-IBIS-1.5.0-
tx
cutaneous system
burn
psychospiritual approaches

metaphors and correlations

• Anger; burning up, incensed. (Hay, 1984, p. 158)
• In the intermediate stage (between the acute phase and the long recuperative phase) a host of problems occur including: inadequate analgesia, aversive conditioning to painful situations, staff-patient conflicts, and the patient's own depression, grief, hostility, and regression. (Locke, 1986, p. 148)
• Burns are a sign that we have failed to properly assess danger. Burns make us aware that we are 'playing with fire.' Possibly we are failing to see what 'burning issues' are at stake. Burns typically affect the skin, which signifies people's limits. (Dethlefsen, p. 225)

Chinese psychophysiology:
Lung ~ Fei governs the Qi; regulates the rhythm of respiration, the pulse, and all bodily processes; is the home of the Po (Corporeal Soul); it relates to strength and sustainability; and extends through the skin.
» Healthy expressions are righteousness and courage.
»
Weakness, dysfunction, and illness are associated with excessive grief, sadness, worry, and depression. Worry depletes the Lung Qi.


therapies

behavior modification:
• Reframing. (Zahourek, p. 88)
• Combination of autogenic training, muscle relaxation, imagery, and skill rehearsal while imagining dreaded treatment of bathing, debridement, dressing changes. (Zahourek, p. 34)
• Relaxation and imagery found more effective than relaxation alone or combination of relaxation, imagery, and biofeedback. (Zahourek, p. 15)
• In the intermediate stage (resistance to treatments and physical therapy, refusal to eat), several useful behavioral techniques are operant conditioning, desensitization, rational guidance, and modeling. (Locke, 1986, p. 148)

imagery:
• PAMFA (Bry, 98)
• Healing: Healthy skin cells multiplying and repairing burned area, fighting infection.
(Fanning, p. 213)
• elastic blood vessel (Chavez)

affirmation:
(Skin)
• I lovingly protect myself with thoughts of joy and peace.
• The past is forgiven and forgotten. I am free in this moment. (Hay, 1984, p. 183)

• I create only peace and harmony within myself and in my environment.
• I deserve to feel good. (Hay, 1984, p. 158)

theotherapy:
(skin problems) Dionysus, Heracles, Orestes, Pelops (Lemesurier, p. 115)

hypnotherapy:
• Hypnotic and posthypnotic suggestion were successfully used in burned patients as anesthetic agent and as an analgesic. Suggestion of coolness on inflammation and healing of burns is one technique. Suggestions were made to provide motivation to use and exercise injured parts previously immobilized by pain. Further, hypnosis was successful as psychotherapeutic agent in correcting some of the detrimental emotional responses and psychological adaptation to the injury. (Locke, 1986, p. 147, 148)
• Hypnosis is useful aid in managing children hospitalized for severe burns. General cooperativeness and morale were improved. Pain tolerance and appetite were increased. (Locke, 1986, p. 147)
• Hypnotically induced vasodilation facilitated dramatic enhancement of burn wound healing. (Locke, 1986, p. 149)
• Usefulness of hypnosis and ego strengthening techniques for improvement of self-confidence and improved body image, as well as adjunctive analgesia. Many gained control over intense pain and many increased their sense of self-esteem and mastery. (Locke, 1986, p. 150, 151)

process paradigm: (experientially oriented)
• What is the symptom preventing me from doing? What is the symptom making me do? (see process interview: immune system, process interview: cutaneous system)

related materia medica listings:
the shadow and physical symptoms
converting a signal to a symptom
behavior modification techniques
imagery: precautions
imagery: techniques
affirmations: guidelines and precautions
theotherapy
hypnotherapy
process paradigm


footnotes