RU2008028C1 - Method for treating alimentary obesity - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves preliminary psychotherapeutical treatment with patient alert, reinforcing and strengthening the motivation for throwing down weight by verbal suggestion, then bringing the patient to the state of meditation, applying auto-heterosuggestive effect, inspiring indifferent attitude towards food, arousing anorexically-disphagial sensations and intensifying them by mechanical stimulation of the anterior projection of stomach and esophagus, repeating this procedure after 1-2 days and beginning next procedure by administering acupuncture or acupressure to the reflexogenic zones or points of hypotalamo-hypophysial system, vegetative nervous system and gastroenteric tract, calculating the flesh-losing program (including loss of weight during the first two procedures), combining it with the program of putting the patient into meditative state, and repeating the autoheterosuggestive treatment against the background of stimulation of reflexogenic zones. EFFECT: higher efficiency.

Description

 The invention relates to medicine and can be used to correct weight in nutritional forms of obesity.

 A person’s mass consists of three components: income, energy expenditure of food nutrients and metabolic rate.

 Alimentary obesity is based on a secondary metabolic disorder, when, due to the predominance of the influx of nutrient energy over the energy expenditure of the body, the process of fat formation from nutrients prevails over its decay.

 The metabolic rate of a person from 20-25 years of age is steadily decreasing, which changes the ratio of food intake and energy expenditure towards arrival, and leads to constant obesity in food calories and physical activity.

 Alimentary obesity is a form of a peculiar food addiction, because the food craving is hypertrophied, and other cravings are weakening, which is also characteristic of classical addictions and alcoholism.

 Attraction to food forms a way of life, becomes its core, meaning. Without changing lifestyle, shifting emphasis from food to other needs, obesity treatment is pointless.

 In the treatment of obesity, all three components that determine a person’s weight can be affected. Treatment methods include: diet therapy; physical activity of a sports and fitness plan; psychotherapy, reflexology and psychic effects, the latter can temporarily increase the metabolic rate.

 Of the most common methods of treatment, it should be noted strict and systematic adherence to diet (Diet therapy of obese patients on an outpatient basis. - Method. Recommended. - Tashkent, 1984. - 25 p.). Individual dietary recommendations should take into account the form and stage of obesity, the characteristics of the profession, the constitution and other factors, therefore, recommendations can only be developed by a doctor. Numerous diets, which have gained distribution recently, usually have no scientific justification, and if they lead to weight loss, then this is often expensive for the patient, since various metabolic disorders can develop.

 More effective are methods that combine diet therapy with dosed physical activity (for example: N. Beridze. Results of treatment of obese patients with a limited diet and dosed physical activity. - Mater. Conf. Research Institute of Therapy. - Tbilisi, 1981. - pp. 68-75 .).

 Known methods for the treatment of obesity using the method of acupuncture (Bogdanovich V. L, Uglanova T. M. Reflexotherapy in the complex treatment of obesity // Modern problems of reflexology. Volgograd, 1987 - S. 197-199).

 However, all of the above methods are of low efficiency, the therapeutic result manifests itself after a long period of time, so patients, having lost hope, often stop treatment.

 Closest to the methods used is a method of treating obesity with the method of psychotherapy (Paul L. Deqoub and R. Wilkie Suggestion with and without hypnotic induction in a weight reduction program - The International Jorn. Clin. And Exper. Hypnosis. - 1990. - v. 28 , N 4, p. 333-340), however, this method has the same disadvantages.

 The aim of the invention is to simplify and facilitate, as well as increasing the therapeutic possibilities of treatment.

 The goal is achieved by a psychotherapeutic effect, which includes psychotherapy in the waking state, immersion in a meditative state, exposure to reflexogenic zones, as well as auto- and heterosuggestion in a state of meditation.

 The method is as follows.

 The course of treatment includes three sessions, which are carried out with an interval of one to two days. The first session begins with psychotherapy in a wakeful state, during which the patient is informed in the form of an active dialogue about the person’s weight and its determining factors, as well as about ways to adjust the weight. The conversation should be aimed at the formation and strengthening of motivation for weight loss, and also convince the patient of the need to immerse himself in a state of meditation to get the maximum effect from the treatment.

 Then, the patient is prepared for introduction into a meditative state. To do this, they say what should happen to him, for example, in the following form: "You must tune in to a meditative state, focus on the sensations of your own body and, as you are ready, raise any hand. I will approach you, touch the back surface a raised hand, it will begin to be pulled down, the hand will fall, moreover, besides your active, conscious efforts, spontaneously, spontaneously. The lower the hand goes down, the deeper you will go, immerse yourself in a meditative state. awn, completion of its movement also completed the transition "will be in meditation.

