[DEVELOPMENT OF A CASE OF ANOREXIA NERVOSA IN A 16-YEAR OLD ADOLESCENT TREATED BY RELAXATION. RECOVERY IN 2 YEARS].
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Integral cooperation of a clinical psychologist or psychotherapist in an internal medicine rehabilitation clinic is required because the presence of (contributory) psychic causes is evident beyond any doubt in numerous complaint syndromes. Regrettably, decision-making bodies frequently fail to acknowledge the necessity of competent psychological help. Various activities have developed as specific psychotherapeutic tasks, among them individual interviewing and above all group work (client-centered psychotherapy, staff-client meetings, health education, autogenic relaxation training, creativity therapy, biofeedback, and so on). Client-centered psychotherapy indications are outlined. Medical psychology, psychotherapy, and psychosomatic aspects of disease concepts must not be ignored if major concerns in medial rehabilitation and inpatient rehabilitative treatment programmes are to be dealt with effectively.
Thirty-four patients having chronic idiopathic headaches participated in a long-term study comparing autogenic relaxation training alone (REL) with combinations of relaxation and electromyographic biofeedback (REL + EMG) or relaxation and temperature biofeedback (REL + TEMP). Assignment to treatment conditions was balanced on demographics and clinical characteristics, as well as headache classification according to muscle contraction or vascular headache symptomatology. The results indicate that REL + TEMP produced no additional improvements over REL following the 8-week treatment program, or at 6-month, or 12-month follow-up. However, REL + EMG produced significantly greater reductions in headache activity measures than the REL and REL + TEMP conditions at all post-treatment time points. Headache activity continued to improve over the follow-up period independent of treatment condition. These data indicate that EMG biofeedback augments long-term clinical improvements in headache patients who undergo autogenic relaxation training.
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