RU2371208C1 - Method of excessive weight reduction - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention concerns medicine and psychology, particularly methods of psychic personality correction aimed at weight optimisation, and can be applied in obesity treatment, excessive weight prevention and health nutrition and eating habit self-control skill training. At the first stage rational, imperative/suggestive and emotional stress group psychotherapy is performed where weight losing motivation is enhanced, attention is focused on procedures of stomach volume reduction, skills of autosuggestion and self-control are taught, and the group is convinced by rational psychotherapy methods to comply in obligatory manner for 2-5 months with eating regimen involving the following rules: total food volume per day should comprise 1200 to 1400 ml and exclude animal fats of solid or viscous texture at room temperature, bakery and refined sugar. Once a week drinking regimen is implemented, consisting of juices, teas and herbal decoctions of fat-burning effect, selected individually with account of concomitant diseases present and distributed over the day span according to the following schedule: 250 ml - 250 ml - 250 ml - 250 ml - 250 ml - 250 ml. Further emotional stress psychotherapy is performed by direct and mediated suggestive exposure accompanied by pinpoint pressure irritation of sensitive zones in stomach projection area, eyeballs and trigeminal nerve outlet points; suggestive exposure is performed along with respiratory exercises involving deep abdominal inhalation and forced exhalation. At the second stage obesity affected person complies with drinking regimen for 3-6 days, then maintains eating and drinking regimens for 2-5 months, and autosuggestion sessions with larvated psychotherapy elements are performed daily to block pathological hunger, along with respiratory exercises involving deep abdominal inhalation and forced exhalation.

EFFECT: rearrangement of system of values of obesity-affected patient so as to subdue delicious food motivation by more significant attitudes, such as health, longevity, career, private life, art.

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Description

The invention relates to the field of medicine and psychology, in particular to methods of mental correction of personality with the aim of optimizing weight, and can be used in the treatment of obesity, prevention of overweight and training of individuals predisposed to this pathology, healthy eating skills and self-regulation of eating behavior.

The problem of overweight and obesity over the past 100 years in many developed countries has gained unprecedented relevance. And this is natural: a huge number of cases of early disability and premature death are associated with obesity. IHD, hypertension, diabetes mellitus, pathology of the musculoskeletal system, oncology - this is not an exhaustive list of diseases where obesity is either a cause or a mortal risk factor. Pathological accumulation of adipose tissue in 75% of cases is associated with improper eating behavior (the so-called alimentary obesity), and in 25% - with the presence of a genetic predisposition, endocrine and CNS disorders. Inactivity, stress, poor ecology exacerbate the situation. Hence the methods of treatment. These are various systems of physical exertion, muscle electrical stimulation, surgical plastic surgery and pharmacology. All these methods are quite complex, require expensive equipment, special knowledge of their application, often there are serious complications, but the main drawback is that there is no deep personal restructuring with a change in food motivation and the formation of a new sustainable eating behavior. Separately, there is diet therapy (including treatment with hunger) and psychotherapeutic methods of treatment aimed at correcting the personality.

There are several of the most well-known methods of weight loss, similar to the proposed method of weight loss:

1) diet + physical activity (USSR copyright certificate No. 2583091). Weaknesses of this method: the short duration of the effect and the possibility of various metabolic disorders.

2) a psychotherapeutic effect in the state of wakefulness and immersion with the formation of an attitude toward a change in eating behavior, in which treatment is started with group rational psychotherapy, where the patient's attention is focused by fixing his gaze with subsequent sudden dispersal. During the session, mechanical stimulation of the trigeminal nerve exit points is performed, sharp violent tilting of the head forward and backward is carried out, accompanying them with a verbal command of the opposite action and claim that the metabolism has been changed and the painful craving for food has been withdrawn (RF patent No. 2034575). Weaknesses: focuses only on the unconscious effect and passive expectation of a result; in many cases, when the weight is due to genetics, hormonal disorders, the therapeutic effect is short-lived; due to the lack of conscious elements, a depressive syndrome can provoke a process.

3) psychotherapeutic effect and diet therapy. Before carrying out a psychotherapeutic effect, high-calorie foods are excluded from the diet for 24 hours, and the effect is carried out once, while at first patients are grouped by 10-15 people on the basis of identical suggestibility. Then, rational psychotherapy with motivated suggestion in the wakeful state is carried out, after which the patients are introduced into a state of relaxation using verbal and non-verbal suggestion methods, deepen relaxation with the help of electric sleep to the stage of superficial hypnotic sleep, and continue the hypnotic suggestive effect with the setting on the formation of negative emotions for food abuse with subsequent diet therapy. The diet is prescribed for 8 weeks with an energy value of 800-900 kcal per day. Weaknesses: due to a strong fear of high-calorie food, a state of chronic frustration arises on such an incentive as food; there is a swing effect when the patient turns from rapidly losing weight to quickly getting fat, and the fullness exceeds the weight before treatment.