 Then enter the patient into a state of meditation. To do this, they suggest relaxing the muscles of the arms, legs, torso, neck, face, breathing easily. After reaching the readiness to go into a meditative state, the patient raises any arm, the therapist touches the arm, inspires a downward movement of the arm. After being transferred to a state of meditation, an auto-heterosuggestion is performed, which includes: general healing psychotherapeutic effect, psychotherapeutic correction of attitude to food by developing indifference to food through inducing a negative attitude to habitual food, negative physiological, anorexic reactions to the food presented; psychotherapeutic correction of a psychological state - raising the mood, prompting non-food interests, motives, drives, physical activity, activity; tactile and temperature effects on certain corporal zones for the purpose of mediated by passes, touch, pressure suggestion of anorexic-dysphagic (vegetative, visual, olfactory) sensations.

 For the best realization of the suggestion of anorexic sensations, a consistent touch is carried out in the anterior projection of the stomach and the upper third of the esophagus. Tactile contacts are accompanied by the following suggestions: "There is a feeling of fullness of the stomach, a feeling of a lump in the throat, nausea. The smell, the taste of the food you eat becomes painful and unpleasant.

Auto-heterosuggestive exposure in order to develop indifference to food is carried out using the following suggestion:
"Now we have focused on the most important thing for you - on your desire to lose weight. And the more sincere and deeper your desire to lose weight, the more you focus on it, the more your attitude to food, food, to that particular food that brought you here, having loaded your body with kilograms, tens of kilograms of fat. We focus on your desire to lose weight, the more sincere and deeper your desire, the more your attitude to food and feelings associated with it change. There is rejection, rejection, rejection of food as an emotional flax, and at the physiological level, the level of sensations. And the more you want to lose weight, the more pronounced the state data, experiences, sensations.

There is a feeling of bursting heaviness in the stomach, overfilling of the stomach with food masses, overflow of the esophagus, feeling of a food lump approaching the throat (In parallel with suggesting unpleasant eating sensations, a consistent touch is made in the anterior projection of the stomach and the upper third of the esophagus). Drooling, palpitations. . . The look, smell, taste of food in the mouth is painful and unpleasant. Mumbles!
And now, if you have sufficiently worked with these sensations, they cease to be felt, but remain in the depths of your "I", constantly monitoring you in real contact with food. We take food very calmly, indifferently. "

Then verbal suggestion is continued, which should include information about the positive effects of meditation on all body functions. Particular attention is paid to reinforcing an indifferent attitude to food and increasing motor activity, the emergence of a need for movement, using, for example, the following suggestion:
"In the evening, going to bed, fall asleep quickly, deeply, in the morning get up refreshed, well rested, sleep, night sleep is good, deep. Constantly feeling of a light, strong, muscular body, mood is constantly good, increased. Need for movement, muscular activity. Active in everything, in each of his hobbies, interests, specific cases, attraction in everything that is not connected with food for you. We regard food quite calmly, indifferently. "

 After this, the patient is taken out of the state of meditation and his depth is assessed (according to the criteria of a hypnotic state), the features of the reproduction of suggestive anorexic sensations are revealed.

 After 1-2 days, a second treatment session is carried out, which includes an assessment of the dynamics of the mass. For this patient, they are weighed and, with a decrease in weight of less than 500 g, other treatment methods are recommended, and with a decrease in weight of 500 g or more, treatment is continued. In addition, according to the patient, a decrease in appetite, the appearance of a feeling of early satiety, and motor activity are assessed. Then the preparation for meditation is repeated, the patient is introduced into a meditative state, suggestion is carried out in this state, using the techniques described in the description of the first session.

 The third session is also carried out after 1-2 days and begins with an assessment of the dynamics of weight, well-being, appetite, and motor activity. Criteria for the effectiveness of treatment are: weight loss over the entire period of treatment by 1000 g or more, a steady decrease in appetite, preservation of a feeling of early satiety, a change in taste preference. Then, the reflexogenic zones of the hypothalamic-pituitary, autonomic nervous system and gastrointestinal tract are affected by acupuncture or acupressure. They compose a weight loss program, i.e., they calculate the time it takes to achieve the patient's desired weight loss, taking into account the known weight loss that occurred in two sessions.

 Psychotherapy of the third session is carried out against the background of reflexology. The patient is told that the selected formulation of irritation of reflexogenic zones is aimed at reducing appetite, increasing motor activity and enhancing metabolism. However, since the effect occurs by other mechanisms, as a whole, the mutual strengthening of the two methods of treatment is obtained. The effect on reflexogenic zones will continue for several weeks and may manifest as a sensation of irritation of these zones.

An important method of treatment is the verbal suggestion of combining the program of transition to a meditative state with the calculated program of weight loss. This combination of the program can be done using the following suggestion:
“We are able to arbitrarily run only one program - transition to a meditative state, and only in one way - with the help of a hand movement. Now we must use the developed biological program launch form to simultaneously launch two programs - meditation and weight loss. At the same time we must "turn off" the program to increase mass. How to do this? You must tune in to a meditative state, which is good at doing. At the same time you need to focus on your desire to lose weight, where you and I carefully trained in previous meditation sessions. When you are ready to go into meditation and program weight loss, raise your hand. I will approach you, touch your hand, the hand will begin to drop, in addition to your active, conscious efforts, spontaneously, spontaneously The lower the hand goes down, the deeper you will go, immerse yourself in a meditative state, the further the process of programming weight reduction will go. When the hand touches the surface, the completion of its movement, the transition to a meditative state and the programming process will be completed.

 However, our tasks are not limited to this, since we need to permanently turn off the mass increase program and work with it. You can do this only in one way - by taking it to the level of your sensations during the movement of your hand, "put" it in this movement. And, if lowering the hand is the implementation of a weight loss program, then the opposite program can only be felt as resistance to hand movement. And if you "catch" this resistance, "bring" it "out", then this will mean that: it is in you, you can overcome it. Moreover, it can be overcome only by completing the movement of the hand, breaking, destroying the "resistance" and the real mechanisms behind it to increase your mass. In addition, you should set guidelines for yourself - how much and for how long you should lose weight. You now know how much kg you can lose weight in a week, you know how many kg you would like to lose weight. Dividing the magnitude of the desired weight reduction by the weekly magnitude of the mass reduction, you will get the approximate period for which it is possible to achieve the desired mass reduction. You will periodically recall these two quantities during the programming of the mass.

 Then, an introduction to a meditative state is carried out simultaneously with the programming of weight reduction, including autoheterosuggestion. For this, the patient is offered to tune in to a transition to a meditative state, to focus on the desire to lose weight and, when ready, to raise a hand. When the hand is raised, the therapist touches it and inspires the lowering of the hand, immersion in a meditative state with programming to reduce weight. "We focused on the desire to go into a meditative state and on the desire to lose weight. My eyes closed. We relaxed the muscles of my entire body. We tuned in to a transition to a meditative state and to program weight loss. We raise our hand as we are ready. All attention was focused on the desire to lose weight." The patient raises his hand. The therapist approaches, touches the hand and says: “Good. All attention is on the desire to enter a meditative state and the desire to lose weight. The hand starts moving.. (The hand starts moving down). The lower the hand goes, the deeper you go into the meditative state, the the further is the process of programming weight loss ... As the hand moves, resistance to hand movement may occur and increase due to resistance to weight loss, and the more resistance to weight loss is expressed in you, the more it manifests itself in When you move your hand, the more you focus on your desire to lose weight, overcoming this resistance, thereby destroying the resistance to weight loss. The hand goes below ... Are most focused on your desire to lose weight. We keep in mind the time and weight that we must realize. the contact of the hand with the surface, the transition to meditation and the process of programming weight loss will be completed ... We keep in mind the time and weight that we must realize. . . (The hand completes the move). The hand drops and completes the movement. . . The programming process is complete. "

 In a meditative state, the patient is instilled with an increase in sensations from the zones of reflexotherapy exposure, their preservation after leaving the meditative state, accompanying the suggestions by touching these zones. Inspire fixation, strengthening the effect of programming weight reduction.

 Then the patient is taken out of a meditative state, after which the effect on reflexogenic zones during acupuncture is completed.

 PRI me R 1. Woman 27 years old. Weight 95 kg. Height 174 cm. Diagnosis: obesity of the third stage. She underwent treatment according to the proposed methodology. At the first treatment session, the depth of the meditative state (according to the criteria of hypnosis) is 2 stages. On the indirect suggestion of negative attitudes and feelings towards high-calorie foods, there was a feeling of fullness in the stomach, esophagus, a feeling of "coma" in the throat, and salivation. After the first treatment session, the patient developed a feeling of indifference to food and a feeling of "early satiation" until the second session. She significantly reduced food intake (2–2.5 times) and increased locomotor activity (she began to walk hourly a day, doing morning exercises lasting 20 minutes). Before the second session, the patient's weight decreased by 0.5 kg and amounted to 94.5 kg. In the second treatment session, the depth of the meditative state of stage 2 (according to the criteria of hypnosis). On the indirect suggestion of negative attitudes and attitudes to food, sensations appeared similar to those for the first session. After the second session, an indifferent attitude to food remained, the feeling of "early satiety", taste preferences changed, the desire to eat vegetables, fruits appeared. By the third session, the weight decreased by another 2.4 kg and amounted to 92.1 kg. Based on the results of weight loss over the period of a week's treatment (2.9 kg / week) and the desired weight loss (by 20 kg), the patient determined the weight loss period of 7-8 weeks, which she used for subsequent “programming”. At the third treatment session, a complex effect was performed (ИРТ in combination with suggestion in a meditative state). After the end of the session, the patient noted the presence of pronounced "resistance" to hand movement during the "programming" of weight loss, preservation of specific sensations in the BAP.

