RU2163150C1 - Method for applying musical therapy - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves forming and revealing non- verbal signs emotionally neutral, desirable, undesirable and resource states, trance state and state hindering to achieve a desired state. Each of the states is associated with a color. Any of the states being achieved, physiological characteristics are recorded and their spectral analysis is carried out for detecting electrographically correlated units. Lexical and semantic properties are recorded for every state and their correlated speech unit is built. Music patterns are shown to select those producing, when shown, the electrographic signs indicating the states in the patient. The music and speech patterns are combined in their acoustic power proportion being selected as 4:1, respectively. Then, three and more audio patterns are combined into groups showing any of the groups at a time. The groups are shown in turn in arbitrary succession order and they are united without pauses as an integral audio composition. EFFECT: enhanced effectiveness in building individual compositions of therapeutic activity. 4 cl

Description

 The invention relates to medicine, namely to psychotherapy using music and computer multimedia, includes hardware methods for studying various physiological reactions and is intended for the prevention and treatment of borderline mental and psychosomatic disorders, bad habits and addictions, as well as painful ones, i.e. insufficiently clearly syndromic outlined subclinical disorders that are not included in the International Classification of Diseases of the X revision by creating therapeutic audio compositions.

 There is a method of transforming verbal information on the level of subthreshold perception under psychophysiological effects (Beznosyuk E.V., Kuchinov A.I., Yurtov O.V., Zernichenko A.N. "Method for transforming verbal information on the level of subthreshold perception under psychophysiological effects". Patent N 2124371). The authors use verbal forms of suggestion, “blocks-blanks” transformed for subthreshold perception as an “information signal”. For example, for subjects who have disorders of the anxiety series, one of the blocks of verbal suggestions uses a spectrum of several types of phrases: "Easy, free, calm." As an audio "background" signal, the authors use music, sounds of nature, etc. The authors consider the "musical accompaniment" of speech as a kind of "accompanying the basic information" means, "acting as a" transport "- an accompaniment of information", creating an "additional background" , helping the perception of verbal information (Beznosyuk E.V., Kuchinov A.I., Yurtov O.V., "Psychotherapy using the method of acoustic transmodulation of suggestive verbal information at an unconscious level." In the journal: "Bulletin of Postgraduate Medits education ". Materials of the 1st international conference" Psychotherapy at the turn of the millennium: the experience of the past, a look into the future ". M., 1998). After carrying out spectral analysis and multi-stage conversion of the information signal, it is combined with the background signal in the ratio of sound powers of 0.15-0.25. As a result, the background signal is not distorted when summing it with a speech signal. When summing the combined signals to the subject’s auditory analyzer, the latter does not recognize at a conscious level not only the meaning of the speech message, but also the fact of its presence. Upon presentation of the summarized audio signal, the authors register the EEG, ECG and respiration data. For reference, EEG, ECG and respiration are taken when the subject is in a state of relaxation.

 In the method that I propose, the musical component has an independent therapeutic value, and the psychotherapeutic effect of both the musical and speech components of the audio composition is equivalent. The selection of components is carried out using EEG data, pneumography, speech reactions, as well as a number of other methods, taking into account the nosological form. In addition, in my proposed method, the reference bioelectric indicators are taken from the data recorded when the subject was in an emotionally neutral state, and not in a state of relaxation, which in some cases can be both a desirable and an undesired state, and therefore the values of bioelectric indicators recorded in this state, in principle, cannot be a reference in each clinical case.

 Closest to the claimed method is the so-called. Interactive resonance method (Ryabikov V.V., Kui-Beda V.Yu. Interactive resonance method: a new approach in music therapy. In the journal: Postgraduate medical education. Materials of the 1st international conference Psychotherapy at the turn of the millennium: experience of the past, a look into the future. M., 1998), which is essentially a modification of the method of directed correction of the psychoemotional state of a person patented by the authors (Ryabikov V.V., Kuy-Beda V.Yu., Ikhsanova S.G. Method of directed correction of the psychoemotional state of a person. Patent N 2122442). The authors have developed an algorithm for creating an audio therapeutic composition, due to the repeated presentation of which the patient forms an integrated state that allows mobilizing internal resources in response to those incentives that previously caused an undesirable state. By identifying non-verbal signs of various conditions, as well as using the questionnaire developed by the authors (the so-called RPC test), more than 200 concepts associated with the undesirable, desirable, resource-related ones that impede the achievement of the desired state are associated with the 8 colors of the standard stimulus material of the Lusher test, as well as trance states, contexts in which they arise, surrounding people, archetypal images, etc. Similarly, by associating with the stimulus material the 8-color Lusher test, the audio correlates are also selected from the audio patterns developed by the authors of the banks, from which the therapeutic audio composition is subsequently composed.

