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300 Pages·1991·8.72 MB·English
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International Perspectives on Self-Regulation and Health THE PLENUM SERIES IN BEHA VIORAL PSYCHOPHYSIOLOGY AND MEDICINE Series Editor: William J. Ray, Pennsylvania State University, University Park, Pennsylvania BIOLOGICAL BARRIERS IN BEHAVIORAL MEDICINE Edited by Wolfgang Linden HANDBOOK OF RESEARCH METHODS IN CARDIOVASCULAR BEHAVIORAL MEDICINE Edited by Neil Schneiderman, Stephen M. Weiss, and Peter G. Kaufmann INTERNATIONAL PERSPECTIVES·ON SELF-REGULATION AND HEALTH Edited by John G. Carlson and A. Ronald Seifert PHYSIOLOGY AND BEHAVIOR THERAPY Conceptual Guidelines for the Clinician James G. Hollandsworth, Jr. THE PHYSIOLOGY OF PSYCHOLOGICAL DISORDERS Schizophrenia, Depression, Anxiety, and Substance Abuse James G. Hollandsworth, Jr. International Perspectives on Self-Regulation and Health Sponsored by the Association for Applied Psychophysiology and Biofeedback Edited by John G. Carlson University of Hawaii at Manoa Honolulu, Hawaii and A. Ronald Seifert Behavioral Institute of Atlanta Atlanta, Georgia Springer Science+Business Media, LLC Library of Congress Cataloging-in-Publication Data I n t e r n a t i o n a l perspec t ives on s e l f - r e g u l a t i o n and hea l t h / sponsored by the Assoc ia t ion f o r Appl ied Psychophysiology and Biofeedback ; edi t e d by John G. Carlson and A. Ronald S e l f e r t . p. cm. — (Plenum s e r i e s in behav iora l psychophysiology and medicine) " F i r s t I n t e r n a t i o n a l Conference on Biobehav iora l S e l f - R e g u l a t i o n and Hea l th . . . held at the Hawaiian Regent Hote l in Hono lu lu , November 1 8 - 2 0 , 1 9 8 7 " — P r e f . Includes b i b l i o g r a p h i c a l re ferences and Index. ISBN 978-1-4899-2598-5 1 . Medicine and psychology—Congresses. 2 . Biofeedback t r a i n i n g - -Congresses. 3. Psychoneuroimmuno1ogy—Congresses. I . C a r l s o n , John G. I I . S e l f e r t , A. Ronald. I I I . Assoc ia t ion f o r Appl ied Psychophysiology and Biofeedback. I V . I n t e r n a t i o n a l Conference on Biobehav iora l S e l f - R e g u l a t i o n and Hea l th ( 1 s t : 1987 : Hono lu lu , Hawai i ) V. S e r i e s . [DNLM: 1 . Behav lor l Therapy—congresses. 2 . Biofeedback (Psychology)—congresses. WL 103 1608 1987] R 7 2 6 . 5 . I 5 9 5 1990 616' . 0 0 T 9 - - d c 2 0 DNLM/DLC for L i b r a r y of Congres 90-14173 CIP ISBN 978-1-4899-2598-5 ISBN 978-1-4899-2596-1 (eBook) DOI 10.1007/978-1-4899-2596-1 © Springer Science+Business Media New York 1991 Original ly published by Plenum Press, N e w York i n 1991 Softcover reprint of the hardcover 1st edi t ion 1991 A l l rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microf i lming, recording, or otherwise, without wri t ten permission f rom the Publisher Contributors Robert Ader, Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York 14642, USA Kenji Akiyama, Institute for Neurobiology, Okayama University Medical School, Okayama 700, Japan Niels Birbaumer, Psychological Institute, University of Tiibingen, D 7400 Tiibingen I, Federal Republic of Germany James G. Broton, Cresap Neuroscience Laboratory, Northwestern Univer- sity, Evanston, Illinois 60208, USA Isolde von Billow, Psychological Institute, University of Tiibingen, D 7400 Tiibingen I, Federal Republic of Germany Anthony Canavan, Psychological Institute, University of Tiibingen, D 7400 Tiibingen I, Federal Republic of Germany John G. Carlson, Department of Psychology, University of Hawaii at Ma- noa, Honolulu, Hawaii 96822, USA Thomas Elbert, Psychological Institute, University of Tiibingen, D 7400 Tiibingen I, Federal Republic of Germany Keith Fulton, Department of Neurology and Neuroscience Program, Bay- lor College of MediCine, Houston, Texas 77030, USA G. F. Gebhart, Department of Pharmacology, College of Medicine, Uni- versity of Iowa, Iowa City, Iowa 52242, USA Paul Grossman, Psychophysiology Research Group, University of Frei- burg, Freiburg, Federal Republic of Germany Nicholas R. S. Hall, Department of Psychiatry and Behavioral Medicine, University of South Florida, Tampa, Florida 33613, USA v vi CONTRIBuroRS Midori Hiramatsu, Institute for Neurobiology, Okayama University Medi- cal School, Okayama 700, Japan Kun Hou Huang, Chinese Academy of Traditional Chinese Medicine, 100700 Beijing, People's Republic of China Alan J. Husband, Department of Psychology, University of Newcastle, Newcastle, NSW 2308, Australia Hideaki Kabuto, Institute for Neurobiology, Okayama University Medical School, Okayama 700, Japan Edward S. Katkin, Department of Psychology, State University of New York at Stony Brook, Stony Brook, New York 11794-2500, USA Robert M. Kelsey, Department of Psychology, State University of New York at Buffalo, Buffalo, New York 14260, USA Maurice G. King, Department of Psychology, University of Newcastle, Newcastle, NSW 2308, Australia Robert Kvarnes, Washington School of Psychiatry, Washington, D.C., USA Michael J. Kwon, Institute for Neurobiology, Okayama University Medi- cal