Background & Aims
Background In different studies: they relate the relevance of the family environment in pain management, the family could unconsciously be responsible for maintaining and perpetuating the patient’s pain problems and could play a role as an agent of positive coping of the patient towards pain, Genetic changes could be transmitted from parents to children and the presence of pain in the family affects the physical and mental health of both the patient and family members. A doctoral study, NCF Therapy is designed to detect changes in certain cognitive parameters, such as self-concept and acceptance, sense of coherence. Aim Identify through NCF therapy the premises about chronic pain in the patient, its systemic implication and the modification of the acceptance relationship with chronic pain.
Methods
Through NCF, illnesses and symptoms are expressions of conscious love. It is developed with the patient in individual therapy, the DME questionnaire is completed to detect emotional distress. The therapy establishes the morphogenetic field where it develops, the patient begins with the current Self, then the chronic pain, finally the acceptance of the disease. Through systemic steps (help element a sheet with the written word). The constellations “reflect” an emotional reality of the patient in a graphic and comprehensive way and through the constellation movement on the footsteps, the phrases provide balance that modify the field to a new reality. After therapy, 30 days later, the patient fills out the DME questionnaire and changes in the score are evaluated.
Results
Study with a population of 10 patients, 7 women, 3 men, ages between 42 and 86 years, with an average age of 56.7, chronic pain pathology secondary to: Cancer 3, low back pain: 3 fibromyalgia:4. Patients have a mean emotional distress DME score of 12.2 (8-18), with approximately half of patients having scores >10. DME established that 60% of patients presented moderate to intense emotional distress. In the control questionnaire, the mean DME score was less than 10 at 8.4, decreasing from mild to moderate in cases such as fibromyalgia, it decreased by 50%, in lumbar pathology the scores decreased only in two of the three patients. in the pathology of pain associated with cancer decreased after NCF therapy
Conclusions
Through the TNCF it is evident that emotional discomfort, acceptance of the disease and chronic pain are linked. The DME emotional scale helps us identify how TNCF allows the patient to give a new perspective to their illness. Through this study, only one specific element of the multiple elements that TNCF develop, balance and compensate in the relationship with illness and chronic pain is reviewed. The TNCF helps define a new controlled representation of the pain cronich situation.
References
Peñarieta Acosta, Maria Fernanda Tema libre en psicoterapia Constelaciones familiares; sanar desde el alma familiar Revista Científica Ciencia Médica, vol. 8, núm. 1, noviembre, 2005, pp. 48-49 Universidad Mayor de San Simón Cochabamba, Bolivia Yolanda Alonso International Journal of Psychology and Psychological Therapy 2005, Vol. 5, Nº 1, pp. 85-96 Las constelaciones familiares de Bert Hellinger: un procedimiento psicoterapéutico en busca de identidad * Univesidad de Almería, España Joaquín T. Limoneroa,∗, Dolors Mateob, Evaluación de las propiedades psicométricas del cuestionario de Detección de Malestar Emocional (DME) en pacientes oncológicos Gaceta Sanitaria Volumen 26, Número 2, marzo-abril de 2012 , páginas 145-152 Rev Soc Esp Dolor 2014; 21(1): 1-2 El dolor crónico, algo más que un problema de quien lo padece Ilse kutchera , enfermedad que sana ,síntomas patologícos y constelaciones familiares editorial Alma lepik 2002 De Souza L, Frank AO. Patients’ experiences of the impact of chronic back pain on family life and work. Disabil Rehabil 2011;33(4):310-8. Lewandowski W, Morris R, Draucker CB, Risko J. Chronic pain and the family: Theory-driven treatment approaches. Issues Ment Health Nurs 2007;28(9):1019-44