The problem to which the present invention is directed is to rebuild the value system of an obese person in such a way that the motivation for a tasty meal is subordinated to more significant settings - health, life expectancy, career, personal life, creativity, etc., but at the same time avoid the formation of neurotic tension associated with the constant calculation of calories and the expectation of relapse after the end of the action of imperative suggestion. This is achieved by combining direct suggestive psychotherapeutic effects in reality with subsequent independent work on your own diet, based on an individual diet program and practice of autosuggestion. The initial imperative effect is necessary to force a switch to a healthy lifestyle, and further practice of autosuggestion connects the patient’s own resources to the treatment process. This sequence of psychotherapeutic methods allows, on the one hand, to quickly stop the fear of hunger, to mobilize a person to fight obesity, and on the other hand, it opens up great opportunities for independent work on eating behavior.

The method is as follows.

A group is formed in an amount of 10 to 25 people, united by a common task - weight loss. The central figure and inducer of the process is a psychotherapist who has certain abilities, knows the techniques of verbal and non-verbal suggestion, enjoys high authority and trust in this group (it is desirable that 10-20% of the people in the group were former patients of this doctor with positive results). In the future, the psychotherapist is referred to as the "operator." A few days before the session, each member of the group fills out a questionnaire, where he answers in detail to questions related to weight pathology. Particular attention is paid to existing concomitant diseases and eating habits (for example, evening overeating), which provoke a stomach sprain. The received information is preliminarily analyzed by the operator and in encrypted form is issued to the hands of each participant before the session. Thus, at the right time, the operator receives the necessary data for each specific member of the group, which allows us to formulate suggestive paradigms at the time of individual contact, taking into account the psychosomatic characteristics of the object of suggestion.

12 hours before the session, any solid food is excluded, cleansing juices (for example, beetroot) or 1% kefir are recommended. It is also recommended on the eve to make a cleansing enema. Before the session, as a rule, at the stage of filling out the questionnaire, extended information about the doctor, his qualifications and experience is given, examples of successful results with photographs and video materials are given. The main goal is to maximize the level of trust in the operator and its exceptional capabilities.

At the first stage, rational, imperatively suggestive and emotionally stressful group psychotherapy is carried out. The group is seated in the designated room in the form of a classroom. The operator is placed on a platform in front of the group and conducts a 1.5-2-hour in-depth rational psychotherapy in the form of a seminar, divided into several semantic blocks. The objectives of this phase are to:

a) maximize the motivation for weight loss, focusing on the psychological and somatic consequences of obesity (hypertension, atherosclerosis, osteochondrosis, hormonal dysfunction, depression, etc.), including reducing life expectancy. At this time, positive examples of weight loss are demonstrated, as well as photos and videos;

b) explain the causes of possible relapses of obesity and methods of preventing these relapses;

c) raise awareness and understanding of belonging to a risk group and give an explanation of the concept of “unstable exchange”;

d) emphasize the close relationship between the psyche and overweight, pointing to symptoms and phenomena such as “depression of obesity”, “stress seizing”, “bulimia nervosa”, “food addiction”;

e) to form a long-term attitude toward independent change in the diet, taking into account the recommendations received in the individual food program.

Particular attention is paid to the theory of "psychoplasty of the stomach." First, overview information is given on the surgical methods for treating obesity using stomach narrowing operations (gastric banding, vertical gastroplasty, gastric bypass surgery). The focus is on the idea of reducing the volume of the stomach in order to block bulimia. Next, the possibility of non-surgical plastic surgery of the stomach is substantiated. It describes in detail the anatomical structure of the stomach, the psychosomatic and reflex connections of the muscle wall of the stomach, and the protective physiological spasm of the tissues of the stomach. If possible, information is supported by special video materials. At the same time, group members are constantly shown expanding and contracting the operator’s left palm, periodically covering the epigastric region. This technique is intended to consolidate in the subconscious of the group members the figurative association of the stomach compression mechanism and to facilitate further independent practice of autosuggestion according to the “signal map”.

In this semantic block, the idea is decoded that the operator, using specific suggestive formulas and conditioned reflex connections, is only an inducer that helps to “trigger” the mechanism for reducing the volume of the stomach. To implement the effect, a drinking regimen is maintained for 3-6 days after the session, after which the appetite decreases sharply and it becomes possible to significantly reduce the amount of food consumed. Moreover, the drinking regime is as follows - during the day according to the scheme: 250 ml - 250 ml - 250 ml - 250 ml - 250 - 250 ml are consumed individually selected, on the basis of existing concomitant diseases and eating habits, juices, teas and medicinal decoctions of herbs having a fat burning effect. The implementation of this drinking regimen allows you to solve several problems at once: firstly, the uniform distribution of these liquids during the day in this volume eliminates the effect of pure starvation, provides sufficient water load, has a direct therapeutic and cleansing effect; secondly, reducing the volume of the stomach in 3-6 days allows you to go on to the implementation of a limited-volume food program, and rapid weight loss during the drinking regime (usually from 3 to 7 kg) has an additional psychological effect.

