RU2314133C1 - Method for treating alcohol addiction cases - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method involves training negative conditional reflex to alcohol consumption by means of individual suggestive influence inducing trance state retelling text and concurrently acting upon acupuncture points. Before exerting individual suggestive influence, neurolinguistic programming treatment is carried out that forms negative conditional reflex to alcohol consumption and deactualizing the pathological attraction to alcohol consumption, reducing pathological alcoholic behavior patterns and forming new ecological sober Ego image and sober vital attitude. Individual suggestive influence is exerted with individual phonosemantic specific patient speech features and his/her leading representative system. Individual suggestive influence inducing trance state is carried out concurrently with infrared photobiostimulation and extra high frequency action being exerted upon corporal points. Next, the patient receives home task forming essential personality transformations. The extra high frequency action is applied to corporal points like T20, E36, MC6, GL4, VB8, VC12 and RP6. The home task comprises autogenic training and self-programming to achieve positive results. Individual suggestive influence is carried out by means of Erixon hypnosis. Advisory medical supervision is to be carried out 1 year long after the treatment.

EFFECT: enhanced effectiveness of treatment.

4 cl

Description

This invention relates to medicine, namely to narcology, and can be used in the treatment of patients with alcoholism.

A known method of treating alcoholism, protected US Pat. RF №2088268, class A61M 21/00, A61H 39/00, A61N 5/33, published 1997.08.27, in which, in addition to psychotherapeutic effects and reflexotherapy, an additional intravenous blood irradiation session with a helium-neon laser is performed.

The effectiveness of this method is reduced due to the fact that among the population there is a high degree of distrust in laser exposure due to the hypothetical possibility of "exposure". In addition, the risk of iatrogenism - infection of a patient with hepatitis or AIDS, increases. Since the method requires sophisticated technical equipment, as well as premises complying with sanitary and epidemiological surveillance standards, this significantly increases the cost of the method.

A known method of treating alcoholism, protected US Pat. RF №2255771, cl. А61М 21/00, published 2005.07.10, according to which the formation of a negative conditioned reflex to alcohol with the help of hypnosis and reflexotherapy is accompanied by an suggestion allowing the dosed use of alcohol. The effectiveness of this technique is low due to the fact that the use of even a small dose of alcohol by alcoholics triggers a pathological alcohol metabolism and leads to the return of all symptoms of alcoholism in a fairly short time.

Closest to the proposed method is a method of treating alcoholism, protected US Pat. RF №2149035, cl. А61М 21/00, А61Н 39/00, published 2000.05.20, according to which the formation of a negative conditioned reflex on alcohol is performed using group and individual suggestive exposure with simultaneous exposure of the laser device to auricular and corporal points.

Although this method provides good results in the treatment of chronic alcoholism, it has some disadvantages:

- the patient himself is deprived of the opportunity to realize and work out his deep-subconscious reasons for the development of dependence, which protects the destructive attitudes of the personality and leads to a breakdown;

- the use of auricular reflexology points requires additional education from the specialist conducting the treatment, and special equipment, which significantly increases the cost of treatment;

- the use of group suggestive exposure does not take into account individual phonosemantic features of individual patients, which also leads to a decrease in the effectiveness of treatment;

- orientation to "hard" coding often contributes to the development of neurotic personality, subjected to "hard" coding, which leads to the actualization of pathological craving for alcohol;

- with this method of treatment, patients retain asthenic-depressive manifestations of the disease, since all treatment is carried out in one session;

- there is no rehabilitation support program, which reduces the effectiveness of treatment.

The basis of the invention is the task of creating an environmentally friendly method for the treatment of alcoholism, providing a multi-level psychophysiological effect, forming a qualitative relief of the main manifestations of alcoholism and creating a functional state of indifference to alcohol without the use of drugs.

