RU2237465C1 - Method for correcting body weight - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves administering psychotherapy and reflexogenic acupuncture therapy. Clinical, instrumental and laboratory examination methods are applied at the first stage. Talks are carried out to select body weight reduction program and rates of putting it in practice in cooperation with the patient. Balanced nutrition principles are discussed. Rational, behavioral or hypnosuggestive psychotherapy is used on every session. Healthy living and behavior standard stereotypes inherent in slender man life are built. Biological, medical and physical parameters are controlled in dynamic mode. Moral encouragement is given to the patient. Positive dynamic pattern in weight reduction start and psychoemotional turning-point in patient consciousness being achieved, intensive manual massage is applied to zones of interest before applying reflexogenic acupuncture treatment, in combining massage techniques and psychotherapeutic treatment in the course of treatment. Examples, comparisons, therapeutic metaphors of positive influence are used.

EFFECT: enhanced effectiveness of treatment.

5 cl

Description

The invention relates to medicine, to psychotherapy, namely to the healing of overweight people, and can be used in sports medicine, modeling business in order to achieve the aesthetic result of a number of parameters of the human body in the field of sports, ballet, artistic activity and improving the quality of life of groups obese patients.

Known methods of weight correction, treatment of obesity, based on the psychotherapeutic effect on the patient, which are entirely based on this method or in combination with a subcaloric diet, can achieve a positive effect.

A known method of correcting body weight of a person (patent RU No.2019996), which consists in the fact that they conduct a combination of a single psychotherapeutic effect with diet therapy for two months, while first the patients are formed into groups on the basis of identical suggestibility, rational psychotherapy is awake, then against the background of increasing relaxation, they carry out a heterosuggestive effect with the aim of generating negative emotions for food abuse with increased energy value followed degipnotizatsiey. The diet is prescribed for 8 weeks with an energy value of 800-900 kcal per day. The difference between the method is that 48 hours before the start of weight correction, alcohol is excluded from the diet, high-calorie foods are taken for 24 hours, and the psychotherapeutic effect is performed once.

After several weeks, many patients disrupt the treatment with an eating disorder due to a strong decrease in calorie content and the inability to follow it for a long time.

There is also a method of treating obesity (Patent RU No. 2122441), including psychotherapy. The difference of this method is that the session begins with psychotherapy in the cabin, painted or lit with orange light. The patient is offered food, and during the reception they turn on table lamps on both sides of the cutlery, on the one hand red, on the other green, so that the light from them does not fall on the patient's face.

This method has little effect on changing established eating habits.

There is also known a method of psychotherapeutic effects (patent RU No. 2179038). It consists in the fact that they carry out rational psychotherapy and have a suggestive effect on the patient using conditioned reflex methods. Pre-select and formulate the installation of fear and / or prohibition and / or aversion to negative behavior and the sympathetic attitude of the desire for positive behavior. Determine the type of suggestion - awesome and / or prohibitive and / or aversion and sympathetic. With this in mind, they compose a formula of suggestion for the impact, which includes 4 components: the baseline, which determines the general line of positive behavior, the situational, which determines the patient’s behavior in a specific provocative situation, the logical one that substantiates the positive behavior model, and the figurative one, reflecting images, metaphors and the characters characterizing the positive and negative patterns of behavior, teach the patient the techniques of advancing the situation and synchronous self-hypnosis with it.

There is also known a method of treating obesity by psychotherapeutic effects in the state of wakefulness and immersion with the formation of an attitude to change eating behavior (Therapeutic Archive, 1984, 10, pp. 104-107. Psychotherapy in the rehabilitation system of patients with an alimentary-constitutional form of obesity. Krislavsky ES Loyko V.I.).

Another method is also known (patent RU No. 2034575), similar to the above. Its difference lies in the fact that treatment begins with group rational psychotherapy, in which motivation is increased by methods with justification of the possibility of cure. Then they create psycho-emotional stress and, against this background, perform a suggestive effect aimed at recognizing the need for psycho-therapeutic care and create an installation for changing eating behavior. After this, individual psychotherapy sessions are conducted, on which the patient's attention is concentrated by fixing his gaze, followed by its sudden dispersal. They produce mechanical irritation of the exit points of one of the branches of the trigeminal nerve. Perform sharp violent tilts of the patient's head back and forth. They are accompanied by a verbal team of the opposite action and claim that the metabolism is altered and the painful craving for food is removed.