The next semantic block introduces the concept of “pathogenic products”. The mechanism of unstable metabolism, eating disorders and bulimia is explained, where some types of “dangerous” foods are provoking factors: animal fats with a solid or viscous consistency at room temperature, flour products, refined sugar. Using the methods of rational psychotherapy, the operator convinces the group of the need to apply the following food regimen for 2-5 months: the total amount of food per day should be from 1200 ml to 1400 ml, animal fats with a solid or viscous consistency at room temperature are excluded from the diet, flour products, refined sugar, repeat the drinking regimen once a week. The indicated volume of food allows, without stretching the stomach, to flexibly simulate the diet based on individual characteristics (gender, weight, age, frequency of food intake, daily energy costs, etc.).

It is further announced that during the session the method of “psychoemotional blockade” of the digestive center will be used to isolate these products in the diet for a selected period. Subsequently, during the session, emotional stress therapy is really carried out with verbal suggestive formulas in reality, which allows mobilizing the volitional resources of the group members and fulfilling the prescribed nutritional program. Without fail, the freedom of choice of group members is constantly emphasized as a way to reduce weight and the timing of the program. Attention is focused on the unique abilities of the human body to self-regulation and regeneration, on the important role of self-hypnosis and auto-training in the process of stabilization of the main types of metabolism and the formation of new eating behavior. It is explained that a session is only the “start” of a long process of organism overregulation, which can proceed autonomously even after the end of a deterministic program.

This excludes any hard parameters such as BMI (body mass index) or PTB (indicator of the waist-hip). The requirement for accurate calculations of calories obtained from food, continuous monitoring of weight using weights is not acceptable. It is emphasized that the achievement of the effect is associated not with generally accepted standard norms, but with weight optimization, which is strictly individual and depends on genetic, national, age factors, characteristics of the female and male body, lifestyle, and past diseases.

As a result, food ceases to be a "painful passion", a source of phobias and frustrations. The achievement of pleasure when eating is associated not with the suppression of excruciating bulimia (an analogy can be made with the receipt of false pleasure by a smoker while suppressing nicotine withdrawal symptoms), but with the conscious satisfaction of the body's real need for building material (proteins, fats, carbohydrates, etc.). An important role is played by the quality and culinary processing of food, as well as the aesthetics of table setting and the appearance of cooked dishes. A number of techniques are recommended to slow down the food intake process (for example, using teaspoons instead of tablespoons), while the total volume of a single serving, including liquid and solid parts, should not exceed 500 ml.

In conclusion, each participant receives a “signal” card, which is an instrument of indirect contact between the operator and the group member and helps to realize an individual food program using self-hypnosis techniques. The signal map is a stylized image of the operator’s eyes and his right palm. The operator explains in detail the rules for using the card and the technique of self-hypnosis.

Next, emotional stress therapy is carried out, during which there is a direct and indirect suggestive effect, accompanied by point-pressor irritation of the sensitive zones in the area of the projection of the stomach and the trigeminal exit sites. Using this psychotherapeutic technique, using psychosomatic effects and imperative suggestion, the operator achieves the formation in the consciousness and subconscious of the group members of the dominant idea of reducing the volume of the stomach and moving to a deterministic diet. Why the group goes into a room with a darkened backlight (the use of elements of color therapy and aromatherapy is allowed), where it seats in a circle facing outwards. The operator is located inside the circle. At the operator’s command, each participant presses the signal card with his open palm to the right knee, and puts his left open palm on the projection area of the stomach. Closing their eyes and focusing on the sensations in the epigastric region, the group members, according to the operator’s account, begin to take slow deep breaths in the stomach and forced exhalations. At the 10th deep exhalation, the left hand is compressed into a fist at the command of the operator, covering the area of the projection of the stomach and simultaneously holding the breath. At this moment, the operator imperatively pronounces suggestive paradigms filled with fragments of semantic information about the “psychoplasty” of the stomach. The exercise is repeated several times, after which the participant’s hand is clenched into a fist, lowered to the left knee, and the operator, modulating the emotional tension with his voice, announces that mechanisms for controlling the volume of the stomach and psychosomatic blockade will now be turned on. Further, using the element of surprise according to Kaufman, with each of the participants the operator performs a set of point-pressor manipulations in the epigastrium, eyeballs and trigeminal exit points. To enhance the effect, it is possible to use certified devices of electroacupuncture. All this is accompanied by verbal suggestive formulas containing agreed information on the terms of the program and “blocked” products.

During the session, suggestive formulas with negative emotional stress such as “fear of food”, “aversion to food”, “nausea, vomiting after eating”, etc. are excluded. With an outwardly beneficial effect, in fact, this can lead to the development of neurotic ambivalence between the food taboo and the desire to satisfy physical hunger, which, in turn, will provoke chronic frustration with the syndrome of waiting for a breakdown and subsequent bulimia.

At the end of the procedure, the operator, focusing on preliminary information from the questionnaire and on the direct impression of the contact, calls the number of the individual program.

At the second stage, an obese patient adheres to the drinking regime for 3-6 days, after which he performs the prescribed food and drinking regimes for 2-5 months, and for the blockade of pathological hunger and concentration of volitional resources, he conducts daily autosuggestion sessions with elements of salvaged psychotherapy, performed on background of breathing exercises, consisting in the implementation of deep breaths in the stomach and forced exhalations.

Example 1. Participant K., 36 years old, weight 99 kg, height 158 cm. Complaints of headaches, high blood pressure, low mood, nocturnal bulimia. From the anamnesis: for the first time, weight increased at 24 years after birth from 57 to 78 kg. I didn’t go to the doctors. I tried to lose weight myself, I tried various diets, but without a significant result. Weight continued to increase slowly, and at 35 years after the stress associated with divorce, it gained 15 kg over the course of 6 months. In a depressed state, she asked for help. This method has been proposed. The first days after the session I felt weakness, slight dizziness, a feeling of "spasm" in the epigastric region. Marks the absence of hunger. After 3 days, the weight decreased by 4 kg. There was confidence in success. Easily completed the recommended program. By the end of 2 months, weight loss was 20 kg. Pressure decreased from 150/100 mmHg up to 135/80 mmHg Headaches disappeared. Notes a feeling of lightness, self-confidence. Optimistic about the future. A year later, on a second visit, she reported that the weight was stably kept within 78-81 kg. Almost does not eat sweets and starchy foods, as "I do not want to." Regularly performs independently exercise on the signal map. Set to further weight loss.

Example 2. Participant V., 51 years old, weight 138 kg, complaints of shortness of breath, heaviness and pain in the legs, high blood pressure up to 200 mm Hg, heavy sweating, headache. From the anamnesis: from childhood I was “chubby”, she recovered greatly after childbirth from 78 kg to 98 kg. I tried to starve, but "not enough will." He believes that the reason for the great weight is the excessive consumption of sweet and starchy foods. At 47, menopause began. For 3 years I gained about 40 kg. There was nocturnal bulimia. Turned on the advice of a thinner girlfriend. During the session, she reacted violently at the moment of contact, experienced vivid sensations in the areas of tactile irritation. During the drinking regimen felt pronounced cramps in the stomach. I didn’t want to eat. In the first 2 weeks I lost 12 kg. For 2 months, the weight decreased by 23 kg. In the future (throughout the year) the weight continued to decline and reached “-” 43 kg. Throughout this period she experienced an “extraordinary rise”, got rid of headaches, and heaviness in her legs. Pressure 140/90 mm Hg Once a year passes supportive sessions. Upon further observation, the weight stabilized about 100 kg. Night bulimia is not observed.

Claims (1)

A way to reduce excess weight, which is that at the first stage a rational, imperative suggestive and emotional stress group therapy is carried out, during which they increase motivation for weight loss, focus on the mechanisms of reducing the volume of the stomach, teach self-hypnosis and self-regulation skills using the methods of rational psychotherapy convince the group of the need to observe a food regime for 2-5 months, consisting of the following rules: the total amount of food per day should be about 1200 to 1400 ml, excluding animal fats from the diet, having a solid or viscous consistency at room temperature, excluding flour products and refined sugar, and once a week, a drinking regimen is performed consisting of juices, teas and herbal decoctions with a fat-burning effect and individually selected taking into account the existing concomitant diseases distributed throughout the day according to the scheme: 250 ml - 250 ml - 250 ml - 250 ml - 250 ml - 250 ml, then they conduct emotional stress therapy, providing direct and indirect suggestion noy effect, accompanied by point-pressor irritation of the sensory zones in the area of the projection of the stomach, eyeballs and trigeminal nerve exit sites; moreover, a suggestive effect is carried out against the background of breathing exercises consisting in the implementation of deep breaths in the stomach and forced exhalations; at the second stage, an obese person performs a drinking regimen for 3-6 days, after which he observes food and drinking regimes for 2-5 months, and for blocking pathological hunger, daily autosuggestion sessions with elements of salvaged psychotherapy are carried out against the background of breathing exercises consisting in the implementation of deep breaths in the stomach and forced exhalations.