Houge N H
Psychother Psychosom. 1979;32(1-4):302-5. doi: 10.1159/000287400.
The author describes a combined approach, called psychomotoric treatment, for patients with emotionally conditioned, somatic symptoms, such as headache, backache, neck-shoulder-arm pains, postural disorders and inhibited respiration. Many of these patients have previously been treated in vain with tranquilizers and ordinary physiotherapy. The physiotherapeutic part of the treatment (psychomotoric physiotherapy) is based on a comprehensive view of the muscular apparatus and functioning as a whole with emphasis on correction of postural disorders and liberation of respiration. It should also include close cooperation with the doctor, who may be called upon when emotional inhibition impedes further progress of the physiotherapy. The main indication area for this treatment is the clientele of the general practitioner. Patients with clear psychiatric symptoms should be treated only if anchored in a secure psychotherapeutic situation.
作者描述了一种针对患有情绪性躯体症状(如头痛、背痛、颈肩臂疼痛、姿势障碍和呼吸抑制)患者的联合治疗方法,称为心理运动治疗。这些患者中有许多人此前使用镇静剂和普通物理治疗均徒劳无功。治疗中的物理治疗部分(心理运动物理治疗)基于对肌肉系统及其整体功能的全面认识,重点在于纠正姿势障碍和解除呼吸抑制。它还应包括与医生密切合作,当情绪抑制阻碍物理治疗的进一步进展时可求助于医生。这种治疗的主要适应证人群是全科医生的患者。只有在有可靠的心理治疗背景时,才应对有明显精神症状的患者进行治疗。