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A. BIOFEEDBACK
Biofeedback is one of the earliest behavioral medicine treatments and has been practiced in clinical
settings since the 1970s. Biofeedback achieves its results through psychophysiological (mind-body) selfregulation. In simplest terms, self-regulation means the ability to observe oneself and acquire the skills
needed to make changes in ones physiology, behavior, or even lifestyle in order to promote well-being
and health. It is a tool for achieving mind-body integration. In biofeedback therapy, individuals are trained
on electronic monitors to exert control over vital bodily processes, such as heart rate, respiration, blood
pressure, muscular tension, and brain activity. By observing and monitoring shifts in bodily functions or
striate muscle activity, patients learn to adapt and modify their mental and emotional responses to
alleviate symptoms and help regulate specific health conditions. Today, biofeedback is used widely by
physicians, nurses, psychologists, physical therapists, drug rehabilitation counselors, dentists and other
professionals to treat an array of disorders.
Biofeedback evolved out of early laboratory research in the 1940s. In the 1950s and 1960s
researchers from different fields independently studied various applications of feedback mechanisms to
modify physiological functions in animals and humans. H.D. Kimmel, Neal Miller and David Shapiro were
among the psychologists using operant conditioning models to further biofeedback research, and it was in
the late 1960s that the term biofeedback was first used to describe this type of learning. Early
researchers thought that the instrumentation itself exerted direct psychophysiological effects and that the
feedback information functioned as a kind of behavioral reward which led to symptom reduction. As a
result, early outcome studies designed to show clinical effectiveness underemphasized the important role
of training in biofeedback. Contemporary clinicians and researchers now view successful biofeedback
treatment as contingent largely on skills acquisition and mastery, and the focus of research has shifted
increasingly from demonstrating efficacy to refining and improving training procedures. In 1969,
researchers joined together to form the Biofeedback Research Society (renamed the Association for
Applied Psychophysiology and Biofeedback) to promote communication, study, and application of
biofeedback in the U.S.
ease stress to reduce both the frequency and severity of headaches. Biofeedback seems to
be especially beneficial for headaches when it's combined with medications.
3. Anxiety. Anxiety relief is one of the most common uses of biofeedback. Biofeedback lets you
become more aware of your body's responses when you're stressed and anxious. Then you
can learn how to control those responses.
4. Urinary Incontinence. Biofeedback therapy can help people who have trouble controlling the
urge to use the bathroom. Biofeedback can help women find and strengthen the pelvic floor
muscles that control bladder emptying. After several sessions of biofeedback, women with
incontinence may be able to reduce their urgent need to urinate and the number of accidents
they have. Biofeedback can also help children who wet the bed, as well as people with fecal
incontinence (the inability to control bowel movements). Unlike drugs used to treat
incontinence, biofeedback doesn't tend to cause side effects.
5. High Blood Pressure. Evidence on the use of biofeedback for high blood pressure has been
mixed. Although the technique does seem to lower blood pressure slightly, biofeedback isn't
as effective as medication for blood pressure control.
Other biofeedback uses include:
Attention deficit hyperactivity disorder (ADHD)
Chronic obstructive pulmonary disease (COPD)
High blood pressure
Raynaud's disease
Injury
Asthma
Constipation
Epilepsy
Rheumatoid arthritis
Many different health care providers offer biofeedback therapy, including psychiatrists,
psychologists, and general physicians. To find a qualified biofeedback provider in your area, contact an
organization like the Association for Applied Psychophysiology & Biofeedback.
B. PSYCHOTHERAPY
History:
In an informal sense, psychotherapy can be said to have been practiced through the ages, as
individuals received psychological counsel and reassurance from others. Purposeful, theoretically-based
psychotherapy was probably first developed in the Middle East during the 9th century by the Persian
physician and psychological thinker, Rhazes, who was at one time the chief physician of the Baghdad
psychiatric hospital. In the West, however, serious mental disorders were generally treated as demonic or
medical conditions requiring punishment and confinement until the advent of moral treatment approaches
in the 18th century. This brought about a focus on the possibility of psychosocial intervention - including
reasoning, moral encouragement and group activities - to rehabilitate the "insane".
