Quantum-Holistic Framework of Transpersonal Psychosomatics: Complete Healing and Spiritual Integration

The subject of this paper is complete healing and spiritual integration within our extended quantum-holographic / quantum-gravitational (QHQG) framework of holistic psychosomatics (integrative medicine and transpersonal psychology). Such a framework could have significant implications for understanding the mechanisms of quantum-holographic control of the morphogenesis, including epigenetic bioresonance application of the healing boundary conditions within acupuncture-based and consciousness-based psychosomatics. In the context of transpersonal psychology, essentially all psychosomatic problems could have their initial roots in the energy-information attractor blockages at different levels of consciousness (caused by various trans-generational-predestined stressors), and complete healing and spiritual integration would involve their integration with healthy core of the personality, through unconditional spiritually-forgiving acceptance of oneself and one’s environment. All this is in line with the revived scientific interest in consciousness studies during past decades (anticipating the upcoming grand synthesis of two modes of knowledge, rational-scientific and creative-religious, in the framework of our extended QHQG paradigm) – with the essential role of each individual due to the influence and concern for unloading of the collective mental environment.

Joint physical custody, parent–child relationships, and children’s psychosomatic problems

Aim The prevalence of psychosomatic complaints among children and adolescents appears to be increasing. At the same time, the numbers of joint physical custody families are rising across Western countries. This study aimed to investigate the relationship between post-separation care arrangements (joint physical custody vs. sole physical custody) and children’s risks of psychosomatic problems, while considering the potential mediating role of parent–child relationships. Subject and methods Based on data from the Family Models in Germany (FAMOD) study, stepwise linear regression models and seemingly unrelated regression models were estimated for a sample of 473 children aged seven to 14 living in either sole physical custody or joint physical custody families. Results Children in joint physical custody families reported significantly fewer psychosomatic problems than children in sole physical custody families. Furthermore, living in a joint physical custody arrangement was associated with better parent–child relationships, although only the mother–child relationship was significantly related to children’s psychosomatic complaints, and partially mediated the association between physical custody arrangements and children’s psychosomatic complaints. No corresponding association could be found with respect to the father–child relationship. Conclusion The risk of psychosomatic problems was distributed unequally among post-separation families, as children living in joint physical custody arrangements suffered from fewer psychosomatic problems than children living in sole physical custody arrangements. Because part of this association was explained by the quality of the mother–child relationship, children’s relationships with other family members appear to be important factors to consider when seeking to promote children’s health in post-separation care arrangements.

Pszichoszomatikus tünetek és betegségek: a medicina vakfoltja

Összefoglaló. Bevezetés: A pszichoszomatikus medicina területéhez tartozó betegek ellátása rossz hatásfokú. Ez egyaránt jelentős terhet jelent a betegek és az egészségügy számára. Célkitűzés: A pszichoszomatikus tünetek és betegségek megjelenésének és ellátási ajánlásainak vizsgálata az irányadó hivatalos szakmai anyagban. Módszer: Az adatgyűjtés időpontjában elérhető 531 Szakmai irányelvből annak a 134 dokumentumnak a részletesebb elemzése, amelynek témájában pszichoszomatikus tünetek/betegségek gyakoribbak. Ebből 39 egyértelműen pszichoszomatikus vonatkozású anyag tartalmi vizsgálata, továbbá a Szakmai Kollégiumok listáján szereplő három pszichiátriai szakterület összes (26) szakmai irányelvének hasonló szempontú értékelése. Eredmények: A megvizsgált irányelvek töredéke tartalmaz csupán a pszichoszomatikus tünetképzésre, illetve kezelésre, megelőzésre vonatkozó megállapítást. A releváns témájú irányelvekben szereplő diagnosztikai utalások aránya: direkt 10,25, indirekt forma 23,7, a terápiás ajánlások között direkt 25,64, indirekt forma 15,38%. A megelőzésre vonatkozóan alig (5,12%-ban) szerepel említés, a pszichés betegségek egyidejű fennállásának esélyére is mindössze 10,25%-ban történik megállapítás. A szorongásos zavarok befolyásáról kevesebb, mint minden harmadik irányelv számol be (30,76%). A pszichiátriai irányelvek között pszichoszomatikus betegségekre vonatkozóan nincs célzott szakmai irányelv. Következtetés: A pszichoszomatikus medicina a hatékony betegellátás követelményeit meghatározó szakmai irányelvekben elégtelen arányban jelenik meg. Okait szemléleti zavarokban, a pszichiátriai szakmai konszenzus és a szakmaközi együttműködés hiányosságaiban kell keresni. Mind a vonatkozó kutatásokban, mind az irányelvek fejlesztése során erőfeszítéseket kell tenni a fentiek miatt kallódó nagy betegpopuláció hatékonyabb ellátása érdekében. A szerző javaslatot tesz a szükséges konkrét lépésekre. Orv Hetil. 2021; 162(7): 252–261. Summary. Introduction: The care of patients with psychosomatic disorders has bad efficacy. It beards hard both for the patients and the health care providers. Objective: Review of presentrecommendations for psychosomatic symptoms and illnesses in the recent Hungarian medical protocols. Method: A detailed evaluation of 134 medical protocols from altogether 531 protocols with closer connection with psychosomatic disorders were carried out, their diagnostic and therapeutic recommendations were analyzed. Further review of 39 (of the 134)directly related to psychosomatics was done. Investigation of psychiatric protocols for the same aspects was carried out, as well. Results: Only a small part of the protocols contain recommendations for psychosomatic disorders. Ratios of their presence: diagnostic – direct 10.25, indirect 23.7, therapeutic – direct 25.64, indirect 15.38%. Efforts for prevention are only in 5.12% of the materials and 10.25% of the protocols mention a possible dual nature of the given clinical manifestation. Anxiety disorders occur only in 30.76%. Psychiatric protocol directly aiming psychosomatic problems is lacking. Conclusion: Presence of psychosomatic medicine in clinical guidelines defining the conditions of successful care of patients is practically minimal. Possible explanations: confusion in approaches, lack of consensus among the psychiatric institutions, and deficiency of interdisciplinary cooperation. Both in relevant clinical research and in development of medical protocols common additive efforts are necessary for achieving a more successful care of high numbers of patients presently neglected because of the mentioned causes. Author advises some concrete steps for the solution. Orv Hetil. 2021; 162(7): 252–261.

