Skip to main content

Entspannung, Imagination, Biofeedback und Meditation

  • Chapter
Schmerzpsychotherapie

Zusammenfassung

In diesem Kapitel werden verschiedene Verfahren vorgestellt, die – wenn auch in unterschiedlichem Ausmaß – eines gemeinsam haben: die Induzierung eines Entspannungszustandes und/oder gelassener Aufmerksamkeit. Diesen Zuständen kommt in der Therapie chronischer Schmerzen seit jeher ein hoher Stellenwert zu. Allerdings werden unter dem Oberbegriffder Entspannungsverfahren sehr unterschiedliche Methoden zusammengefasst, die sich beispielsweise vom philosophischen Hintergrund, der Art, wie der Entspannungszustand induziert wird, bzw. dem Ausmaß, in dem Entspannung als eigentlicher Wirkmechanismus betrachtet wird, unterscheiden.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 69.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

  1. Andrasik F (2004) Behavioral treatment of migraine: current status and future directions. Expert Rev Neurother 4(3): 403–413

    Article  PubMed  Google Scholar 

  2. Baird CL, Sands L (2004) A pilot study of the effectiveness of guided imagery with progressive muscle relaxation to reduce chronic pain and mobility difficulties. J Holist Nurs 5: 97–104

    Google Scholar 

  3. Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84: 191–215

    Article  PubMed  CAS  Google Scholar 

  4. Basmajian JV (1967) Muscles alive: their functions revealed by electromyography. Williams & Wilkins, Baltimore

    Google Scholar 

  5. Benson H (2000) The Relaxation Response. Harper Torch, New York

    Google Scholar 

  6. Bernstein DA, Borkovec TD (1992) Entspannungstraining. Pfeiffer, München

    Google Scholar 

  7. Besser-Siegmund C (1994) Sanfte Schmerztherapie mit mentalen Methoden. Econ, Düsseldorf

    Google Scholar 

  8. Budzynski TH et al. (1970) Feedback induced muscle relaxation: applications to tension headache. J Behav Ther Exp Psychiatry 1: 205–211

    Article  Google Scholar 

  9. Cardoso R et al. (2004) Meditation in health: an operational definition. Brain Res Brain Res Protoc 14: 58–60

    Article  PubMed  Google Scholar 

  10. Cardoso R et al. (2007) Prefrontal cortex in meditation. When the concrete leads to the abstract. A schematical hypothesis, concerning the participation of the logic for «logic relaxation«. NeuroQuantology 5(2): 233–240

    Google Scholar 

  11. Cardoso R et al. (2009) Meditation in health: definition, operationalization, and technique. In: Rossi AM, Quick JC, Perrewé P (ed) Stress and quality of working life: the positive and the negative. Information age publishing, Charlotte, NC (USA), pp 143–166

    Google Scholar 

  12. deCharms RD, Maeda F, Glover GH et al. (2005) Control over brain activation and pain learned by using realtime functional MRI. Proc Natl Acad Sci U S A, 102(51): 18626–18631

    Article  PubMed  CAS  Google Scholar 

  13. Eccleston C et al. (1997) Attention and somatic awareness in chronic pain. Pain 72: 209–215

    Article  PubMed  CAS  Google Scholar 

  14. Flor H, Birbaumer N (1993) Comparison of the efficacy of electromyographic biofeedback, cognitive-behavioral therapy, and conservative medical interventions in the treatment of chronic musculoskeletal pain. J Consult Clin Psychol 61(4): 653–658

    Article  PubMed  CAS  Google Scholar 

  15. Fors EA et al. (2002) The effect of guided imagery and amitriptyline on daily fibromyalgia pain: a prospective, randomized, controlled trial. J Psychiatr Res 36: 179–187

    Article  PubMed  Google Scholar 

  16. Geissner E et al. (1994) Psychologische Behandlungsansätze bei Schmerz. Eine Therapievergleichsstudie an Patienten mit chronischer Polyarthritis. Z Klin Psychol Psychiatr Psychother 42(4): 319–338

    CAS  Google Scholar 

  17. Haddock CK et al. (1997) Home-based behavioral treatments for chronic benign headache: a meta-analysis of controlled trials. Cephalalgia 17: 113–118

    Article  PubMed  CAS  Google Scholar 

  18. Hamm A (2004) Progressive Muskelentspannung. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags- Union, Weinheim, S. 189–210

    Google Scholar 

  19. Hayes SC et al. (1999) Acceptance and Commitment Therapy: an experiential approach to behavior change. The Guildford Press, New York

