RU2195330C1 - Obesity treatment method - Google Patents

Abstract

FIELD: medicine, in particular, psychiatry and psychotherapy. SUBSTANCE: method involves providing two-staged treatment of III-IV grade obesity: at first stage fat "combustion" due to limited ration caloricity is suggested to patient, and at second stage program for keeping predisposition to weight reduction is suggested provided that body weight is reduced in accordance with formula: "height in cm minus 85". Treating procedures are performed in the following manner: patient is offered psychotherapeutic composition in the form of film having illustrative material presented by at least 80% in the form of static pictures, with narrator's voice behind frame providing successively rational psychotherapy, introduction of patient into meditation state and suggestion, and simultaneously providing sounding of musical accompaniment of nature emotionally enhancing and corresponding to sense of a psychotherapeutic action; discretely increasing rhythm of musical compositions during treatment procedure from 40 to 90 strokes per minute by the end of procedure; apart from verbal effects and musical accompaniment, showing illustrative images of appearance and shape forming psychoemotional patient's attitude toward object of suggestion. EFFECT: increased efficiency in treating patients suffering obesity. 8 cl

Description

 The invention relates to medicine, namely to psychiatry, and can be used in psychotherapy to treat obesity.

 Obesity belongs to the category of the most common diseases that undermine the health of a significant part of the population. The tendency to obesity is an even more frequent phenomenon, complicating the life of even more people. It must be answered that this situation remains virtually unchanged, although to this day, as it seems, many ways have been invented to combat this ailment.

 When considering the problem of excess weight in recent literature, an important place in the pathogenesis of obesity is given to disorders in the psycho-emotional sphere and the successful correction of the disease with the normalization of motivational processes is shown / Semenov S.P. "Seminar on resonant psychotherapy", St. Petersburg, Vita, 1996, 43 pp. /.

 There is a method of treating admixture of obesity, according to which psychotherapy is previously carried out in the wakeful state, while verbal suggestion reinforces and strengthens the motivation for weight loss, then the patient is brought into a meditation state, an autoheterosuggestive effect is carried out, an indifferent attitude to food is instilled, and anorexic-dysphagic sensations are induced and strengthen them with mechanical irritation of the anterior projection of the stomach, 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 (RF Patent 2008028, Bull. 4, 1994). The method requires at least three sessions of psychotherapeutic intervention.

 A known method of treating nutritional obesity, according to which, when identifying a psychologically determined stuck in the role of "parent", they form a psycho-emotional state of increased erotic feeling, for this they act with aromatic means with a pronounced musk tone, show musical compositions on erotic themes and perform verbal suggestion against the background of the formed psycho-emotional state aimed at switching interest from satisfying food needs to satisfying ksualnoy (RF Patent No. 2092192). However, in the method according to patent 2092192 there is no data on the duration and mode of treatment to achieve stable results.

 The objective of the invention is to provide a method for the treatment of obesity, based on the etiological and pathogenetic characteristics of the disease, which is highly effective due to changes and the creation of an effective system of behavioral strategies, which is achieved by combining the word with various "fixatives" (anchors), which are served simultaneously and are involved in the process verbal-visual, verbal-auditory and verbal channels of perception of information. This approach corresponds to the mechanisms of the combined reflex according to V.M. Bekhterev or conditioned reflex according to I.P. Pavlov and can significantly increase the effectiveness of treatment.

 The ritual of organizing the session, its mystery / dark clothes of the attendants, the darkened room with lighting / and the patient’s mood for the effectiveness of the method used (“acupuncture programming”), thanks to which he can fulfill all the recommendations necessary for weight loss, play an important role in the conduct of psychotherapeutic intervention .

 In the treatment of grade III-IV obesity, two programming sessions are performed.

 The method is as follows.

 The treatment session begins with a consultation with a doctor in order to clarify the indications and contraindications for programming, and also determine the individual characteristics of the patient, which are taken into account during the treatment.

Then carry out the procedure "mood", the purpose of which:
- psychophysiological preparation of the body for a programming session,
- mobilization of metabolism.

 The procedure combines the effect on reflexogenic zones, therapeutic relaxation and the presentation of information that orientates the patient to the correct perception of the treatment session.

 The main stage of the treatment session is programming. It is carried out by presenting to the patient / patients / psychotherapeutic composition in the form of a film. In this case, a psychotherapeutic effect is carried out with a voice-over, including consistently conducted rational psychotherapy, the patient is introduced into a state of trance (meditation) and programming (suggestion).

 The film is designed in such a way that the voice-overs sound against the background of musical accompaniment, which enhances motivation and creates the necessary emotional mood, facilitates perception and helps to consolidate the semantic content of the psychotherapeutic effect.

 In synchronization with the narration and musical accompaniment, images of illustrative and symbolic nature are shown on the screen. Using illustrative material, the corresponding emotional attitude of the patient to the subject of narration or suggestion of voice-overs is formed.

