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[自生训练(AT)——呼吸反馈(RFB);面向一般实践的鉴别适应症中的相似性和局限性]

[Autogenic training (AT)--respiratory feedback (RFB); similarities and limits in general practice oriented differential indications].

作者信息

Barolin G S

机构信息

Ludwig-Boltzmann-Institut für Neuro-Rehabilitation und -Prophylaxe, Landes-Nervenkrankenhauses Valduna, Rankweil.

出版信息

Wien Med Wochenschr. 1988 Apr 15;138(6-7):161-4.

PMID:3394333
Abstract

Autogenic Training (AT) is not merely a "relaxation exercise". We quote five dimensions of AT that should by clearly differentiated: 1) concentration, 2) relaxation, 3) vegetative switch toward the hypnoid state, 4) dynamising reprise exercise. 5) holistic inclusion in a complex psychotherapeutical concept. We consider the self induced hypnoid state plus dynamising reprise exercise as the main components for the beneficial effect of AT. The hynoid state has its neurophysiological definition as a third human state of consciousness. The reprise exercise is more than making it abolish, but has its own therapeutical values: dynamisation. Respiratory feedback (RBF - a special kind of biofeedback) has the factors relaxation and vegetative switch towards hypnoid in common with autogenic training. Where these components are specially requested, RFB proves valuable in therapy. In other indications however AT is of much better use. Namely: where the educational value of mutation, self-concentration and the therapeutic context is of predominant importance. AT as well as RFB may be considered "misused" in having them replace the therapeutical and understanding conversation between doctor and patients, in a mechanistic way. As a slogan it may be said: AT goes deeper, RFB goes quicker.

摘要

自生训练(AT)不仅仅是一种“放松练习”。我们列举出AT应明确区分的五个维度:1)专注,2)放松,3)向类催眠状态的自主转换,4)动态重复练习,5)全面纳入一个复杂的心理治疗概念。我们认为自我诱导的类催眠状态加上动态重复练习是AT产生有益效果的主要组成部分。类催眠状态在神经生理学上被定义为人类意识的第三种状态。重复练习不仅仅是消除某种状态,而是有其自身的治疗价值:动态化。呼吸反馈(RBF——一种特殊的生物反馈)与自生训练有共同的放松和向类催眠状态自主转换的因素。在特别需要这些成分的情况下,RBF在治疗中被证明是有价值的。然而,在其他适应症中,AT的用途要好得多。也就是说:在改变、自我专注的教育价值以及治疗背景至关重要的情况下。AT和RBF都可能被“误用”,即以机械的方式取代医生与患者之间的治疗性和理解性对话。可以说有这样一句口号:AT更深入,RBF更快速。

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Wien Med Wochenschr. 1988 Apr 15;138(6-7):161-4.
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