Fontaine O
Acta Psychiatr Belg. 1981 May-Jun;81(3):213-25.
The persistent intricacy of published positive results of fundamental researches on biofeedback and data obtained with its therapeutical applications leaves the clinician quite puzzled before such a controversial topic. The author states how biofeedback methodology definitely enriched our understanding of internal regulatory mechanisms and that of interrelations between internal and external environments. On the other hand, it is shown that present-day therapeutical applications (except those relevant to organic pathology) still do not undeniably demonstrate the efficacy of biofeedback. The author views this as the result of some obvious conceptual errors, namely the over simplification of the physiopathological conceptions shared by the practitioners of biofeedback and the nature of the symptomatic approach to psychosomatic functional disorders, as elaborated apart from a more global perspective embodying the relationships between the organism and his environment. The author finally questions the validity of a reasoning process that parallels disorders from an organic origin and those with a functional aetiology for the purpose of therapy.
生物反馈基础研究已发表的积极成果以及其治疗应用所获得的数据一直错综复杂,这让临床医生在面对这个颇具争议的话题时深感困惑。作者指出,生物反馈方法无疑丰富了我们对内部调节机制以及内部与外部环境之间相互关系的理解。另一方面,研究表明,当今的治疗应用(除了与器质性病变相关的那些)仍无法确凿地证明生物反馈的疗效。作者认为这是一些明显概念错误的结果,即生物反馈从业者所秉持的生理病理概念过于简化,以及在处理身心功能障碍时采用的症状性方法的本质,这种方法是脱离体现机体与环境之间关系的更全面视角来阐述的。作者最后质疑了为治疗目的而将源于器质性病变的疾病与功能性病因的疾病进行平行推理过程的有效性。