04.09.2018
Autonomic Dysregulation Syndrome (ADS)
A Unifying Functional Stress Syndrome in Psychosomatic Medicine

The prevalence of stress related illness in primary care medical practice is startling. 90% of the ten most common complaints in primary care have no organic basis. Further, up to 70-80% of all primary care visits are driven by, so called, “psychological” factors. One thousand patients were followed in an outpatient clinic over 3 years. During this time, well over half had new complaints including chest pain, fatigue, dizziness, headache, edema, back pain, dyspnea, insomnia, abdominal pain, numbness, impotence, weight loss, cough and constipation. In the vast majority of these patients (84%) no organic etiology was ever found.

In addition, treatment provided for 55% of the symptoms was entirely ineffective--and the rest, frequently, only marginally effective. Clearly, there is something vitally important that is evading standard diagnosis and treatment. In addition, according to a 2011 report from the Institute of Medicine, about one-third of all Americans are experiencing some kind of long-lasting pain. In the large majority of these patients, no organic cause could be found for their distress. Indeed, The World Health Organization has called stress and stress related disorders the epidemic of the 21st Century.


Peter A Levine


The costs associated with chronic pain, alone, are staggering: over $635 billion a year, including (largely unsuccessful) treatments and productivity loss. Then, adding to this cost, is the 90% of other symptoms (listed above) which have no organic basis, the price in suffering and health cost dollars are astronomical!

In a recent report from the Institute of Medicine (IOM), in a new 235-page report, lists the following cluster of symptoms in chronic fatigue syndrome (CFS):

  • a substantial reduction or impairment in the ability to engage in pre-illness levels of occupational, educational, social, or personal activities that persists for more than 6 months and is accompanied by fatigue, which is often profound, is of new or definite onset (not lifelong), is not the result of ongoing excessive exertion, and is not substantially alleviated by rest;

  • post-exertional malaise (often described by patients as a "crash" or "collapse" after even minor physical or mental exertion);

  • unrefreshing sleep; and

  • cognitive impairment and/or orthostatic intolerance.

As general practitioners and internists, many of you have struggled to help the patient who presents with a seemingly endless array of unpredictable, labile and mutating symptoms. This assortment includes autonomic, somatic and emotional components. While this fluctuating presentation can be confounding to you, the clinician, these varying symptoms are acutely problematic and often anguishing to your patient. Although it is essential to investigate their possible organic origin, it is equally important to recognize that these perplexing symptoms may have a common root as a stress-related disorder; i.e. they may constitute a single underlying syndrome, which can be effectively treated when properly identified. Read more...




12.07.2018
The Madness of Our Time
The Denial of The Human Under the Guise of Human Concern

Dr. Urs HonauerIt’s been almost thirty years since Arno Gruen published his insightful book The Insanity of Normality. He committed to paper his profound insights to guide the world toward a better future. Three decades later we are experiencing a world that has landed stronger than ever in that past that Gruen wanted to leave behind. Human destructiveness reveals itself under the cloak of realism, security, and globalization in its ugliest lies and features - e.g. in politics, economics, sports, health care, and education. It takes courage and strength to swim against this current.


By Dr. Urs Honauer, Director, Polarity Bildungszentrum (PBZ) and Zentrum für Innere Ökologie (ZIO)


Paralyzing anxiety, explosive anger, repressed grief, dissociated helplessness, pent-up disgust coupled with a lack of contact with the self, are having an emotional boom. The longing for real autonomy, out of which I can see the world with my own eyes, and the need for real closeness with internally well-regulated people, can live together, but has been buried to a great extent. Instead, dependence on external compulsive patterns reigns - more and more people feel they have to adapt to meet the needs of others. The paradox of this situation we are experiencing internationally in more and more countries with the „election“ of power-hungry, callous, often highly traumatized leaders who feel compelled to demonstrate harshness, who then issue orders and decrees, which further increase the dependence on the outside. From their misguided identity, immature people choose coldhearted leaders who tell them what to do in order to be recognized and to be happy.

Emotionally affected internal splits and armor have been the breeding ground for terrible acts of power with wars and oppression among the most brutal in history. Unfortunately, if the story repeats itself over and over again (although we know from significant insights from people like Arno Gruen how to expose the evil and the destructiveness), then how is this possible? Why are we still a society of illiterates when it comes to the conscious handling of emotions? Although we live in a time of ever greater information density, there is at the same time no link with the whole of life. Connections, links, interweaving of facts, emotional aspects or isolated emotions are not yet in the mainstream, although we know from various biological and psychological sources that „connectedness“ is a biodynamic imperative. The motherchild bond is the archetypal model for this nourishing and inspiring togetherness. Read more...



 



  Last Blogs  

04.09.2018
Autonomic Dysregulation Syndrome (ADS)
A Unifying Functional Stress Syndrome in Psychosomatic Medicine
Read 128 Views

12.07.2018
The Madness of Our Time
The Denial of The Human Under the Guise of Human Concern
Read 203 Views


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