HealthyPlace.com Alternative Medicine Videos Table of Contents

All online videos in the HealthyPlace.com Alternative Health Community are listed here. You can click on the "title" link to listen to any audio piece. You should have both the windows media player and realone player downloaded onto your computer as some files are in the windows format and others in the real format.

  1. Is Spirituality Good for Your Health?
    Dr. Anne Harrington offers the historical interrelationship between spirituality and health and enticed some critical scrutiny of the varied questions and challenges they raise. Oct/2005
  2. Stress, Individual Differences, and the Social Environment
    Dr. Bruce McEwen discusses the important role that the endocrine and nervous systems play in the communication between the brain and the rest of the body and how common, low levels of stress over time, such as stress caused by the events of everyday life, can affect health. Dr. McEwen also discusses the impact of stress on the immune system and regions of the brain involved in fear and cognitive function. Mar/2004
  3. Complementary and Alternative Medicine: From Promises to Proof
    Arthritis, depression, menopause, cancer--for millions of Americans, these and other health concerns are not being adequately addressed through conventional medicine. Many are turning outside the medical mainstream to approaches that embrace the whole person--mind, body and spirit. In fact, Americans spend more money for complementary and alternative medicine, or CAM, than for all other health care needs. From acupuncture to massage therapy to dietary supplements, CAM approaches are affordable and accessible, but largely untested. NCCAM's Director, Dr. Stephen Straus, discussed current research on which CAM practices work, why and how they work and whether they are safe. Oct/2003

MORE VIDEOS: http://nccam.nih.gov/videolectures/


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APA Reference
Staff, H. (2008, November 30). HealthyPlace.com Alternative Medicine Videos Table of Contents, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/alternative-mental-health/treatments/alternative-medicine-videos-toc

Last Updated: July 14, 2014

Riches

Chapter 37 of the book Self-Help Stuff That Works

by Adam Khan

IN AN EXPERIMENT at the University of Georgia, students were asked to remember a pleasant outdoor experience they'd had recently. Afterwards, they filled out a questionnaire rating their feelings of tension, relaxation and alertness.

Later the students experienced meditation by listening to recorded instructions with their eyes closed. Again, afterwards they filled out the questionnaire.

The verdict? Recalling a pleasant memory improved their concentration and lessened their anxiety better than meditation!

And recalling pleasant memories strengthens those memories. It makes those memories more real and easier to recall. Every event you experience in your life makes a pathway in your brain a pattern of connections between neurons. But the pathway is weak. If you never recall that event again, your memory of it becomes weaker as time goes on until it becomes almost impossible to remember what happened, even if the experience was emotionally significant.

Some people are unhappy only because they don't remember the good times. Researchers find that depressed people have as many nice experiences as everyone else, but they don't remember them as well. They've gotten into the habit of reminiscing about the negative experiences, so those seem numerous and vivid, and they let all the positive experiences fade into the past. So it seems to them that life is tragic and filled with loss and misery.

Make it a point to recall your good times. Think about them now and then. Reminisce with your spouse or a friend or one of your children. Reminisce in letters to friends and relatives. They want to hear about your good times, anyway - especially recent good times - so let yourself go. Writing about them will strengthen your memories. When you look back on your life, it'll be easier to see the beauty of it, and your life in the present will feel richer.


 


Think back over the last couple of weeks and try to recall the small pleasures: the tiny victories, the little moments of kindness and love, the gentle feelings of satisfaction. Feel free to recall the big ones too, but you have a lot more small ones, and you'll probably be surprised to realize how many you have.

Reminisce about special times of your life: moments of love, of awakening, of turning points, of great insight. Remember the events that help give life meaning. Remember the times that have shaped your life, or that you want to shape your life. You have had special moments when you saw how wonderful life could be or when you gained some unusual insight. If nothing more is done with those, the memory of them and the power of the insights can fade. Remember those moments. Remember what they meant. Remember what they could mean and your memory will help make it so.

Reminisce about the good times and the special times. Strengthen those memories. Store them up. They are your true riches.

Reminisce about the best times.

Would you like to stand as a pillar of strength during difficult times? There is a way. It takes some discipline but it is very simple.
Pillar of Strength

When a close friend of yours or your spouse is disturbed by something, and you want to help them, what do you do? What actually helps? Find out here:
A Friend in Deed

When Steven Callahan was struggling to survive during his seventy-six days on a life raft, what did he do with his mind that gave him the strength to continue? Read about it here:
Adrift

next: Adventure

APA Reference
Staff, H. (2008, November 30). Riches, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/self-help/self-help-stuff-that-works/riches

Last Updated: March 31, 2016

The Impact of ADHD on Marriage

We would like to thank Gina Pera for sending us the following article

The Impact of ADHD on Marriage by Arthur L. Robin, Ph.D. and Eleanor Payson, A.C.S.W

Click Here


 


next: Top Coping Strategies For Teenagers and Adults With ADHD
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APA Reference
Staff, H. (2008, November 30). The Impact of ADHD on Marriage, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/adhd/articles/the-impact-of-adhd-on-marriage

Last Updated: February 13, 2016

Foundation for Effective Bipolar, Depression Recovery

Six key concepts for an effective recovery from a mood disorder like bipolar disorder or depression.Six key concepts for an effective recovery from a mood disorder like bipolar disorder or depression.

  1. Hope - With good symptom management, it is possible to experience long periods of wellness. Believing that you can cope with your mood disorder is both accurate and essential to recovery.
  2. Perspective - Depression and manic-depression often follow cyclical patterns. Although you may go through some painful times and it may be difficult to believe things will get better, it is important not to give up hope.
  3. Personal Responsibility - It's up to you to take action to keep your moods stabilized. This includes asking for help from others when you need it, taking your medication as prescribed and keeping appointments with your health care providers.
  4. Self Advocacy - Become and effective advocate for yourself so you can get the services and treatment you need, and make the life you want for yourself.
  5. Education - Learn all you can about your illness. This allows you to make informed decisions about all aspects of your life and treatment.
  6. Support - Working toward wellness is up to you. However, support from others is essential to maintaining your stability and enhancing the quality of your life.

Source:

  • Depression Bipolar Support Alliance

next: Learning to Cope With Bipolar Disorder
~ bipolar disorder library
~ all bipolar disorder articles

APA Reference
Gluck, S. (2008, November 30). Foundation for Effective Bipolar, Depression Recovery, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/bipolar-disorder/articles/foundation-for-effective-bipolar-depression-recovery

Last Updated: April 7, 2017

Ozone Therapy

4 ozone therapy healthyplace

There's no scientific evidence that ozone therapy helps any mental health conditions including anxiety, depression, Alzheimer's disease. Learn more about ozone therapy.

Before engaging in any complementary medical technique, you should be aware that many of these techniques have not been evaluated in scientific studies. Often, only limited information is available about their safety and effectiveness. Each state and each discipline has its own rules about whether practitioners are required to be professionally licensed. If you plan to visit a practitioner, it is recommended that you choose one who is licensed by a recognized national organization and who abides by the organization's standards. It is always best to speak with your primary health care provider before starting any new therapeutic technique.

Background

Ozone is present high in the earth's atmosphere and absorbs solar radiation. Ozone molecules are composed of three oxygen atoms.

Ozone therapy involves adding ozone to air or liquids and introducing them into the body by various means. It has been used to treat medical conditions since the late 19th century. However, there has been little scientific study of ozone therapy, and it is not known if it is safe or effective.

Theory

Ozone therapists suggest that ozone may have health benefits beyond that of oxygen.

Ozone may be mixed with water and taken by mouth or introduced into a body cavity such as the rectum or vagina. Autohemotherapy, another type of ozone therapy, is a technique in which blood is withdrawn through a vein, mixed with ozone gas and then injected back into a vein or muscle. Water enriched with ozone has been injected into joints to treat osteoarthritis and rheumatoid arthritis. Ozone or hydrogen peroxide may be injected. Blood may be withdrawn, enriched with ozone, treated with ultraviolet B radiation in a quartz container and then re-injected into the body.


 


Ozone-enriched water or vegetable oil has been applied to the skin to treat wounds, burns, infections and insect bites.

Ozone bagging is a technique in which the body (except for the head) is submerged for up to two hours in a bag containing ozone. Ozone insufflation involves blowing ozone gas into body orifices such as the ear, colon or vagina. It is theorized that ozone air purification may sterilize or "rejuvenate" room air. Cupping is a technique that concentrates ozone over a particular area of the body. Ozone saunas and ozone-infused drinking water are also commercially available.