    Google Scholar 

  20. Herrmann C, Flor H (2009) Chronische Rückenschmerzen. In Martin A, Rief W (Hrsg) Wie wirksam ist Biofeedback? Hans Huber, Bern, S 125–136

    Google Scholar 

  21. Holroyd KA, Drew JB (2006) Behavioral approach to the treatment of migraine. Semin Neurol 26(2): 199–207

    Article  PubMed  Google Scholar 

  22. Holroyd KA et al. (1984) Change mechanisms in EMG biofeedback training: cognitive changes underlying improvements in tension headache. J Consult Clin Psychol 52(6): 1039–1053

    Article  PubMed  CAS  Google Scholar 

  23. Jacobson E (1932) Electrophysiology of mental activities. Am J Psychol 44(4): 677–694

    Article  Google Scholar 

  24. Jacobson E (1938) Progressive Relaxation. Chicago University Press, Chicago

    Google Scholar 

  25. Kabat-Zinn J (1982) An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical implications and preliminary results. Gen Hosp Psychiatry 4: 33–47

    Article  PubMed  CAS  Google Scholar 

  26. Kabat-Zinn J (1990) Full catastrophe living: using the wisdom of your body and mind to face stress, pain and illness. Dell, New York

    Google Scholar 

  27. Kamiya J (1969) Operant control of the EEG alpha rhythm and some of its reported effects on consciousness. In: Tart C (ed) Altered states of consciousness. Wiley, New York, pp 507–517

    Google Scholar 

  28. Kanji N et al. (2006) Autogenic training for tension type headaches: a systematic review of controlled trials. Complement Ther Med 14: 144–150

    Article  PubMed  CAS  Google Scholar 

  29. Koch A et al. (2008) Mindfulness-Based Stress-Reduction in der Schmerztherapie – Stand der Evidenz. Der Schmerz 22(Suppl 2): 104

    Google Scholar 

  30. Martin A, Rief W (Hrsg) (2009) Wie wirksam ist Biofeedback? Hans Huber, Bern

    Google Scholar 

  31. Meichenbaum D (1976) Cognitive factors in biofeedback therapy. Biofeedback Self-Reg 1: 201–216

    Article  CAS  Google Scholar 

  32. McCracken LM (2005) Contextual cognitive-behavioral therapy for chronic pain. Progress in Pain Research and Management (Vol 33). IASP Press, Seattle

    Google Scholar 

  33. McCracken LM (2007) A contextual analysis of attention to chronic pain: what the patient does with their pain might be more important than their awareness or vigilance alone. J Pain 8(3): 230–236

    Article  PubMed  Google Scholar 

  34. Menzies V et al. (2006) Effects of guided imagery on oucomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. J Altern Complement Med 12(1): 23–30

    Article  PubMed  Google Scholar 

  35. Miller NE (1969) Learning of visceral and glandular responses. Science 163: 434–445

    Article  PubMed  CAS  Google Scholar 

  36. Miller NE, DiCara LV (1967) Instrumental learning of heart rate changes in curarized rats: shaping and specifity to discriminative stimulus. J Comp Physiol Psychology 63: 12–19

    Article  CAS  Google Scholar 

  37. Mizutani M (2006) Hypnotically structured autogenic training applied to CRPS type I patients. Jpn J Hypn 49(2): 7–19

    Google Scholar 

  38. Morone NE, Greco CM (2007) Mind-body interventions for chronic pain in older adults: a structured review. Pain Med 8: 359–375

    Article  PubMed  Google Scholar 

  39. Morone NE et al. (2008) «I felt like a new person.« The effects of mindfulness meditation on older adults with chronic pain: qualitative narrative analysis of diary entries. J Pain 9(9): 841–848

    Article  PubMed  Google Scholar 

  40. Nash JM (2003) Psychologic and behavioral management of tension-type headache: treatment procedures. Curr Pain Headache Rep 2: 475–481

    Article  Google Scholar 

  41. Nestoriuc AY, Martin A (2007) Efficacy of Biofeedback for migraine: A meta-analysis. Pain 128: 111–127

    Article  PubMed  Google Scholar 

  42. Nestoriuc AY et al. (2008a) Meta-analysis of biofeedback for tension-type headache: efficacy, specificity, and treatment moderators. J Cons Clin Psychol 76: 379–396

    Article  Google Scholar 

  43. Nestoriuc AY et al. (2008b) Biofeedback treatment for headache disorders: a comprehensive efficacy review. Appl Psychophysiol Biofeedback 33: 125–140

