{"id":111,"date":"2016-12-01T11:31:29","date_gmt":"2016-12-01T11:31:29","guid":{"rendered":"http:\/\/www.livskvalitet.org\/?page_id=111"},"modified":"2016-12-02T07:17:33","modified_gmt":"2016-12-02T07:17:33","slug":"klinik-3","status":"publish","type":"page","link":"https:\/\/www.livskvalitet.org\/?page_id=111","title":{"rendered":"1 Om behandling med holistisk medicin og sexologi"},"content":{"rendered":"

Evidensbaseret mind-body therapy af typen klinisk holistisk medicin (CHM)<\/span><\/h3>\n

Holistisk behandling (CHM) kombinerer samtaleterapi og kropsterapi og denne type behandling kaldes ofte for mind-body medicine eller body psychotherapy.
\nHolistisk medicin er en oprindelig form for medicin, der i \u00e5rtusinder har v\u00e6ret anvendt i Europa1<\/sup>. I dag regnes den for \u201dalternativ behandling\u201d (CAM). Mind-body medicine er videnskabeligt veletableret og anerkendt i mange dele af verden2,3,4<\/sup>; mind-body medicine en s\u00e5ledes en del af curriculum p\u00e5 de fleste l\u00e6geskoler i USA2<\/sup>. Josephine Briggs, M.D., som er Director of NIH’s National Center for Complementary and Alternative Medicine roser netop mind-body medicine for at v\u00e6re sikker for patienterne3<\/sup>: \u201c… these approaches appear to evoke substantial patient interest, and particularly as implemented in health care settings, relative few safety concerns\u201d.
\nEn r\u00e6kke nye metaanalyser5-8<\/sup> har dokumenteret behandlingseffekten for f\u00f8lelsesforl\u00f8sende psykoterapi (STPP) som er en del af den holistiske terapi (CHM), der tilbydes i Forskningsklinik for Holistisk Medicin og Sexologi. Denne form for terapi er fundet effektiv ved b\u00e5de fysiske, psykiske og psykiatriske sygdomssymptomer og ved sociale tilpasningsproblemer. Abbass et al.5 har denne opg\u00f8relse:<\/p>\n

RESULTS:<\/strong> A total of 23 studies met the inclusion criteria and covered a broad range of somatic disorders. Thirteen were RCTs and 10 were case series with pre-post outcome assessment. Of the included studies, 21\/23 (91.3%), 11\/12 (91.6%), 16\/19 (76.2%) and 7\/9 (77.8%) reported significant or possible effects on physical symptoms, psychological symptoms, social-occupational function and healthcare utilization respectively. Meta-analysis was possible for 14 studies and revealed significant effects on physical symptoms, psychiatric symptoms and social adjustment which were maintained in long-term follow-up. Random-effect modeling attenuated some of these relationships. There was a 54% greater treatment retention in the STPP group versus controls.<\/p>\n

Det fremg\u00e5r af dette studie, at over 90% af alle studier, der fandtes at v\u00e6re af tilstr\u00e6kkelig h\u00f8j kvalitet til at kunne indg\u00e5 i analysen (heriblandt ogs\u00e5 dokumentationen fra vores egen klinik) \u2013 viste at terapien afhj\u00e6lper sygdomssymptomerne ved en lang r\u00e6kke milde og alvorlige fysiske lidelser s\u00e5vel som ved milde psykologiske og alvorlige psykiatriske lidelser. Denne artikel er listet i PubMed og overholder s\u00e5ledes Sundhedsstyrelsens krav til videnskabelig dokumentation af alternativ behandling.<\/p>\n

Mange l\u00e6ger og forskere mener i dag, at behandling og forebyggelse med alternativ medicin ved mange sygdomme og lidelser er b\u00e5de mindre farlig og mere effektiv end behandling med kemisk medicin og kirurgi3-20 (se ogs\u00e5 37)<\/sup> ,og ikke mindst toneangivende l\u00e6ger og forskere som Deepak Chopra, Dean Ornish og Andrew Veil4<\/sup> g\u00f8r opm\u00e6rksom p\u00e5 fordelene ved alternativ behandling frem for behandlingen med kemisk medicin og kirurgi.
\nHolistisk behandling, som den der tilbydes i Forskningsklinik for Holistisk Medicin og Sexologi (CHM), er alts\u00e5 b\u00e5de i internationale studier5-20<\/sup> og i vores egen klinik 21-26,32<\/sup> videnskabeligt dokumenteret at v\u00e6re effektiv ved oplevelsen af:<\/p>\n

\u00d8 Fysisk sygdom5,21,32<\/sup> [link]<\/em>
\n \u00d8 Psykisk sygdom5-8,21,32<\/sup> [link]<\/em>
\n \u00d8 Seksuelle problemer19,23,32<\/sup>[link]<\/em>
\n \u00d8 Lavt selvv\u00e6rd5-8,24,32<\/sup> [link]<\/em>
\n \u00d8 Lav livskvalitet5-8,25,32<\/sup> [link]<\/em>
\n \u00d8 D\u00e5rlig arbejdsevne5-8,26,32<\/sup> [link]<\/em><\/p>\n