 Over the next two months, the patient's weight decreased by another 16 kg. She continued to move a lot and control her appetite.

 PRI me R 2. A man of 38 years. Weight 140.35 kg. Height 185 cm. Diagnosis: third stage obesity. He underwent treatment according to the proposed methodology. At the first treatment session, the depth of the meditative state (according to the criteria of hypnosis) is 2 stages. On the indirect suggestion of negative attitudes and feelings towards high-calorie foods, an eructation, a feeling of severe nausea, a feeling of "coma" in the throat, and salivation appeared. After the first treatment session, the patient developed a feeling of indifference to food and a feeling of "early satiation" until the second session. He significantly reduced food intake (2 times, according to words) and increased locomotor activity (he began to walk on an hour a day, do morning exercises lasting 20 minutes). By the second session, the patient's weight decreased by 0.65 kg and amounted to 140.35 kg. In the second treatment session, the depth of the meditative state of stage 2 (according to the criteria of hypnosis). On the indirect suggestion of negative attitudes to food, sensations appeared similar to those for the first session. After the second session, an indifferent sensation of food, a feeling of "early satiety" remained, taste preferences changed, the desire to eat vegetables, fruits appeared. By the third session, the weight decreased by 3.95 kg and amounted to 135.75 kg. Based on the results of weight loss over the period of a week's treatment (4.6 kg / week) and the desired weight loss (by 40 kg), the patient determined the weight loss period of 10 weeks, which he used for subsequent “programming”. At the third treatment session, a complex effect was performed (acupressure in combination with suggestion in a meditative state). After completion of the session, the patient noted the presence of pronounced "resistance" to hand movement during the "programming" of weight loss, preservation of specific sensations in the BAP.

 Over the next two weeks, the patient's weight decreased by 8 kg and amounted to 127.75 kg. He continued to move a lot, controlled his appetite.

 PRI me R 3. Woman 25 years old. Weight 79.7 kg. Height 170 cm. Diagnosis: obesity of the first stage. She underwent treatment according to the proposed methodology. At the first treatment session, the depth of the meditative state (according to the criteria of hypnosis) is 2 stages. On the indirect suggestion of negative attitudes and feelings towards high-calorie foods, sensations of an eating coma appeared in the throat, salivation, palpitations, and slight nausea. After the first treatment session, the patient developed a feeling of "early saturation" until the second session. She significantly reduced food intake (1.5-2 times) and increased locomotor activity (she began to walk hourly a day, doing morning exercises lasting 20 minutes). Before the second session, the patient's weight decreased by 2.6 kg and amounted to 77.1 kg. In the second treatment session, the depth of meditation is stage 2 (according to the criteria of hypnosis). On the indirect suggestion of negative attitudes to food, sensations appeared similar to those for the first session. After the second session, an indifferent attitude to food remained, the feeling of "early satiety", taste preferences changed, there was a desire to eat vegetables. By the third session, the weight decreased by another 1.1 kg and amounted to 76 kg. Based on the results of weight loss over the period of a week's treatment (4.7 kg / week) and the desired weight loss (by 15 kg), the patient determined the weight loss period of 3-4 weeks, which she used for subsequent “programming”. At the third treatment session, a complex effect was performed (ИРТ in combination with suggestion in a meditative state). After the end of the session, the patient noted the presence of some "resistance" to hand movement during the "programming" of weight loss, preservation of specific sensations in the BAP.

 Over the next month, the patient's weight decreased by another 12 kg and amounted to 64 kg. She continued to move a lot and control her appetite. (56) Paul L. Degoub and R. Wilkic Suggestion with and without hypnotic induction in a weight reduction program. - The international Jorn. Clin and Exper - Hypnosis. 1990, 284, p. 333-340.

Claims (1)

 A method of treating alimentary obesity by means of psychotherapy in a state of meditation, followed by withdrawal of the patient from this state, characterized in that psychotherapy is previously carried out in the waking state, while verbal suggestion reinforces and strengthens the motivation for weight loss, then the patient is put into a meditation state autoheterosuggestive effect, inspire an indifferent attitude to food, cause anorexic-dysphagic sensations and enhance their mechanical irritation the area of the anterior projection of the stomach, esophagus, the session is repeated after 1 - 2 days, the next session begins with irritation using the acupuncture or acupressure method of the reflexogenic zones or points of the hypothalamic-pituitary system, autonomic nervous system and gastrointestinal tract, include in the program of introduction into a meditative state a weight loss program, which is preliminarily calculated taking into account the weight loss parameters for the first two sessions and repeats the autoheterosuggestive effect against the background of irritation of reflexogenic zones .