Definition:
Psychotherapy is therapeutic interaction or treatment contracted between a trained professional
and a client, patient, family, couple, or group. Simply, psychotherapy is a general term for treating mental
health problems by talking with a psychiatrist, psychologist or other mental health provider. During
psychotherapy, one hopes to learn about their condition and moods, feelings, thoughts and behaviors,
how to take control of one's life and respond to challenging situations with healthy coping skills. The
problems addressed are psychological in nature and can vary in terms of their causes, influences,
triggers, and potential resolutions. Accurate assessment of these and other variables depends on the
practitioner's capability and can change or evolve as the practitioner acquires experience, knowledge,
and insight.
Of all ages who have mental illness that causes suffering, disability, or interpersonal
problems.
mind-body dualism and treating the person as a unit), and relational (analyzing bidirectional
interactions).
Body-oriented psychotherapy
- Body-oriented psychotherapy or body psychotherapy is also known as Somatic Psychology,
especially in the USA. There are many very different body-oriented or somatic psychotherapeutic
approaches. They generally focus on the link between the mind and the body and try to access
deeper levels of the psyche through greater awareness of the physical body and the emotions
which gave rise to the various body-oriented based psychotherapeutic approaches, such as
Reichian (Wilhelm Reich) Character-Analytic Vegetotherapy and Orgonomy; neo-Reichian
Alexander Lowen's Bioenergetic analysis; Peter Levine's Somatic Experiencing; Jack
Rosenberg's Integrative body psychotherapy; Ron Kurtz's Hakomi psychotherapy; Pat Ogden's
sensorimotor psychotherapy; David Boadella's Biosynthesis psychotherapy; Gerda Boyesen's
Biodynamic psychotherapy; etc.
Expressive therapy
- Expressive therapy is a form of therapy that utilizes artistic expression as its core means of
treating clients. Expressive therapists use the different disciplines of the creative arts as
therapeutic interventions. This includes the modalities dance therapy, drama therapy, art therapy,
music therapy, writing therapy, among others. Expressive therapists believe that often the most
effective way of treating a client is through the expression of imagination in a creative work and
integrating and processing what issues are raised in the act.
Interpersonal psychotherapy
- Interpersonal psychotherapy (IPT) is a time-limited psychotherapy that focuses on the
interpersonal context and on building interpersonal skills. IPT is based on the belief that
interpersonal factors may contribute heavily to psychological problems. It is commonly
distinguished from other forms of therapy in its emphasis on interpersonal processes rather than
intrapsychic processes. IPT aims to change a person's interpersonal behavior by fostering
adaptation to current interpersonal roles and situations.
Narrative therapy
- Narrative therapy gives attention to each person's "dominant story" by means of therapeutic
conversations, which also may involve exploring unhelpful ideas and how they came to
prominence. Possible social and cultural influences may be explored if the client deems it helpful.
Integrative psychotherapy
- Integrative psychotherapy is an attempt to combine ideas and strategies from more than one
theoretical approach. These approaches include mixing core beliefs and combining proven
techniques. Forms of integrative psychotherapy include multimodal therapy, the trans-theoretical
model, cyclical psychodynamics, systematic treatment selection, cognitive analytic therapy,
Internal Family Systems Model, multi-theoretical psychotherapy and conceptual interaction. In
practice, most experienced psychotherapists develop their own integrative approach over time.
Human givens therapy
- The human givens approach was developed in the 1990s by an Irish and British psychotherapist,
Joe Griffin and Ivan Tyrrell. Rather than focusing on symptomatology, the human givens approach
works within the framework of emotional needs, such as those for security, autonomy and social
connection, which decades of health and social psychology research have shown to be essential
for physical and mental health. It is a brief, solution-focused approach which aims to help people
identify needs not met, or inadequately or inappropriately met, and to address these using
psychoeducation and therapeutic techniques such as cognitive restructuring, cognitive reframing
and imaginal exposure all methods endorsed by the standard-setting National Institute for
Health and Clinical Excellence (NICE).
