Psychosomatic (Mind-body) Medicine, Acupuncture and Aromatherapy
"The natural healing force within each one of us is the greatest force in getting
well- Hippocrates
The goal of mind/body techniques is to activate the relaxation response and reduce the stress
response. While relaxed, the levels of hormones related to stress are reduced and the immune system is more responsive and
active. Psychosomatic medicine aim to educate the mind to focus on the body without distraction. A "focused concentration"
can lead to alterations in physical health Psychosomatic medicine is therapeutic approach to healing that uses
the resources of the mind to alter physical health.. The ancients emphasize the important links between
the mind and the body. While orthodox medical views were shaped by systems of thought that emphasized that the mind
and body are separate. As science evolved with Louis Pasteur's discovery of the germs theory of disease, the notion
of a connection between mind and body was thought to be superstitious and obsolete
In 1964, psychiatrist George
Solomon observed that rheumatoid arthritis worsened when people harbored negative emotions. This observation led him to study
the influence of mental states on inflammation and immune system. This opened a new frontier in orthodox medicine called psychoneuroimmunology
("psycho" for psychology; "neuro" for neurology, or nervous system; and "immunology" for immunity).
In the 1960s and early 1970s, a physician named Herbert Benson, who coined the term "relaxation response,"
observed the influence of meditative states on blood pressure. In 1975, psychologist Robert Ader shoed that mental and emotional
states influences the immune system
Biofeedback is a procedure in which individuals are trained to alter their
biochemistry by learning to regulate physiological processes that occur involuntarily, such as heart beat or blood
pressure. These activities can be quantified with electrodes and shown on monitors that both the patient and the practitioner
can access. The monitor provides feedback to the patient about the physiological processes taking place. This patient can
then be educated to use the information to gain control over these "involuntary" impulses. Biofeedback is used for
many conditions
Cognitive behavioral therapy is used to help individuals observe and alter detrimental thought patterns.
Individuals with phobias might knowingly expose themselves, under the supervision of the therapist, to what they are
scared of. Brain scans prove that with time this procedure can alter how the brain functions.
Relaxation techniques
Autogenic training
utilizes visual imagery and body awareness to move an individual into a deep state of relaxation. The person imagines a peaceful
scene from the past and then focuses on different physical sensations in the scenes and moving from the feet to the head.
For example, the individual on focus on warmth and heaviness in the legs or easy, natural heart beat
Progressive
muscle relaxation involves slowly tensing and then releasing each muscle group individually, starting with the muscles
in the toes and finishing with those in the head.
The two most widely practiced forms of meditation in North America
are Transcendental Meditation (students repeat a mantra [a single word or phrase],) and mindfulness meditation (students focus
their attention on their moment-by-moment thoughts and sensations).
The word hypnosis is originally
taken from the Greek term Hypnos, meaning "sleep") in a hypnosis session, a person's body relaxes while their thoughts
become more focused, intuitive and attentive. It is in this state of deep concentration that individuals are highly receptive
to a hypnotherapist's suggestions. Today, many mental health professionals use hypnosis to treat people with many organic
illnesses.
Resources
Biofeedback: The Association for Applied Psychology and
Biofeedback (www.aapb.org) is the national membership association for professionals using biofeedback and is a good resource for finding qualified
biofeedback practitioners in your area. To receive a directory of trained biofeedback specialists in your area, write to the
AAPB at 10200 W. 44th Avenue, Suite 304, Wheat Ridge, CO 80033-2840 or call them at 800-477-8892.
Relaxation: To learn
more about relaxation techniques and to locate healthcare facilities that include them as part of their practice, contact
the Stress Reduction Clinic at the University Of Massachusetts Memorial Medical Center in Worcester, Mass. at 508-856-2656.
You can also visit them on the Web at www.umassmed.edu/cfm/mbsr to find a list of the healthcare facilities in 38 states that offer information on and training in relaxation techniques.
Hypnosis: To receive a directory of professionals practicing hypnotherapy near you, contact either the American Society
of Clinical Hypnosis (visit them on the Web at www.asch.net or call 312-645-9810) or the Society for Clinical and Experimental Hypnosis (on the Web at http://www.sceh.us/index.htm.
End notes
Ader R, Cohen N. Psychoneuroimmunology: conditioning and stress. Annu Rev Psychol.
1993;44:53-85.
Affleck G, Apter A, Tennen H, et al. Mood states associated with transitory changes in asthma symptoms
and peak expiratory flow. Psychosom Med. 2000;62(1):61-68.
Anderson G, Lyttkens L. A meta-analytic review of psychological
treatments for tinnitus. Br J Audiol. 1999;33(4):201-210.
Astin JA. Stress reduction through mindfulness meditation.
Effects on psychological symptomatology, sense of control, and spiritual experiences. Psychother Psychosom. 1997;66:97-106.
Berman BM, Swyers JP. Complementary medicine treatments for fibromyalgia syndrome. Baillieres Best Pract Res Clin Rheumatol.
1999;13:487-492.
Broderick JE. Mind-body medicine in rheumatologic disease. Rheum Dis Clin North Am. 2000;26(1):161-176,
xi.
Brosschot JF, Godaert GL, Benschop RJ, Olff M, Ballieux RE, Heijnen CJ. Experimental stress and immunological reactivity:
a closer look at perceived uncontrollability. Psychosom Med. 1998;60(3):359-361.