Terapiens effekt og sikkerhed for patienterne er alts\u00e5 evidensbaseret, dvs. videnskabeligt dokumenteret1-27,32<\/sup>.
\nHver anden patient, der siden 2004 er kommet i Forskningsklinik for holistisk medicin og sexologi, har oplevet at f\u00e5 l\u00f8st sine problemer; i gennemsnit tog behandlingen et \u00e5r og ca. 20 timers terapi21-26<\/sup>.
\nDet er videnskabeligt dokumenteret, at der ikke er v\u00e6sentlige bivirkninger ved holistisk terapi, hverken ved samtaleterapi eller ved kropsterapi (blide former), herunder sexologisk behandling4,17,19,20,30,32-35<\/sup>.
\nDet grundl\u00e6ggende, klassiske princip bag holistisk medicin er, at det er dig selv der helbreder dig selv30-32<\/sup>. Du f\u00e5r under behandlingen hj\u00e6lp til at l\u00e6re dig selv bedre at kende. Behandlingen er derfor i bund og grund en st\u00f8tte til selv-udforskning og selv-udvikling. Behandleren unders\u00f8ger sammen med dig hvad der er i vejen med dig, og i den nye forst\u00e5else du f\u00e5r, bliver du mere hel, velfungerende, lykkelig og rask1-32<\/sup>. P\u00e5 engelsk kaldes dette ofte for clinical medicine31<\/sup>.
\nHolistisk medicin har v\u00e6ret anvendt i mindst 2300 \u00e5r, og er f\u00f8rste gang videnskabelige beskrevet af Hippocrates og hans studenter1.
\nDen holistiske behandling, som tilbydes, er beskrevet i bogen Bevidsthedsmedicin set gennem l\u00e6gejournalen, som f\u00e5s i boghandlen, eller i vores internetboghandel som PDF [link]. Vaginal akupressur (vaginal fysioterapi) er videnskabeligt beskrevet og dokumenteret bl.a. af B\u00f8 et al.19 og popul\u00e6rt beskrevet i h\u00e5ndbogen i vaginal akupressur \u201dDen lille vaginale\u201d36<\/sup>.
\nAl behandling i klinikken gennemf\u00f8res som del i forskningsprojektet Livskvalitet og Sygdoms\u00e5rsager, beskrevet i Open Research Protocol for Clinical Holistic Medicine32<\/sup>.
\nBehandlingen udf\u00f8res efter de etiske standarder fastlagt af International Society for Holistic health33<\/sup>.
\nDet er blevet kritiseret at Forskningsklinik for Holistisk Medicin og Sexologi anvender \u201df\u00f8r og efter unders\u00f8gelser\u201d af patienterne i stedet for lodtr\u00e6kningsfors\u00f8g til at dokumentere behandlingseffekten; i denne forbindelse g\u00f8res opm\u00e6rksom p\u00e5, at det er vores opfattelse, at der er s\u00e5 alvorlige problemer med den RCT-metode, som almindeligvis anvendes til dokumentation af den kemiske medicin, at det i det hele taget ikke er tilr\u00e5deligt at anvende denne metode til videnskabelig dokumentation af behandlingseffekt37-39<\/sup>.
\nPeter G\u00f8tzsche fandt s\u00e5ledes i sin doktorgrad om RCT-metoden, at man m\u00e5tte opfatte artikler om behandlingseffekt baseret p\u00e5 denne metode som \u201dreklame\u201d for medicinalindustriens produkter og ikke som videnskabeligt gyldig dokumentation37<\/sup>. I erkendelse af faren for alvorligt bias ved RCT-metoden er flere og flere forskere begyndt at kigge lige s\u00e5 meget p\u00e5 \u201df\u00f8r og efter fors\u00f8g\u201d som p\u00e5 RCT-fors\u00f8g(se fx 5-8) og till\u00e6gge disse fors\u00f8g lige s\u00e5 meget videnskabelig v\u00e6gt.<\/p>\n

LINKS:<\/strong><\/p>\n

\uf0b7 Videnskabelig dokumentation [link]<\/em>
\n \uf0b7 Se fors\u00f8gsprotokollen [link]<\/em>
\n \uf0b7 Testamonials fra patienterne [link]<\/em>
\n \uf0b7 Skriftlig patientinformation – Livskvalitet som medicin [link]<\/em>
\n \uf0b7 Sp\u00f8rgeskema til alle patienter f\u00f8r og efter behandlingen (QOL10) og skriftligt samtykke til behandling og deltagelse i forskning [link]<\/em><\/p>\n

<\/h3>\n

Referencer<\/span><\/strong>
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Evidensbaseret mind-body therapy af typen klinisk holistisk medicin (CHM) Holistisk behandling (CHM) kombinerer samtaleterapi og kropsterapi og denne type behandling kaldes ofte for mind-body medicine eller body psychotherapy. Holistisk medicin er en oprindelig form for medicin, der i \u00e5rtusinder har v\u00e6ret anvendt i Europa1. I dag regnes den for \u201dalternativ\u2026<\/p>\n

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