Raz Amir, Keller Shari, Norman Kim, Senechal Diana
Vancouver Coastal Health Research Institute.
Am J Clin Hypn. 2007 Apr;49(4):289-309. doi: 10.1080/00029157.2007.10524506.
Biological psychiatry favors drug treatment over non-pharmacological intervention and shapes the way clinicians both treat and understand Tourette's Syndrome (TS). However, drug treatments for TS involve side effects and are potentially toxic to the central nervous system. Moreover, current pharmacological treatments are largely ineffective and at best only provide a modest symptom reduction. In this paper, we describe how non-pharmacological treatments such as focused attention can modulate, reduce, or indeed entirely eliminate the symptoms of TS as well as elucidate the underlying neural mechanisms. Showing that the symptoms of TS are susceptible to self-regulatory interventions such as hypnosis, we propose that attentional training could be used to both treat the disorder and better understand it.
生物精神病学更倾向于药物治疗而非非药物干预,并塑造了临床医生治疗和理解妥瑞氏症(TS)的方式。然而,TS的药物治疗存在副作用,并且可能对中枢神经系统有毒性。此外,目前的药物治疗大多无效,充其量只能适度减轻症状。在本文中,我们描述了诸如集中注意力等非药物治疗如何调节、减轻或实际上完全消除TS的症状,并阐明其潜在的神经机制。鉴于TS的症状易受催眠等自我调节干预的影响,我们建议注意力训练可用于治疗该疾病并更好地理解它。