The technical result from the use of the invention is to increase the effectiveness of treatment due to the photobiostimulating effect of infrared light and extremely high-frequency (EHF) therapy, expanding the methods of psychotherapy and involving the patient in the treatment process and advisory observation.

This result is achieved by the fact that in the method of treating alcohol dependence, including the formation of a negative conditioned reflex to alcohol using an individual suggestive effect, an inducing trance state with pronunciation of the text and simultaneous exposure to acupuncture points, neuro-linguistic programming is carried out before the individual suggestive exposure, forming a negative conditioned reflex for alcohol and deactualizing pathological alcohol attraction, reducer The pathological patterns of alcohol behavior and the formation of a new ecological image of the “sober self” and sober life settings, and the individual suggestive effect is carried out taking into account the individual phonosemantic features of the patient’s speech and its leading representative system, and the individual suggestive effect, inducing trance states, is carried out simultaneously with infrared photobiostimulation and extremely high-frequency exposure to corporal points, after which the patient is given out at home her job, forming the essential transformation of the individual.

Extremely high-frequency exposure is carried out on corporal points T20, E36, MC6, GL4, VB8, VC12, RP6.

Homework includes autogenous training and self-programming to achieve positive results. Individual suggestive exposure is carried out using Erickson hypnosis. After treatment, advisory observation is carried out for 1 year.

The process of treating alcoholism is as follows.

At the first session, the doctor during the initial interview of the patient, collecting information, creates a state of rapport (areas of trust) using the methods of neuro-linguistic programming, at the same time the doctor determines the leading representative system of the patient and makes an audio recording of the patient's speech for subsequent determination of keywords.

In this case, the doctor sets the "anchors" on the manifestations of the drunken subpersonality of the patient and the sober subpersonality of the patient, respectively, on the left and right hand. Then, after checking the quality of anchoring, the technique of “merging anchors” is carried out, during which an integral sober subpersonality is formed and the alcoholic attraction is deactivated. At the time of the technique, the doctor conducts a direct suggestion aimed at forming indifference to alcohol. Then the patient is laid on the couch to conduct infrared photobiostimulating exposure to the T20 point and extremely high-frequency exposure to the corporal points G14, E36, RP6, MC6, VC12, VB8.

Photobiostimulating effect is carried out on corporal points - G14; E36; RP6; MC6; VC12; T20

Laser photobioactivation is carried out with infrared radiation with a wavelength of 1.3 μm with a power of 0.3-0.4 mW with a modulation frequency of 20 Hz using, for example, a STELLA-1 (BF) device. These modulation frequencies are resonant for the EEG theta and delta rhythms associated with the limbic system (emotions, psyche). Infrared stimulation stimulates the production of beta-enodorphins and the formation of artifactual functional stable connections of the second type, which contributes to the reduction of alcoholic affective disorders, such as depression and anxiety, and completely stops the pathological attraction to alcohol (Shabanov. PD "Narcology Guide" 1999) .

During the photobiostimulating effect, the doctor conducts hypnotic suggestion using Erickson hypnosis - “resource trance”, during the hypnotic trance, the doctor conducts indirect and direct suggestions aimed at creating a sense of safe comfort, confidence in the success of treatment and indifference to alcohol.

At the same time, the photobiostimulating effect on the order enhances the effectiveness of trance suggestions. After the procedure, the doctor gives the patient homework, which includes a set of questions, for example:

1. What will happen to you in life if you stop drinking?

2. What will happen to you in life if you don't stop drinking?

3. What will not happen in your life if you stop drinking?

4. What will not happen in your life if you do not stop drinking?

Homework questions may vary.

Homework and answers are in writing.