Evidence

Scientists have studied ozone therapy for the following health problems:

Cardiovascular disease
There is a small study using ozone therapy (specifically autohemotherapy) in patients with a history of heart attack, reporting a decrease in levels of total cholesterol and low-density lipoprotein ("bad" cholesterol). However, this study was not well designed. Further scientific research is needed before a conclusion can be drawn.

HIV
Laboratory studies show that HIV may be sensitive to ozone, but high-quality studies in humans are lacking. One study measured the safety and effectiveness of ozone-treated blood in HIV and immune disease. Ozone therapy did not show benefits.


Unproven Uses

Ozone therapy has been suggested for many other uses, based on tradition or on scientific theories. However, these uses have not been thoroughly studied in humans, and there is limited scientific evidence about safety or effectiveness. Some of these suggested uses are for conditions that are potentially life-threatening. Consult with a health care provider before using ozone therapy for any use.

Abscess
Acne
Acute infections
Adenocarcinoma (a type of cancer)
Aging
AIDS
Allergies
Alzheimer's disease
Anal fissure
Anemia
Antibacterial
Antifungal
Antiviral
Anxiety
Arthritis
Asthma
Atherosclerosis
Bedsores
Bladder inflammation
Bronchitis
Burns
Cancer
Candidiasis (a fungal infection)
Catarrh (inflammation of the mucous membranes)
Cerebral sclerosis
Chlorosis (a type of anemia)
Cholesterol metabolism disorders
Chronic middle ear deafness
Circulatory disorders
Cirrhosis
Colon inflammation
Constipation
Crohn's disease
Cystitis (inflammation of the bladder)
Decaying teeth
Decontamination of blood or blood products
Degenerative diseases
Detoxification
Diabetes
Eczema
Electroretinography monitoring
Endometrial carcinoma
Flu
Fungus
Furunculosis (infection of the hair follicles)
Gangrene
Gastric cancer
Giardiasis (a parasitic infection)
Gout
Hayfever
Hepatitis B
Herpes simplex virus infection
Herpes zoster (chickenpox, shingles)
High cholesterol
Hypoxia (low oxygen levels)
Immune system stimulation
Insomnia
Intestinal inflammation
Irritable bowel syndrome
Ischemia
Jaundice
Joint dystrophy
Kaposi's sarcoma
Laryngeal infection
Leg ulcers
Leukemia
Lumbar disk herniation
Lymphoma
Malabsorption syndrome
Ménière's disease
Menopause
Methicillin-resistant Staphylococcus aureus infection
Mononucleosis
Multiple sclerosis
Neurodermatitis
Occlusive lower limb arterial disease (peripheral vascular disease)
Ocular retinitis pigmentosa
Optic nerve dysfunction
Oral surgery disinfectant
Osteomyelitis (inflammation of the bone marrow)
Ovarian cancer
Pain
Parasite infection
Parkinson's disease
Periodontal disease
Phlebitis (inflammation of a vein)
Pneumonia
Poor circulation
Proctitis (inflammation of the rectum)
Prostate cancer
Radiation injuries
Raynaud's disease
Rheumatoid arthritis
Rhinoplasty ("nose job")
Scars
Sciatic neuralgia
Senile dementia
Severe injury in children
Sickle cell anemia
Sinus infection
Sinusitis
Skin ulcers
Stroke
Stomatitis (inflammation of the mouth lining)
Supportive care
Syphilis
Tinnitus (ringing in the ears)
Trichomoniasis (a parasitic infection)
Tuberculosis
Venous ulcers, chronic
Vertebral inflammation
Wasting syndromes
Weight loss
Whooping cough
Wound healing

 


Potential Dangers

Ozone therapy has not been proven safe by scientific studies. Shortness of breath, blood vessel swelling, poor circulation, heart problems or stroke may occur. Autohemotherapy, a type of ozone therapy, has been associated with transmission of viral hepatitis and with a case of dangerously lowered blood cell counts. Make sure that sterile needles are used for any medical procedure.

Blowing ozone into the ear (insufflation) may damage the eardrum, and blowing ozone into the colon may increase the risk of bowel rupture. There is one case of a patient with HIV having psychotic hallucinations while receiving ozone therapy, although the cause was not clear. Ozone therapy should not be used alone to treat potentially dangerous medical conditions.

 


Summary

Ozone therapy has been recommended to treat many conditions. There are numerous anecdotes about successful treatment with ozone therapy, although effectiveness and safety have not been proven scientifically.

The information in this monograph was prepared by the professional staff at Natural Standard, based on thorough systematic review of scientific evidence. The material was reviewed by the Faculty of the Harvard Medical School with final editing approved by Natural Standard.

Resources

  1. Natural Standard: An organization that produces scientifically based reviews of complementary and alternative medicine (CAM) topics
  2. National Center for Complementary and Alternative Medicine (NCCAM): A division of the U.S. Department of Health & Human Services dedicated to research

Selected Scientific Studies: Ozone Therapy

Natural Standard reviewed more than 135 articles to prepare the professional monograph from which this version was created.

Some of the more recent studies are listed below:

    1. Andreula CF, Simonetti L, De Santis F, et al. Minimally invasive oxygen-ozone therapy for lumbar disk herniation. American Journal of Neuroraiology 2003;24(5):996-1000.
    2. Basabe E. Ozone therapy a favoring element in the rehabilitation of children with hearing loss. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:275.
    3. Bocci VA. A reasonable approach for the treatment of HIV infection in the early phase with ozonotherapy (autohaemotherapy): how inflammatory cytokines may have a therapeutic rule. Mediat Inflammation 1994;3:315-321.
    4. Bocci V, Paulesu L. Studies on the biological effects of ozone 1: induction of interferon gamma on human leucocytes. Haematologica 1990;75(6):510-515.
    5. Bocci V. Autohaemotherapy after treatment of blood with ozone: a reappraisal. J Int Med Res 1994;22(3):131-144.

 