Also known is the method of Naumchik L.M. reducing excess weight (patent RU No. 2136323). This method differs from the above in that it includes dynamic exercises against the background of the use of diet therapy, natural medicines, and the psychotherapeutic effect is carried out using autogenic training techniques. According to this invention, the course of reducing excess weight begins with sessions of psychotherapy and autogenous training to develop and consolidate in the patient’s consciousness and subconscious mind a weight loss and healthy lifestyle.

There is also a method of weight correction (patent RU No. 2033199), which consists in conducting psychotherapy in a state of altered level of consciousness. The difference of the method is that with the help of verbal suggestion they reinforce and strengthen the motivation for weight loss, increase the suggestibility of the patient and carry out an autoheter-suggestive effect in the wakeful state and in the state of autogenous immersion, for this purpose information on the digestive system function, properties and composition of food products is reported. Then, taking into account information about the personal characteristics and individual nutritional behavior of the patient, they formulate self-hypnosis and form a verbal program of indifferent attitude to food, which is instilled in the period of autogenous immersion. Immediately before bedtime, the received information is recorded using a visual-motor reaction in the form of filling out a diary and repeatedly writing self-hypnosis formulas with the left hand. Immediately after waking up, self-hypnosis formulas are reproduced using ideomotor hand movements. The procedures are repeated daily for 7-10 days, and for 6 months continue keeping and analyzing the diary and reproduce the formula with self-hypnosis before bedtime and after waking up.

The disadvantage of this method is the long duration and complexity of mobilizing the will of the patient for a period of 6 months in the absence of contact with a doctor, as well as the complexity of control and loss of motivation for a long time.

Also known is the method of Tukaev R.D. the treatment of alimentary obesity (patent RU No.2008028). Psychotherapy is carried out in a state of meditation, followed by the removal of the patient from this condition.

The difference of this method lies in the fact that pre-conduct psychotherapy while awake. At the same time, verbal suggestion reinforces and strengthens the motivation for weight loss, then enters the patient into a state of meditation, performs an autoheterosuggestive effect, instills an indifferent attitude to food, causes anorexic-dysphagic sensations and intensifies them with mechanical irritation of the anterior projection of the stomach and esophagus. The session is repeated after 1-2 days. The subsequent session begins with irritation using the acupuncture or acupressure method of reflexogenic zones or points of the hypothalamic-pituitary system, autonomic nervous system and gastrointestinal tract. The program of introduction into a meditative state includes a weight loss program, which is preliminarily calculated taking into account the parameters of weight loss in the first two sessions and the autoheterosuggestive effect is repeated against the background of irritation of reflexogenic zones.

There is also a method of correcting body weight in alimentary obesity (patent RU No. 2056116). This method consists in the fact that they carry out rational psychotherapy with motivated suggestion while awake, change the patient’s consciousness to a slight hypnotic immersion, continue heterosuggestive exposure with the formation of a psychological attitude of rejection of excess food, irritate reflexogenic zones and acupuncture points, followed by removal from the state of hypnosis. The difference of this method is that first, in an individual conversation, they find out the age, name, weight, height, number of kilograms that the patient wants to get rid of, for how long, they make up the self-awareness formula. After the formation of a psychological attitude of rejection of food, they irrigate the oral cavity and pharynx with 0.2-0.5 ml of 1% solution of amomorphine, irritate the acupuncture points that cause vegetative reactions, strengthen them by inducing the Ashner-Denmark eye-heart reflex and the resulting stress reaction verbally associated with emerging sensations. After removing the patient from hypnotic immersion, pressure is applied in the middle part of the superciliary arches to the pain. In the affirmative form, it is reported that the metabolism has changed, the appetite has decreased, and the patient pronounces the self-awareness formula.

There is also known a method of psychotherapeutic effects (patent RU No. 2092192). In this method, including suggestion, a clinical and psychological examination is preliminarily carried out and, when a psychologically determined jam is detected in the role of a “parent”, a psycho-emotional state of increased erotic feeling is formed. To do this, they use aromatic means with a pronounced musk tone, present musical compositions on erotic themes, visual compositions with erotic symbols. Against the background of the formed psycho-emotional state, verbal suggestion is carried out aimed at switching interest from satisfying a nutritional need to satisfying a sexual one.

