Kaiser Pamela, Kohen Daniel P, Brown Melanie L, Kajander Rebecca L, Barnes Andrew J
National Pediatric Hypnosis Training Institute (NPHTI), 29 Western Terrace, Minneapolis, MN 55426, USA.
Partners-in-Healing, 10505 Wayzata Blvd #200, Minnetonka, MN 55305, USA.
Children (Basel). 2018 Aug 7;5(8):108. doi: 10.3390/children5080108.
While pediatric integrative medicine (PIM) emphasizes an "evidence-based practice using multiple therapeutic modalities"; paradoxically, literature reviews examining the prevalence and/or efficacy of such mind⁻body approaches often address PIM modalities separately. Such contributions are relevant, yet documentation of how to deliver combined complementary approaches in children and youth are scarce. Nevertheless, integrative practitioners in clinical practice routinely mix approaches to meet the individual needs of each patient. Best practices are flexible, and include blending and augmenting services within the same session, and/or connecting modalities sequentially for an incremental effect, and/or referring to outside resources for additional interventions. Resonating with integrative medicine's definition, this article's goal is to demonstrate paradigms that "bring together complementary approaches in a coordinated way within clinical practice" by linking clinical hypnosis, the trail-blazer modality in PIM's history, with mindfulness, biofeedback, acupuncture, and yoga. Following the consideration of the overlap of guided imagery with hypnosis and an abridged literature report, this clinical perspective considers the selection of modalities within a collaborative relationship with the child/teen and parents, emphasizing goodness-of-fit with patients' contexts, e.g., symptoms, resources, interests, goals, and developmental stage. Case vignettes illustrate practical strategies for mixing approaches.
虽然儿科综合医学（PIM）强调“运用多种治疗方式的循证实践”；但矛盾的是，审查此类身心治疗方法的患病率和/或疗效的文献综述往往分别探讨PIM的治疗方式。这些研究成果具有相关性，然而关于如何为儿童和青少年提供综合补充治疗方法的文献却很匮乏。尽管如此，临床实践中的综合医学从业者通常会结合多种方法来满足每个患者的个体需求。最佳实践方法具有灵活性，包括在同一次治疗中融合和增加服务，和/或依次连接多种治疗方式以产生渐进效果，和/或转介至外部资源以进行额外干预。与综合医学的定义相呼应，本文的目标是通过将临床催眠（PIM历史上的先驱治疗方式）与正念、生物反馈、针灸和瑜伽联系起来，展示“在临床实践中以协调的方式整合补充治疗方法”的范例。在考虑了引导式意象与催眠的重叠以及一份简短的文献报告后，这一临床观点探讨了在与儿童/青少年及其父母的合作关系中治疗方式的选择，强调与患者背景（如症状、资源、兴趣、目标和发育阶段）的适配性。案例 vignettes 说明了混合治疗方法的实用策略。