  1. Bonetti M, Albertini F, Valdenassi L, et al. [Oxygen-ozone therapy in the treatment of lumbar disk-root compression]. Rivista Neuroradiologia 2001;14(Suppl 3):297-304.
  2. Bonetti M, Cotticelli B, Albertini F, et al. Percutaneous paravertebral ozone therapy. Rivista di Neuroradiologia 2002;15(4):415-419.
  3. Carpendale MT, Griffiss J. Is there a role for medical ozone in the treatment of HIV and associated infections? [abstract]. Proceedings, Eleventh Ozone World Congress, San Francisco, CA, 1993.
  4. Carpendale MT, Freeberg JK. Ozone inactivates HIV at noncytotoxic concentrations. Antiviral Res 1991;16(3):281-292.
  5. Carpendale MT, Freeberg J, Griffiss JM. Does ozone alleviate AIDS diarrhea? J Clin Gastroenterol 1993;17(2):142-145.
  6. Clavo B, Perez JL, Lopez L, et al. Effect of ozone therapy on muscle oxygenation. J Altern Compl 2003;9(2):251-256.
  7. Colombo R, D'Angelo F, Vaghi M, et al. [Local treatment of chronic venous ulcers with ozone therapy]. Impegno Ospedaliero, Sezione Scientifica 2002;1-2(31):33.
  8. Coppola L, Verrazzo G, Giunta R, et al. Oxygen/ozone therapy and haemorheological parameters in peripheral chronic arterial occlusive disease. Thromb Arterioscler 1992;8:83-90.
  9. Dalla Volta G, Troianiello B, Griffini S, et al. [Telethermographic assessment of the efficacy of oxygen-ozone therapy in disc-root compression]. Rivista di Neuroradiologia 2001;14(Suppl 1):103-107.
  10. Di Mauro G, Matera D, Di Mauro A, et al. Oxygen-ozone therapy and amitriptyline in disc diseases and herniated intervertebral discs. Rivista di Neuroradiologia 2001;14(Suppl 1):93-95.
  11. Fabris G, Tommasini G, Petralia B, et al. [Intraforaminal oxygen-ozone therapy]. Rivista di Neuroradiologia 2001;14(1):61-66.
  12. Fillippi A. Ozone in oral surgery: current status and prospects. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:169.
  13. Frankum B, Katelaris CH. Ozone therapy in AIDS: truly innocuous? Med J Aust 1993;159(7):493.
  14. Franzini M, Bignamini A, Micheletti P, et al. Subcutaneous oxygen-ozone therapy in indurative hypodermatitis and in localised lipodystrophies: a clinical study of efficacy and tolerability. Acta Toxicologica et Therapeutica 1993;14(4):273-288.
  15. Gabriel C, Blauhut B, Greul R, et al. Transmission of hepatitis C by ozone enrichment of autologous blood. Lancet 1996;347(9000):541.
  16. Garber GE, Cameron DW, Hawley-Foss N, et al. The use of ozone-treated blood in the therapy of HIV infection and immune disease: a pilot study of safety and efficacy. AIDS 1991;5(8):981-984.
  17. Gjonovich A, Sattin GF, Girotto L, et al. [Resistant lumbar pain: oxygen-ozone therapy compared with other methods]. Rivista di Neuroradiologia 2001;14(Suppl 1):35-38.
  18. Gomez M. Ozone therapy in the functional recovery from diseases involving damage to central nervous system cells. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:111.
  19. Hernandez F, Menendez S, Wong R. Decrease of blood cholesterol and stimulation of antioxidative response in cardiopathy patients treated with endovenous ozone therapy. Free Radic Biol Med 1995;19(1):115-119.
  20. Hooker MH, Gazzard BG. Ozone-treated blood in the treatment of HIV infection. AIDS 1992;6(1):131.
  21. Hsu OK. Ozone may inactivate HIV by reducing p120-CD4 binding affinity, lysing the HIV lipid envelope, and oxidizing the HIV core. International Bio-oxidative Medicine Foundation's 5th Annual Meeting, Dallas, TX, 1994.
  22. Kawalski H, Sondej J, Cierpiol-Tracz E. The use of ozonotherapy in the nose correction operations. Acta Chir Plast 1992;34(3):182-184.
  23. Kudriavtsev EP, Miroshin SI, Semenov SV, et al. [Ozone therapy of diffuse peritonitis in the early postoperative period]. Khirurgiia (Mosk) 1997;(3):36-41.
  24. Kulikov AG, Turova EA, Shcherbina Tm, Kisileva OM. [Efficacy of different methods of ozone therapy in vascular complications of diabetes mellitus]. Voprosy Kurortologii, Fizioterapii I Lecheboi Fizicheskoi Kultury 2002;(5):17-20.
  25. Marchetti D, La Monaca G. An unexpected death during oxygen-ozone therapy. Am J Forensic Med Pathol 2000;21(2):144-147.
  26. Mayer C, Soyka M, Naber D. [Paranoid hallucinatory psychoses in an HIV infected patient on ozone therapy]. Nervenarzt 1991;62(3):194-197.
  27. McCabe E. Point of view: a case for ozone therapy. AIDS Patient Care Magazine 1992;6:6.
  28. Menendez O. Application of ozone therapy in children with humoral immunity deficiency. Proceedings, Ozone in Medicine:Twelfth World Congress of the International Ozone Association, Lille, France, 1995: 271.
  29. Menendez S. Application of ozonized oil in the treatment of infantile giardiasis. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:297.
  30. Menendez S. Application of ozonized oil in the treatment of vulvovaginitis preliminary study. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:283.
  31. Menendez S, Ferrer L, Perez Z. Ozone therapy and magneto therapy: new methods for the rehabilitation of patients with simple chronic glaucoma. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:99.
  32. Muminov AI, Khushvakova N Zh. Ozone therapy in patients with chronic purulent frontal sinusitis. Vestnik Otorinolaringologii 2002;46.
  33. Neroev VV, Zueva MV, Tsapenko IV, et al. [Effects of ozone therapy on the functional activity of the retinal in patients with involutional central chorioretinal dystrophy]. Vestn Oftalmol 2003;119(6):18-21.
  34. Ozmen V, Thomas WO, Healy JT, et al. Irrigation of the abdominal cavity in the treatment of experimentally induced microbial peritonitis: efficacy of ozonated saline. Am Surg 1993;59(5):297-303.
  35. Parkhisenko IuA, Bil'chenko SV. [The ozone therapy in patients with mechanical jaundice of tumorous genesis]. Vestn Khir Im I I Grek 2003;162(5):85-87. P
  36. aulesu L, Luzzi E, Bocci V. Studies on the biological effects of ozone: 2. Induction of tumor necrosis factor (TNF-alpha) on human leucocytes. Lymphokine Cytokine Res 1991;10(5):409-412.
  37. Pawlak-Osinska K, Kazmierczak H, Kazmierczak W, et al. Ozone therapy and pressure-pulse therapy in Ménière's disease. Int Tinnitus J 2004;10(1):54-57.
  38. Petralia B, Tommasini G, Lavaroni A, et al. [Back ache treated by ozone therapy]. Rivista di Neuroradiologia 2001;14(Suppl 1):71-73.
  39. Rickard GD, Richardson R, Johnson T, et al. Ozone therapy for the treatment of dental caries. Cochrane Database Syst Rev 2004;(3):CD004153.
  40. Riva Sanseverino E. Knee-joint disorders treated by oxygen-ozone therapy. Europa Medicophysica 1989;25(3):163-170.
  41. Rodriguez Acosta M, Cespedes Valcarcel A, Tula Suarez L, et al. [Ozone therapy in the management of the optic neuritis epidemic: benefits or risks]. Revista Cubana de Oftalmologia 1994;7(1/2):39-51.
  42. Romeo A, Cirillo F. [Kinesiatrics and oxygen-ozone therapy for lumbosacral disc-root compression]. Rivista Neuroradiologia 2001;14(Suppl 1):47-49.
  43. Romero VA, Blanco GR, Menendez CS, et al. [Arteriosclerosis obliterans and ozone therapy. Its administration by different routes]. Angiologia 1993;45(5):177-179.
  44. Romero VA, Menendez CS, Gomez MM, et al. [Ozone therapy in the advanced stages of arteriosclerosis obliterans]. Angiologia 1993;45(4):146-148.
  45. Sanseverino ER. Intensive medical and physical treatment of osteoporosis with the aid of oxygen-ozone therapy. Europa Medicophysica 1988;24(4):199-196.
  46. Scarchilli A. [Three-year follow-up in the treatment of lumbar pain and sciatica with intradiscal ozone therapy]. Rivista Neuroradiologia 2001;14(1):39-41.
  47. Sroczynski J, Antoszewski Z, Matyszczyk B, et al. [Clinical assessment of treatment results for atherosclerotic ischemia of the lower extremities with intraarterial ozone injections]. Pol Tyg Lek 1992;47(42-43):964-966.
  48. Tabaracci G. [Ozone therapy by "classic" paraspinal intramuscular injection]. Rivista Neuroradiologia 2001;141(Suppl 1):67-70.
  49. Tafil-Klawe M, Wozniak A, Drewa T, et al. Ozone therapy and the activity of selected lysosomal enzymes in blood serum of patients with lower limb ischemia associated with obliterative atheromtosis. Medical Science Monitor 2002;8(7):CR520-CR525.
  50. Verrazzo G, Coppola L, Luongo C, et al. Hyperbaric oxygen, oxygen-ozone therapy, and rheologic parameters of blood in patients with peripheral occlusive arterial disease. Undersea Hyperb Med 1995;22(1):17-22.
  51. Wasser G. Additional therapy of cerebrovascular disorder (acute brain stroke) by ozone therapy. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:91.
  52. Wells KH, Latino J, Gavalchin J, Poiesz BJ. Inactivation of human immunodeficiency virus type 1 by ozone in vitro. Blood 1991;78(7):1882-1890.
  53. Wolfstadter HD, Sacher J, Hopfenmuller W, et al. Retrospective benefit following individualized naturopathic therapy in HIV-patients at different stages [abstract]. Int Conf AIDS 1992;8(3):147.
  54. Wong R. Ozone therapy in ischemic cardiopathy. Proceedings, Twelfth World Congress of the International Ozone Association, Lille, France, 1995:73.

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APA Reference
Staff, H. (2008, November 30). Ozone Therapy, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/alternative-mental-health/treatments/ozone-therapy

Last Updated: July 12, 2016

What Is Osteopathic Medicine?

There is scientific evidence that osteopathic medicine is beneficial for low back pain.  Learn more about osteopathic manipulation..

There is scientific evidence that osteopathic medicine is beneficial for low back pain and other neuromusculoskeletal problems. Learn more about osteopathic medicine.

Before engaging in any complementary medical technique, you should be aware that many of these techniques have not been evaluated in scientific studies. Often, only limited information is available about their safety and effectiveness. Each state and each discipline has its own rules about whether practitioners are required to be professionally licensed. If you plan to visit a practitioner, it is recommended that you choose one who is licensed by a recognized national organization and who abides by the organization's standards. It is always best to speak with your primary health care provider before starting any new therapeutic technique.

