Publicado: 25 de Febrero de 2016 a las 21:40
We start from the maxim that says that everything that happens to us is occurring in each one of us, it is a process. Keeping being healthy as well as getting sick and healing requires work. It seems perhaps easier for us to think that being healthy requires it. The ones who care for their health know it: to stay fit, one must follow a determined kind of diet, exercise regularly, feed the soul with a creative or cultural activity, surround oneself with people he loves, etc. Those are fundamental elements to keep us healthy. The concept of “health” is therefore broader, and is not anymore limited to the absence of disease.
And, how do we work to produce the disease? Much of the time, unconsciously. Almost everyone knows that smoking reduces life expectancy and is associated with diseases such as lung cancer or other types of cancer, heart diseases such as coronary thrombosis, etc. Obesity has similar consequences. However, those people keep smoking or eating unhealthy. So, we can say that “they work for their disease”.
The integrative medicine tries to build that integrated care. It is a new medical paradigm that looks for a comprehensive approach of the patient, including his biological body, his psychism, and even his social situation. It must be done not only with technical instruments, but also with conceptual systems that allow thinking this so complex reality that is human reality over the health―to produce it―, as well as over the disease ―to understand and treat it. Psychoanalysis is one of the numerous instruments that the integrative medicine use, since there are a lot of diseases we would not be able to cure without taking into account the mental factor.
Why do we enhance so much those two disciplines?
1. The psychoanalysis as well as the integrative medicine need the patient’s implication.
Very few people want to be responsible for what is happening. We do not want to realize that we are the main actors in the play of our life, we choose the characters and we write the scenario. It is true that no one is the only responsible for contracting this or that disease, but when we get sick we can decide whether or not we want to work in order to heal.
Compared with the paternalistic model of the conventional medicine, in which the patient appears as a docile son who must faithfully obey the doctor/father’s orders, the psychoanalysis as well as the integrative medicine need an active participation of the patient during the treatment. Many patients arrive at the consultation and ask me: “Can you not hypnotize me and heal me?”, to which I reply: “I fear I cannot do all the work, it will be impossible to treat you without your collaboration”. For the integrative medicine, it is quite the same: the patient must change his eating habits, his sedentary lifestyle, etc. in order to cure. Let us say that our lifestyle and our personality were some of the elements that made us getting sick. If we do not change our personality, we will not be able to heal.
We know its disadvantages: resistance to change, the desperate way people stick to what they know and reject what is new. But there is no other solution, change is the only way.
2. The integrative medicine as well as the psychoanalysis go to the structure, one to the biochemical and physiological structure, the other to the psychological structure.
It is maybe more difficult to explain that point. Our cells belong to tissues, and in order for the cell function to be optimal, those tissues must stay at specific pH levels. Only the stomach in both sexes and the woman’s vagina function with an acidic pH. All the other cells function with a neutral or basic pH. When the cells are in an acidic environment, they are like fishes in a contaminated sea, they do not function nor perform the same way. From the integrative medicine, with the bioresonance therapy, we can detect if our cells are working in an acidosis environment, if there is a tissue inflammation, if it affects our immune system, etc.
Beyond the caused disease (autoimmune disease, cancer, etc.), the changes occurred at tissue level are similar and, by modifying these conditions, we can change the medical condition. We have to give the cells the necessary elements for them to recover and restore their normal functioning. The orthomolecular medicine (instrument the integrative medicine uses) is briefly based on that principle. Unfortunately, especially as far as the chronic diseases are concerned, the medicine mainly treats the symptoms. However, it does not go to the last biochemical causes (structure), something that the integrative medicine does.
But something similar happens with psychoanalysis: beyond the fact that we are in front of an anxiety disorder, a depression or a psychosomatic disease, the treatment is the same. This is, giving instruments to the patient in order for him to resolve his conflicts in a healthier way, without getting sick. Let us say that the mental or the psychosomatic illness occurs at a specific time of our life: as the glass breaks where it has a crack, humans “break” where our constitution is weaker. Just as psychiatry treats the symptoms or cognitive behavioral psychology attempts to modify behaviors, psychoanalysis goes to the structure to repair this weak area, to make those changes much more profound and lasting. It is like making yourself again. Our personality builds up gradually with identification mechanisms. However, we tend to identify more with the default than with the virtue. Thus, a lot of daughters who have been criticizing their mother during their whole life end up reiterating the default, in a more pronounced way. Therefore we have to reconsider our identifications and to product new structural changes.
3. In both disciplines listening is fundamental.
A maxim of the integrative medicine says that we are born with two ears and only one mouth because it is the correct proportion between listening and speaking (2:1). In integrative medicine, we go back to a classical clinical history, with an extended anamnesis of the patient. To do so, we collect data not only of his disease, but also of his habits, his life situation, profession, family relationship, etc. It is relevant to know that someone contracted cancer after the decease of a relative he loved and suffered from depression after this death, or that someone contracted an autoimmune disease during a very difficult divorce process. Diseases maintain a close relationship with the life of the ones who contract them.
In psychoanalysis, the fact that the psychoanalyst listens is such a fundamental element, that it is said that listening is the element that establishes the speaking. What does that mean? As the patient feels listened to, he does not feel judged nor condemned. Nothing that the patient says bothers the psychoanalyst, nor is the psychoanalyst outraged nor afraid… The patient feels free to say anything he thinks of, he loses the fear of expressing his most shameful fantasies, his wishes, his fears. With that single action, he already begins to feel better, because the fact of not speaking makes us act in the body. We express through disease what we cannot say with words. Starting to speak is starting to cure.
4. Team attention
Psychoanalysis is extraordinary communal: even though the psychoanalyst is the one who interacts directly with the patient, it is an entire school that attends to him. In fact, while the psychoanalyst is working, he has his personal psychoanalyst, his study and training groups, the individual and group supervision of the cases, so that what he does with the patient is never an isolated act. The integrative medicine also works as a group: doctors, nurses, physiotherapists, acupuncturists, homeopaths, so that even if the doctor is the one who is in charge of the patient, it is the entire team that attends to him.
These conceptual coincidences ―among others we could describe, but it would be too long―, between integrative medicine and psychoanalysis, make those two disciplines complement each other and enhance in a very efficient way.