There is also a method of treating obesity (patent RU No. 2153362). It relates to methods of mental correction of personality. It combines psycho-therapeutic effects with a deterministic diet program. A suggestive effect on the patient’s personality is carried out with a combination of tactile irritation of the reflexogenic zones of the digestive tract. As a result, an active positive emotional-volitional motivation is formed for performing a deterministic diet program, which is prescribed after psychotherapeutic intervention. They restrict food to 1300-1500 ml per day with the exception of the most aggressive products for a period of 2-3 months.

Also known is a method V.I. Mirkina treatment of obesity (patent RU No. 210719), consisting in the fact that sessions of individual and collective psychotherapy are carried out in a state of wakefulness and hypnotic trance. A psychological installation (code) is introduced verbally that contains information about a specific number of kilograms of weight loss over a certain period of time. The difference of this method is that the group is formed of patients who first and repeatedly came to treatment in a ratio of 1: 2, respectively. The session begins with individual psychotherapy of re-visiting patients and is carried out with each patient separately in the presence of the entire group. At the same time, the patient reports on the dynamics of his weight, and the doctor focuses the attention of the group on the results achieved and uses this information as indirect psychotherapy for the entire group. After this, the patient is placed in the Romberg position, a psychological setting is introduced in the form of information on the number of kilograms of weight loss for the coming week, the code is fixed. To do this, they press on the eyeballs, cause sharply mechanical irritation on the back surface of the extended arms, on the upper back and chest. Then all patients are immersed in a state of mild hypnotic trance and inspire a change in eating behavior. After removing the patients from the hypnotic trance, the session is continued only with the first-time patients. They carry out coding in the Romberg position, using information on the number of kilograms of weight loss for the entire course of treatment as a psychological setting. Limit the diet to 1300-1500 kcal, reduce the carbohydrate content in it by 70-80% and introduce fasting days. The course of treatment includes 10 sessions conducted weekly. This method is characterized in that the psychological setting is reported in an altered voice, tongue twister. Another difference is that the calculation of the number of kilograms of weight loss is carried out according to Brock's formula or using the Bernhardt index. To limit the diet to 1300-1500 kcal, an accessible diet is recommended, for which a thick dish is left in the plate in the first dish, in the second side dish, in the third sweet and they are excluded, thereby, from the patient's diet.

There is also a method of treating obesity (application RU No. 94038104, published 09/27/1996). This method is carried out in several stages by psychotherapy. It differs in that at the first stage they carry out 1-3 sessions of psychotherapy in the form of a suggestive effect, which is carried out together with mechanical irritation of the C7 points Shen-less heart meridian. After 3-4 weeks, the second stage is carried out, which includes a suggestive effect, carried out in conjunction with mechanical irritation of the points E9 of the Shen-in of the stomach meridian and P21 Yuen of the wonderful meridian Zhui-May before the spasm appears.

Closest to the claimed method of correction of excess weight with a psychotherapeutic effect is the method according to patent RU No. 2198000. This method includes group and individual psychotherapeutic effects and reflexology. It differs in that the correction is carried out in three sessions, the first two of which are at night, in the first session, an interview is carried out sequentially, in which they conclude a psychotherapeutic contract in which the doctor and the patient share responsibility for the treatment. After that, rational psychotherapy is carried out, during which they form an attitude to the problem and discuss the principles of balanced nutrition. Then, simultaneously with acupuncture, non-directive hypnotic suggestive psychotherapy is carried out aimed at activation of internal resources. After that, conduct behavioral psychotherapy with the formation of an aversion to a product that causes excessive appetite. At the second session at the interview, the importance of regulating the energy balance is emphasized, then acupuncture and a general relaxing relaxation trance are performed, then transpersonal psychotherapy is carried out with the induction of an altered state of consciousness and a stereotype of a slender person's behavior is formed. Then conduct non-directive hypnotic therapy, aimed at the formation of maximum satisfaction from the minimum amount of food. After this, acupuncture is carried out simultaneously with behavioral aversive therapy. The third session begins with rational psychotherapy aimed at fixing the normal body weight, then acupuncture is performed. After that, when conducting behavioral psychotherapy, the dominant according to Ukhtomsky is formed, the results of psychotherapeutic correction are fixed. The course of treatment is 5 days, after 30-40 days they conduct a session of behavioral psychotherapy, where they monitor and provide moral support.