Background

Andrew Taylor Still, who was originally trained as a doctor of medicine, founded the discipline of what is now known as osteopathic medicine in 1874. Dr. Still started the first college of osteopathic medicine in 1892 in Kirksville, Missouri. He sought an holistic approach to treating illness and promoting health by enhancing the body's natural healing powers. His approach emphasized the relationship between body structure and function, and it aimed to focus on the whole patient (mind, body and soul), rather than on symptoms.


 


Today, osteopathic medicine in the United States combines conventional medical practices with osteopathic manipulation, physical therapy and education about healthful posture and body positioning. With osteopathic manipulation, osteopathic physicians use their hands to diagnose injury and illness and to administer manual treatments. Doctors of osteopathic medicine receive similar training as doctors of medicine (MD's), with additional training in osteopathic and holistic medicine. Osteopathic physicians perform all aspects of medicine, surgery and emergency medicine, and they can prescribe drugs. Many doctors of osteopathic medicine belong to the American Medical Association, as well as to the American Osteopathic Association. Osteopathic medicine is sometimes confused with chiropractic, as both use spinal manipulation to treat patients.

Osteopathic physicians often focus on the neuromusculoskeletal system and perform manipulations to treat a wide range of problems. Doctors of osteopathic medicine are trained to evaluate the body by taking a patient's health history, focusing not only on health problems but on lifestyle issues as well. The practice of osteopathic medicine may involve massage, mobilization and spinal manipulation. Osteopathic physicians traditionally believe that the primary role of the health care provider is to facilitate the body's inherent ability to heal itself, that the structure and function of the body are closely related and that problems in one organ affect other parts of the body. The traditional osteopathic view is that perfect alignment of the musculoskeletal system eliminates obstructions in blood and lymphatic flow, which in turn maximizes health. To ensure perfect alignment, a range of manipulative techniques have been developed. Examples include high-velocity thrusts, myofascial (muscle tissue) release, muscle energy techniques, counter strain, craniosacral therapies and lymphatic drainage stimulation.

Theory

Dr. Still believed that the continuum between health and illness was primarily influenced by the soundness and mechanical functioning of the body's structures. In contrast to conventional medicine, which historically focused on the individual systems of the body, osteopathic medicine emphasizes the interactive relationships between all body systems, with a continually shifting balance to maintain a state of health.


Evidence

In the United States, osteopathic physicians treat many conditions with the same techniques as MD's. Many of these techniques are considered standard of care and have firmly established scientific support. Scientists have also studied osteopathic medicine for the following health problems:

Back pain
There is growing scientific evidence that the osteopathic approach may be beneficial for low back pain, especially shortly after pain begins. One trial comparing osteopathic medicine with "standard care" showed that both therapies produced similar results. Another study reported that osteopathic patients use fewer drugs (pain relievers, anti-inflammatory drugs and muscle relaxants) and less physical therapy than do patients receiving standard care. In a controlled trial of osteopathic manipulative treatment (compared with "sham manipulation"), no significant benefits were found. Additional research is needed to clarify these findings.

Ankle injury
Preliminary evidence suggests that osteopathic manipulation in the emergency department may have a beneficial effect in the management of acute ankle injuries. Further research is necessary to confirm these findings.

Asthma
One study of children with asthma found osteopathic manipulative treatment to be beneficial for improving peak flow rates. Further research is needed to confirm these findings.

Tennis elbow (epicondylitis)
There is early evidence from one randomized controlled trial to support the use of an osteopathic approach for epicondylopathia humeri radialis. Further study is needed before a recommendation can be made.

Knee or hip joint replacement
It remains unclear if osteopathic manipulative treatment is beneficial after knee or hip replacement surgery. Preliminary research suggests osteopathic manipulative treatment may reduce pain, improve ambulation (ability to walk) and increase rehabilitation. However, one randomized controlled trial suggests a lack of benefit in rehabilitation. Further research is needed to clarify this evidence.

Other
There is a growing body of research of osteopathic manipulation for a wide range of conditions. There is promising early evidence in a number of areas, including the treatment of asthma, chronic obstructive pulmonary disease and emphysema, depression, fibromyalgia, menstrual pain, neck pain, pneumonia and thoracic outlet syndrome; postoperative care; and overall quality of life. Additional research is currently under way.


 


Unproven Uses

Osteopathic manipulation has been suggested for many additional uses, based on tradition or on scientific theories. However, most of these uses have not been thoroughly studied in humans, although there is an increasing amount of research in this area.

Amblyopia (poor vision)
Bell's palsy
Cerebral palsy
Chest pain
Ear infections
Emergency medicine
Epilepsy
Erectile dysfunction
Headache, including migraine
Heartburn
Hepatitis
High blood pressure
Immune response
Lumbar disc herniation
Mononucleosis
Neuritis (inflammation of a nerve)
Pain during labor
Parkinson's disease
Postoperative musculoskeletal recovery
Pregnancy-related complications
Premenstrual syndrome
Prenatal care
Radiation fibrosis
Rheumatoid arthritis
Sexual dysfunction
Sinus inflammation or infection
Spastic cerebral palsy
Whiplash

Potential Dangers

The practice of osteopathic manipulation may be associated with a risk of spinal cord trauma or stroke. People with osteoporosis, tumors, infections, severe rheumatoid arthritis, blood vessel aneurysms, artery dissections, clogging of the arteries of the neck, bone cancer, bone or joint infections or bleeding disorders should avoid osteopathic manipulation. Osteopathic manipulation should not replace other more proven treatments for potentially severe conditions.

 


Summary

Osteopathic physicians in the United States combine conventional medical practices with osteopathic manipulation, physical therapy and education about healthful posture and body positioning. The osteopathic approach may play a beneficial role in the treatment of low back pain. Osteopathic manipulation has been suggested for many conditions; this is a growing area of research. Osteopathic manipulation should be performed only by a qualified osteopathic physician. Osteopathic manipulation may be associated with adverse effects such as damage to the spinal cord or stroke. It should be avoided by patients with osteoporosis, tumors or bleeding disorders.

The information in this monograph was prepared by the professional staff at Natural Standard, based on thorough systematic review of scientific evidence. The material was reviewed by the Faculty of the Harvard Medical School with final editing approved by Natural Standard.

Resources

  1. Natural Standard: An organization that produces scientifically based reviews of complementary and alternative medicine (CAM) topics
  2. National Center for Complementary and Alternative Medicine (NCCAM): A division of the U.S. Department of Health & Human Services dedicated to research

 


Selected Scientific Studies: Osteopathic Medicine

Natural Standard reviewed more than 440 articles to prepare the professional monograph from which this version was created.

Some of the more recent English-language studies are listed below:

  1. Andersson GB, Lucente T, Davis AM, et al. A comparison of osteopathic spinal manipulation with standard care for patients with low back pain. N Engl J Med 1999;341(19):1426-1431.
  2. Bratzler DW. Osteopathic manipulative treatment and outcomes for pneumonia. J Am Osteopath Assoc 2001;101(8):427-428.
  3. Colli R, Biagiotti I, Sterpa A. Osteopathy in neonatology. Pediatr Med Chir 2003;Mar-Apr, 25(2):101-105.
  4. Duncan B, Barton L, Edmonds D, et al. Parental perceptions of the therapeutic effect from osteopathic manipulation or acupuncture in children with spastic cerebral palsy. Clin Pediatr (Phila) 2004;43(4):349-353.
  5. Eisenhart AW, Gaeta TJ, Yens DP. Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries. J Am Osteopath Assoc 2003;103(9):417-421.
  6. Gamber RG, Shores JH, Russo DP, et al. Osteopathic manipulative treatment in conjunction with medication relieves pain associated with fibromyalgia syndrome: results of a randomized clinical pilot project. J Am Osteopath Assoc 2002;102(6):321-325.
  7. Geldschlager S. Osteopathic versus orthopedic treatments for chronic epicondylopathia humeri radialis: a randomized controlled trial. Forsch Komplementarmed Klass Naturheilkd 2004;11(2):93-97.
  8. Guiney PA, Chou R, Vianna A, et al. Effects of osteopathic manipulative treatment on pediatric patients with asthma: a randomized controlled trial. J Am Osteopath Assoc 2005;105(1):7-12.
  9. Gonzalez-Hernandez T, Balsa A, Gonzalez-Suquinza I, et al. Comparison of conventional physiotherapy and osteopathy for the treatment of chronic neck pain. Arthritis Rheum 1999;42(9):S270.
  10. Hing WA, Reid DA, Monaghan M. Manipulation of the cervical spine. Man Ther 2003;Feb, 8(1):2-9.
  11. Jarski RW, Loniewski EG, Williams J, et al. The effectiveness of osteopathic manipulative treatment as complementary therapy following surgery: a prospective, match-controlled outcome study. Altern Ther Health Med 2000;6(5):77-81.
  12. King HH, Tettambel MA, Lockwood MD, et al. Osteopathic manipulative treatment in prenatal care: a retrospective case control design study. J Am Osteopath Assoc 2003;103(12):577-582.
  13. Licciardone J, Gamber R, Cardarelli K. Patient satisfaction and clinical outcomes associated with osteopathic manipulative treatment. J Am Osteopath Assoc 2002;102(1):13-20.
  14. Licciardone JC, Stoll St, Cardarelli KM, et al. A randomized controlled trial of osteopathic manipulative treatment following knee or hip arthroplasty. J Am Osteopath Assoc 2004;104(5):193-202.
  15. Licciardone JC, Stoll ST, Fulda KG, et al. Osteopathic manipulative treatment for chronic low back pain: a randomized controlled trial. Spine 2003;28(13):1355-1362.
  16. Licciardone JC, Gamber RG, Russo DP. Quality of life in referred patients presenting to a specialty clinic for osteopathic manipulative treatment. J Am Osteopath Assoc 2002;102(3):151-155.
  17. Martin RB. Osteopathic approach to sexual dysfunction: holistic care to improve patient satisfaction and prevent mortality and morbidity. J Am Osteopath Assoc 2004;104(1 Suppl 1):S1-S8.
  18. Noll DR, Degenhardt BF, Stuart MK, et al. The effect of osteopathic manipulative treatment on immune response to the influenza vaccine in nursing home residents: a pilot study. Altern Ther Health Med 2004;10(4):74-76.
  19. Plotkin BJ, Rodos JJ, Kappler R, et al. Adjunctive osteopathic manipulative treatment in women with depression: a pilot study. J Am Osteopath Assoc 2001;101(9):517-523.
  20. Ray AM, Cohen JE, Buser BR. Osteopathic emergency physician training and use of osteopathic manipulative treatment. J Am Osteopath Assoc 2004;104(1):15-21.
  21. Spiegel AJ, Capobianco JD, Kruger A, Spinner WD. Osteopathic manipulative medicine in the treatment of hypertension: an alternative, conventional approach. Heart Dis 2003;Jul-Aug, 5(4):272-278.
  22. Sommerfeld P, Kaider A, Klein P. Inter- and intraexaminer reliability in palpation of the "primary respiratory mechanism" within the "cranial concept". Man Ther 2004;Feb, 9(1):22-29.
  23. Sullivan C. Introducing the cranial approach in osteopathy and the treatment of infants and mothers. Complement Ther Nurs Midwifery 1997;Jun, 3(3):72-76.
  24. Vick DA, McKay C, Zengerle CR. The safety of manipulative treatment: review of the literature from 1925 to 1993. J Am Osteopath Assoc 1996;96(2):113-115.
  25. Waldman P. Osteopathy: an aid to the healing process. Prof Nurse 1993;Apr, 8(7):452-454.
  26. Williams N. Managing back pain in general practice: is osteopathy the new paradigm? Br J Gen Pract 1997;Oct, 47(423):653-655.
  27. Williams NH, Wilkinson C, Russell I, et al. Randomized osteopathic manipulation study (ROMANS): pragmatic trial for spinal pain in primary care. Fam Pract 2003;Dec, 20(6):662-669.

back to: Alternative Medicine Home ~ Alternative Medicine Treatments

APA Reference
Staff, H. (2008, November 30). What Is Osteopathic Medicine?, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/alternative-mental-health/treatments/osteopathy

Last Updated: July 24, 2016

Natural Anger

Self-Therapy For People Who ENJOY Learning About Themselves

WHAT ANGER IS

Anger is a natural emotion or feeling.

We feel anger whenever we are BLOCKED from getting something we want.

It is good for us because it protects us from threat, it reminds us that we have power to overcome obstacles, and it gives us a measure of how important it is for us to get what we want.

HOW IT WORKS

Whenever we are blocked from something we want, a part of our energy goes into feeling anger.

It can range from intense anger at being blocked from something important (like life itself) to minimal anger at small blocks over slight wants.

Anger has a natural duration. In other words, we will get over it within a certain amount of time if we admit to it and express it.

If we don't admit to it (if we deny that it's there), we can feel "uncentered" or "crazy." If we don't express it (if we keep it inside), it takes a much longer time to get over it.

Anger feels bad when we first notice it, it feels good as we express it (by saying we are angry, raising our voice, etc.), and it turns into guilt and depression if it's denied.

Anger feels good to express whether we are alone or with others. Expressing it with others is better only because they may be able to help us make decisions about what to do with all that energy.

Anger is really just raw energy. After we have admitted to it and while we express it we feel a major boost in our energy level.

We all have one particular set of physical sensations in our body which indicate anger. People feel anger in various ways and in various parts of their body.

The most common sensations are probably a tight feeling in the upper torso, a "hot flash" or rush of warmth in the face and upper body, and jaw tightening.

Your sensation of anger may be one of these or it may be entirely different.


 


FEELING YOUR ANGER

It is vital to your emotional health to know how anger feels to you in your body.

So, right now, take a moment to remind yourself of the most intense anger you ever felt.

As you remember this day when you were completely blocked from something you wanted very much, ask yourself: "What do I feel in my body?"

(Once you recognize your own "anger place" in your body, you can stop thinking about that day in your life. Notice that you are able to let go of that memory almost as quickly as you were able to remember it.)

It is very important that you admit to yourself that you are angry whenever you feel this sensation in this part of your body!

As a matter of fact, you'll need to get better and better at recognizing even very slight sensations of anger, if you want to improve your life.

UNNATURAL ANGER

It is possible to believe that you are angry when you aren't, and to believe you are angry when you are really sad (most common), or scared, or happy, or excited, or feeling guilty.

The "Split Second" It Started: Real, necessary, natural anger starts as an immediate response to some event. Unreal, unnecessary, unnatural anger starts in our minds, with a thought or fantasy.

If the anger was natural you will feel better as you admit and express it. If it was unnatural you might feel a bit better from the release of energy, but not much.

If you don't get relief from your anger, it probably started in your mind. It is possible to simply stop unnatural anger (once you stop believing it's real).

If you have trouble stopping it, you are probably believing that you are angry as part of some learned strategy for getting along in the world.

Some people call this manipulation, but that word implies that it's done on purpose. It's really a way of coping, subconsciously, with life's difficulties.

But feeling the pain of unnatural anger never works as a way of coping in the long run.

See "PROBLEMS WITH ANGER" (Another Article In This Series)

Enjoy Your Changes!

Everything here is designed to help you do just that!

next: Natural Sadness

APA Reference
Staff, H. (2008, November 30). Natural Anger, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/self-help/inter-dependence/natural-anger

Last Updated: March 29, 2016

Healthy Thinking

Setting boundaries on how I think and how I verbalize my thinking has had a profound impact on my recovery.

A major milestone in my recovery was learning to listen closely to the over generalizations I hear coming from my own head.

I first became aware of this issue in recovery meetings when I heard statements such as "I know so-and-so will never change." Or, I heard (myself included) spouses and coworkers over generalize about each other; parents about their children; children about their parents; employees about their bosses; bosses about their employees; and one sex about the other (for example: "all men / women are _______").

By verbalizing these over generalizations and false beliefs, I have discovered that I am only hurting myself. I reveal more about myself, my thinking, and my attitude than I do about the other party. I am unconsciously re-affirming my own version of reality; creating self-fulfilling prophecies; and falling prey once again to my own over-expectations (which the other person invariably lives up to). In other words, I had formed the habit of seeing what I wanted to see, believing what I wanted to believe, and thus creating a false reality that conformed to my over generalized thinking. For me, this type of thinking and talking is merely another form of self-inflicted insanity and delusion. So, I'm grateful that I became aware of this tendency in myself.

Now, when I catch myself thinking and verbalizing over generalized beliefs, I recognize it and immediately pause and question the statement in my mind: "Are all men / women really (fill-in-the-blank)?" "Is it certifiably true that so-and-so will never change?"

As a recovering co-dependent, I am learning instead to affirm the good and the best traits in myself and in others. I am working at practicing open-mindedness and an unconditional belief in the positive possibilities and potentials in everyone I know. I am choosing to make a conscious and mindful effort to verbally affirm and encourage these possibilities, so that the potential for positive change and transformation become self-fulfilling prophecies. Likewise, I want to form ongoing relationships with people who will reciprocate and verbally affirm the potential for good and for positive change they see in me. After all, I am capable of changing.

