Psychosomatic Aspects of Multiple Sclerosis

Teitelbaum, Harry A.; Hall, Bernard H.; Phillips, Roger E.

doi:10.1001/archneurpsyc.1952.02320160119012

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…4 Disintegrative cerebral processes have long been discussed as relevant in FNSD [16, 17], and there is one report on entrainment therapy in FT [1]. For this patient, we used MT, which we are also using for functional hemiparetic symptoms in our Institution [18].…”

Section: Discussionmentioning

confidence: 99%

Chronic Functional Tremor: Positive Signs in the Management, Including Mirror Therapy

Joos

Halmer

2020

Case Rep Neurol

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Functional tremor (FT) is a common functional neurological symptom disorder (FNSD) and difficult to treat. Diagnosis is often delayed in FNSD, which reinforces maladaptation and chronicity. The presented case, who had suffered from FT for 2 years, demonstrates the value of positive neurological symptoms in the diagnosis and treatment of FNSD, even in a chronic case. The patient improved well during integrated inpatient rehabilitation, which included mirror therapy (MT). He had complete suppressibility of the tremor during distraction, which was shown to him, and reversibility of the FT was emphasized. Due do the suppressibility when focusing on the contralateral arm, we installed MT as part of a combined inpatient neurological-psychotherapeutic rehabilitation treatment lasting 8 weeks. During treatment, some strong emotional themes came up. At the end of rehabilitation, the tremor almost completely subsided. Possible pathomechanisms are discussed. Future studies are recommended for determining the effectiveness of MT in FNSD with one-sided symptoms.

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Section: Discussionmentioning

confidence: 99%

Chronic Functional Tremor: Positive Signs in the Management, Including Mirror Therapy

Joos

Halmer

2020

Case Rep Neurol

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“…. entangling emotional relationships" (p. 4591, and others cited these personality organizations as causally implicated in a diathesis-stress etiologic process (Teitelbaum, Hall, & Phillips, 1952). They also characterized people with MS as "immature" and "frustrated, deprived emotionally and trying to conceal their deep need for care" (p. 460).…”

Section: Early Psychological Formulationsmentioning

confidence: 99%

Multiple sclerosis.

Devins¹,

Shnek²

2000

Handbook of Rehabilitation Psychology.

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Chronic disabling diseases introduce psychosocial challenges and adaptive demands, threatening quality of life. Clinicians and researchers have long recognized the deleterious psychosocial consequences of such conditions. Yet only recently were effective psychological interventions introduced to facilitate coping and adaptation. Whereas earlier approaches emphasized insight, understanding, and tolerance for the vicissitudes of chronic disease (Viederman & Perry, 19801, more recent approaches emphasize active patient involvement and collaborative partnerships with health care providers (Devins & Binik, 1996a; Devins, Cameron, & Edworthy, in press;Lorig et al., 1994). In the present chapter, we review these issues as they relate to multiple sclerosis (MS), a chronic disabling disease of the central nervous system that can compromise physical and intellectual integrity. After decades of research documenting the psychosocial burden imposed by MS, researchers have begun t o emphasize a more proactive orientation to living with and actively managing the symptoms associated with this chronic disabling disease. The goals of these new interventions include minimizing illness-induced lifestyle disruptions (illness intrusiveness), reducing emotional distress, and maximizing quality of life. In this chapter, we provide a brief description of MS and its treatment, review historical developments, describe current assessment and intervention practices, and conclude with a discussion of current issues. Historical Perspective and Background Disease ProcessMS is a chronic progressive degenerative neurological disease that produces demyelination (destruction of a neuron's myelin sheath) of central nervous system axons, resulting in delayed or blocked nervous impulses.This work was supported in part by the Medical Research Council of Canada through a Senior Scientist Award and a Fellowship. We would like to express our thanks to Andy Gotowiec for valuable comments and suggestions and t o Astrid Mitchell for extensive help in searching the literature, retrieving reference materials, and in preparing the manuscript.

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“…have their basis in the particular localization of the brain lesions found in this disease. Teitelbaum et al (14), studying an M.S. group, were unable to correlate psychic disturbances with any localized lesions in the central nervous system.…”

Section: The Problem Of “Organicity”mentioning

confidence: 99%

Psychologic Studies in Neurologic Diseases—a Review: Parkinson's Disease and Multiple Sclerosis*

Riklan

Levita

Diller

1961

J American Geriatrics Society

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Parkinson's disease and multiple sclerosis (hereafter referred to as P.D. and M.S. respectively) represent progressive chronic diseases of the central nervous system. A large proportion of the afflicted persons fall within the geriatric population. In each instance, the disease may result in alterations of the motor and sensory systems of the brain and spinal cord, and thus produce various abnormalities of movement and sensation. The specific et,iology in both diseases is largely unknown (although continuing investigations reveal much new information concerning the pathology) and this lack of knowledge has thus far prevented the development of any specific therapy. Recently chemosurgery has been found useful in the symptomatic relief of both P.D. and M.S., specifically in alleviating certain of the associated abnormal movements (1-3). Because of the manifold neurologic symptoms, the relative obscurity of the etiologic factors, the lack of specific treatment, and the many and diverse behavioral effects of these diseases, recent years have witnessed an increase of investigations concerning their psychologic and psychiatric aspects. It is the purpose of the present review to summarize a portion of these investigations, most specifically those which may provide information concerning the relationship between psychologic factors, neurophysiologic substrata, and the resulting disease processes and symptoms. Thus, this review is not intended to be all-inclusive, but limited rather to those studies concerned directly or indirectly with psychosomatic and somatopsychologic relationships. THE PROBLEM O F "OEGANICITY"In psychologic studies of diseases of the cent>ral nervous system, the question frequently arises as to whether the pathologic process which culminates in the neurologic symptoms may also affect certain aspects of higher integrative functioning. Thus, several investigators have addressed themselves to the problem of "organic" mental factors in neurologic diseases. Several such studies in P.D. have revealed both intellectual and cognitive impairments in at, least a portion of the patients so evaluated (4-6). In each instance, the changes were attributed

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Psychosomatic Aspects of Multiple Sclerosis

Cited by 8 publications

References 15 publications

Chronic Functional Tremor: Positive Signs in the Management, Including Mirror Therapy

Chronic Functional Tremor: Positive Signs in the Management, Including Mirror Therapy

Multiple sclerosis.

Psychologic Studies in Neurologic Diseases—a Review: Parkinson's Disease and Multiple Sclerosis*

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