During the second procedure, the doctor conducts neuro-linguistic programming using the six-step reframing technique, which allows reducing the pathological patterns of alcohol behavior and laying the foundations of a sober lifestyle. The technique is as follows - first, the patient determines the purpose of his work, namely the stereotype of behavior (or symptom) that he wants to change. Then the patient, under the supervision of a physician, makes contact with that part of the personality that is responsible for the manifestation of this behavior. Further, the patient, under the supervision of a physician, separates the stereotype of behavior from positive intention. Then the patient, under the supervision of a doctor, gains access to the creative part and creates several new behavioral reactions to achieve a positive result and satisfy a positive intention. Then the patient, under the supervision of a doctor, presents new behavioral options for that part of the personality that needs to be changed, with a proposal to accept these behavioral options as action in appropriate situations. Then the patient, under the supervision of a doctor, conducts an environmental check, in which, while maintaining positive intentions, transforms pathological behavior and deactivates the pathological attraction to alcohol.

Next, an infrared photobiostimulating effect on the T20 point and an extremely high-frequency effect on the corporal points are carried out. At the same time, the doctor conducts a hypnotic suggestion.

Hypnotic suggestion is carried out using keywords and taking into account the individual phonosemantic characteristics of the patient’s speech, in a trance state the patient is convinced that he is now free from alcohol dependence and the effect of 6-step reframing is enhanced. Starting from the second procedure, each hypnotic trance is prepared individually individually in advance, taking into account the phonosemantic features of speech and the patient’s leading representative system, taking into account the "golden section" rule. After the procedure, the doctor gives the patient homework containing several suggestions, for example:

1. I am relieved of cravings for alcohol.

2. I know how to live without alcohol.

3. I am in a good mood.

4. I know how to solve my problems.

5. I am a winner.

Homework suggestions may vary.

Homework is submitted in writing and is essentially self-hypnosis.

In the third procedure, the doctor creates a new image of the sober "I" in the patient and destroys the alcoholic image of the "I", for this, the neural-linguistic programming technique - "explosion" is used. For this, the doctor asks the patient to visualize his alcohol dependence (usually in the form of a bottle or glass), then, having determined the key characteristic of the image (size, color or volume), the doctor asks to sharply strengthen the chosen characteristic to such an extreme degree that the dependence crosses the threshold normality and exploded.

Next, a photobiostimulating infrared effect and an extremely high-frequency effect are performed, during which the doctor conducts a hypnotic suggestion using phonosemantic features of speech, taking into account the patient's leading representative system. During the trance, both direct suggestions are used to form indifference and indifference to alcohol, as well as indirect suggestions confirming and reinforcing direct suggestions. After each session, the patient is given homework that promotes subjective reprogramming of himself. Homework is given to each patient individually. After the first procedure, homework is a set of questions drawn up on the principle of a logical square, the patient answers at home, which contributes to the awareness and strengthening of motivation for treatment, homework is considered in the second procedure. After the second procedure, the homework is given in the form of several short sentences written taking into account the leading representative system, which, being essentially autosuggestions, create internal resources necessary for successful treatment and are referred to as autoframing. The patient at home repeatedly repeats these self-suggestions, convincingly setting himself up for a positive result and creating resources for himself.

This treatment is individual and takes into account the personality of the patient, which increases the effectiveness of the treatment.

Then a receipt is taken from the patient about the inadmissibility of drinking alcohol, an assessment is made of the condition (measuring blood pressure, orientation in space and time) and post-hypnotic brief direct suggestions are given.

This completes the course of treatment.

The duration of each session is approximately 60-90 minutes.

Next, support sessions are scheduled after - 3, 6, 12 months.

In support sessions, hypnotic suggestion is performed using Erickson hypnosis, enhanced by photobiostimulating infrared exposure to corporal points. During the trance, indirect and direct suggestions are carried out, aimed at strengthening the sober attitude of life, increasing personal growth and eliminating the problems masked by alcohol, mainly in the emotional and social-family spheres.

Examples

1. Patient G.A. 28 years. Appealed in 2000 at the insistence of the family.

After the first procedure, he noted the disappearance of the craving for alcohol, an improvement in working capacity and mood.

There was a desire to go through the entire course of treatment. After the entire course of treatment until now, a complete rejection of alcohol.