    Article  Google Scholar 

  44. Newton-John TO et al. (1995) Cognitive-behavioral therapy versus EMG biofeedback in the treatment of chronic low back pain. Behav Res Ther 33(6): 691–697

    Article  PubMed  CAS  Google Scholar 

  45. Niederberger U, Kropp P (2004) Die nichtmedikamentöse Behandlung der Migräne. Schmerz 18: 415–420

    Article  PubMed  CAS  Google Scholar 

  46. Öst L-G (1987) Applied relaxation: description of a coping technique and review of controlled studies. Behav Res Ther 25: 397–409

    Article  PubMed  Google Scholar 

  47. Ostelo RWJG et al. (2005) Behavioral treatment for chronic low-back pain (Review). Cochrane Database Syst Rev 2005 Jan25, 1: CD002014

    Google Scholar 

  48. Penzien DB et al. (2002) Behavioral management of recurrent headache: three decades of experience and empiricism. Appl Psychophysiol Biofeedback 27(2): 163–181

    Article  PubMed  Google Scholar 

  49. Penzien DB et al. (2004) Behavioral interventions for tension-type headache: overview of current therapies and recommendation for a self-management model for chronic headache. Curr Pain Headache Rep 8: 489–499

    Article  PubMed  Google Scholar 

  50. Petermann F, Kusch M (2004) Imagination. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S 159–176

    Google Scholar 

  51. Ray WJ et al. (1979) Evaluation of clinical biofeedback. Plenum Press, New York

    Book  Google Scholar 

  52. Rehfisch H-P, Basler H-D (2007) Entspannung und Imagination. In: Kröner-Herwig B, Frettlöh J, Klinger R, Nilges P (Hrsg) Schmerzpsychotherapie, 6. Aufl. Springer, Berlin Heidelberg New York Tokio, S 551–564

    Chapter  Google Scholar 

  53. Rief W, Birbaumer N (eds) (2006) Biofeedback-Therapie. Grundlagen, Indikation und praktisches Vorgehen. Schattauer, Stuttgart

    Google Scholar 

  54. Schultz JH (1932) Das autogene Training (konzentrative Selbstentspannung). Versuch einer klinisch-praktischen Darstellung. Thieme, Leipzig

    Google Scholar 

  55. Schwartz MS, Andrasik F (eds) (2003) Biofeedback: a practitioner's guide, 3rd ed. The Guilford Press, New York

    Google Scholar 

  56. Shapiro DH (1982) Overview: clinical and physiological comparison of meditation with other self-control strategies. Am J Psychiatry 139(3): 267–274

    PubMed  Google Scholar 

  57. Stetter F, Kupper S (2002) Autogenic training: a metaanalysis of clinical outcome studies. Applied Psychophysiology and Biofeedback 27(1): 45–98

    Article  PubMed  Google Scholar 

  58. Turk DC et al. (2008) Psychological approaches in the treatment of chronic pain patients – when pills, scalpels, and needles are not enough. Can J Psychiatry 53(4): 213–223

    PubMed  Google Scholar 

  59. Vaitl D (2009a) Autogenes Training. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S 62–80

    Google Scholar 

  60. Vaitl D (2009b) Neurobiologische Grundlagen der Entspannungsverfahren. In: Vaitl D, Petermann F (Hrsg) Entspannungsverfahren – Das Praxishandbuch. Beltz Psychologische Verlags-Union, Weinheim, S 18–35

    Google Scholar 

  61. Van Kuiken D (2004) A meta-analysis of the effect of Guided Imagery Practice on outcomes. J Holist Nurs 22: 164–179

    Article  PubMed  Google Scholar 

  62. Vowles KE, McCracken LM (2008) Acceptance and values- based action in chronic pain: a study of treatment effectiveness and process. J Cons Clin Psychol 76(3): 397–407

    Article  Google Scholar 

  63. Vowels KE et al. (2009) Targeting acceptance, mindfulness and values-based action in chronic pain: findings in two preliminary trials of an outpatient group-based intervention. Cogn Behav Pract (16): 49–58

    Article  Google Scholar 

  64. Wootton J (2008) Meditation and chronic pain. In: Audette JF, Bailey A (eds) Contemporary pain medicine: the science and practice of contemporary and alternative medicine in pain management. Humana Press, Totowa, NJ (USA), S 195–209

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Lüking, M., Martin, A. (2011). Entspannung, Imagination, Biofeedback und Meditation. In: Kröner-Herwig, B., Frettlöh, J., Klinger, R., Nilges, P. (eds) Schmerzpsychotherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12783-0_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-12783-0_30

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12782-3

  • Online ISBN: 978-3-642-12783-0

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics