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Bio-Based Psychotherapy

Hans-Christian Deter, Johannes Kruse, Stephan Zipfel
Combining its two traditions of integrated psychosomatics in internal medicine and focusing on psychotherapeutic/psychiatric methods in many clinical fields, German psychosomatic medicine has developed well over the last decades. It benefits from its institutional independence and the progressive changes in health care. Clinically, disorder-oriented psychotherapy is a core method integrated with other modes of therapy. As a conceptual base for empirical research, non-reductionist accounts of the interactions of (sick) persons with their environment are most important...
2018: BioPsychoSocial Medicine
(no author information available yet)
"Medically unexplained symptoms" (MUS) are commonly seen in all clinical specialties. The preliminary investigations in China show a prevalence of MUS in 4.15%-18.2% of clinical patients. Based on international and national guidelines and the most advanced studies, a Chinese expert consensus on clinical practice of MUS is reached through three rounds of discussion seminars by 25 experts from various specialties including psychiatry, internal medicine, surgery, gynecology-obstetrics, otorhinolar-yngology and traditional Chinese medicine...
February 1, 2017: Zhonghua Nei Ke za Zhi [Chinese Journal of Internal Medicine]
Mantosh J Dewan
The focus on recent advances in the neurobiology of schizophrenia has pushed aside the psychological understanding of the person with schizophrenia for several decades. However, a useful functional psychology of schizophrenia (in distinction to a psychological approach to symptoms) remains clinically important for several reasons: it is a core part of the bio-psycho-social formulation; it helps us understand and connect with persons with schizophrenia; and it provides a framework by which to organize our treatment efforts (both psychotherapeutic and particularly biological), which can improve adherence and outcomes...
August 2016: Journal of Nervous and Mental Disease
Günter K Schiepek, Igor Tominschek, Stephan Heinzel
In recent years, models have been developed that conceive psychotherapy as a self-organizing process of bio-psycho-social systems. These models originate from the theory of self-organization (Synergetics), from the theory of deterministic chaos, or from the approach of self-organized criticality. This process-outcome study examines several hypotheses mainly derived from Synergetics, including the assumption of discontinuous changes in psychotherapy (instead of linear incremental gains), the occurrence of critical instabilities in temporal proximity of pattern transitions, the hypothesis of necessary stable boundary conditions during destabilization processes, and of motivation to change playing the role of a control parameter for psychotherapeutic self-organization...
2014: Frontiers in Psychology
Nina Grant, Matthew Hotopf, Gerome Breen, Anthony Cleare, Nick Grey, Nilay Hepgul, Sinead King, Paul Moran, Carmine M Pariante, Janet Wingrove, Allan H Young, André Tylee
BACKGROUND: Depression and anxiety are highly prevalent and represent a significant and well described public health burden. Whilst first line psychological treatments are effective for nearly half of attenders, there remain a substantial number of patients who do not benefit. The main objective of the present project is to establish an infrastructure platform for the identification of factors that predict lack of response to psychological treatment for depression and anxiety, in order to better target treatments as well as to support translational and experimental medicine research in mood and anxiety disorders...
2014: BMC Psychiatry
Ulrike de Vries, Gerhard Schüßler, Franz Petermann
Recent advances achieved in the field of clinical neuro(bio-)psychology have been varied and impressive. Together with the related social and psychosocial aspects, they contribute to and enrich the development of new options in diagnosis and psychotherapy. Important research results are discussed here based on the examples of depression, Alzheimer's disease and self-injury, which profit greatly from neuropsychological research, especially through early detection of symptoms and prevention.
2013: Zeitschrift Für Psychosomatische Medizin und Psychotherapie
Kathryn R Puskar, Giuliana Mazza, Cynthia Slivka, Megan Westcott, Fran Campbell, Tricia Giannone McFadden
PURPOSE: To discuss basic concepts of group therapy as a treatment modality. CONCLUSIONS: The psychiatric nurse group leader uses concepts of content and process at his/her disposal as powerful tools of change, adaptation, and recovery. PRACTICE IMPLICATIONS: Group therapy is a common modality in treating mental disorders that is both evidence based and cost-effective. Group therapy is practiced in inpatient, outpatient, partial hospitalization, and residential treatment facilities...
October 2012: Perspectives in Psychiatric Care
Günter Schiepek
Some converging lines from neuroscience, neurobiological psychotherapy research, process-outcome-research, internet-based change monitoring and the systems and complexity sciences actually allow for an open and generic definition of systemic therapies. The "family" of systemic therapies as designed here is not restricted to the field of psychotherapy. It is a scientifically founded and engaged, bio-psycho-social multi-level approach to a common or integrative psychotherapy, not restricted to a psychotherapeutic confession or exclusively to family or couples therapy...
June 2012: Psychotherapie, Psychosomatik, Medizinische Psychologie
James Lake, Chanel Helgason, Jerome Sarris
This paper provides an overview of the rapidly evolving paradigm of "Integrative Mental Health (IMH)." The paradigm of contemporary biomedical psychiatry and its contrast to non-allopathic systems of medicine is initially reviewed, followed by an exploration of the emerging paradigm of IMH, which aims to reconcile the bio-psycho-socio-spiritual model with evidence-based methods from traditional healing practices. IMH is rapidly transforming conventional understandings of mental illness and has significant positive implications for the day-to-day practice of mental health care...
January 2012: Explore: the Journal of Science and Healing
Gavin J Andrews, David Shaw
This paper explores the traditional notion that two discrete forms of medicine exist. One being bio-medically led, the other being holistic in origin. A qualitative study of place visualization in nursing is used to illustrate how health care may not always fit neatly into one of these paradigms. It is suggested that, through the use of this practice, an organically occurring therapeutic intervention emerges that includes core elements of each category. Based on the findings of this small scale inductive study, it is suggested that greater attention be afforded to areas of practice shared by both health care approaches...
February 2012: Complementary Therapies in Clinical Practice
Andreas Sandner-Kiesling, Andreas Schöpfer
Approximately 80 per cent of primary care patients seek their physician's attention due to pain. A fifth of the population suffers from chronic pain with medium to high intensity, and longer than 3 months. Especially those patients are treated insufficiently when only non-opioids and opioids are applied. Therefore it is necessary to tailor pain therapy by using an interdisciplinary, multimodal treatment regimen. This article presents a holistic concept to chronic pain treatment by using the five columns of pain therapy...
September 2010: Psychiatria Danubina
Woo-Kyoung Ahn, Caroline C Proctor, Elizabeth H Flanagan
The current experiments examine mental health clinicians' beliefs about biological, psychological, and environmental bases of the DSM-IV-TR mental disorders and the consequences of those causal beliefs for judging treatment effectiveness. Study 1 found a large negative correlation between clinicians' beliefs about biological bases and environmental/psychological bases, suggesting that clinicians conceptualize mental disorders along a single continuum spanning from highly biological disorders (e.g., autistic disorder) to highly nonbiological disorders (e...
March 2009: Cognitive Science
Franz Resch, J M Fegert
As a medical discipline Child and Adolescent Psychiatry and Psychotherapy has gained increasing importance within society since given the epidemiological importance of behavioural problems in childhood and adolescence, it has verifiably improved the developmental chances of children at high risk. Child and Adolescent Psychiatry and Psychotherapy therefore should be systematically integrated into the German Medical Curriculum. The bio-psycho-social model provides us with a comprehensive paradigm of psychiatric disorders and has to face the problem of hermeneutics...
March 2009: Zeitschrift Für Kinder- und Jugendpsychiatrie und Psychotherapie
Anna Graziella Burroni, Marco Maio
PURPOSE OF REVIEW: This work outlines a psychodynamic approach to ocular allergies, picking up the emotional issues related to the topic of eye out of the psychodynamic and psychosomatic literature and connecting them to a strategy of multidisciplinary treatment based on a therapeutic network that meets the unconscious patient's distresses, particularly those relating to the anxiety of abandonment, to the emotional nonmirroring and to the aspects of envy. RECENT FINDINGS: More specifically is considered a modern psychodynamic approach able to link together the particular depth of pathology (in terms of its physiological changes) with the analogous depth of conflict and its psychological defences and able to intervene through a medical-psychological network according to the systemic criteria of the eco-bio-psychology...
October 2008: Current Opinion in Allergy and Clinical Immunology
Csaba L Dégi
Psychotherapy and psycho-social interventions in oncological rehabilitation, based on confirmed results of several controlled studies designed and conducted in a bio-psycho-social research framework, have been proved to reduce the psycho-social vulnerability of cancer patients and to enhance health related quality of life in this patient population. It is also supposed that psychological intervention increases survival outcomes of cancer patients through immune-modulation. Findings of psycho-neuro-immunological research have underlined that the human neurological and immunological system, mainly the NK, CD4 and CD8 cell activity and cytotoxicity, are mediators and modulators in the progress of malignant tumors...
2006: Psychiatria Hungarica: A Magyar Pszichiátriai Társaság Tudományos Folyóirata
J Yorke, S L Fleming, C M Shuldham
BACKGROUND: Many people have asthma, and for some their symptoms may be triggered by psychological factors. In addition compliance with medical therapy may have a psychological dimension. Therefore, psychological interventions aim to reduce the burden of symptoms and improve management of the disease. OBJECTIVES: To assess the effectiveness of psychological interventions for adults with asthma. SEARCH STRATEGY: The Cochrane Airways Group Specialised Register and PsycINFO were searched with pre-defined terms up until August 2005...
2006: Cochrane Database of Systematic Reviews
Jürgen Barth, Martin Härter, Juliane Paul, Jürgen Bengel
Depressive disorders in patients with coronary heart disease (CHD) are connected with negative effects on the course of the cardiac disease. Until today there has been no clear etiological model to explain the interaction of depressive disorders and cardiac risk parameters. Both, somatic and behavioural aspects seem to be important. Depressive symptoms are a serious risk factor for CHD-patients demanding for a broad bio-psychosocial treatment conception in cardiac rehabilitation. Most intervention studies have mainly focussed on the reduction of depressive and anxious symptoms in CHD-patients without co-morbid mental disorders...
September 2005: Psychotherapie, Psychosomatik, Medizinische Psychologie
Claus Buddeberg
The development of psychosocial and psychosomatic medicine in Switzerland is as diverse as the country itself with its four official languages and 26 cantons. Psychosomatic medicine of the past and present can be seen in three phases: Psychogenesis of somatic diseases ( phase 1: from about 1930-1960), bio-psycho-social medicine (phase 2: from 1960-1990) and psychobiology in medicine (phase 3: since 1990). In Switzerland the first phase scarcely noticeable, whereas active development in all fields of psychosomatic medicine and psychotherapy has taken place since 1960...
2004: Zeitschrift Für Psychosomatische Medizin und Psychotherapie
Wolfgang Miehsler, Martina Weichselberger, Anna Offerlbauer-Ernst, Clemens Dejaco, Walter Reinisch, Harald Vogelsang, Klaus Machold, Tanja Stamm, Alfred Gangl, Gabriele Moser
BACKGROUND: This study was designed to develop and validate the ADAPT (Assessment of the Demand for Additional Psychological Treatment), a questionnaire assessing the demand for disease-oriented counseling (DOC), integrated psychosomatic care (IPC), and psychotherapy (PT) in chronically ill patients on the example of inflammatory bowel diseases (IBDs). METHODS: After its development, the ADAPT was distributed to 39 IBD patients along with the Hospital Anxiety and Depression scale (HAD), the Rating Form of IBD Patient Concerns (RFIPC), and a questionnaire on social support (SOZU-K22)...
September 2004: Inflammatory Bowel Diseases
Gerhard Medicus
The reference framework for those disciplines that deal with the functions of the nervous system has a very simple basic structure: It becomes clear when, based on the matrix with the four central questions of biological research (causation, ontogeny, adaptation, phylogeny), one asks and at the same time takes the reference levels (e.g. cell, organ, individual, group) at which the questions are aimed into account (the questions and planes in bold are also the subject of the humanities). This "bio-psycho-social" orientation framework is the basis for the development of an interdisciplinary consensus: It is the starting point for a systematic order for those disciplines, and also the basis for a consistent networking and structuring of their results...
2003: Wiener Medizinische Wochenschrift
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