Metapsychiatry
- A spiritual teaching and form of psychotherapy developed by psychiatrist Thomas Hora, M.D. Its
iconoclastic style and world-view originate with its assertion that the meaning and purpose of life
are to come to know reality. It defines Reality as the underlying benevolent intentionality of the
universe; also as God or Love-Intelligence or Infinite Mind.
Therapy Tips
Therapy works best when the patient attends all scheduled appointments. The effectiveness of
therapy depends on his/her active participation. It requires time, effort, and regularity.
C. ART THERAPY
Definition
The American Art Therapy Association defines art therapy as the therapeutic use of art making,
within a professional relationship, by people who experience illness, trauma or challenges in living, and by
people who seek personal development. Through creating art and reflecting on the art products and
processes, people can increase awareness of self and others cope with symptoms, stress and traumatic
experiences; enhance cognitive abilities; and enjoy the life-affirming pleasures of making art.
Art therapists are professionals trained in both art and therapy. They are knowledgeable about
human development, psychological theories, clinical practice, spiritual, multicultural and artistic traditions,
and the healing potential of art. They use art in treatment, assessment and research, and provide
consultations to allied professionals. Art therapists work with people of all ages: individuals, couples,
families, groups and communities. They provide services, individually and as part of clinical teams, in
settings that include mental health, rehabilitation, medical and forensic institutions; community outreach
programs; wellness centers; schools; nursing homes; corporate structures; open studios and independent
practices.
History
Although art therapy is a relatively young therapeutic discipline, its roots lie in the use of the arts
in the 'moral treatment' of psychiatric patients in the late 18th century and in a re-evaluation of the art of
non-western art and of the art of untrained artists and of the insane.
Art therapy as a profession began in the mid-20th century, arising independently in Englishspeaking and European countries. The early art therapists who published accounts of their work
acknowledged the influence of aesthetics, psychiatry, psychoanalysis, rehabilitation, early childhood
education, and art education, to varying degrees, on their practices.
The British artist Adrian Hill coined the term art therapy in 1942. Hill, recovering from tuberculosis
in a sanatorium, discovered the therapeutic benefits of drawing and painting while convalescing. He wrote
that the value of art therapy lay in "completely engrossing the mind (as well as the fingers)releasing the
creative energy of the frequently inhibited patient", which enabled the patient to "build up a strong defence
against his misfortunes". He suggested artistic work to his fellow patients. That began his art therapy
work, which was documented in 1945 in his book, Art Versus Illness.
Edward Adamson (1911-1996) is the father of art therapy in Britain. Edward, demobilised after
WW2, joined Adrian Hill to extend Hills work to the British long stay mental hospitals. Other early
proponents of art therapy in Britain include E. M. Lyddiatt, Michael Edwards, and Rita Simon. The British
Association of Art Therapists was founded in 1964.
U.S. art therapy pioneers Margaret Naumburg and Edith Kramer began practicing at around the
same time as Hill. Naumburg, an educator, asserted that "art therapy is psychoanalytically oriented" and
that free art expression "becomes a form of symbolic speech whichleads to an increase in verbalization
in the course of therapy." Edith Kramer, an artist, pointed out the importance of the creative process,
psychological defenses, and artistic quality, writing that "sublimation is attained when forms are created
that successfully containanger, anxiety, or pain." Other early proponents of art therapy in the United
States include Elinor Ulman, Robert "Bob" Ault, and Judith Rubin. The American Art Therapy Association
was founded in 1969.
Who Can Use Art Therapy?