In addition, an addition to the method is the recommendation of the correction by two psychotherapists with different personality types - extrovert and introvert.

In addition, with this method, if necessary, the patient independently conducts a session of non-directive hypnotic psychotherapy using audio media.

The task of the invention is weight correction with a psychotherapeutic setting that allows you to maintain the achieved result - weight loss for a long time or constantly.

The essence of the invention lies in the fact that in the method of weight correction, including psychotherapy and acupuncture, in which at the first stage a clinical and hardware examination of the patient is carried out, an interview is conducted, in which, together with the patient, they choose a weight loss program and its pace, discuss the principles of balanced nutrition and psychotherapy is carried out at each of the sessions: rational or behavioral, or hypnotic, they form a stereotype of a healthy lifestyle and behavior of a slender person, they control the biomedical and physical parameters in dynamics, provide moral support to the patient, after reaching the beginning of a positive trend in weight loss and achieving a psychoemotional “fracture” in the patient’s mind, before acupuncture, intensive manual massage of problem areas is performed, combining massage techniques with psychotherapeutic effects during his time, using in the process examples, comparisons, therapeutic metaphors of positive effects.

In addition, an additional difference of the proposed method is the mode of acupuncture, which is carried out at three points of the anterior-median meridian (channel): VC12 Zhun-wan, VC7 yin-jiao, VC6 qi-hai, and the points of the stomach meridian E25 tien-shu symmetrically with on both sides, with a session duration of 25-30 minutes, with a full cycle of acupuncture 8-10 sessions every other day, and during each session, puncturing movements are performed, and acupuncture begins from the point of VC12 zhun-wan.

One of the features of the proposed method is the procedure for installing needles during acupuncture. It is declared as a special case, which gives the optimal effect: after the needle is installed at the point VC12, the needles are placed in the following order: at - VC7, then at the stomach meridian point E25 on the right, in VC6, E25 on the left.

Another difference in the claimed method is the optimal time to start psychotherapy at the stage of acupuncture. This is the moment preceding the introduction of needles and immediately at the time of their installation, when the patient's waiting and “excitement” is maximized.

An additional claimed mode is the presence of puncturing needle movement and its duration, from 5 to 7 seconds for each of the needles.

The inventive method is as follows. The word “weight loss” causes psychological resistance in the subconscious of some patients, because this process has historically been associated with the consequences of wars, famine, etc. Therefore, the author in his practical work for the patient introduces the concept of “achieving the set weight parameters” and is convinced that the process of achieving the set weight parameters should be enjoyed with pleasure throughout its duration. This principle is subject to psychotherapeutic work with the patient during weight correction. In addition, in this method, the exact timing of the start and end of significant steps, as well as the exact determination of the weight at the steps and the exact goal, are fundamental. An important point is the establishment of a possible cause of excess weight - “stress seizing”, i.e. excessive food intake due to dissatisfaction with life or oneself.

At the first sessions, the patient discusses the reasons that led to weight loss, seriousness of intentions, the amount of excess weight, the percentage of fat of the total mass, determined with the help of instruments, the sizes of problem areas are measured, a complete diagnosis of the state of the body is carried out with the exception of the reasons that do not allow a weight correction course In this way, an instant photo is taken with a digital camera in several projections, allowing the patient (patient) to objectively see himself from an angle of view inaccessible to the patient. At the first session, the tactics and strategy of the weight correction course, the percentage of weight loss per week are developed and a psychotherapeutic effect is carried out. During the conversation, the patient's preparation for the selection of products for a restrictive diet is revealed. Vitamins, plant foods, proteins, fat-free sour-milk products with a strong restriction of fatty, sweet, and floury foods are left on the menu. An exercise regimen is developed, recreational walking, swimming and other types of physical exercises and exercises are prescribed by choice and in agreement with the patient. In subsequent sessions, the patient receives a psychotherapeutic effect with fixing his attention on the most significant actions and deeds. After weight loss by 10%, an intensive massage of problem areas using manual plastics is added to each correction session. During the massage, attention is focused on the patient's successes in reducing weight and reducing body fat, and attention is also paid to the challenges ahead. During the massage, a psychotherapeutic effect is carried out. After several sessions, in the case of visually achievable successes, a digital camera is shot and the effectiveness of the work done is immediately shown to the patient on the camera’s display or on the computer screen. Most patients eventually forget their initial state and tend to underestimate all the changes that occur with their appearance, so the positive differences that are visible not only in kilograms, but also in appearance, encourage patients to continue the process of weight loss. Acupuncture sessions end, which fixes the psychotherapeutic effect on the patient and stimulates the physiological processes of healing the body.

