Barolin G S
Ludwig Boltzmann-Institut für Neuro-Rehabilitation und -Prophylaxe, Landes-Nervenkrankenhauses Valduna, Rankweil, Osterreich.
Rehabilitation (Stuttg). 1992 Feb;31(1):20-8.
Especially the chronically ill and disabled deserve to benefit from "socially integrated psychotherapy" in view of their specific situation of distress, which has often arisen without warning and unexpectedly. Dealing with bodily impairments, there are the so-called "organismic" methods using the hypnoid state as major component that have proven to be highly efficient. Dealt with are autogenic training, guided affective imagery, respiratory feedback and hypnosis. Hypnoid states can be regarded as a third basic state of consciousness in humans (besides waking and sleep). They play a major role in many forms of psychotherapy. The knowledge and selective use of underlying mechanisms enhance the potentialities of psychotherapy. The psychotherapeutic basic dialogue stays in constant accompanying function. We are opposed to a widespread misconception that psychotherapy is a method for the treatment of psychogenic disorders only. We obtained good results in the treatment of palsied patients of extrapyramidal and pyramidal type with hypnosis or autohypnosis as well as with our own model of group psychotherapy (autogenic training with concomitant analytic discussion, over a period of up to nine months). In this set-up we successfully mix patients with psychogenic and with somatogenic disorders. Although not a primarily psychotherapeutic method, respiratory feedback also makes use of the hypnoid state. Good results have been achieved with patients in rehabilitation and chronic pain sufferers. Occasional experience with guided affective imagery have been encouraging. We can conclude that psychotherapy with organically ill patients is indicated and promising. We need more appropriate training, supervision and concomitant scientific research.(ABSTRACT TRUNCATED AT 250 WORDS)
尤其是慢性病患者和残疾人，鉴于他们常常毫无预兆且意外出现的特殊痛苦状况，理应从“社会整合心理治疗”中受益。在应对身体损伤方面，有所谓的“机体性”方法，这些方法以类催眠状态为主要组成部分，已被证明效率极高。涉及的有自生训练、引导性情感意象、呼吸反馈和催眠。类催眠状态可被视为人类意识的第三种基本状态（除清醒和睡眠之外）。它们在多种心理治疗形式中发挥着重要作用。对潜在机制的了解和选择性运用可增强心理治疗的潜力。心理治疗的基本对话始终发挥着伴随功能。我们反对一种普遍的误解，即心理治疗只是一种治疗心因性障碍的方法。我们在使用催眠或自我催眠以及我们自己的团体心理治疗模式（自生训练并伴有分析讨论，为期长达九个月）治疗锥体外系和锥体类型的瘫痪患者方面取得了良好效果。在这种模式下，我们成功地将心因性障碍患者和躯体性障碍患者混合在一起。呼吸反馈虽然不是主要的心理治疗方法，但也利用了类催眠状态。在康复患者和慢性疼痛患者中已取得良好效果。引导性情感意象的偶尔经验也很鼓舞人心。我们可以得出结论，对器质性疾病患者进行心理治疗是有必要且有前景的。我们需要更恰当的培训、监督以及相关的科学研究。（摘要截选至250词）