For the most part, anyone can use art therapy. In a world where there is a multitude of ways to
communicate and express ones self, expressive arts therapy is yet another. One of the major differences
between art therapy and other forms of communication is that most other forms of communication elicit
the use of words or language as a means of communication. Often times, humans are incapable of
expressing themselves within this limited range.
One of the beauties of art as therapy is the ability for a person to express his/her feelings through
any form of art. Though there are other types of expressive therapies (such as the performing arts),
expressive art therapy as discussed here typically utilizes more traditional forms of artsuch as painting,
drawing, photography, sculpture, or a variety of other types of visual art expression.
What Does an Art Therapist Do?
Art therapists are trained in both therapy and art, and have studied and mastered both
psychology and human development, having received a Masters Degree. There are various requirements
for becoming an art therapist as well as certifications which means they are masters when it comes to
using art as a springboard for everything from a general assessment of another persons state to
treatment for aiding serious illness. Art therapists can work with people of all ages, sex, creed, et al. They
can help an individual, a couple, a family, or groups of people and depending on the situation, there may
be numerous therapists working together as a clinical team.
Art therapists are trained to pick up on nonverbal symbols and metaphors that are often
expressed through art and the creative process, concepts that are usually difficult to express with words.
It is through this process that the individual really begins to see the effects of art therapy and the
discoveries that can be made.
Additional Definitions of Art Therapy
Art therapy, sometimes called creative arts therapy or expressive arts therapy, encourages people
to express and understand emotions through artistic expression and through the creative
process. From The Free Dictionary
Art therapy is a form of expressive therapy that uses art materials, such as paints, chalk and
markers. Art therapy combines traditional psychotherapeutic theories and techniques with an
understanding of the psychological aspects of the creative process, especially the affective
properties of the different art materials. From Wikipedia
Art therapy involves the creation of art in order to increase awareness of self and others. This in
turn may promote personal development, increase coping skills, and enhance cognitive function.
It is based on personality theories, human development, psychology, family systems, and art
education. Art therapists are trained in both art and psychological therapy. From The New
Medicine
Uses
General illness
o Creative process can aid many illnesses (cancer, heart disease, influenza, etc.). People
can escape the emotional effects of illness through art making and many creative
methods.
o
o
Landscape picture in a hospital room had reduced need for narcotic pain killers and less
time in recovery at the hospital.
and uncertainty associated with surviving cancer. It was also suggested that art therapy
can provide a sense of meaning making because of the physical act of creating the art.
o
Helped improve motivation levels, abilities to discuss emotional and physical health, general wellbeing, and increase global quality of life in cancer patients
Disaster relief
o Art therapy has been used in a variety of traumatic experiences, including disaster relief
and crisis intervention
Bereaved children
o Art therapy and other creative, humanistic intervention strategies are becoming popular
methods for working with life-threatened patient and for working with the family members
of patients who die- particularly bereaved children.
o Art therapy stimulates the conscious and unconscious expression of the mourning
process in adult and child patients.
Incarceration
o Art therapy may be a beneficial treatment for incarcerated women.
o Can be used to help clients recognize their defense mechanisms that conceal their fear
or inadequacy or to create a sense of safety and peace, increase confidence, express
feelings verbally, and identify feelings.
Distraction
o Distraction from sadness using art therapy may be a better alternative than venting
sadness.
o Art therapy has also been used to develop problem resolution and emotional regulation
skills in children.
As an approach to problem solving
o Congdon (1990) discusses art therapys benefits in terms outside the traditional
approaches within the clinical world of therapists purporting that art therapy should be
used not just to help treat mental illness but as a tool to help individuals solve problems in
day to day living.
Eating disorders
o Clients struggling with eating disorders also often struggle with identifying and
expressing their emotional experience. Art therapy is a natural fit for this population.