Slowly and painfully, I'm learning my mind has the awesome ability to create reality "as I see it." Therefore, for me, recovery has meant setting boundaries and limits on my own thinking, which in turn affects my attitude, which in turn alters and affects my life and my environment. I'm discovering that healthy thinking is affirming the endless potential for positive change and for good in myself and in other people. This results in the creation of the tremendous peace and serenity I now experience on a hourly basis.


continue story below

All this is not to say that I now naively and blindly automatically assume that all people and all situations are good, honest, trustworthy, safe, etc. Rather, I'm finding true reality is in the middle ground, in the calm, balanced center. When I assume the worst, my life is adversely affected; when I affirm the best, my life is positively affected. My boundary for my thinking is thus: "Affirm the best."

next: Twelve Steps Before the Program

APA Reference
Staff, H. (2008, November 30). Healthy Thinking, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/relationships/serendipity/healthy-thinking

Last Updated: August 8, 2014

Narcissistic Personality Disorder Treatment Modalities and Therapies

Quesiton:

Is the Narcissistic Personality Disorder (NPD) more amenable to Cognitive-Behavioural therapies or to Psychodynamic/Psychoanalytic ones?

Answer:

Narcissism pervades the entire personality. It is all-pervasive. Being a narcissist is akin to being an alcoholic but much more so. Alcoholism is an impulsive behaviour. Narcissists exhibit dozens of similarly reckless behaviours, some of them uncontrollable (like their rage, the outcome of their wounded grandiosity). Narcissism is not a vocation. Narcissism resembles depression or other disorders and cannot be changed at will.

Adult pathological narcissism is no more "curable" than the entirety of one's personality is disposable. The patient is a narcissist. Narcissism is more akin to the colour of one's skin rather than to one's choice of subjects at the university.

Moreover, the Narcissistic Personality Disorder (NPD) is frequently diagnosed with other, even more intractable personality disorders, mental illnesses, and substance abuse.

Cognitive-Behavioral Therapies (CBTs)

The CBTs postulate that insight - even if merely verbal and intellectual - is sufficient to induce an emotional outcome. Verbal cues, analyses of mantras we keep repeating ("I am ugly", "I am afraid no one would like to be with me"), the itemizing of our inner dialogues and narratives and of our repeated behavioural patterns (learned behaviours) coupled with positive (and, rarely, negative) reinforcements - are used to induce a cumulative emotional effect tantamount to healing.

Psychodynamic theories reject the notion that cognition can influence emotion. Healing requires access to and the study of much deeper strata by both patient and therapist. The very exposure of these strata to the therapeutic is considered sufficient to induce a dynamic of healing.

 

The therapist's role is either to interpret the material revealed to the patient (psychoanalysis) by allowing the patient to transfer past experience and superimpose it on the therapist - or to provide a safe emotional and holding environment conducive to changes in the patient.

The sad fact is that no known therapy is effective with narcissism itself, though a few therapies are reasonably successful as far as coping with some of its effects goes (behavioural modification).

Dynamic Psychotherapy Or Psychodynamic Therapy, Psychoanalytic Psychotherapy

This is not psychoanalysis. It is an intensive psychotherapy based on psychoanalytic theory without the (very important) element of free association. This is not to say that free association is not used in these therapies - only that it is not a pillar of the technique. Dynamic therapies are usually applied to patients not considered "suitable" for psychoanalysis (such as those suffering from personality disorders, except the Avoidant PD).

Typically, different modes of interpretation are employed and other techniques borrowed from other treatments modalities. But the material interpreted is not necessarily the result of free association or dreams and the psychotherapist is a lot more active than the psychoanalyst.

Psychodynamic therapies are open-ended. At the commencement of the therapy, the therapist (analyst) makes an agreement (a "pact" or "alliance") with the analysand (patient or client). The pact says that the patient undertakes to explore his problems for as long as may be needed. This is supposed to make the therapeutic environment much more relaxed because the patient knows that the analyst is at his/her disposal no matter how many meetings would be required in order to broach painful subject matter.

Sometimes, these therapies are divided to expressive versus supportive, but I regard this division as misleading.

Expressive means uncovering (making conscious) the patient's conflicts and studying his or her defences and resistances. The analyst interprets the conflict in view of the new knowledge gained and guides the therapy towards a resolution of the conflict. The conflict, in other words, is "interpreted away" through insight and the change in the patient motivated by his/her insights.

The supportive therapies seek to strengthen the Ego. Their premise is that a strong Ego can cope better (and later on, alone) with external (situational) or internal (instinctual, related to drives) pressures. Supportive therapies seek to increase the patient's ability to REPRESS conflicts (rather than bring them to the surface of consciousness).

When the patient's painful conflicts are suppressed, the attendant dysphorias and symptoms vanish or are ameliorated. This is somewhat reminiscent of behaviourism (the main aim is to change behaviour and to relieve symptoms). It usually makes no use of insight or interpretation (though there are exceptions).

 


 


Group Therapies

Narcissists are notoriously unsuitable for collaborative efforts of any kind, let alone group therapy. They immediately size up others as potential Sources of Narcissistic Supply - or as potential competitors. They idealise the first (suppliers) and devalue the latter (competitors). This, obviously, is not very conducive to group therapy.

Moreover, the dynamic of the group is bound to reflect the interactions of its members. Narcissists are individualists. They regard coalitions with disdain and contempt. The need to resort to team work, to adhere to group rules, to succumb to a moderator, and to honour and respect the other members as equals is perceived by them to be humiliating and degrading (a contemptible weakness). Thus, a group containing one or more narcissists is likely to fluctuate between short-term, very small size, coalitions (based on "superiority" and contempt) and narcissistic outbreaks (acting outs) of rage and coercion.

Can Narcissism be Cured?

Adult narcissists can rarely be "cured", though some scholars think otherwise. Still, the earlier the therapeutic intervention, the better the prognosis. A correct diagnosis and a proper mix of treatment modalities in early adolescence guarantees success without relapse in anywhere between one third and one half the cases. Additionally, ageing moderates or even vanquishes some antisocial behaviours.

In their seminal tome, "Personality Disorders in Modern Life" (New York, John Wiley & Sons, 2000), Theodore Millon and Roger Davis write (p. 308):

"Most narcissists strongly resist psychotherapy. For those who choose to remain in therapy, there are several pitfalls that are difficult to avoid ... Interpretation and even general assessment are often difficult to accomplish..."

The third edition of the "Oxford Textbook of Psychiatry" (Oxford, Oxford University Press, reprinted 2000), cautions (p. 128):

"... (P)eople cannot change their natures, but can only change their situations. There has been some progress in finding ways of effecting small changes in disorders of personality, but management still consists largely of helping the person to find a way of life that conflicts less with his character ... Whatever treatment is used, aims should be modest and considerable time should be allowed to achieve them."

The fourth edition of the authoritative "Review of General Psychiatry" (London, Prentice-Hall International, 1995), says (p. 309):

"(People with personality disorders) ... cause resentment and possibly even alienation and burnout in the healthcare professionals who treat them ... (p. 318) Long-term psychoanalytic psychotherapy and psychoanalysis have been attempted with (narcissists), although their use has been controversial."

The reason narcissism is under-reported and healing over-stated is that therapists are being fooled by smart narcissists. Most narcissists are expert manipulators and consummate actors and they learn how to deceive their therapists.

Here are some hard facts:

  • There are gradations and shades of narcissism. The differences between two narcissists can be great. The existence of grandiosity and empathy or lack thereof are not minor variations. They are serious predictors of future psychodynamics. The prognosis is much better if they do exist.
  • There are cases of spontaneous healing, Acquired Situational Narcissism, and of "short-term NPD" [see Gunderson's and Ronningstam work, 1996].
  • The prognosis for a classical narcissist (grandiosity, lack of empathy and all) is decidedly not good as far as long-term, lasting, and complete healing. Moreover, narcissists are intensely disliked by therapists.

BUT...

  • Side effects, co-morbid disorders (such as Obsessive-Compulsive behaviors) and some aspects of NPD (the dysphorias, the persecutory delusions, the sense of entitlement, the pathological lying) can be modified (using talk therapy and, depending on the problem, medication). These are not long-term or complete solutions - but some of them do have long-term effects.
  • The DSM is a billing and administration oriented diagnostic tool. It is intended to "tidy" up the psychiatrist's desk. The Axis II Personality Disorders are ill demarcated. The differential diagnoses are vaguely defined. There are some cultural biases and judgements [see the diagnostic criteria of the Schizotypal and Antisocial PDs]. The result is sizeable confusion and multiple diagnoses ("co-morbidity"). NPD was introduced to the DSM in 1980 [DSM-III]. There isn't enough research to substantiate any view or hypothesis about NPD. Future DSM editions may abolish it altogether within the framework of a cluster or a single "personality disorder" category. When we ask: "Can NPD be healed?" we need to realise that we don't know for sure what is NPD and what constitutes long-term healing in the case of an NPD. There are those who seriously claim that NPD is a cultural disease (culture-bound) with a societal determinant.

