Monday, March 30, 2015

Hypnotherapy Malaysia for pain control and pain management

Hypnosis is a scientifically proven and effective form of pain relief.

Hypnosis is likely to be effective for most people suffering from diverse forms of pain, with the possible exception of a minority of patients who are resistant to hypnotic interventions (American Psychological Association, July 2, 2004).
Hypnotherapy is used to promote relaxation and induce an altered state of consciousness. The resulting psychological shift is intended to help people gain control over their states of awareness, which theoretically can help them gain control over their physical body, including their pain symptoms. 
Neuro-hypnotherapy is a viable option for patients suffering from chronic pain, who, once trained in self-hypnosis, may employ these techniques to do pain mangement anytime they need it. Welcome to contact us for more info.



Scientific Proof & Research Studies:

Meta-Analyses

Meta-analyses are essentially studies of studies. Where individual studies can sometimes show contradictory results, meta-analyses can be used to assess the performance of a treatment over a number of studies - this takes advantage of a larger sample size and hopefully leads to a more reliable result.

Montgomery, David, Winkel, Siverstein & Bovbjerg (2002)

This meta-analysis examined the results of 20 published controlled studies examining the use of hypnosis as an adjunct with surgical patients. In these studies hypnosis was typically administered to patients in the form of a relaxing induction phase followed by suggestions for the control of side effect profiles (e.g. pain, nausea, distress). Only studies in which patients were randomised to either a hypnosis or control group (no-treatment, routine care, or attention control group) were included. The results revealed that patients in the hypnosis treatment groups had better outcomes than 89% of the patients in the control groups. It was found that adjunctive hypnosis helped the majority of patients reduce adverse consequences of surgical interventions.


A Meta-Analysis of Hypnosis for Chronic Pain Problems: A Comparison Between Hypnosis, Standard Care, and Other Psychological Interventions

Hypnosis is regarded as an effective treatment for psychological and physical ailments. However, its efficacy as a strategy for managing chronic pain has not been assessed through meta-analytical methods. The objective of the current study was to conduct a meta-analysis to assess the efficacy of hypnosis for managing chronic pain. When compared with standard care, hypnosis provided moderate treatment benefit. Hypnosis also showed a moderate superior effect as compared to other psychological interventions for a nonheadache group. The results suggest that hypnosis is efficacious for managing chronic pain. Given that large heterogeneity among the included studies was identified, the nature of hypnosis treatment is further discussed.
http://www.ingentaconnect.com/content/routledg/iceh/2014/00000062/00000001/art00001?crawler=true


A meta-analysis of hypnotically induced analgesia: how effective is hypnosis?

Over the past two decades, hypnoanalgesia has been widely studied; however, no systematic attempts have been made to determine the average size of hypnoanalgesic effects or establish the generalizability of these effects from the laboratory to the clinic. This study examines the effectiveness of hypnosis in pain management, compares studies that evaluated hypnotic pain reduction in healthy volunteers vs. those using patient samples, compares hypnoanalgesic effects and participants' hypnotic suggestibility, and determines the effectiveness of hypnotic suggestion for pain relief relative to other nonhypnotic psychological interventions. Meta-analysis of 18 studies revealed a moderate to large hypnoanalgesic effect, supporting the efficacy of hypnotic techniques for pain management. The results also indicated that hypnotic suggestion was equally effective in reducing both clinical and experimental pain. The overall results suggest broader application of hypnoanalgesic techniques with pain patients.
http://www.ncbi.nlm.nih.gov/pubmed/10769981


Bell & Meadows (2013). "Efficacy of a brief relaxation training intervention for pediatric recurrent abdominal pain." Cognitive and Behavioral Practice 20(1): 81-92.  Excerpt: "The intervention consisted of a single 1-hour session including psychoeducation and coaching of breathing retraining; the length, duration, and content of the intervention were designed with a goal of maximum portability to primary-care settings....  This brief intervention was successful in lessening abdominal pain...  The intervention was also successful in decreasing some children's general somatic symptoms."

Birnie, et al. (2014). "Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents." Journal of Pediatric Psychology 39(8): 783-808. Excerpt: "Findings showed strong support for distraction and hypnosis for reducing pain and distress from needle procedures. The quality of available evidence was low, however."
Donatone (2013). "Focused suggestion with somatic anchoring technique: Rapid self-hypnosis for pain management." American Journal of Clinical Hypnosis 55(4): 325-342. Excerpt: "The focused suggestion with somatic anchoring technique has been used with various types of pain, including somatic pain (arthritis, post-injury pain from bone breaks, or muscle tears), visceral pain (related to irritable bowel disease), and neuropathic pain (related to multiple sclerosis). This technique combines cognitive restructuring and mindfulness meditation with indirect and direct suggestions during hypnosis.... Focused suggestion with somatic anchoring technique is used with both acute and chronic pain conditions when use of long-term medication has been relatively ineffective." 

Flor, H. (2014). "Psychological pain interventions and neurophysiology: Implications for a mechanism-based approach." American Psychologist 69(2): 188-196. Excerpt: "A number of psychological pain treatments have been examined with respect to their effects on brain activity, ranging from cognitive- and operant behavioral interventions, meditation and hypnosis, to neuro- and biofeedback, discrimination training, imagery and mirror treatment, as well as virtual reality and placebo applications. These treatments affect both ascending and descending aspects of pain processing and act through brain mechanisms that involve sensorimotor areas as well as those involved in affective-motivational and cognitive-evaluative aspects. The analysis of neurophysiological changes related to effective psychological pain treatment can help to identify subgroups of patients with chronic pain who might profit from different interventions, can aid in predicting treatment outcome, and can assist in identifying responders and nonresponders, thus enhancing the efficacy and efficiency of psychological interventions."

Jensen, M. P. and D. R. Patterson (2014). "Hypnotic approaches for chronic pain management: Clinical implications of recent research findings." American Psychologist 69(2): 167-177. Excerpt: "Clinical trials show that hypnosis is effective for reducing chronic pain, although outcomes vary between individuals.... Neurophysiological studies reveal that hypnotic analgesia has clear effects on brain and spinal-cord functioning that differ as a function of the specific hypnotic suggestions made, providing further evidence for the specific effects of hypnosis." 

Kong, et al. (2013). "Functional connectivity of the frontoparietal network predicts cognitive modulation of pain." Pain 154(3): 459-467. Excerpt: "The experience of pain can be significantly influenced by expectancy (predictive cues). This ability to modulate pain has the potential to affect therapeutic analgesia substantially and constitutes a foundation for nonpharmacological pain relief....  After cue conditioning, visual cues can significantly modulate subjective pain ratings. Functional magnetic resonance imaging results suggested that brain regions pertaining to the frontoparietal network (prefrontal and parietal cortex) and a pain/emotion modulatory region (rostral anterior cingulate cortex) are involved in cue modulation during both pain anticipation and administration stage. Most interestingly...pretest resting state functional connectivity between the frontoparietal network (as identified by independent component analysis) and the rostral anterior cingulate cortex/medial prefrontal cortex was positively associated with cue effects on pain rating changes."


Trost & Parsons (2014). "Beyond distraction: Virtual reality graded exposure therapy as treatment for pain-related fear and disability in chronic pain." Journal of Applied Biobehavioral Research 19(2): 106-126. Excerpt: "In addition to mitigating costs associated with traditional exposure protocols, the VRGET platform facilitates patient treatment engagement, provides real-time assessment of valuable outcome variables such as affective response and kinematic adaptation, and promotes generalizability of treatment gains across clinical and home environments." Ussher, M., et al. (2014). "Immediate effects of a brief mindfulness-based body scan on patients with chronic pain." Journal of Behavioral Medicine 37(1): 127-134. Excerpt: "These data suggest that, in a clinic setting, a brief body scan has immediate benefits for those experiencing chronic pain."

Valentini, et al. (2013). "Hypnotic modulation of pain perception and of brain activity triggered by nociceptive laser stimuli." Cortex: A Journal Devoted to the Study of the Nervous System and Behavior 49(2): 446-462. Excerpt: "Hypnotic suggestions exerted a top−down modulatory effect on both evoked and induced-cortical brain responses triggered by selective nociceptive laser inputs. Furthermore, correlation analyses indicated that gamma power modulation and suggestions of hyperalgesia may reflect the process of allocating control resources to salient and threatening sensory-affective dimensions of pain."


Source:
http://hypnosis.tools/is-it-effective.html
http://kspope.com/pain.php

催眠术的历史



催眠术的历史是它争取为大众所接受、争取其科学价值得到人们承认的斗争史。在这一过程中,催眠师自始至终地受到刁难和讥讽,而这常常是来自于他们的医学同行。不过,这并未能阻止催眠术的稳步进展。今天,它已成为科学研究的课题;作为一种辅助疗法,它得到很高的评价。

多数催眠术著作之所以都专列一章讲述催眠术的历史,是因为这段历史确实非常有趣,它涉及一些相当富有色彩和具有超凡魅力的人物,其中最著名者要数弗兰兹·梅斯默。而且,在某个特定历史时期里,人们关于催眠术的流行观点也通过被催眠者千姿百态的表现方式得到反映,这一点也颇为有趣。如果不了解历史,那我们对于目前存在的有关催眠术及其应用问题的一些争议就很难理解。虽然催眠师再也不像过去那样受到刁难,但许多错误看法却仍然存在,本书将努力使之澄清。

催眠术的历史是悠久的,它至少可追溯到古希腊和古埃及时期,而且很可能更加久远。古希腊与古埃及都有催梦中心,人们到这里接受指导以求解除病痛。顾名思义,催梦中心的目的是诱导人们做梦。梦的诱导要使用若干技术,这包括斋戒、祈祷,以及某些类似于催眠诱导的方法。受术者将梦觉报告给施术者,后者对梦进行诠释,以借此提示解决病痛的方法。

此外,米勒(1979)还报告说,古希腊和古埃及都曾使用过催眠暗示。在古希腊,病人在“患者睡眠殿堂”里接受治疗。施术者综合使用诸如音乐、药物、重复言语等多种方法,使患者进入睡眠;在古埃及,“殿堂睡眠”是由焚香和吟诵而诱导发生。当患者处于睡眠状态时,施术者即暗示症状将会消失,患者将获痊愈。

现代催眠术始于18世纪的最后25年,由梅斯默所开创。在他之前还有两个重要的人物值得一提,他们是帕拉思瑟斯(1493-1541)和范·赫蒙特(1577-1644)。帕拉思瑟斯是一位瑞士医生,他认为星辰能通过磁力影响人类,而所有的磁石对人体都有作用。范·赫蒙特进一步发挥了这一观点,他认为举凡人体都能放射“动物磁性”,这种动物磁性能影响其他人的精神和肉体。后来信仰疗法的握手治疗正是由此发展而来。不同的是,现在信仰疗法已将其治疗作用归功于上帝的力量,而不再指为动物磁性。

在本世纪的前五十年里,催眠术遇到了医学权威的歧视。尽管如此,人们对于催眠术的研究,无论是在理论探讨,还是在临床治疗方面,都作了大量的重要工作。1955年,英国医学会作为官方承认了催眠疗法的合法地位;1958年,美国医学会以及美国心理学会也作出了这样的决定。


在结束本章的讨论之前,还有必要指出,在对催眠术的认识上,医学心理学的观点与外行人的观点迥然相异。医学心理学的理论取得了相当的发展;而外行的观念依然有许多错误。尤多夫(1981)对此有较好的分析。

外行人的错误观点与19世纪50年里医学界对催眠术的看法非常相似,如催眠师一定具有超凡的能力;被催眠的人完全听由催眠师的摆布;在催眠状态下的人总是吐露真情;人的正常力量在催眠状态下得到增强,等等。任何经常使用催眠术的人都会发现,这类错误认识相当突出,也是人们害怕催眠术的主要原因。遗憾的是,正确的理论却不能迅速改变外行人的错误观点,因为它通常没有错误看法那么令人感到新奇。





资料来源:
《催眠术与催眠疗法》

华夏出版社1992年1版1印
责任编辑 / 张伟  
封面设计 / 王宁

http://book.douban.com/subject/2243721/

Saturday, March 28, 2015

马来西亚自律神经失调与治疗:调好自律神经

自律神經失調可以輕易治癒 

 臨床上時常遇到病患有許多的不舒服症狀,但是做過了各種檢查,卻找不出病因,藥物治療效果也不佳,這些絕大部分都是自律神經失調所引起的。這些問題長期困擾著病患,影響了他們的工作與生活作息,而醫療人員雖耗費了許多寶貴的醫療資源,卻無法提供滿意的治療,原因在於過去的醫學對神經系統的調控機制尚無法正確掌控。相應神經調節療法(逆行性神經療法)是在對神經調控機制的完整了解後,所獲得的突破性療法,可以輕易透過神經調控機轉治癒許多神經失調疾病。


何謂自律神經系統
自律神經包括交感與副交感神經,它受到人的感情、情緒與感官所影響,人體會自動依照需要而做出適當的反應,它的功能主要是控制心跳、呼吸、腸胃蠕動、排汗、睡眠等非意識控制的機能。
    交感神經的作用是使心跳加速、呼吸加快、胃腸蠕動變慢、體溫上升、流汗、血壓升高等,使身體的各主要器官系統的活動力增加,以應付外來的緊急狀況如壓力、焦慮、緊張、恐懼等;副交感神經的作用則與交感神經相反,它使心跳變慢、呼吸平穩緩慢、腸胃蠕動變快、血壓下降等,使身體主要的器官系統活動力降低,達到身體休息與睡眠的狀態。交感與副交感神經的交互作用可以使神經系統既可以應付壓力又可以獲得足夠的休息,以達到平衡狀態。



一群西方學者組隊到非洲考察,請當地原住民當嚮導及挑夫,兼程趕路,前三天都很順利,原住民吃苦耐勞,沒有怨言,但到了第四天,原住民卻不肯出發了。 

是哪裡得罪他們了,還是在要脅加錢?考察隊隊員不解。這時,原住民的頭領解釋道:「 按照我們的傳統,如果連續三天趕路,第四天必須停下來休息一天,以免靈魂趕不上我們的腳步。 」 

現代人日復一日地「趕路」,趕到沒時間停下來思考為何而趕,趕到大小病痛都來報到。 

慢,慢,慢 

非洲原住民的生活智慧,竟與自律神經保健之道不謀而合。「要調節自律神經,一言以蔽之,就是『慢』。慢慢呼吸、慢慢行動、慢慢生活,」日本順天堂大學外科教授小林弘幸在《自律神經健康人50招》中提醒。 

他指出,現代人的自律神經失調多半是交感神經過度亢奮,「慢」能提升稍顯低下的副交感神經,讓自律神經傾斜的天秤恢復平衡。 



Newmindcentre.com治疗团队所能提供的治疗方法包括:
1.脑波反馈催眠疗法啟動副交感神經,安定身心 
副交感神經的作用在于它使心跳變慢、呼吸平穩緩慢、腸胃蠕動變快、血壓下降等,使身體主要的器官系統活動力降低,達到身體休息與睡眠的狀態。 

2.運動是一種好壓力,改善自律神經的功能 
壓力並非全然是壞事,適度壓力是好的,「運動就是一種好壓力,」精神科醫師楊明仁解釋,運動可以消耗讓人緊繃的腎上腺素,腦內啡和血清素則會增加,讓人放鬆、愉悅。 


吳立偉指出,規律運動可以改善自律神經的功能。最新研究顯示,第二型糖尿病患者合併自律神經失調,經15個月持續中等強度的有氧運動,可改善自律神經功能並幫助控制血糖。 

不是汗如雨下、氣喘如牛才算運動,小林弘幸推崇健走是效果最好、最安全的運動。 

因為運動量過大(如快跑),會造成呼吸淺而快,拉高交感神經的作用,副交感神經的作用下降,「這樣不但不能維持健康,甚至還可能加速老化,」而且呼吸短淺會讓末梢血液流動下降,代表氧氣及營養難以送到末梢神經及細胞,細胞便難以發揮功能。「如果考量健康,讓呼吸變短淺的運動是不好的,」他認為。反觀健走並不會讓人喘不過氣,還可邊走邊深呼吸,讓副交感神經活絡,並把氧氣和營養運送到每個細胞。 

3. 教导您个人化的自我催眠,从而改善睡眠质感
熬夜、睡眠不足也是自律神經的大敵。「不論一個人的自律神經原本多平衡,單單睡眠不足這一擊就足以讓他的自律神經失衡,」小林弘幸指出。 
長庚醫院腦神經外科教授張承能說,夜間本來是副交感神經發揮的時間,人自然想休息,硬是熬夜不睡、保持清醒,等於刺激交感神經繼續運作,副交感神經無從發揮,久而久之不但自律神經失調,其他的健康紅燈也一一亮起。「熬夜的人容易高血壓。」 

4.到戶外曬太陽、流汗,恢復自律神經調節體溫的能力 
流汗也是由自律神經控制,吳立偉指出,現代人長期依賴空調,身體調節體溫的功能愈來愈弱,這也是自律神經失調的原因之一。建議不要過於依賴冷暖氣,走到戶外曬曬太陽、呼吸新鮮空氣、流點汗,對調節自律神經是好事。 


5. Newmindcentre.com咨询师将幫助您发泄情緒,不讓起伏的心情打亂自律神經的節奏 
心情起伏過大,會打亂自律神經的節律。吳立偉說,情緒過於高亢(緊張、不安、興奮等)或過於低落(悲傷、沮喪、失望、鬱悶等),都會阻礙交感與副交感神經正常運作,引發失調。




文章大部分内容摘取自以下网站,在此感谢以下作者为患者提供宝贵的资料:
http://www.commonhealth.com.tw/article/article.action?nid=66835&page=4
http://anscare.com.tw/
http://www.raphaelmedical.com.tw/index3.php?ad=1&p=112&b=7&ly=3