 When using indirect suggestion on the screen demonstrate images of a symbolic nature with which the patient can identify himself.

 Periodically, a photographic image of the author (doctor) is shown on the screen, with facial expressions, posture, clothes, etc. (i.e. non-verbal method) forms an emotional attitude to what is happening.

 Also periodically on the screen demonstrate the text, which is a concisely formulated recommendations, which in essence are a form of suggestion.

 It was established that the greatest programming effect is obtained when using illustrative material in the film in the form of static images (up to 80%). An important feature of the psychotherapeutic effect is the acceleration in the course of the session, the rate of speech behind the scenes in accordance with the rhythm of the musical accompaniment.

 In particular, in the programming section we used 10-12 musical compositions of an erotic nature. Moreover, each subsequent composition differs from the previous one by an increase in the rhythm frequency by 4-5 beats per minute, i.e. at the beginning of programming, the rhythm of the musical composition is 40 beats per minute, during the course of the session it increases discretely and amounts to 90 beats per minute by the end. Programming is carried out in a darkened room. The patient is placed in a comfortable chair and a film is shown to him. In this case, treatment begins with rational psychotherapy, i.e. In a voiceover, they inform the patient about factors that determine the weight of a person, what obesity means and what it means to lose weight, report errors that are often made by obese people who try to lose weight. At the same time, visual material is shown on the screen (drawings, diagrams, compositions), which allows you to understand, learn and consolidate what was said. For example: during a story about the formidable complications that obesity leads to, gloomy pictures of nature are shown on the screen, and musical accompaniment of an alarming nature enhances the feeling of the threat (danger) of obesity, i.e. forms and strengthens the motivation for the need for treatment.

 To transfer the patient to a state of meditation (trance), voice-overs are monotonous, slowly inspiring a sense of peace and confidence. At the same time, a calming musical composition sounds at a slow pace and nature pictures associated with a state of rest are shown on the screen.

 After reaching the state of meditation with the help of verbal-visual, verbal-auditory and non-verbal presentation of information, the necessary techniques are instilled, the implementation of which leads to weight loss and the transition of the body to a state with unfavorable conditions for the life and reproduction of fat cells.

 For example, some abstracts of voice-overs. "It is real to lose weight, that is, to get rid of obesity, you can only solve two problems at the same time: and - burning fat and - reducing the number of fat cells.

 If you have large excess weight, then the rate of extinction of fat cells is slightly behind their reproduction or these rates are equal, and therefore the total number of lipocytes either increases or remains invariably large, but does not decrease at all. A predisposition to obesity is only a particular characteristic of some steady state. Indeed, you can lose weight only by changing the state as a whole, so that the body has conditions that are unfavorable for the life and reproduction of fat cells, but favorable for burning fat based on the predominance of energy over energy.

 Pregnancy can lead to obesity, but it doesn’t matter whether the pregnancy ended in childbirth, whether it was interrupted by a medical abortion, or if a miscarriage happened ...

 There is a quite reasonable explanation for this: during pregnancy, the mother and fetus organisms are one and the metabolism of a woman with the onset of pregnancy regulatory changes towards the predominance of building, accumulative processes - after all, the child must be raised, taken out, built. For a pregnant or breast-feeding woman, metabolism with a predominance of building processes is a mandatory, normal phenomenon. The sadness is that sometimes this type of metabolism (maternal) remains after pregnancy is resolved after breastfeeding ... - then the "gestation" of adipose tissue, obesity begins ... There are other factors that provoke a regulatory shift in metabolism side of obesity: for example, playing sports with huge energy costs, flu, sore throats, sleep disturbances, poor nutrition ... All this affects the regulatory hypothalamic centers in such a way that a shift in metabolism becomes very likely eschestv towards obesity.

 If you endured the pregnancy or interrupted it, then after giving birth and feeding the baby (or after the interruption), actions should be taken to restore the metabolism characteristic of a non-pregnant woman ...

 Throughout the entire period of losing weight, try to get enough sleep, if you suffer flu or tonsillitis, acute respiratory infections, after a week arrange yourself a "fasting day." Former athletes should not try to regain the previous (“sports”) amount of energy consumption during the emaciation period, but it should be slightly increased due to the so-called dynamic loads, and this is walking, running and the like ...

 In addition, lifestyle adjustment is primarily a dietary adjustment, so as not to put yourself at risk of becoming prone to obesity, you should carefully exclude from your diet everything that can contribute to this.

 The optimal weight loss rate is one that is sufficiently proportional to the rate of renewal of the cellular composition of adipose tissue. This speed is not very large and, according to my research, ranges from 2 to 3 kg per month - this is the speed I recommend to anyone who has started losing weight. Losing weight much faster than 3 kg threatens with side effects.

 Obesity of the III-IV degree is a special painful condition in which the body is predisposed to store fat. To get rid of obesity, it is necessary, firstly, to ensure the ability to confidently act properly for a long time, and secondly, to make the body willingly part with excess fat.

