The limblic system and the hypothalamus appear to mediate the somatic manifestations of emotion by acting as a bridge between the neocortex, the autonomic nervous system and the endocrine glands. In this manner, emotions may cause a multitude of endocrine and autonomic reactions, such as increased or decreased secretion of hormones, increase in blood pressure, increased smooth muscle activity of the uterus, and other organic or functional changes. The purpose of this presentation was to investigate the psychoneuroendocrine aspects in diseases, namely, endocrine diseases, vegetative disturbance, and childbirth. New Concept of Diseases - Systematic considerations have been made regarding the mechanism of development of diseases from three points of view, viz., psychology, endocrinology, and neurology, in an attempt to view diseases as a whole from a new concept, as shown in table 1. The f
1 stands for psychogenic fitness, f
2 for somatic fitness, x for genetic factor, y for situational factor, t for time factor, and z for disease. For example, the endocrine disorder that develops from the x under f
1 is of a congenital nature, and anorexia nervosa belongs to this group. Mental conflict at home and anxiety at work may be cited as y under f
2. The endocrine disorder indicatated by the x under f
2 is a case of chromosomal disorder, such as Turner's syndrome and testicular feminization syndrome. Inadequate use of hormones, dietary restriction (for weight reduction), and massive postpartum hemorrhage may be cited as y under f
2. The t under f
1 means the period after a psychological load (mental stress)has been applied, and the t under f
2 indicates the period after a somatic situational load has been applied. Effects of Autogenic Training by Schulz & Luthe - The therapeutic results of autogenic training for gynecological disorders were as follows : (1) Ovulation occured in all cases of 3 anovulatory cycles. Two of these patients became pregnant. (2) Menstruation appeared in 12 cases of 16 amenorrheas. (3) It has been possible to achieve a definite improvement of the vegetative syndrome in 45 cases of 53 vegetative disturbances. Psychoneuroedocrine Aspect in Childbirth - The main part of autogenic training of pergnant women is education prior to labor. Through this education, pregnant women come to understand the physiological aspects of pregnancy, Iabor, and its pains, so that fear and anxiety can be eliminated. At the same time, pregnant women receive instruction in antenatal bodily exercises, that is, supplemental gymnastics. The results of autogenic training were as follows: (1) Labor pain was decreased in the group treated with autogenic training. (2) Consideration should be directed towards what influence autogenic training has on the plasma concentration of 11-OHCS immediately after delivery. From these results it was concluded that for women who had attained adequate relaxation and whose fear and anxiety had been eliminated, the levels of plasma 11-OHCS remained low immediately after delivery, and the length of labor was shortened, indicating a beneficial influence from autogenic training on the mechanics of childbirth. Since successful therapy must be directed to the emotional factors, one must possess a good knowledge of the patient's physical and mental environments as they interact to produce symptoms.
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