Method for treating the cases of chronic alcoholism

FIELD: medicine.

SUBSTANCE: method involves carrying out therapy in three stages. Clinical psychological examination is carried out at the first stage. Then, treatment for relieving emotional stress is applied. Emotionally saturated variable stimuli are concurrently applied. The stimuli are implicitly and substantially associated with verbal suggestion formula as a whole over vision and auditory sensory cerebral systems. Treatment duration is 60 min. Emotional stress therapy is applied at the second stage to produce negative conditional reflex against alcohol consumption on the background of bright, emotionally saturated esthetic stimuli implicitly and substantially associated as a whole with verbal suggestion formula. Conditional reflex is trained by triple 2 s long acoustic signal repetition with 4 s long pauses equal in time. 10 sessions each being 60 min long are applied twice a week. Supporting therapy is administered at the third stage. The treatment has 10 sessions each being 60 min long once per 3 weeks.

EFFECT: enhanced effectiveness in cultivating conditional alcohol aversion reflex and forming soberness dominant.

 

The invention relates to medicine, namely to psychiatry and narcology, and can be used for the prevention and treatment of chronic alcoholism on an outpatient basis.

There is a method of treatment of patients with chronic alcoholism according to the method of Dovzhenko, A.R., which consists of three stages: introductory placebo effect, the collective group classes, coding. The treatment efficiency is achieved by creating a negative conditioned reflex to alcohol and irritation of the vagus and trigeminal nerves mechanical impact at the points of their output and irrigation of the mouth-chloroethyl. The disadvantage of this method is the one-time nature of the impact that can lead to relapse of the disease and the lack of feedback from the patient to monitor the effectiveness of treatment.

There is a method of treatment of chronic alcoholism by the method Nazarlieva SB, which is conditioned reflexes alcohol on the background of the introduction of drugs (as the USSR №159020, MKI a 61 K 31/445). The disadvantage of this method of treatment is the fact that it is held in the hospital under constant supervision of medical staff. The treatment is of long standing, is available to a limited number of patients and it is expensive.

The objective of the invention is to develop a method for the treatment of chronic alcoholism by the comp is exnovo, a systematic approach to the development of the conditioned reflex on aversio to alcohol, the formation of a functional system is dominant in absolute sobriety and removing the craving for alcohol in an outpatient setting based on the type of personality of the patient.

To achieve the specified result, it is proposed a process comprising three stages and carried out as follows.

In the first stage, after developing the right attitude to internal pattern of disease (mediating emotions), rational, individual, outreach therapy, correction of uncertainty with subsequent clinical psychological research, there is a session to relieve emotional stress - stress. The session is the simultaneous effect of the stimulus on the visual and auditory sensory system of the brain elements affecting incentives, together related in meaning and content with the verbal formula, by applying the structure of the material with aesthetic content on CD-ROMs. The main components of emotional relaxation within the psychotherapeutic work are:

- motivated verbal formula with elements of suggestion;

- meditative music emotional relaxation;

- impact on the emotional-volitional sphere vivid, emotionally-saturated, changing element.offsetwidth incentives (graphics, installation changing video) together related in meaning and content with the verbal formula narrow therapeutic-prophylactic plot - structure of the material on the psycho-emotional relaxation, superimposed on CDs and formed based on the types and characteristics of individuals. For session relieve emotional stress - stress within the psychotherapeutic work the patient sits in the chair, the computer turns on, put on stereo headphones. Available with directories, composed of superimposed on the CDs structure of a material with a narrow therapeutic-prophylactic story based on the types and characteristics of personality. Selected taking into account individual peculiarities of a person material and conducted the session (session) to relieve emotional tension, stress, exposure duration 60 minutes.

The second step is conditioned reflexes on aversio to alcohol with the formation of a functional system is dominant in absolute sobriety and removing the craving for alcohol use psychophysiological phenomenon summation of excitations, by simultaneous exposure to the stimulus on 2 touch system. Directly conditioned reflexes on aversio to alcohol is threefold repetition of the sound of the first signal, duration 2 seconds, at equal intervals of time, a duration of 4 seconds. The impact is element of emotional stress formula in the parameters affecting incentives that increase the activity of the electoral performance of the neural structures of the brain (the associative areas), engaged in listening to enhance the perceptual process, while reducing, at the same time, the threshold of perception of the stimulus (sound signal) with phonemic signs, used in the structure of the material, in parallel, the auditory stimulus with a meditative musical element. At the same time made an impact in targeted therapeutic story emotional relaxation, stimulus on visual analyzers (associative areas of the brain) bright, emotionally intense, changing images, bound up in the meaning and content with verbal emotional-stress formula for aversio to alcohol the elements of the structure of the material with aesthetic content. The duration of exposure of 14 seconds. The main components of the psychotherapeutic work in the development of the conditioned reflex on aversio to alcohol, duration of exposure of 60 minutes, are:

A) motivated verbal formula rational, suggestive, emotional-p is Savoy therapy for aversio to alcohol, based on the types and characteristics of the individual;

B) musical meditative background emotional relaxation;

B) the impact of bright, vibrant, moving images, together related in meaning and content with verbal curative formula and musical elements impact on aversio to alcohol structure of the material with aesthetic content (graphics, editing changing video) narrow therapeutic story (image) with a gradual opposition compensatory image, to produce the dominant motivation for absolute sobriety and the formation of a functional system-dominant to relieve craving for alcohol.

During the session the impact is applied, the structure of the material with curative story on CD-ROM, formed in directories based on the types and characteristics of personality and mounted in a computer program with a multi-media production for individual selection of the material and conducting the sessions.

The second stage is carried out as follows: the patient sits in the chair, the computer turns on with the proposed computer program, put on stereo headphones, selected individually material with curative story, given the type and personality characteristics, and held a session lasting 60 minutes. which are conducted 10 sessions 2 times a week.

The third stage involves supportive therapy in the same way with 10 sessions (sessions of 60 minutes each, 1 times in three weeks.

The proposed method for the treatment of chronic alcoholism, consisting in the development of the conditioned reflex on aversio to alcohol, with formation of a functional system is dominant in absolute sobriety, on the background of brightly colored, emotionally-rich, ever-changing, related in meaning together with the verbal formula of the elements of aesthetic content and music therapy, with treatment-and-prophylactic plot (editing and graphics overlay on the CDs structure of the material formed taking into account the disease and the characteristics of personality types), in the form of a narrowly focused psychotherapy works (images), method a phased implementation in the process of installation on sobriety and removing the craving for alcohol, medical treatment sessions in computer programs with multimedia products and stereo (stereo headphones) individually, with application in clinical practice in the treatment of chronic alcoholism, allows simultaneous influence of visual and auditory sensory areas of the brain, which increases the effect with the removal of craving for alcohol with the purpose of treatment and psycho-correction and behavioral patterns.

P the emer No. 1.

Patient A. after the medical relief of alcohol withdrawal syndrome in 1996 was held on the proposed method of treatment regarding alcohol addiction with Dr. S.: chronic alcoholism II century in the form of a long, circular drinking bouts, characterological change a mixed type of person with an unstable orientation. In the survey complained of General weakness, headaches, vague anxiety, sweating, nausea, poor sleep, conscious cravings for alcohol. Do not drink alcohol within 2 years. In mental and physical development from his peers did not lag behind. I went to school on time, studied well. Higher education, as engineer. From next of kin no mental illness did not suffer. What was ill as a child remembers. Within ten years, suffering from diabetes, compensation diet tablet forms of drugs.

Abuse alcohol more than 17 years. Was first introduced to alcohol at the age of 12 years. Used occasionally in the company of peers. Abuse was 19 years old when he appeared attraction to alcohol. Gag reflex lost 18 years. Tolerance - 0.5 liters of vodka. Hangover expressed with 21 years old when he began to drink occasionally the hard drinking for 2-3 weeks two or three times a year. On “D” registered in narcological is the abinetom was not. Binges in the last 10 years, eliminates anonymous, drug. Yourself to quit binge can't. Expressed psychosomatic component withdrawal symptoms: headaches, emotional stress, unaccountable anxiety, the rhythm of sleep and wakefulness, sweating, palpitations, increased respiration, weakness, General weakness, increased tone striated muscle, tonic convulsions, increased blood pressure up to 180/100 mm RT. Art. In 1990 and was treated by the method of Dovzhenko. During remission periodically experienced a pronounced attraction to alcohol. Not used for 2 years and 6 months, “suffered” and “broke”, I realized that not deadly. From then until the present time binges occasionally. Changed in character. Became apathetic, weak-willed, decreased memory, decreased performance, and lack of restful sleep. Notes lower potency, cannot create a family.

Objective: high growth, giperstenicheskom body, subcutaneous fat expressed, I degree obesity. From internal organs pathology no. HELL 140/190 mm RT. Art.

Neurological status: pupils D=S, eye slits of equal size, reaction to convergence and accommodation alive, paresis and paralysis sensitive disorders, disorders of coordination no. Pronounced tremor of the hands, head. Hyperhidrosis of the feet and palms. Suhail the major reflexes quickened with the upper and lower extremities D=S. Pathological reflexes there. Expressed degenerescence feature - heavy eyebrows. When asked to put your hand on hand on top of left hand. The left hand is stronger than the right for 10 kg on the dynamometer.