To solve these problems, the purpose of the first session is as follows:
1. To make a regulatory shift in metabolism towards predisposition to weight loss.

 2. Formulate a program of action, an accurate idea of what and how to do to get rid of fat.

 3. Make yourself stronger than your habits so that you can act as it should for a long time.

 At the same time, special attention is paid at the first session to strengthening the patient's motivation for long-term strong-willed efforts, since weight loss after the session does not occur as a result of the "miraculous effect" provided by the doctor, but as a result of the exact implementation of all recommendations. They are based on a well-known rule: accumulated fat is consumed when the energy expenditure of the body exceeds the energy intake from food, that is, when the calorie content of food is reduced and motor activity is increased. Therefore, weight is lost by everyone who fairly punctually fulfills all the recommendations. At the programming session, there is a regulatory shift in metabolism towards predisposition to losing weight, but after that you will need to constantly maintain yourself in good shape. The diet at the same time is quite simple, since it involves mainly limiting the calorie intake. The dietary recommendations that can be used in the treatment are described in detail, for example: in the book: S.P. Semenova "Want to lose weight? .. St. Petersburg., 2000, pp. 40-52.

 The second session is carried out after reaching a weight corresponding to the formula: "height in cm minus 85". For example, your height is 170 cm, and your initial weight is 105 kg. This means that after the first session it is necessary to get rid of 20 kg of fat. At the recommended weight loss rate of 3 kg per month - the second session should be taken after 7 months, and during these months to implement the program of the first session.

 The second session programs to get rid of not so much fat as from excess fat cells. For this, one needs the body’s predisposition, and a program of action, and the ability to act in accordance with this program.

 To burn fat, the caloric content of the daily diet should not exceed 2000 kcal. At the same time, it should not be reduced significantly below 1800 kcal for a long time, otherwise it is difficult to provide the body with all the non-energy substances it needs and dystrophy may develop.

 To burn fat, it is necessary to properly organize energy costs, and this is any form of continuous movement for one hour.

 When characterizing food products depending on their energy value and recommendations for consumption, they are shown on the screen either in an attractive form that evokes positive emotions, or in a form that causes an aversion to these products.

 In the first and second sessions after the end of the film, the final stage of the session is carried out. In this case, the patient is placed on a couch, acupuncture points are irritated by the acupuncture method or exert a pressor effect on reflexogenic zones. Against this background, the patient is introduced into a state of relaxation and through headphones they inspire the ability to act in accordance with the recommendations received.

Claims (8)

 1. A method of treating obesity by conducting rational psychotherapy, introducing the patient into a state of meditation, subsequent suggestion and exposure to reflexogenic zones, characterized in that for obesity of the III-IV degree, the treatment is carried out in two sessions, in the first session, the “burning” program is instilled fat by limiting the calorie content of the diet, the second session is carried out after reaching the body weight corresponding to the formula "height in cm minus 85" and instill a program to maintain a predisposition to weight loss; treatment sessions are organized as follows: the patient is presented with a psychotherapeutic composition in the form of a film, the illustrative material of which is presented at 80% in the form of static images; at the same time, the voice-overs provide consistent rational psychotherapy, introducing the patient into a state of meditation and suggestion; at the same time, musical accompaniment sounds, the nature of which corresponds to the semantic content of the psychotherapeutic effect and emotionally enhances it, the rhythm of musical compositions during the session is discretely increased from 40 beats / min at the beginning to 90 by the end of the session; synchronously with verbal impact and musical accompaniment on the screen demonstrate images of illustrative nature, the form and form of which forms the patient's psycho-emotional attitude to the subject of suggestion.  2. The method according to p. 1, characterized in that the session uses 10-12 musical compositions, with each subsequent composition different from the previous one by increasing the rhythm frequency by 4-5 beats / min.  3. The method according to PP. 1 and 2, characterized in that when conducting indirect suggestion on the screen demonstrate images of a symbolic nature with which the patient can identify himself.  4. The method according to PP. 1-3, characterized in that when using non-verbal methods of suggestion on the screen demonstrate photographic images of the author or doctor, facial expressions, posture, the clothes of which form the patient’s emotional attitude to the information communicated.  5. The method according to PP. 1-4, characterized in that periodically on the screen in the form of a text present concisely formulated recommendations.  6. The method according to PP. 1-5, characterized in that the rhythm of the voice behind the scenes during the session is accelerated in accordance with the rhythm of musical compositions.  7. The method according to PP. 1-6, characterized in that in addition to concluding the session after the end of the film, they influence the reflexogenic zones and, against this background, through the audio channel they inspire the achievement of the result and the ability to follow the recommendations received.  8. The method according to PP. 1 and 7, characterized in that the effect on the reflexogenic zones is carried out by the acupuncture method or by the method of pressor exposure.