The stage of acupuncture is as follows. The patient lies on his back, legs are slightly bent at the knees. The patient is shown disposable acupuncture needles. As a rule, these are needles with a diameter of 0.25-0.30 and a length of 40-75 mm, depending on the thickness of the subcutaneous fat. The first point is VC12 - zhun-wan. Most patients treat acupuncture quite stressfully, with some fear of varying severity. Therefore, at the very moment of acupuncture, patients have less control and criticism over the words spoken by the doctor. Therefore, it is important that psychotherapeutic suggestion at this stage is carried out immediately before and immediately at the time of acupuncture. The next are the needles in VC-7 yin-jiao, then to the right point of E25 tien-shu, then VC6 - qi-hai, then to the left E-25. In parallel with this doctor, it is argued that now the patient will quickly become saturated, feel heaviness and discomfort in the stomach area from overeating and lose weight much easier and faster. During the acupuncture session for 30 minutes, psychotherapy is carried out using the method of stories and metaphors.

Example No. 1. Patient Oleinikova S., 40 years old, weight 109 kg, height 174 cm, pronounced cellulite deposits. Occupation - Business. The motor mode during the day is limited. Several times I tried to independently reduce weight. Unsuccessful attempts forced to see a doctor. After a comprehensive clinical and laboratory examination, satisfactory indicators were obtained and a weight correction course was started. With a therapeutic effect, the patient is oriented towards a change in the nutritional and motor regimen and actively follows it. After weight loss of 11 kg, the patient was prescribed an intensive massage with body shaping. Conducted 50 massage sessions over 7 months. Acupuncture was used only in the first 10 sessions. Achieved the result of weight loss of 35 kilograms.

Example No. 2. Patient Kuznetsova Olesya, 22 years old, weight 89 kg, height 170 cm, occupation - university student. Strong motivation for losing weight to previous sizes. After 5 months, the patient's weight became 64 kg. Weight decreased by 25 kg. The volume of the waist and hips decreased by 20-25 cm. The process of correcting weight and body was carried out in strict accordance with the claimed technology.

Example No. 3. Makeenko M. For 2.5 months he lost 15 kg in weight. Girth of the abdomen decreased by 15 cm.

The inventive method was developed by a psychotherapist, a practical specialist in the field of oriental medicine, who had an internship and worked in China.

Claims (5)

1. A method of weight correction, including psychotherapy and acupuncture, in which at the first stage a clinical, laboratory and hardware examination is carried out, an interview is carried out, in which, together with the patient, a weight loss program and its pace are chosen, the principles of balanced nutrition are discussed, and at each session, psychotherapy: rational, or behavioral, or hypnosuggestive, form a stereotype of a healthy lifestyle and behavior of a slender person, monitor the biomedical and of physical parameters in dynamics, they provide moral support to the patient, characterized in that after reaching the beginning of positive dynamics in weight loss and achieving a psychoemotional “fracture” in the patient’s mind before acupuncture, intensive manual massage of problem areas is carried out, combining massage techniques with psychotherapeutic effects during it, using examples, comparisons, therapeutic metaphors of positive impact in the process. 2. The method according to claim 1, characterized in that acupuncture is carried out at three points of the anterior-median meridian (channel): VC12 Zhun-wan, VC7 yin-jiao, VC6 qi-hai; and the points of the stomach meridian E25 tian-shu symmetrically on both sides, with a session lasting 25-30 minutes with a full cycle of acupuncture 8-10 sessions every other day, and during each session, puncturing movements are carried out, and acupuncture starts from point VC12 zhun- Wan. 3. The method according to claim 2, characterized in that after installing the needle at the point VC12, the needles are installed in the following order: in VC7, then to the point of the stomach meridian E25 on the right, in VC6, E25 on the left. 4. The method according to claim 2, characterized in that at the time preceding the introduction of the needles at the indicated points, and immediately at the time of their installation, an additional psychotherapeutic effect is performed on the patient. 5. The method according to claim 2, characterized in that the duration of the puncturing movement is 5-7 s.