.

SUBSTANCE: method involves carrying out physiological examination with electroencephalogram recorded. Cognitive evoked potential method is additionally applied as neuropsychological examination for detecting hard and latent organic brain lesions causing central nervous system pathological disorders. An additional psychophysiological examination is carried out with vision analyzer test, visuomotor response test being applied for obtaining estimations of selection, discrimination, noise immunity and muscle endurance index, movement coordination, response to moving object and integral estimation of attention and ability for perceiving significant information, motor analyzer rapid response production estimation, estimation of nature of cardiovascular system response to given psychoemotional loading estimation. The examination is sequentially carried out as primary control when hiring personnel, as intermediate control in following a training course and emergency training. Psychological testing is of multi-purpose nature. To achieve it, a set reliable tests and methods of prognostic and substantial validity are applied, including intellect and project-building tests and standardized self-reports. When making decisions concerning professional validity based on test and examination results, risk group is selected from operation personnel.

EFFECT: enhanced effectiveness of occupational skill assessment.

FIELD: medicine, human weight correction.

SUBSTANCE: while elaborating self-realization formula a dietologist should develop weight correction mode for a patient during certain period of time without health deterioration. A psychotherapist should detect several targets for weight correction followed by psychotherapeutic seance by applying neurolinguistic programming. For this purpose, a patient should provide picturesque and detailed description of desirable function. Moreover, a psychotherapist detects positive, emotional and autonomic manifestations to form conditionally reflector relationship due to tactile contact. Under supervision of a psychotherapist due to suggestion technique a patient should imagine "a part of personality" responsible for weight correction. Then his psychotherapist has communication with mentioned "part of personality", arouses patient's attention to desirable result and fixes elaborated conditioned reflex. Then a psychotherapist illustrates communication with physical feelings that correspond to either negative or positive answer and their appearance in "a part of personality". At establishing tactile contact a psychotherapist suggests to choose new ways of behavior directed onto weight correction, obtains agreement from "a part of personality" to take care of this very function, which a psychotherapist should monitor by physiological manifestations and fix with conditioned tactile contact. A patient suggests new ways of alimentary behavior, analyze them and choose not less than 3 really achievable ones and "a part of personality" is responsible for automatic implementation of these new ways of alimentary behavior in patient's next life and at achieving positive answer from "a part of personality" sйance of psychotherapy should be finished by returning a patients into awakening state. Moreover, one should prescribe a diet at decreased caloricity of 800-900 kcal during the 1st mo, then - 1200 kcal for another month with subsequent achieving its value to correspond to normal body requirements. Psychotherapy lasts for 3-4 seances in 3-5 d at repeated maintenance therapy in a month, 1 seance. The method enables to achieve stable weight decrease during preset period of time for prolonged terms.

EFFECT: higher efficiency of weight correction.

1 cl, 1 ex

FIELD: medicine, anesthesiology, intensive therapy, surgery.

SUBSTANCE: the present innovation is suggested to correct anesthetic therapy in postoperational period. One should apply a modified visual-analog scale of pain on which patient should mark independently his (her) pain feelings by fixing them on vertical sections of the above-mentioned scale of pain every 2 h during the day, then doctor should plot an algogram of daily fluctuations of patient's pain feelings to analyze them for estimating the strength of pain feelings and adequacy of analgetic therapy conducted; and by taking into account the data obtained to conduct correction anesthetic program next day. The present innovation enables to adequately evaluate patient's pain feelings in postoperational period for subsequent performing adequate preventive analgetic therapy of pain syndrome, that, in its turn, enables to prevent pathological postoperational syndromocomplex.

EFFECT: higher efficiency of correction.

2 cl, 3 dwg, 1 ex

FIELD: medicine, cardiology.

SUBSTANCE: the present innovation includes hypolipidemic diet. Additionally, in the state of meditation one should induce the feeling of thermal disposition in intestinal area due to autosuggestion spirally starting from dextral ileal area and performing about 3-5 circles clockwise, only by narrowing the radius of movement towards navel's area, then about 3-5 circles clockwise by widening the radius of movement against initial circumference. Then one should similarly work with feelings of colic pains and cold. Moreover, autosuggestive impact should be carried out twice daily for 30-40 d, and then - once daily every other day to maintain cholesterol level at normal value. The method enables to treat hypercholesterolemia in patients despite cholesterol level.

EFFECT: higher efficiency of therapy.

1 cl, 1 tbl

FIELD: medicinal cosmetology.

SUBSTANCE: at first, one should perform target psychological tuning up for the work with a certain patient. Then, at the fist stage it is necessary to remove articular blocks, relax muscular-ligamentous apparatus of body joints with light swingings of patient's head and limbs. Moreover, one should apply long smoothing movements for limbs. The first stage should be finished with respiratory exercises. Then comes relaxing massage of jugular area and hands, plastic impact upon facial fasciae and muscles, massage of biologically active points and linear facial massage. Then one should do the complex of strengthening exercises for the neck and face. At the same time, one should concentrate patient's attention upon coming feelings in jugular and facial areas. Complex of strengthening exercises for the face and the neck should be performed every day. The present innovation enables to maintain daily tonicity of facial myofascial layer well.

EFFECT: higher efficiency.

1 cl, 4 ex

FIELD: medicine, thoracic surgery, anesthesiology.

SUBSTANCE: as non-narcotic medicinal preparation one should apply heparin to be introduced intratracheally at the dosage of 300-500 IU/kg, moreover, heparin should be introduced during the first 30 min after the operation is over. The present innovation enables to create prolonged anesthetizing effect in combination with prophylaxis of postoperational thrombohemorrhagic complications due to heparin capacity to be kept in the body due to its accumulation by mast cells at blockade of their fermentative activity followed by its gradual release into the blood.

EFFECT: higher efficiency.

1 cl, 1 ex, 3 tbl

FIELD: medicine.

SUBSTANCE: method involves doing complex of physical training exercises on the background of medical rehabilitation treatment. First, dominant hemisphere is determined. Next, exercises are done expanding in turn over higher and higher levels of the nervous system beginning from homolateral movements of extremities. Then, heterolateral movements are done with extremities: first, without crossing median line of the body and then with shoulder girdle rotation to one side and pelvic girdle to the opposite side ending in movements crossing the median line. Then, the heterolateral movements are combined with eye movements and functional loads upon the hemispheres. Infinity sign drawing is carried out in the air with the right hand, left hand and with both hands, following the imaginary drawings with eyes and transferring center of gravity from one leg to the other one. Then, symmetrical figures are drawn simultaneously using both hands. Then, autotraining exercises are done consisting in creating and fixing in memory image of both working hemispheres.

EFFECT: enhanced effectiveness of influence exerted to both hemispheres in activating interhemispheric links and restoring injured cortical functions.

8 dwg, 2 tbl

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