A Key Factor for Psychosomatic Burden of Frontline Medical Staff: Occupational Pressure During the COVID-19 Pandemic in China

The global outbreak of COVID-19 has severely affected the entire population, especially healthcare staff on the frontline, who bear heavy psychosomatic burdens. A cross-sectional study was conducted with 723 participants in China from April 26 to May 9, 2020. We evaluated the psychosomatic status, including depression, anxiety, quality of life, somatic symptoms, stress, sleep disturbances, and posttraumatic stress symptoms in different exposure groups. We explored the risk factors that affect psychosomatic burdens and analyzed the relationship between psychosomatic problems and medical occupations. We found that the psychosomatic burdens of medical staff were significantly greater than those of non-medical staff (p < 0.01) and were positively related with the number of COVID-19 patients they came in contact with. Occupational pressure was a key factor for healthcare staff's psychosomatic problems (p < 0.01 for quality of life, somatic symptoms, anxiety, depression, stress; p = 0.012 for sleep disturbances), and it had a strong canonical correlation (p < 0.01). Workload and time allocation (WTA), one of the subdimensional indicators of occupational pressure, was strongly correlated with psychosomatic indicators. We suggest that rationalization of WTA is a desirable approach for anti-epidemic medical employees to alleviate psychosomatic burdens. Public health interventions should be undertaken to reduce the occupational pressure on this special population, which is critical for mitigation. This study presents results regarding the psychosomatic burdens of the healthcare workforce related to occupational pressure and provides multilevel data with groups of different exposure risks for policymakers to protect medical personnel. These findings draw attention to the working environments of healthcare workers and provide applicable results for clinical practice.

Anorexia nervosa: A literature review

Introduction: Anorexia nervosa is a food intake disorder characterized by acute weight loss that it could cause severe psychosomatic problems. Purpose: To present the data and information as well as the treatment related to Anorexia nervosa. Materials and methods: The study material consisted of reviewed articles on the topic found in Greek and globally accepted electronic databases, Pubmed, Scopus, Medline, Google Scholar, regarding the effects of Anorexia nervosa on health and its treatment. Results: Initial symptoms of Anorexia nervosa and Bulimia Nervosa may be characterised by body-related negative interpretation bias, distorted body image and pronounced body dissatisfaction. Anorexic patients refuse to eat with their family or in public places. They lose weight by drastically reducing their total food intake, with a disproportionate reduction in the amount of meals containing carbohydrates and fats. The term Anorexia is unfortunate, because a decrease in appetite does not occur. Patients are constantly hungry and they are constantly thinking about food, but they refuse it. An indication of their way of thinking is that they often collect recipes or prepare complex meals for others. Conclusions: Anorexia nervosa is a disease that connects the physical with the mental dimension of health. A person's disharmonious relationship with oneself, which may have its roots in a dysfunctional family context or in a demanding and competitive social environment, finds the way to be manifested through the individual's reflection on food.

Unwillingly traumatizing: is there a psycho-traumatologic pathway from general surgery to postoperative maladaptation?