Obsession with food and weight are often attempts to cope with deeper emotions such as
depression, rage, loss, and powerlessness. When the focus on the food is transferred
into an engagement with the art materials, the client develops a new language for
expressing the hidden feelings that drive the eating disorder. Body image, emotion
regulation skills, self-esteem and a sense of autonomy can all be strengthened through
art therapy. - Amanda Bechtel, ATR, LPC
D. MEDITATION
History
Meditation has been around in recorded history for thousands of years. The history of Meditation
dates all the way back to ancient times. There has been proof found in Indian artefacts of the history of
meditation called, Tantra, that speaks of such practices, dating back 5000 years. Researchers suggest
that primitive hunting and gathering societies may have been the ones to have discovered meditation and
its many different states of consciousness while gazing into the flames of their fires. The history of
Meditation has evolved over thousands of years, into a structured practice that people use daily.
One of the biggest proponents in the history of meditation is the Buddha. The Buddha is also
known as one of the biggest meditation icons in both current and times past and has been around since
500 B.C. The teaching of the Buddha became popular in the Asian continent. According to the history of
meditation other separate countries and cultures soon adopted many different forms of meditation
creating their own special ways of practicing it. Some of the most popularly used forms today are the
Buddhist and Hindu-based Easter-style meditation.
Definition
Meditation is the practice of focusing your attention to help you feel calm and give you a clear
awareness about your life. Eastern philosophies have recognized the health benefits of meditation for
thousands of years. Meditation is now widely practiced in the West, with the belief that it has positive
effects on health.
Two meditation techniques are most commonly used: concentrative and mindful.
Various postures are taken up in some meditation techniques. Sitting, supine, and standing
postures are used. Popular in Buddhism, Jainism and Hinduism are the full-lotus, half-lotus, Burmese,
and kneeling positions. Meditation is sometimes done while walking, known as kinhin, or while doing a
simple task mindfully, known as samu.
Some mantra techniques (as with Transcendental Meditation, a.k.a. "TM Technique") do not
require learning special positions, only sitting comfortably with eyes closed.
What is meditation used for?
People use meditation to help treat a wide range of physical and mental problems, including:
Addictive behaviors, such as drug, nicotine, and alcohol use.
Anxiety, stress, and depression.
High blood pressure. A report from the National Institutes of Health (NIH) recommends
transcendental meditation (TM) as one of the first treatments for high blood pressure.
Pain
Managing hot flashes, which are sensations of intense body heat that affect women around the
time of menopause.
Most of these conditions may also require conventional treatment for best results.
People also use meditation to relieve anxieties from long-term (chronic) conditions such as HIV
and cancer.
Is meditation safe?
Since meditation usually involves sitting quietly for a period of time and breathing deeply, anyone
who cannot sit comfortably or who has respiratory problems may have difficulty practicing meditation.
Some people with mental health problems, such as attention deficit hyperactivity disorder or
schizophrenia, may not be able to use meditation therapy effectively.
Meditation is not thought to have any negative side effects or complications alone or when
combined with conventional medical treatment, but it is not considered appropriate or safe for acute, lifethreatening situations.
Always tell your doctor if you are using an alternative therapy or if you are thinking about
combining an alternative therapy with your conventional medical treatment. It may not be safe to forgo
your conventional medical treatment and rely only on an alternative therapy.
Sources:
A. Biofeedback:
a. http://en.wikipedia.org/wiki/Biofeedback
b. http://www.webmd.com/a-to-z-guides/biofeedback-therapy-uses-benefits
c. http://www.healthandhealingny.org/complement/bio_history.asp
B. Psychotherapy
a. http://www.mayoclinic.org/tests-procedures/psychotherapy/basics/definition/prc-
20013335
C.
b. http://en.wikipedia.org/wiki/Psychotherapy
c. http://www.webmd.com/anxiety-panic/guide/mental-health-psychotherapy
Art Therapy
a. http://en.wikipedia.org/wiki/Art_therapy
D.
b. http://www.arttherapy.org
Meditation
a. http://en.wikipedia.org/wiki/Meditation
b. http://www.project-meditation.org/wim/history_of_meditation.html
c. http://www.psychologytoday.com/basics/meditation