Monday , July 26 2021

Psychiatrist Radkin Honzák on the vicious cycle of illness and stress and the way out of psychosomatics

Psychiatrist Radkin Honzák It has been researching health and sickness laws for more than fifty years. He believes that taking biological factors as seriously as social and psychological factors as spiritual or spiritual factors that are very difficult to measure and possibly incomprehensible are an important complement to medicine’s view of the human being. It is currently considered a purely biological preparation.

The psychosomatic diagnosis, however accurate, is still a “semi-diagnosis” for a patient, something that his family would not believe and simply cannot cure using a pill. The results of the life-long research will be presented by an expert at an online conference on Thursday, April 22nd, and will present the basic principles of the psychosomatic approach in an interview:

What exactly does the term psychosomatics mean and what are its principles?

The psychosomatic approach in the current understanding is a coherent bio-psycho-social approach, the more orthodox we are, the more we take on spirituality. In practice, this means taking into account not only biological factors, but also psychological and social factors, as the biomedical concept does. We are born endowed with a temperament that does not predispose us to a fatal disease, but makes us more at risk. We live in relationships that are abstract but real and somehow affect our entire organism.

The way we handle difficult situations psychologically is a kind of crossroads where we decide whether to follow the path of peace or the path of stress. In the nineteenth century, a German doctor knew that poverty was a harmful situation. Rudolf Virchow. There are many psychosocial impacts, and if they are important, it makes sense not only to prescribe medications but also to address them.

Is the approach of patients as well as medical professionals to psychosomatics gradually changing?

Among doctors (mainly) and among doctors of various fields, interest in the psychosomatic approach is growing, but not as fast as would be desired. Patients get used to it gradually – a biomedically oriented doctor will ask about symptoms, and people are not used to dealing with emotional or relationship problems. One of his colleagues said that he asked a patient with high blood pressure if he was experiencing any stress and was upset that he did not go to the psychiatrist.

What is the treatment for psychosomatic diagnoses?

We don’t have specific diagnoses, the psychosomatic approach should bypass wherever the doctor sees psychosocial factors as part of development or complications. Today, the causative agent of stomach and duodenal ulcers Helicobacter pylori. It has half the population in it. But not everyone gets sick. On the other hand, more than ten percent of patients with this disease will not develop Helicobacter. The focus should be on something other than biological conditions.

Then, of course, there are a number of health issues referred to as “somatization” that are actually a manifestation of emotion. Emotions are primarily bodily states and “They are translated into the theater of consciousness as emotions,” As one of the leading experts said, Antonio damasio. Our hearts beat when we are afraid. However, it can hit even when we are constantly anxious, which we consider to be the standard. She’s no longer an uncomfortable body escort so we go to the doctor with her. Folk expressions provide a fairly accurate overview: “I can’t swallow it”, “it lies in my stomach”, “it makes me sick”, etc. But such an uncomfortable colon causes a problem for its owner.

Which diseases cause the most bad mental health?

It is very individual. Two people with broken legs may experience their situation completely differently. Either as a not-so-luxurious vacation or a life tragedy. All chronic diseases that change needs, bring physical symptoms, and require various limitations are less well managed. Ear growling is brutal. Heart attacks and cancer are no longer as scary scarecrows as they were in the beginning. Covid has led to an increase in anxiety disorders that are only necessary in depression and anxiety disorders, or on the contrary, that are banned and that occur in some recovering patients and last for months.

Are some people more susceptible to psychosomatic illnesses than others?

Personality profiles have been studied for thousands of years from various perspectives, from the four Hippocratic temperaments to extroversion and introversion and more. One of the modern methods is the widely used “Big Five”. There is a category of “neuroticism” that is demonstrably associated with greater morbidity. Not only with neurotic problems and depression, but with all physical ailments.

How to work with psychosomatic diagnosis? Don’t the patients have a certain effect of the vicious circle when the disease stresses them out, when this makes them worse, which puts them even more stressed out?

As you rightly think, the “vicious circle” is the problem of all diseases. Since the difficulties cause discomfort, it impairs the quality of life and thus increases the preparedness for stress. It’s not stressful when someone shouts at me or when I’m worried. Stress is what happens in the body, it is metabolically compelling responses because stress is initially aimed at saving lives, therefore, on the contrary, it is not wasted and is also associated with immune changes that cause self-harm. organism.

Is stress a cause of psychosomatic illnesses? What can we do to make it better?

Stress management is an art that begins in childhood with the ability to tolerate frustration or deny various pleasures and the art of confronting various difficulties. This practice should start and not stop in preschool age. Thirteen beaver and eagle feathers were useful methods in school age and early adolescence. There are many instructions in the literature on how to manage stress, and probably the most important and most important thing is to realize that my ego is not the center of the universe. The Dalai Lama and his teachings can be our role models. In general, belief and religiousness are not negligible either.

MUDr. Radkin Honzak, CSc.

Czech psychiatrist, publisher and pedagogue. He comments on current events on his successful blog and is the author of many popular science books on psychology. He studied general medicine at Charles University in Prague. He explored nutrition, sleep, and stress. He then specialized in psychiatry, psychotherapy, and psychosomatic approach. He was a member of the CAHBI ethics committee in Strasbourg, led the Department of Medical Psychology, Psychotherapy and Psychosomatics at the Charles University First School of Medicine, worked in the Department of Psychiatry IPVZ and the Psychiatric Hospital in Bohnice.

The Psychosomatics online webinar will be held on Thursday, April 22, 2021 from 18:00.

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