 


Narcissists in Therapy

In therapy, the general idea is to create the conditions for the True Self to resume its growth: safety, predictability, justice, love and acceptance - a mirroring, re-parenting, and holding environment. Therapy is supposed to provide these conditions of nurturance and guidance (through transference, cognitive re-labelling or other methods). The narcissist must learn that his past experiences are not laws of nature, that not all adults are abusive, that relationships can be nurturing and supportive.

Most therapists try to co-opt the narcissist's inflated ego (False Self) and defences. They compliment the narcissist, challenging him to prove his omnipotence by overcoming his disorder. They appeal to his quest for perfection, brilliance, and eternal love - and his paranoid tendencies - in an attempt to get rid of counterproductive, self-defeating, and dysfunctional behaviour patterns.

By stroking the narcissist's grandiosity, they hope to modify or counter cognitive deficits, thinking errors, and the narcissist's victim-stance. They contract with the narcissist to alter his conduct. Some even go to the extent of medicalizing the disorder, attributing it to a hereditary or biochemical origin and thus "absolving" the narcissist from his responsibility and freeing his mental resources to concentrate on the therapy.

Confronting the narcissist head on and engaging in power politics ("I am cleverer", "My will should prevail", and so on) is decidedly unhelpful and could lead to rage attacks and a deepening of the narcissist's persecutory delusions, bred by his humiliation in the therapeutic setting.

Successes have been reported by applying 12-step techniques (as modified for patients suffering from the Antisocial Personality Disorder), and with treatment modalities as diverse as NLP (Neurolinguistic Programming), Schema Therapy, and EMDR (Eye Movement Desensitization).

But, whatever the type of talk therapy, the narcissist devalues the therapist. His internal dialogue is: "I know best, I know it all, the therapist is less intelligent than I, I can't afford the top level therapists who are the only ones qualified to treat me (as my equals, needless to say), I am actually a therapist myself..."

A litany of self-delusion and fantastic grandiosity (really, defences and resistances) ensues: "He (my therapist) should be my colleague, in certain respects it is he who should accept my professional authority, why won't he be my friend, after all I can use the lingo (psycho-babble) even better than he does? It's us (him and me) against a hostile and ignorant world (shared psychosis, folie a deux)..."

Then there is this internal dialog: "Just who does he think he is, asking me all these questions? What are his professional credentials? I am a success and he is a nobody therapist in a dingy office, he is trying to negate my uniqueness, he is an authority figure, I hate him, I will show him, I will humiliate him, prove him ignorant, have his licence revoked (transference). Actually, he is pitiable, a zero, a failure..."

And this is only in the first three sessions of the therapy. This abusive internal exchange becomes more vituperative and pejorative as therapy progresses.

Narcissists generally are averse to being medicated. Resorting to medicines is an implied admission that something is wrong. Narcissists are control freaks and hate to be "under the influence" of "mind altering" drugs prescribed to them by others.

Additionally, many of them believe that medication is the "great equaliser" - it will make them lose their uniqueness, superiority and so on. That is unless they can convincingly present the act of taking their medicines as "heroism", a daring enterprise of self-exploration, part of a breakthrough clinical trial, and so on.

They often claim that the medicine affects them differently than it does other people, or that they have discovered a new, exciting way of using it, or that they are part of someone's (usually themselves) learning curve ("part of a new approach to dosage", "part of a new cocktail which holds great promise"). Narcissists must dramatise their lives to feel worthy and special. Aut nihil aut unique - either be special or don't be at all. Narcissists are drama queens.

Very much like in the physical world, change is brought about only through incredible powers of torsion and breakage. Only when the narcissist's elasticity gives way, only when he is wounded by his own intransigence - only then is there hope.

It takes nothing less than a real crisis. Ennui is not enough


 

next: The Narcissist in Court

APA Reference
Vaknin, S. (2008, November 30). Narcissistic Personality Disorder Treatment Modalities and Therapies, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/personality-disorders/malignant-self-love/narcissistic-personality-disorder-treatment-modalities-and-therapies

Last Updated: July 4, 2018

Narcissists, Narcissistic Supply And Sources of Supply

Question:

What is Narcissistic Supply?

Answer:

We all search for positive cues from people around us. These cues reinforce in us certain behaviour patterns. There is nothing special in the fact that the narcissist does the same. However there are two major differences between the narcissistic and the normal personality.

The first is quantitative. The normal person is likely to welcome a moderate amount of attention - verbal and non-verbal - in the form of affirmation, approval, or admiration. Too much attention, though, is perceived as onerous and is avoided. Destructive and negative criticism is avoided altogether.

The narcissist, in contrast, is the mental equivalent of an alcoholic. He is insatiable. He directs his whole behaviour, in fact his life, to obtain these pleasurable titbits of attention. He embeds them in a coherent, completely biased, picture of himself. He uses them to regulates his labile sense of self-worth and self-esteem.

To elicit constant interest, he projects to others a confabulated, fictitious version of himself, known as the False Self. The False Self is everything the narcissist is not: omniscient, omnipotent, charming, intelligent, rich, or well-connected.

 

The narcissist then proceeds to harvest reactions to this projected image from family members, friends, co-workers, neighbours, business partners and from colleagues. If these - the adulation, admiration, attention, fear, respect, applause, affirmation - are not forthcoming, the narcissist demands them, or extorts them. Money, compliments, a favourable critique, an appearance in the media, a sexual conquest are all converted into the same currency in the narcissist's mind.

This currency is what I call Narcissistic Supply.

It is important to distinguish between the various components of the process of narcissistic supply:

1. The trigger of supply is the person or object that provokes the source into yielding narcissistic supply by confronting the source with information about the narcissist's False Self.

2. The source of narcissistic supply is the person that provides the narcissistic supply

3. Narcissistic supply is the reaction of the source to the trigger.

Publicity (celebrity or notoriety, being famous or being infamous) is a trigger of narcissistic supply because it provokes people to pay attention to the narcissist (in other words, it moves sources to provide the narcissist with narcissistic supply). Publicity can be obtained by exposing oneself, by creating something, or by provoking attention. The narcissist resorts to all three repeatedly (as drug addicts do to secure their daily dose). A mate or a companion is one such source of narcissistic supply.

But the picture is more complicated. There are two categories of Narcissistic Supply and their Sources (NSS):

The Primary Narcissistic Supply is attention, in both its public forms (fame, notoriety, infamy, celebrity) and its private, interpersonal, forms (adoration, adulation, applause, fear, repulsion). It is important to understand that attention of any kind - positive or negative - constitutes Primary Narcissistic Supply. Infamy is as sought after as fame, being notorious is as good as being renowned.

To the narcissist his "achievements" can be imaginary, fictitious, or only apparent, as long as others believe in them. Appearances count more than substance, what matters is not the truth but its perception.

Triggers of Primary Narcissistic Supply include, apart from being famous (celebrity, notoriety, fame, infamy) - having an air of mystique (when the narcissist is considered to be mysterious), having sex and deriving from it a sense of masculinity/virility/femininity, and being close or connected to political, financial, military, or spiritual power or authority or yielding them.

Sources of Primary Narcissistic Supply are all those who provide the narcissist with narcissistic supply on a casual, random basis.

Secondary Narcissistic Supply includes: leading a normal life (a source of great pride for the narcissist), having a secure existence (economic safety, social acceptability, upward mobility), and obtaining companionship.

Thus, having a mate, possessing conspicuous wealth, being creative, running a business (transformed into a Pathological Narcissistic Space), possessing a sense of anarchic freedom, being a member of a group or collective, having a professional or other reputation, being successful, owning property and flaunting one's status symbols - all constitute secondary narcissistic supply as well.

Sources of Secondary Narcissistic Supply are all those who provide the narcissist with narcissistic supply on a regular basis: spouse, friends, colleague, business partners, teachers, neighbours, and so on.

 


 


Both these primary and secondary Narcissistic Supply and their triggers and sources are incorporated in a Narcissistic Pathological Space.

Question:

What are the functions of Narcissistic Supply in the narcissistic pathology?

Answer:

The narcissist internalises a "bad" object (typically, his mother) in his childhood. He harbors socially forbidden emotions towards this object: hatred, envy, and other forms of aggression. These feelings reinforce the narcissist's self-image as bad and corrupt. Gradually he develops a dysfunctional sense of self-worth. His self-confidence and self-image become unrealistically low and distorted.

In an effort to repress these "bad" feelings, the narcissist also suppresses all emotions. His aggression is channelled to fantasies or to socially legitimate outlets (dangerous sports, gambling, reckless driving, compulsive shopping). The narcissist views the world as a hostile, unstable, unrewarding, unjust, and unpredictable place.

He defends himself by loving a completely controllable object (himself), by projecting to the world an omnipotent and omniscient False Self, and by turning others to functions or to objects so that they pose no emotional risk. This reactive pattern is what we call pathological narcissism.

To counter his demons the narcissist needs the world: its admiration, its adulation, its attention, its applause, even its penalties. The lack of a functioning personality on the inside is balanced by importing Ego functions and boundaries from the outside.

The Primary Narcissistic Supply reaffirms the narcissist's grandiose fantasies, buttresses his False Self and, thus allows him to regulate his fluctuating sense of self-worth. The Narcissistic Supply contains information which pertains to the way the False Self is perceived by others and allows the narcissist to "calibrate" and "fine tune" it. The Narcissistic Supply also serves to define the boundaries of the False Self, to regulate its contents and to substitute for some of the functions normally reserved for a True, functioning, Self.

While it is easy to understand the function of the Primary Supply, Secondary Supply is a more complicated affair.

Interacting with the opposite sex and "doing business" are the two main Triggers of Secondary Narcissistic Supply (SNS). The narcissist mistakenly interprets his narcissistic needs as emotions. To him, the pursuit of a woman (a Source of Secondary Narcissistic Supply - SSNS), for instance, is what others call "love" or "passion".

Narcissistic Supply, both primary and secondary, is perishable goods. The narcissist consumes it and has to replenish it. As is the case with other drug addictions, to produce the same effect, he is forced to increase the dosage as he goes.

While the narcissist uses up his supply, his partner serves as a silent (and admiring) witness to the narcissist's "great moments" and "achievements". Thus, the narcissist's female friend "accumulates" the narcissist's "grand and "illustrious past". When Primary Narcissistic Supply is low, she "releases" the supply she had accumulated. This she does by reminding the narcissist of those moments of glory that she had witnessed. She helps the narcissist to regulate his sense of self-worth.

This function - of Narcissistic Supply accumulation and release - is performed by all SSNS, male or female, inanimate or institutional. The narcissist's co-workers, bosses, colleagues, neighbours, partners, and friends are all potential SSNS. They all witness the narcissist's past accomplishments and can remind him of them when new supply runs dry.

Question:

Why does the narcissist devalue his Source of Secondary Narcissistic Supply (SSNS)?

Answer:

Narcissists are forever in pursuit of Narcissistic Supply. They are oblivious to the passage of time and are not constrained by any behavioural consistency, "rules" of conduct, or moral considerations. Signal to the narcissist that you are a willing source, and he is bound to try to extract Narcissistic Supply from you by any and all means.

This is a reflex. The narcissist would have reacted absolutely the same way to any other source because, to him, all sources are interchangeable.

Some Sources of Supply are ideal (from the narcissist's point of view): sufficiently intelligent, sufficiently gullible, submissive, reasonably (but not overly) inferior to the narcissist, in possession of a good memory (with which to regulate the flow of Narcissistic Supply), available but not imposing, not explicitly or overtly manipulative, undemanding, attractive (if the narcissist is somatic). In short: a Galathea-Pygmallion type.

But then, often abruptly and inexplicably, it is all over. The narcissist is cold, uninterested and remote.


 


One of the reasons is, as Groucho Marx put it, that the narcissist doesn't like to belong to those clubs which would accept him as a member. The narcissist devalues his Sources of Supply for the very qualities that made them such sources in the first place: their gullibility, their submissiveness, their (intellectual or physical) inferiority.

But there are many other reasons. For instance, the narcissist resents his dependency. He realizes that he is hopelessly and helplessly addicted to Narcissistic Supply and is in hock to its sources. By devaluing the sources of said supply (his spouse, his employer, his colleague, his friend) he ameliorates the dissonance.

Moreover, the narcissist perceives intimacy and sex as a threat to his uniqueness. Everyone needs sex and intimacy - it is the great equaliser. The narcissist resents this commonness. He rebels by striking out at the perceived founts of his frustration and "enslavement" - his sources of Narcissistic Supply.

Sex and intimacy are usually also connected to unresolved past conflicts with important Primary Objects (parents or caregivers). By constantly invoking these conflicts, the narcissist encourages transference and provokes the onset of approach-avoidance cycles. He blows hot and cold on his relationships.

Additionally, narcissists simply get tired of their sources. They get bored. There is no mathematical formula which governs this. It depends on numerous variables. Usually, the relationship lasts until the narcissist "gets used" to the source and its stimulating effects wear off or until a better Source of Supply presents itself.

Question:

Could negative input serve as Narcissistic Supply (NS)?

Answer:

Yes, it can. NS includes all forms of attention - both positive and negative: fame, notoriety, adulation, fear, applause, approval. Whenever the narcissist gets attention, positive or negative, whenever he is in the "limelight", it constitutes NS. If he can manipulate people or influence them - positively or negatively - it qualifies as NS.

Even quarrelling with people and confronting them constitute NS. Perhaps not the conflict itself, but the narcissist's ability to influence other people, to make them feel the way he wants, to manipulate them, to make them do something or refrain from doing it - all count as forms of narcissistic supply. Hence the phenomenon of "serial litigators".

Question:

Does the narcissist want to be liked?

Answer:

Would you wish to be liked by your television set? To the narcissist, people are mere tools, Sources of Supply. If, in order to secure this supply, he must be liked by them - he acts likable, helpful, collegial, and friendly. If the only way is to be feared - he makes sure they fear him. He does not really care either way as long as he is being attended to. Attention - whether in the form of fame or infamy - is what it's all about. His world revolves around this constant mirroring. I am seen therefore I exist, he thinks to himself.

But the classic narcissist also craves punishment. His actions are aimed to elicit social opprobrium and sanctions. His life is a Kafkaesque, ongoing trial and the never-ending proceedings are in themselves the punishment. Being penalized (reprimanded, incarcerated, abandoned) serves to vindicate and validate the internal damning voices of the narcissist's sadistic, ideal and immature Superego (really, the erstwhile voices of his parents or other caregivers). It confirms his worthlessness. It relieves him from the inner conflict he endures when he is successful: the conflict between the gnawing feelings of guilt, anxiety, and shame and the need to relentlessly secure Narcissistic Supply.


 


Question:

How does the narcissist treat his past Sources of Narcissistic Supply? Does he regard them as enemies?

Answer:

One should be careful not to romanticise the narcissist. His remorse and good behaviour are always linked to fears of losing his sources.

Narcissists have no enemies. They have only Sources of Narcissistic Supply. An enemy means attention means supply. One holds sway over one's enemy. If the narcissist has the power to provoke emotions in you, then you are still a Source of Supply to him, regardless of which emotions are provoked.

The narcissist seeks out his old Sources of Narcissistic Supply when he has absolutely no other NS Sources at his disposal. Narcissists frantically try to recycle their old and wasted sources in such a situation. But the narcissist would not do even that had he not felt that he could still successfully extract a modicum of NS from the old source (even to attack the narcissist is to recognise his existence and to attend to him!!!).

If you are an old Source of Narcissistic Supply, first, get over the excitement of seeing him again. It may be flattering, perhaps sexually arousing. Try to overcome these feelings.

Then, simply ignore him. Don't bother to respond in any way to his offer to get together. If he talks to you - keep quiet, don't answer. If he calls you - listen politely and then say goodbye and hang up. Return his gifts unopened. Indifference is what the narcissist cannot stand. It indicates a lack of attention and interest that constitutes the kernel of negative NS to be avoided.

Much more in FAQ 64 and FAQ 25 in "Malignant Self Love - Narcissism Revisited".

 


 

next: Narcissistic Personality Disorder Treatment Modalities and Therapies

APA Reference
Vaknin, S. (2008, November 30). Narcissists, Narcissistic Supply And Sources of Supply, HealthyPlace. Retrieved on 2024, October 4 from https://www.healthyplace.com/personality-disorders/malignant-self-love/narcissists-narcissistic-supply-and-sources-of-supply

Last Updated: July 4, 2018