Mental status: available contact on the merits. Is oriented correctly. Their experiences are not fully disclose. Emotionally tense, anxious, unstable mood, insomnia, unaccountable anxiety. Experiencing conscious attraction to alcohol. Expressed subjective setting of sobriety, expresses real plans for the future, is configured to treatment.

Clinical psychological research: test Sondhi this type corresponds to the factor R, reduced self-esteem, distrust, suspicion. In the SMIL profile leading scale "impulsiveness" or the reaction of emotional stress in the immediate behavior.

Test MCV+2+3.

Test DIR dominance of the fourth octant (independent, skeptical).

Conclusion: the results of clinical-psychological studies indicate a high intellectual capacity, a reduction of process memory, fatigue, attention, anxiety, adequate self-esteem, comfort facilities, high creative potential.

In the study of constitutional personality types revealed signs of the dominance of the right hemisphere, while accentuating ustoichivy type: sensory-logical introvert.

Laboratory data: complete blood count and urine in norm. The fundus of the eye without features. Chest x-ray without pathology. ECG changes. After cupping withdrawal syndrome patient, held on the proposed method in stages 21 to psychotherapy. In the first stage, after developing the right attitude to internal pattern of disease (mediating emotions), rational, outreach therapy, correction of uncertainty with subsequent clinical psychological research. The patient sits in the chair, the computer turns on with the proposed computer program, catalogues, CD-ROMs, with curative plot for stress relief - stress. The structure of the material were selected on the basis of personality characteristics. Were put on stereo headphones. Conducted 1 session duration of exposure of 60 minutes to relieve emotional stress - stress.

The second part was conditioned reflexes on aversio to alcohol with the formation of a functional system is dominant in absolute sobriety and removing the craving for alcohol. The patient sat in a chair, turned on the computer with the proposed computer program, catalogues, CD-ROMs, treatment and prevention of plot generated based on the types and persons whom NOSTA personalities. Were put on stereo headphones. Selected material structure based on the type of personality of the patient, and 2 times a week, at the same time, step by step, conducted sessions with the elaboration of a conditioned reflex to aversio to alcohol and the formation of the dominant motivation for absolute sobriety in the structure of the functional system-dominant to relieve craving for alcohol, 60 minutes duration. Just 10 lessons (sessions).

At the third stage, the same method was performed maintenance therapy with sessions of exposure to the same material structure, at the same time, 1 times in three weeks, just 10 lessons (sessions).

Do not drink alcohol for 6 years (expressed in remission). The attraction to alcohol does not feel. Notes the significant improvement of health, the mood is smooth, no complaints.

Example No. 2.

Patient B. After cupping pronounced withdrawal syndrome drug methods underwent treatment regarding alcohol dependency DS: Chr. Alcoholism II century In the form of binge drinking, characterological change in psycho personality type with anankastic the accentuation. Year of birth 1964. He is married and has three children. Born the fifth child in the family. Grew and developed normally. In mental and physical development from his peers did not lag behind. Schools who have went on time, studied well. Higher education, engineer, foreman. From next of kin no mental illness did not suffer. What was ill as a child remembers. Comorbidities no. Met with alcohol at the age of 11. Abuse was 24 years old. Hangover with a strong psychosomatic component. Was on “D” accounting, was repeatedly treated for chronic alcoholism in the drug Cabinet. The last 10 years binges pain medication. When the survey was complaining of anxiety, emotional stress, insomnia, weakness, palpitations, expressed a conscious attraction to alcohol. Objective: high growth, normastenicheskom physique. From internal organs pathology no. HELL 140/90 mm RT. Art.

Neurological status: pupils D>S, the eye slits of equal size, reaction to convergence and accommodation alive, paresis and paralysis, sensitive disorders no. Easy functional instability of the facial muscles on the Central type. The tip of the tongue deviates to the left. Tendon reflexes quickened with the upper and lower extremities. Abdominal missing. Pathological reflexes there. Pronounced tremor of the hands, hyperhidrosis of the feet and the palms.

Mental status: available contact essentially, nemnogo the Yong, their experience reveals not completely. Active psychobabble does not detect. Emotionally tense, the mood is unstable, worried about insomnia, unaccountable anxiety, weakness, increased blood pressure, nausea, impaired tone striated muscle, elements of tonic convulsions. Notes expressed a conscious attraction to alcohol. Memory, reduced intelligence, situational control and control over the number of drunken lost. Tolerance - 0.5 liters of vodka. Withdrawal syndrome with severe mental component. Setting to true sobriety. Plans for the future real, is configured to treatment.

