Barolin G S
Ludwig-Boltzmann-Institut für Neuro-Rehabilitation und -Prophylaxe, Feldkirch.
Wien Med Wochenschr. 1995;145(10):246-52.
Pain can be seen to originate from 3 sources: the anatomic way between stimulus and reaction; the autonomous nerve system; personality (with all its facettes and determinants). Psychotherapy (including its action in psychohygiene); we do not split up here according to "schools". For differential indication it seems more important to see the main ways how psychotherapy works: verbalisation, the hypnoid switch and other methods acting via the body, sociodynamics, presentation, behavioristic methods including biofeedback. All these methods to be used in mutual overlapping and combination. Different ways of psychotherapeutic action may be effective specifically and specially on different components of pains as stated above. Moreover we emphasize an integrative setting of therapy comprising but all possible therapeutic methods like medication, physiotherapy, etc. besides psychotherapy. Only with such a complex setting the multidimensional complex of headache can be treated in the optimal way.
刺激与反应之间的解剖学路径；自主神经系统；个性（及其所有方面和决定因素）。心理治疗（包括其在心理卫生方面的作用）；在此我们不按“流派”进行划分。对于鉴别适应症而言，了解心理治疗起作用的主要方式似乎更为重要：言语表达、类催眠转换以及其他通过身体起作用的方法、社会动力学、呈现方式、包括生物反馈在内的行为主义方法。所有这些方法应相互重叠并结合使用。如上文所述，不同的心理治疗作用方式可能对疼痛的不同组成部分具有特定且特殊的疗效。此外，我们强调治疗的综合设置，除心理治疗外，还包括所有可能的治疗方法，如药物治疗、物理治疗等。只有通过这样复杂的设置，才能以最佳方式治疗头痛的多维复合体。