 However, the authors select the audio correlates of these states, and also judge their occurrence, based only on the data of the color-associative test and the appearance of non-verbal signs of these conditions. The authors of Interactive Resonance do not include the verbal components of these conditions in the treatment composition. When creating a musical composition, the authors of the Interactive Resonance method suggest that the patient associate acoustic forms from the banks of audio patterns developed by them with color. Each bank contains several dozens of musical fragments, coordinated according to the palatonic sign, tonality, tempo, size and duration of the sound. This allows you to combine and combine musical patterns into a variety of audio compositions with sound integrity. The sound characteristics of the patterns (timbre, instrument on which the passage is performed, panorama, reverb depth, etc.) are adjusted in the direction of maximum correspondence to the non-verbal signs of each of the listed states. However, the reproduction of these patterns and changing the characteristics of their sound without preliminary digital processing is possible only on a single synthesizer model of one firm.

 In my method, along with musical components, the lexico-semantic (verbal) correlates of the indicated states are included in the sound composition, and to objectify the accuracy of the selection of the composition components, along with the use of the color-associative test, bioelectrical indicators of at least five physiological functions by various methods of hardware diagnostics are also recorded . The pattern banks developed by me fully correspond to the features described in the Interactive Resonance method. But their main difference is that they can be reproduced and the characteristics of their sound can be changed on any personal computer equipped with a sound card that supports wave synthesis.

 The objective of the proposed method is to create a therapeutic and prophylactic audio composition comprising a musical component and a lexical-semantic (verbal) component, the latter being presented at a subthreshold level of perception.

 The essence of the method lies in the fact that the selection of non-verbal and verbal correlates and the objectification of the reactions that they cause are carried out using methods of hardware diagnostics of bioelectric reactions, and the indicators of an emotionally neutral state are taken as reference ones.

 Description of the method.

 First, hardware diagnostic methods are chosen to objectify the received data. Since the proposed method relates to psychotherapy, registration of EEG and speech reactions is mandatory in each case. Since one of the most effective and at the same time simple ways of “joining and conducting” is the therapist’s pronouncing words and phrases that lead to the appearance of the desired state, simultaneously with the beginning of the exhalation phase of the subject (see Grinder. D., Bandler P., “From frogs to princes” ", Voronezh, NPO MODEK, 1994), then the third method, which is mandatory in each case, is pneumography. The choice of the fourth method of functional diagnostics is based on a nosological approach (for example, if a subject suffers from coronary heart disease, an ECG is recorded), and any other available method of hardware diagnostics is chosen as the fifth method.

 After that, the patient forms an emotionally neutral state, for which they suggest thinking about something neutral, for example, mentally imagine any emotionally indifferent image that does not cause either positive or negative emotions (Andreas Connira, Andreas Steve. "Change your thinking - and use results. The latest submodal NLP interventions. "St. Petersburg: Juventa, 1994). They ask the patient to hold this image in front of the mind's eye and at this time register the values of physiological indicators with the selected hardware diagnostic tools and note the non-verbal manifestations of an emotionally neutral state (posture, facial expressions, oculomotor reactions, voice sounding features, etc.) that occur.

 Associate an emotionally neutral state with color using standard stimulus material from the 8-color Luscher test.

 The method of age regression is used (see Grinder D., Bandler P., “From Frogs to Princes”, Voronezh, NPO MODEK, 1994), inviting the patient to mentally move backward in time, dwelling on those memories when such emotional neutral states arose spontaneously, without any effort. Each time such a memory arises, they ask the test subject to say out loud, indicating in one word or a short phrase what he mentally sees, hears or feels, and also indicate the age at which this occurs, people, emotional states and their physiological manifestations, beliefs , goals, archetypal images, ethical values, ideas about mystical and religious experience, concepts about intuitive and rational and other associations associated with this memory.

 Each time a memory arises about a spontaneously arising emotionally neutral state, bioelectrical reactions are recorded by the selected hardware methods, and non-verbal signs of its manifestation (posture, facial expressions, oculomotor reactions, peculiarities of sounding the voice, etc.) are detected by the observation method. Spectral analysis of the obtained physiological indicators is carried out and electrographic correlates of an emotionally neutral state are detected.

