Multimodal migraine treatment: does thermal feedback add to the outcome?
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The establishment of relaxation classes in a health centre is described from the point of view of a cost-effective way of helping relatively large numbers of people with physical and psychological problems, with a minimum of professional time.
We postulate the hypnoid state of the human organism to be a third possible state besides waking and sleeping. This state can be equally induced by heterohypnotic and by autohypnotic means, by various techniques for meditation, relaxation and psychotherapy as well. It forms a basal status of the organism with partial deprivation of external stimuli. Out of this deprivation derives the possibility of stronger concentration on special stimuli (such as hypnotic suggestions) which would hence be able to act stronger in this state than in the waking state. Thus, it is possible to change external stimuli within their subjective perception (probably by ways of a subcortical modulating effect derived from the hypnotic suggestion). However, within their bioelectric parameters the stimuli pass unchanged through the peripheral receptor up to the cortex, which is measurable. If somebody produces actions within the hypnoid state these actions will have the same neurophysiological correlate as in the waking state, which means desynchronization. This does not exclude such actions (by concentration in the hypnoid state) having a stronger effect than in the waking state and/or having a different subjective perception.
Rehabilitation has become a modern expression. For many years optimal rehabilitation has been carried out in many different sectors of illness. Too few activities, however, have been developed for the rehabilitation and control of cancer patients. No other group requires rehabilitation as foremost as that of cancer patients who need a complete and complex program which besides pure medical treatment affords psychosomatic care primarily. By developing a program under the title "Wiener Modell" (Vienna Model), our department was able to put into practice a suitable program for the control of cancer patients. The success was possible due to the excellent teamwork of doctors, nurses and therapeuts as well as the inter-disciplinary cooperation of all specialists available in a municipal modern hospital.
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General and specific anxiety, connected with the fact of myocardial infarction (MI), were investigated in 105 patients before and at the end of posthospitalization rehabilitation. Results as regards general anxiety were compared with data of 63 employed men free of coronary disease and with 34 comparable rheumatic patients. The patients with MI, before the comprehensive rehabilitation, compared with both control groups, have had higher levels of general anxiety in a statistically significant way. At the end of rehabilitation there were no significant differences. There was a significant positive correlation between general and specific anxiety, connected with the fact of MI. During the organized comprehensive posthospitalization rehabilitation, we see that there is a statisticallysignificant decrease of general and specific anxiety.
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