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催眠、冥想和生物反馈在皮肤病学中的应用。

Use of hypnosis, meditation, and biofeedback in dermatology.

作者信息

Shenefelt Philip D

机构信息

Department of Dermatology and Cutaneous Surgery, University of South Florida College of Medicine, Tampa, Florida.

出版信息

Clin Dermatol. 2017 May-Jun;35(3):285-291. doi: 10.1016/j.clindermatol.2017.01.007. Epub 2017 Jan 22.

Abstract

Hypnosis utilizes trance to access otherwise inaccessible repressed or unconscious memories and features of the psyche and control of physiology not attainable in the ordinary conscious waking state. Medical uses of hypnosis in dermatology include reducing discomfort from itching or skin pain, altering ingrained dysfunctional habits such as scratching, promoting healing of skin disorders, searching for psychosomatic aspects of skin disorders and alleviating them, and reframing cognitive and emotional dysfunctional patterns related to skin disorders. Meditation uses trance to center and balance. Medical uses of meditation in dermatology include relaxation to promote healing of skin disorders and refocusing with respect to the meaning and emotional negative valance of skin disorders. Biofeedback in dermatology employs instrumentation with visual or auditory feedback to permit conscious awareness and alteration of physiologic phenomena such as sweating as measured by galvanic skin resistance and skin temperature measured by temperature detecting devices, promoting relaxation and healing. These methods and techniques permit access to and intervention in otherwise inaccessible areas that can influence skin disorders. With proper use, they are very safe, with minimal, if any, side effects and sometimes produce significant results where other methods have failed.

摘要

催眠利用恍惚状态来获取在其他情况下无法触及的被压抑或无意识的记忆、心理特征,以及在普通清醒意识状态下无法实现的生理控制。催眠在皮肤病学中的医学用途包括减轻瘙痒或皮肤疼痛带来的不适、改变诸如抓挠等根深蒂固的功能失调习惯、促进皮肤疾病的愈合、探寻皮肤疾病的心身方面并加以缓解,以及重塑与皮肤疾病相关的认知和情绪功能失调模式。冥想利用恍惚状态来集中注意力并达到平衡。冥想在皮肤病学中的医学用途包括放松以促进皮肤疾病的愈合,以及重新关注皮肤疾病的意义和负面情绪。皮肤病学中的生物反馈使用带有视觉或听觉反馈的仪器,以实现对诸如通过皮肤电反应测量的出汗和通过温度检测设备测量的皮肤温度等生理现象的有意识感知和改变,从而促进放松和愈合。这些方法和技术能够进入并干预那些原本无法触及但会影响皮肤疾病的区域。如果使用得当,它们非常安全,副作用极小(即便有也微乎其微),而且在其他方法失效的情况下,有时能产生显著效果。

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