2. Patient K.D. 46 years old. Appealed in 2001, was repeatedly treated before treatment. After the first procedure, blood pressure returned to normal, pain in the right hypochondrium stopped, the emotional state improved, and there was no pathological attraction to alcohol. After treatment, complete indifference to alcohol.

3. Patient R.G. 35 years. She complained in 2004 of memory lapses and aggressive behavior when intoxicated, imbalance, tearfulness, anxiety, decreased performance during periods of abstinence from alcohol. Tolerance at the time of treatment was up to 300 ml of hard liquor. At the reception, emotionally labile, criticism of his condition is preserved. The reason for the appeal is the desire to save the family. After treatment, mood and performance improved. Relations with the husband were restored. To date, complete indifference to alcohol.

The definition of a representative system and the implementation of neuro-linguistic programming techniques are described in the book by NN Gordeev and EG Gordeeva "NLP in psychotherapy", 2002

The basics of photobiostimulating effects are described in the book by V. I. Kozlov and V. A. Builin "Fundamentals of Laser Physio and Reflexotherapy". 1993 year

A description of the fundamentals of Erickson hypnosis is described in the practical manual of M. Sparks “The Primary Skills of Ericksonian Hypnosis” in 1995.

Thus, the use of psychotherapeutic techniques allows patients to form indifference to the type and smell of alcohol, and also allows you to change the pathological alcoholic behavior patterns. The photobiostimulating effect of infrared light and extremely high-frequency therapy significantly enhances the effectiveness of the method and make it possible to relieve the patient of a pathological craving for alcohol during one procedure and, by activating various receptor structures according to the laws of somatic and visceral afferentation in brain structures, determine a wide range of vegetative reactions that normalize regulatory processes in the body, and contribute to the clinical improvement of the patient. The effect on corporal points causes a change in metabolism in the corresponding organs, and the afferent multimodal flow activates neurons in many areas of the brain, causes the restructuring of nerve cells and stimulates the formation of stable artifact connections of the second type (selective communication channels between different subcortical structures), which in turn eliminates disturbances both in the mental and somatic spheres caused by alcohol abuse.

The advantages of using this method are that it allows you to change the alcohol settings of the person, while changing the settings is carried out directly by the patient, but under the supervision of a doctor, which allows the patient to recognize and overcome the pathological patterns of alcohol behavior and significantly improves the quality of remission. Moreover, after the first session, the pathological attraction to alcohol disappears.

Treatment individually takes into account the personality of the patient, which increases the effectiveness of the treatment. The proposed method does not use drugs, which reduces the cost of the treatment method.

The method is environmentally friendly, provides a decent result and helps to stabilize remission. Psychological ecology implies the satisfaction and acceptability of the result for all interested parties.

Claims (4)

1. A method of treating alcohol dependence, including the formation of a negative conditioned reflex to alcohol using an individual suggestive effect, inducing a trance state with pronunciation of the text and simultaneous exposure to acupuncture points, characterized in that neuro-linguistic programming is carried out before the individual suggestive exposure, forming a negative conditioned reflex on alcohol and deactualizing pathological alcohol drive reducing pathologically patterns of alcohol behavior and forming a new eco-friendly image of “sober I” and sober lifestyle, and individual suggestive action is carried out taking into account the individual phonosemantic features of the patient’s speech and its leading representative system, and individual suggestive effect, inducing trance states, is carried out simultaneously with infrared photobiostimulation and extremely high-frequency exposure to corporate points, after which the patient is given homework, significant essential transformations of personality. 2. The method according to claim 1, characterized in that the extremely high-frequency exposure is carried out on the corporate points T20, E36, MC6, GL4, VB8, VC12, RP6. 3. The method according to claim 1, characterized in that the homework includes autogenous training and self-programming to achieve positive results. 4. The method according to claim 1, characterized in that the individual suggestive effect is carried out using Erickson hypnosis.