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All rights reserved, I.Miroshnik and E.Gavrilin, 1994
а
In our article " Experience of clinical application of the
УTonicФ system in medical diagnostic work ", published
in 1994 in the collection " Mental health of the population
of RussiaФ, some results of approbation of system of
interactive video-musical therapyа "TONIC" at the
Psychosomatic Department of SKLIFOSOFSKY SCIENTIFIC RESEARCH
INSTITUTE OF EMERGENCY MEDICINE at Moscow,Russia, as well as in
private practice, were submitted.
аLet's
result the basic theses of this work.
аThe
psychoemothional condition of the person (PCP) is a component of
structure of his functional condition and is considered by us as
subjectively significant integrator of influence of internal and
external factors during ability to live of the individual.а
ааааа
As practice shows, the PCP, on the one hand, is the sensitive
indicator disadaptations of an organism, and with another -
object of psychotherapeutic influence which allows to compensate
displays disadaptable syndrome. As have shown our researches,
dynamics of a PCP can serve as a parameter of efficiency of
rehabilitation of patients after heavy poisonings.
ааааа
With the purpose of the decision of a problem of rehabilitation
of patients after heavy poisonings with psychotropic preparations
on resistibility stages of a poisoning the automated control
system of a psychoemothional condition of the person of "TONIC"
was applied. The system was applied alongside with the medicinal
therapy directed on removal of displays psychoorganic of a
syndrome.
The
УTonikaФ (Tonic) System is an IBM PC/AT-based program
complex, intendedа for the individual control and correction of
a PCP. In system " the Way of the directed regulation of a
PCP ", based on a technique of lumpsum musical color
influence on the recipient which provides nonverbal suggestion of
the certain PCP is realized. The system functions in three modes:
1.ааа
аthe psychoemothional condition of the person diagnostics;
2.ааа
аthe psychoemothional condition of the person аoptimization;
3.ааа
data analysis and system adjustment (for "the psychologist"
only).
аааааа
In a mode of "adjustment" of system the doctor -
psychopheraputic has an opportunity to set the script of a
computer psychotherapy, which determines structure and a sequence
of presentation of psychodiagnostic tests (eight-factorial test
Supos 8, eight-color test by M. Lusher with an estimation of
vegetative balance and a total deviation from norms), and also
one of three modes of correction of a condition of the patient:
removals of a psycho-physical pressure (relaxation), adjustment
on the vigorous activity (mobilization) or the general
harmonization of a condition (optimization). Depending on values
of parameters of the diagnosed actual PCP system " Tonic
" automatically chooses and reproduces the audio-visual
compositions providing the maximal psychotherapeutic effect in a
given mode of correction of a PCP with the help of the personal
computer.
аааааа
During clinical approbation the subsystem of diagnostics of a PCP
was added with objective methods (Frequency of intimate
reductions, Arterial pressure, Skin galvanic reaction), allowing
to look after dynamics of a vegetative tone shown as sympathetic
and pair - sympathetic "shifts", and also computer
tests for an estimation simple sensomotoric reactions, attention
(tableа of Shulte), uneasiness , " State of health,
Activity, Mood " and other psychological tests.
аааааа
During complex treatment of 25 patients with poisoningsа were
carried out sessions of a computer psychotherapy with application
of system "Tonic " (on 2 - 3 sessions in 1-3 days).аа
аааааа
In result after sessions of a computer psychotherapy at patients
changes of parameters of an actual PCP adequate to carried out
influence, both on subjective and on objective methods of testing
were observed.
аааааа
In a mode of "mobilization" which was appointed the
patient with expressed depressive syndrome, increases of values
under factors of estimation PCP "Vigour", "Activity"
on the average on 16 % c by simultaneous decrease of parameters
under factors "Depression" - on 12 %, "Despondency"
- on 13 % were observed. Thus shift of vegetative balance aside
activation sympathetic components of vegetative nervous system
was clearly fixed.
аааааа
In a mode of "relaxation" which was appointed the
patient with expressed a Disturbing syndrome, on the contrary,
value under factors "Activity", "Impulsiveness",
"Anxiety", "Uneasiness"а on the average
accordingly on 10 %, 11 %, 15 %, 15 %, and on the factor "Calmness"
- were increased by 17 %. Shift of parameters of vegetative
balance aside activation pair sympathetic components of
vegetative nervous system was simultaneously observed.
аааааа
In a mode of "Optimization" which was appointed the
patient both after a mode of "Mobilization", and after
a mode of "Relaxation", there was a relative
displacement of a parameter of vegetative balance under test
LusherТs to values to simultaneous reduction of a total
deviation from norms.
аааааа
Also it is necessary to note, that for all modes of correction of
a condition after sessions of a computer psychotherapy
positive changes under the test the DIGNITY (the factor "State
of health" on the average on 20 %, the factor "Mood"
- on 24 %) and under test SpilbergerТs - reduction of a
parameter of situational uneasiness up to "average" and
"low" levels were observed.
аааааа
Thus, results of clinical approbation show, that the system of a
computer psychotherapy of "Tonic" can be applied
alongside with the standard methods as not medicamentous means of
the accelerated rehabilitation of patients with sharp psychogenic
reactions at poisonings.
аааааа
It is necessary to note an opportunity of application of system
" Tonic "а the purpose of increase of suggestibility
at realization of the psychotherapy directed on restoration of
work capacity and social adaptation of patients, and also
diagnostics, preventive maintenance and treatment of
psychoemothional infringements.
Let's
result a bright example of application of the Synergic
Interactive Musictherapy in psychotherapeutic practice.
(╤)
All rights reserved, I.Miroshnik and E.Gavrilin, 1994
Irina
M.Miroshnik (Ph.D.,Psychology) e-mail: pocther@ok.ru
Evgeny
V.Gavrilin (Ph.D.,Technical Sciences) e-mail: psyart@ok.ru
а
[i] Review
of an All-Russian Research and Applied Science Conference on
"Public Mental Health in Russia (Social and Epidemiological
Aspects)," Moscow, 1994, pp. 267-269. ISBN 5-7029-0109-6.
а
а