 Words and phrases uttered by the test subject are recorded on an audio medium, and then they are evenly distributed at regular intervals with such a frequency that the start of sounding of each word or phrase would correspond to the detected respiratory rate of the test subject in an emotionally neutral state. In this way, a speech pattern of an emotionally neutral state is obtained.

 From the banks of musical patterns that I developed, those patterns that are associated with the same color as the emotionally neutral state are selected. The pattern is selected from them, upon presentation of which electrographic correlates and non-verbal signs of an emotionally neutral state, systematically recorded by hardware methods, without presenting a speech pattern. The sound parameters of these patterns (volume, timbre, instrument on which a musical passage is performed, panning, variety and depth of reverb and “echo” effect, etc.) are changed in the direction of maximum correspondence to reliable signs of physiological reactions recorded by hardware methods and non-verbal signs emotionally neutral state.

 Impose a musical pattern on a speech one and get an audio pattern of an emotionally neutral state, establishing a balance between the power of their sound 4: 1, respectively. If the duration of the sound of the speech pattern is less than the duration of the sound of the musical pattern, then the maximum possible number of speech patterns that fit completely during the sound of the musical pattern are combined without pauses, and combine them with the musical pattern. If the duration of the sound of the speech pattern is longer than the duration of the sound of the musical pattern, then the smallest possible number of musical patterns are combined without pauses, during which they would fit the time of the sound of one speech pattern and combine them with the speech pattern.

 Then, the desired, undesirable, resource state, trance state, and also the state that impedes the achievement of the desired state are successively formed. Each condition is associated with color using the standard stimulus material of the 8-color Luscher test. Each time before the formation of the subsequent state, an emotionally neutral state is preliminarily formed.

 Upon reaching each state, the physiological indicators are recorded by the selected methods of hardware diagnostics and spectral analysis is carried out, thereby obtaining electrographic correlates of the desired, undesirable, resource states, trance state, as well as the state that impedes the achievement of the desired state.

 Using the method of age regression, the vocabulary and semantics of each state are revealed, receiving speech patterns of the desired, undesirable, resource state, trance state, as well as the state that impedes the achievement of the desired state.

 Consistently present musical patterns associated in color with the same colors as the desired, unwanted, resource states, trance state, as well as the state that impedes the achievement of the desired state, and those are selected from the presentation of which electrographic correlates of the corresponding state systematically arise.

 The selected musical pattern of each state is superimposed on the speech pattern of the corresponding state in the ratio of their sound powers 4: 1, respectively, while receiving audio patterns of the desired, undesirable, resource state, trance state, as well as the state that prevents the achievement of the desired state.

 Combine 3 or more audio patterns into groups for their simultaneous presentation, the groups are alternated in an arbitrary sequence and combined without pauses into a single audio composition. Present the composition to the patient until the correction of the undesirable state.

Claims (4)

 1. The method of music psychotherapy, including the formation and detection of non-verbal signs of the desired, undesirable, resource states of trance and the state that impedes the achievement of the desired state, the association of each state with color using the standard 8-color stimulus material of the Lusher color test, the selection of musical patterns of each state, combination them into a single composition lasting 30 to 45 minutes and presenting it to the patient, characterized in that they additionally form an emotionally neutral state, and then successively all the others; upon reaching each state, physiological indicators are recorded, their spectral analysis is carried out and electrographic correlates are identified, as well as the vocabulary and semantics of each state, receiving a speech pattern; then present musical patterns associated in color with the corresponding state and select from them those upon presentation of which the patient appears electrographic correlates of the desired state; then impose a musical pattern on the speech at a ratio of the power of their sound 4: 1, respectively, while receiving an audio pattern of each state; then 3 or more audio patterns are combined into groups for their simultaneous presentation, the groups are alternated in an arbitrary sequence and combined without pauses into a single audio composition.  2. The method according to claim 1, characterized in that, as physiological parameters, an electroencephalogram, a pneumogram, speech reactions, as well as indicators corresponding to the nosological form of the disease are recorded.  3. The method according to claims 1 and 2, characterized in that before entering the desired, undesirable, resource state, trance state and state that impedes the achievement of the desired state, the patient each time forms an emotionally neutral state.  4. The method according to claims 1 to 3, characterized in that when creating speech patterns of an emotionally neutral, desired, undesirable, resource state, trance state and a state that impedes the achievement of the desired state, the words and phrases pronounced by the test subject are evenly distributed at regular intervals with such a frequency that the beginning of the sound of each word or phrase would correspond to the detected respiratory rate of the test person in an appropriate state.