PSYCHOSOMATIC “ ARC ” IN THE PSYCHOTHERAPEUTIC PRACTICE

/ J of IMAB. 2012, vol. 18, book 3 / ABSTRACT The psychoneuroimmunology, the new brain science and the endocrinology today show a lot of results, with which symptoms are better to understand. The psychotherapeutic practice shows the ways to influence them by encoding the levels of bounding between the physical symptom and the psychological condition. The aim of the study was to show the encoding of the psychosomatic arc within a real psychotherapeutic contact. 59 psychotherapeutic cases are followed. 33 of them were with somatoform disorders and 26 with chronic psychosomatic diseases. Every patient has minimum 12 psychotherapeutic sessions. The treatment is provided on the base of the 5 levels model of the positive psychotherapy. We ascertain the following: 1. The most significant moment in the arise of such symptomatic is the gained past experience “vital concepts”; “coping strategies”; 2. Unlocking moment for the arise of the affection is the fixed emotion fear, aggression or depression, specific for the particular morbid pictures; 3. Showing the connection between symptom and fixed emotion by the technique “positive interpretation”, which unlocks the process of changing This shows that the psychotherapeutic help is possible only if the patient rethink the psychosomatic arc. Showing the connections between the content of the unconscious, the fixed emotion in behavioral models and the symptom gives the impetus to change.

Journal of IMAB -Annual Proceeding (Scientific Papers) 2012, vol.18, book 3 of the person to experience and shows his/her aggressive impulse.The theory of H. Sally for the stress grounds the psychophysiological interpretation of the psychosomatic relation.On that base many deep and behavioral psychotherapeutic schools defies the building and restoring of the patients to cope with the stress as their main preventive and rehabilitation task.The scientific developments of the concept "experience" [3] bring the understanding of the disease as a whole psychological answer of the individual to biological, mental and social stressors [4].In psychotherapeutic plan specialists started talking about coping strategies as "healthy" or "morbid" answer and the necessity to help the patient achieve a better quality of life [5].The psychoneuroimmunology, the new brain science and the endocrinology today [6] show a lot of results, with which symptoms are better to understand.
In 1991 N. Peseschkian [7] illustrates the psychosomatic unity in the so-called PT-arc, showing the achievements of the psychoneuroimmunology, the brain science and the endocrinology about the deep connection between the work of the "body substrate" and the mental activity of the ailing.On the other hand, the psychotherapeutic practice starts seeking the path to achieve decoding of that coherence with the ailing.The aim was to find the individual reserves to cope with the illness.

AIM AND TASKS:
The aims of our research are to show the decoding of the psychosomatic arc in a real psychotherapeutic contact on the base of positive psychotherapy.
Our task is to expose on experience level the key moments of the connection between body and mentality and to follow the dynamics of the change in the ill's experiences during the spontaneous psychotherapeutic exploration of the ailing.

MATERIALS AND METHODS:
59 psychotherapeutic cases are followed.33 of them were with somatoform disorders and 26 with chronic psychosomatic diseases.Every patient has minimum 12 psychotherapeutic sessions.The treatment is provided on the DOI: 10.5272/jimab.2012183.330base of the 5 levels model of the positive psychotherapy by N. Peseschkian [8].Within PPT-interview and during the therapy there were registered the patient's experiences served as spontaneous shares.
The patients are separated in groups by the diagnosis as follows: Group A/ Somatoform disorders Phobic anxiety disorders = 5 Panic disorders = 8 Obsessive-compulsive disorder = 10 Somatoform vegetative dysfunction = 10 The willingness of the majority (63% of all) to use psychotherapeutic help emerges after at least 6 months or a year of a medical therapy.In only 34% of the others the attitude for psychological psychotherapy precedes the willingness to use medical help.Decisive factor is the unwillingness to load the body with drugs.
Group B/ Psychosomatic illnesses Asthma = 5 Ulcerative colitis/gastritis = 6 Diabetes = 5 Hypertension = 10 All of the ailing have their diseases for at least 3 years.They had a systematic contact with a specialist doctor and were prescribed maintenance therapy.The idea for psychotherapeutic help amongst 81% of them arises because of their own willingness to cope with the social problems surrounding the illness -conflicts in family; problems at work and school; trouble contacts.Only amongst 11% of them the motivation for psychotherapy is created by heard of read information for the psychosomatic mutuality.The PT-process is accomplished according to the 5 level model of N. Peseschkian and visualized by the elements of the psychosomatic arc.

RESULTS:
A) The psychosomatic "arc" during the PPT-interview Aim of the PPT-interview is the building of the initial connection between the shared morbid symptomatic and the experience of the symptom.The ailing in both groups show that they experience the illness as an unwanted burden (100%); stress (72,9%).In most of the cases the surrounding emotion is fear expressed in its milder form as anxiety to lose control over the body (69,5%) and in its most significant form as fear for life, fear of death (30,5%).Probably the closeness in the bodily symptomatic makes the emotions from experiencing the disease one and the same in both groups.Although the ailing with somatoform disorders know the explicit opinion of the doctors that the body substrate is not damaged, they live with the fearful expectation that in the next moment this will happen.They understand that this fear makes them dependant on the doctor.

I. Observation/distancing
The therapeutic help in this first stage starts with uncovering the specific function of the disease with the help of the technique "Positive interpretation".Generally it lets to see the disease as: a) A chance to change which should start from the ailing; b) A signal that outside, in the socium there are events creating negative feelings which the individual carry more painfully than the symptomatic; c) A sign that time is needed for self-preservation; for gathering new strengths The positive interpretation in the beginning of the therapeutic contact was perceived from the ailing with relief: group A -63% of the patients; group B -38% of the patients.The others were skeptic or defensive.
In the end of the PT-contact 76,2% from all of the patients in both groups shared that the possibility to see the function of the symptomatic differently helped them "to help aim their efforts in new direction".

II. Inventory
The second therapeutic stage gives the possibility to follow the psychological connection between the style of experience /fixed emotion/ and the contents of the three levels of mental activity -conscious, subconscious and unconscious.
The data from the tables show that according to the contests in the previous psychological experience the different groups of ailing create distinctive predisposition to fix the emotion from the levels of fear -to patients with panic disorders and diabetes; depression -to those with obsessive-compulsive symptomatic and ulcerative colitis/ gastritis and aggression to all the others.This psychovegetative information is developed by the body with the help of the neurotransmitters from the cerebrum to the vegetative nervous system.The information is revised trough hormonal to the immune system.
Rationalizing the fixed emotion in PT-contact becomes possible with the usage of "Visualization", transcultural and meaningful approach.
As feedback the patients share: • "I saw the picture of my disease.Now I feel relaxed.": Group A = 30% from the patients; Group B = 26,9% from the patients • I haven't thought that my emotional attitude could reason/contribute my disease till now.": Group A = 84,8% from the patients; Group B = 80,9% from the patients.

III. Situational encouragement
The examined patients showed that they are socially

Table 1 .
Predominant style of experiencing the illness

Table 2 .
Predominant contents of the experience in the levels of mental activity