BackgroundSurgery may possibly be undermined by psychologic, psychiatric and psychosomatic problems, as long as these problems interfere with a patient’s capacity to cope with surgery adaptively. Recent studies have shown that interpersonal trauma, e.g. abuse or neglect, and its correlates are involved in the adaptation to surgery. This observation is heuristically coherent, given the respective traumatization is an interpersonal event occurring in a relationship. Notably, surgery inevitably leads to the violation of physical boundaries within a doctor-patient relationship. Based on the principles of psycho-traumatologic thinking, such a constellation is deemed qualified to activate posttraumatic symptoms in the traumatized.MethodThe present topical review summarizes the respective findings which point to a subgroup of patients undergoing surgery, in whom difficulty bearing tension and confiding in others may cause adaptive problems relevant to surgery. Although this theorizing is empirically substantiated primarily with respect to total knee arthroplasty (TKA), a pubmed-research reveals psychopathologic distress to occur prior to surgery beyond TKA. Likewise, posttraumatic distress occurs in large numbers in the context of several operations, including cardiac, cancer and hernia surgery.ConclusionAspects of psychological trauma may be linked to the outcomes of general surgery, as well, e.g. biliary, hernia or appendix surgery. The mechanisms possibly involved in this process are outlined in terms of a hierarchical organization of specific anxiety and negative affect as well as in terms of psychodynamics which imply the unconscious action of psychologic defenses at their core.ImplicationsNot least, we encourage the screening for trauma and its correlates including defenses prior to general surgery in order to identify surgical candidates at risk of, e.g. chronic postoperative pain, before the operation.

PERSPECTIVE APPROACH TO PSYCHO-SOMATIC DISORDERS IN ELDERLY PATIENTS WITH CERTAIN MEDICINAL PLANTS IN COVID PANDEMIC

Psychosomatic disorders have now become a common disease in present global scenario due to Covid pandemic. People are always in panic due to morbidity of the disease whereas the livelihood has become a secondary morbid condition due to economic slowdown. Under the above global scenario almost every person is undergoing certain psychosomatic problems either one or both of the factors. Apart from this, the present trend of competitive and conservative life-style has made young and old person to panic mental situations. The egoistic attitude of the human being and his inability to compromise his desire/demands tends to imbalance of temperament resulting into essential hypertension, insomnia, irritability etc. Ultimately such person becomes addicted to anxiolytic, anti-depressant and tranquilising drugs of modern medicine. Psychiatric disorders are commonly encountered by clinical medicine and the management includes psychotherapy, behavioural therapy, physical treatment with antipsychotic drugs, but the post management leads to addiction or drug dependence along with morbid withdrawal symptoms in patients. In view of problems of dependence specific approach of Ayurvedic concept like Satwavajaya and Daivavyapasraya have provided the light of protection but the practices are still limited due to orthodox beliefs. Some psychotropic drugs like Medhyarasayana etc. in single and compound form are described in classical texts for the management of different mental disorders. The use of herbs to offset these antecedents and outcome has greatly increased in recent years. Not only it is helpful for psychosomatic issues rather it would be helpful at least in such Covid pandemic as because the anti-psychotic drugs are scarce in market due to heavy personal demands. Ayurvedic approach can also create a trend of revitalising herbal preparations keeping behind the hazardous post drug complication. It is an attempt for mainstreaming the Ayurveda in present scenario.

Clinical Study on Effect of Swarnamritaprashana (Modified Swarna Prashana) in the Management of Shayyamutra in Children

Background: The psychosomatic problems of children vary widely in accordance with many factors, which are responsible for children’s physical, mental and emotional progress. In this connection there are so many developmental, behavioral disorders of childhood. Out of them Shayyamutra (enuresis) is the most common messy disorder which is psychosomatic in nature, commonly seen in growing children. Along with other medhya and balya drug it can give better results in Shayyamutra along with Satvavajayachikitsa, that is the reason this study was taken. Materials and Methods: 40 patients of Shayyamutra satisfying diagnostic criteria and age 6-16 years were selected from outpatient department of Kaumarbhritya, SDM College of Ayurveda and Hospital, Hassan. Among them, 20 patients were treated with swarnamritaprashana capsule daily once for two month along with satvavajaya chikitsa in study group. The other 20 patients were treated with ghrita bharjita Godhuma capsule (placebo) daily once for two month along with satvavajaya chikitsa in control group .The patients were assessed on the completion first month, second month and followed again after third month. It was open labelled standard control non-randomized prospective clinical trial from August 2016 to Feb 2017. Result: Statistically significant effect (p<0.05) of swarnamritaprashana capsule along with satvavajaya chikitsa in reduction of all signs and symptoms of nocturnal enuresis after treatment were observed. Conclusion: Swarnamritaprashana along with satvavajaya chikitsa is effective in reducing the signs and symptoms of Shayyamutra.

On Psychosomatic Problems in Dentistry

In their daily practice dentists frequently have patients showing signs of stress-related oral manifestations in different forms. Stress-related aetiology of oral changes are still not investigated enough, and present a subgroup of psychosomatic diseases which had been recognized in medicine a long time ago. Recognition of such psychological or emotional disturbance needs deep evaluation “per exclusionem”, and is beneficial for both the patient and clinician. Psychological management should be taken into consideration when treating patients with these psychosomatic disorders. Therapeutic approach comprises different forms of psychotherapy and medication as well.