The Psychosomatic Therapy of IBS : Hynosis, Autogenic Training, Cognitive Behavior Thrapy

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  • 心身医学的治療 : 催眠療法・自律訓練法・認知行動療法
  • 心身医学的治療 : 催眠療法・自律訓練法・認知行動療法 : 機能性消化管疾患の心身医学的治療の臨床使用とその課題
  • シンシン イガクテキ チリョウ : サイミン リョウホウ ・ ジリツ クンレンホウ ・ ニンチ コウドウ リョウホウ : キノウセイ ショウカカン シッカン ノ シンシン イガクテキ チリョウ ノ リンショウ シヨウ ト ソノ カダイ
  • —機能性消化管疾患の心身医学的治療の臨床使用とその課題—

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Abstract

<p>The guidelines of functional gastrointestinal disease were published in 2014. In the therapy of irritable bowel syndrome (IBS), hypnosis, cognitive behavior therapy (CBT) and relaxation are recommended in the third stage. These therapeutic methods should be used actively by physicians of psychosomatic medicine, but actually only a few therapists have been trained to manage all of these methods. Judging from common sense, modern hypnosis is more flexible than the classic one and less dominant and safer than autogenic training (AT) because the therapist can use hypnotherapy tailored to individuals. However gut directed hypnotherapy (GDH) which has a lot of therapeutic evidence is a classical hypnosis. CBT adopts meditation and relaxation. So both hypnosis and CBT can treat the altered state of consciousness. In this paper, I introduce clinical evidence and essence of hypnotherapy, and AT in relation to hypnosis and CBT. I also review merits and demerits of each therapy.</p>

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