Clinical psychological research: test Sondhi this personality type corresponds to the factor D drive.

On a scale SMIL reflects the formation of astenodepressivnyh syndrome. Test MCV 12435607.

Test DIR domination IV-V octanol.

Conclusion: the results of clinical psychological research collected indirect evidence in favor of organic changes in the brain function and Central nervous system. In the study of constitutional features of the personality type there is an indication of the dominance of the left hemisphere in anankastic personality (logical-intuitive introvert).

After the relief of withdrawal held by the proposed method in stages 21 busy is e (session) psychotherapy. Do not drink more than three and a half years (long-term remission). Attraction to alcohol does not feel. Notes the improvement of health, the mood is smooth, became cheerful, confident, increased efficiency.

Example # 3

Patient Century after the medical relief of alcohol withdrawal syndrome was held in April 2001, the treatment by the proposed method regarding alcohol dependence. DS: Chr. Alcoholism II century In the form of occasional drinking bouts, characterological change a mixed personality type with a comfortable accent. Do not drink alcohol during the three and a half years. He was born in 1948. Grew and developed normally. I went to school on time, studied well. Higher education, specialty-engineer. He is married, has two children, healthy children. In my childhood was often sick with colds. In 1989, underwent surgery for ulcer 12 duodenal ulcer. Abusing alcohol for more than 20 years. Was first introduced to alcohol at the age of 12 years. Tolerance - 0.5 liters of vodka. Occasionally feels a compulsive attraction to alcohol. Binges for 10-15 days. Gag reflex is lost. Pronounced hangover with vegetative component. On “D” registered in narcological office was not involved. Yourself to quit binge may not, eliminates the binges medicamentos is about, anonymous. In a state of abstinence expressed insomnia, emotional stress, headaches, shortness of breath, palpitations, weakness, sweating, increased blood pressure. Was treated repeatedly by the method of Dovzhenko, but realized that it's not treatment, and intimidation”. After treatment, much like a drink and suffered for long. Changed in character. He became short-tempered, irritable, angry, deteriorated memory was broken restful sleep, the number of drunken increased. Objective: high growth, asthenic physique. From internal organs pathology no. AD - 150/90 mm RT. Art.

Neurological status: eye slits of equal size, broad limb of the corneal reaction to convergence and accommodation alive, the tip of the tongue deviates to the right. Tendon reflexes of the upper and lower extremities live. Pathological reflexes there. A positive test Activities. The power in his right hand in the survey dynamometer slightly predominant.

Mental status: available contact on the merits. Their experience reveals not fully oriented correctly, the active psychobabble does not detect. Expressed acquittal thinking, emotionally labile. Criticism to its incomplete status, expresses real plans for the future. Configured for treatment.

Clinical psychological research is the development of:

Test SMIL increase of 4 scales.

Test MCV 4+1+0.

Test DIR domination VI of the octant.

Conclusion: in the study of constitutional features of the personality type there is an indication of the dominance of the right hemisphere when accentuating a comfortable personality type (intuitive-emotional introvert).

Laboratory data: complete blood count and urine in norm. The fundus of the eye without features. Chest x-ray without pathology. ECG changes. After the medical relief of withdrawal held by the proposed method 21 to psychotherapy. The patient does not drink alcohol more than 1 year (remission). Attraction to alcohol does not feel. Notes the significant improvement of health, the mood is smooth, no complaints.

Of the 60 patients who asked for advice about the desire to pass the course without medication, 50 expressed a desire to continue the treatment by the proposed method. Out of 50 patients did not consume alcohol within one year 38 people, within 2 years - 27 people. The effectiveness of treatment with remission for more than 2 years from 50 treated is 54%. All patients noted a decrease or absence of craving for alcohol.

Method for the treatment of chronic alcoholism, including the production of a negative conditioned reflex on alcohol and formulate what their dominant on absolute sobriety and removing the craving for alcohol by means of individual emotional stress therapy characterized in that therapy is conducted in three stages, the first stage is conducted clinical psychological research, then hold a session to relieve emotional tension, stress, simultaneously affected emotionally-saturated changing incentives, linked together in meaning and content with the verbal formula on visual and auditory sensory system of the brain, and the exposure duration of 60 minutes; the second phase will cover the emotional stress therapy, implying a negative conditioned reflex to alcohol against the bright, vibrant, connected together in meaning and content with the verbal formula, incentives aesthetic content, while the development of the conditioned reflex produce a threefold repetition of a sound signal, a duration of 2 s, in equal intervals of time, with 4, spend 10 sessions 2 times per week with a duration of 60 minutes; in the third stage supportive therapy 10 sessions of 60 min each, 1 times in three weeks.



 

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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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