Carlson LE, Ursuliak Z, Goodey E, Angen
M, Speca M. The effects of a mindfulness meditation-based stress reduction program on mood and symptoms of stress in cancer
outpatients: 6-month follow-up. Support Care Cancer. 2001 Mar;9(2):112-123.
Cassileth BR. The Alternative Medicine Handbook:
The Complete Reference Guide to Alternative and Complementary Therapies. New York: W.W. Norton & Company; 1998.
Castillo-Richmond
A, Schneider RH, Alexander CN, et al. Effects of stress reduction on carotid atherosclerosis in hypertensive African Americans.
Stroke. 2000;31(3):568-573.
Coker KH. Meditation and prostate cancer: Integrating a mind/body intervention with traditional
therapies. Sem Urol Oncol. 1999;17(2):111-118.
Davis MC, Matthews KA, McGrath CE. Hostile attitudes predict elevated
vascular resistance during interpersonal stress in men and women. Psychosom Med. 2000;62(1):17-25.
Drossman DA, Leserman
J, Li Z, Keefe F, Hu YJ, Toomey TC. Effects of coping on health outcome among women with gastrointestinal disorders. Psychosom
Med. 2000;62(3):309-317.
Esch T, Stefano GB, Fricchione GL, Benson H. Stress in cardiovascular diseases. Med Sci Monit.
2002;8(5):RA93-RA101.
Evengård B, Schacterle RS, Komaroff AL. Chronic fatigue syndrome: new insights and old ignorance.
J Intern Med. 1999;246(5):455-469.
Everson SA, Kaplan GA, Goldberg DE, Salonen JT. Hypertension incidence is predicted
by high levels of hopelessness in Finnish men. Hypertension. 2000;35(2):561-567.
Hashiro M, Okumura M. The relationship
between the psychological and immunological state in patients with atopic dermatitis. J Dermatol Sci. 1998;16(3):231-235.
Irvin JH, Domar AD, Clark C, et. al. The effects of relaxation response training on menopausal symptoms. J Psychosom
Obstet Gynecol. 1996;17:202-207.
Keefer L, Blanchard EB. A one year follow-up of relaxation response meditation as a
treatment for irritable bowel syndrome. Behav Res Ther. 2002 May;40(5):541-546.
Kiecolt-Glaser JK, Glaser R. Psychoneuroimmunology
and cancer: fact or fiction? Eur J Cancer. 1999;35(11):1603-1607.
Kop WJ. Chronic and acute psychological risk factors
for clinical manifestations of coronary artery disease. Psychosom Med. 1999;61(4):476-487.
Levenstein S, Smith MW, Kaplan
GA. Psychosocial predictors of hypertension in men and women. Arch Intern Med. 2001;161(10):1341-1346.
Luskin FM, Newell
KA, Griffith M, et al. A review of mind/body therapies in the treatment of musculoskeletal disorders with implications for
the elderly. Altern Ther Health Med. 2000;6(2):46-56.
Mamtani R, Cimino A. A primer of complementary and alternative
medicine and its relevance in the treatment of mental health problems. Psychatr Q. 2002;73(4):367-381.
Mann SJ. The
mind/body link in essential hypertension: time for a new paradigm. Altern Ther Health Med. 2000;6(2):39-45.
Marucha
PT, Kiecolt-Glaser JK, Favagehi M. Mucosal wound healing is impaired by examination stress. Psychosom Med. 1998;60(3):362-365.
Miller GE, Dopp JM, Myers HF, Stevens SY, Fahey JL. Psychological predictors of natural killer cell mobilization during
marital conflict. Health Psychol. 1999;18(3):262-271.
Niaura R, Banks SM, Ward KD, et al. Hostility and metabolic syndrome
in older males: the normative aging study. Psychosom Med. 2000;62:7-16.
NIH. NIH establishes five mind-body research
centers [press release]. Accessed October 2, 2002 at www.nih.gov/news/pr/sept99/od-30.htm.
Pert CB, Dreher HE, Ruff MR. The psychosomatic network: foundations of mind/body-medicine. Altern Ther Health Med.
1998;4(4):30-41.
Robinson FP, Mathews HL, Witek-Janusek L. Stress reduction and HIV disease: a review of intervention
studies using a psychoneuroimmunology framework. J Assoc Nurses AIDS Care. 2000;11(2):87-96.
Ruiz RJ, Pearson AJ. Psychoneuroimmunology
and preterm birth. A holistic model for obstetrical nursing practice and research. MCN Am J Matern Child Nurs. 1999;24(5):230-235.
Rusy LM, Weisman SJ. Complementary therapies for acute pediatric pain management. Pediatr Clin North Am. 2000;47(3):589-599.
Selhub EM. Stress and distress in clinical practice: a mind-body approach. Nutr Clin Care. 2002;5(4):182-190.
Sheng
C. Emerging paradigms in mind-body medicine. J Altern Complement Med. 2001;7(1):83-91.
Trilling JS. Selections from
current literature. Psychoneuroimmunology: validation of the biopsychosocial model. Fam Pract. 2000;17(1):90-93.
Tucker
JB. Modification of attitudes to influence survival from breast cancer. Lancet. 1999;354(9187):1320.
Watson M, Haviland
JS, Greer S, Davidson J, Bliss JM. Influence of psychological response on survival in breast cancer: a population-based cohort
study. Lancet. 1999;354(9187):1331-1336.