School, Okayama 700, Japan Wolfgang Larbig, Psychological Institute, University of Tiibingen, D 7400 Tiibingen 1, Federal Republic of Germany Anne Linden, Psychological Institute, University of Tiibingen, D 7400 Tiibingen 1, Federal Republic of Germany Werner Lutzenberger, Psychological Institute, University of Tiibingen, D 7400 Tiibingen 1, Federal Republic of Germany F. J. McGuigan, Institute for Stress Management, United States Interna- tional University, San Diego, California 92131, USA Neal Miller, Department of Psychology, Yale University, New Haven, Connecticut 06520, USA Mirna Mitra, Department of Neurology and Neuroscience Program, Bay- lor College of Medicine, Houston, Texas 77030, USA Akitane MoTi, Institute for Neurobiology, Okayama University Medical School, Okayama 700, Japan Brigitte Rockstroh, Psychological Institute, University of Tiibingen, D 7400 Tiibingen 1, Federal Republic of Germany CONTRIBUTORS vii J. Peter Rosenfeld, Cresap Neuroscience Laboratory, Northwestern Uni- versity, Evanston, lllinois 60208, USA Masamichi Satoh, Department of Pharmacology, Faculty of Pharmaceuti- cal Sciences, Kyoto University, Kyoto 606, Japan A. Ronald Seifert, Behavioral Institute of Atlanta, Atlanta, Georgia 30342, USA Masakatsu Shimada, Institute for Neurobiology, Okayama University Medical School, Okayama 700, Japan James E. Skinner, Department of Neurology and Neuroscience Program, Baylor College of Medicine, Houston, Texas 77030, USA Ronald L. Webster, Department of Psychology, Hollins College, Roanoke, Virginia 24020, USA Lang Yan Xia, Beijing College of Traditional Chinese Medicine, 100013 Beijing, People's Republic of China Isao Yokoi, Institute for Neurobiology, Okayama University Medical School, Okayama 700, Japan Foreword An attractive feature of self-regulation therapies is that, instead of doing something to the patients, they teach them to do something for them- selves. Furthermore, the fact that the patient is able to do something to cope with his or her health problem can produce a significant reduction in the stress that may have contributed to that problem and in the additional stress that it produces. While the idea that the mind can playa role in the health of the body and some therapeutic techniques based on this idea are not new, remarkable scientific advances have been made recently in the area of self-regulation and health. There has been an exciting and rapidly accel- erating increase in our basic science knowledge of homeostasis, or, in other words, how the body regulates itself in order to maintain health. Technical and conceptual advances are increasing our knowledge of the details of such regulation at all levels-cells, tissues, organs, organ sys- tems, and the body as a whole. We are learning how the competing demands of different elements at each of these levels are adjusted by the brain, which, with its neural and humoral mechanisms, is the supreme organ of integration of the body. A simple example is when the self, centered in the brain, perceives a life-or-death emergency situation that demands extreme exertion from the skeletal muscles in acts of either fighting or fleeing. Then many complex mechanisms are brought into play, a small sample of which includes an increase in blood pressure above normally regulated levels and a shunting of blood away from the skin and the digestive system to the skeletal muscles, increasing the supply they need for maximum exertion. Some of these mechanisms are known to have injurious long- term effects, but under the primitive conditions in which people evolved, the afflictions of older age were trivial compared with whether the person was killed before having children. This book will show how some of these physiological mechanisms ix x FOREWORD for adapting to primitive conditions, and even some of the responses of the immune system, can be modified by learning which has been found to have a more profound influence on bodily processes than previously had been realized. Such learning can contribute to health by helping the person to adapt the control of primitive mechanisms in the body to the changed conditions of modem life. A picture of the brain that emerges in this book is not of a merely passive, complex switchboard but of a system that can exert self-reg- ulatory control over its many inputs (including pain) as well as over outputs (such as peptides and hormones) as it plays a key role in inte- grating the physiological functions and the behavior of the person. Ex- citing examples of these increases in knowledge, their therapeutic ap- plications, and promise for future advances in knowledge and therapy are presented in various chapters of this book, which is exceptional in its scope of interdisciplinary integration. Also illustrated is how modem advances in measuring instruments can be used to help people become better aware of what is happening to certain vital functions of their bodies and hence become better able to learn to control them. The international conference on which this book is based has helped to integrate behavioral medicine as an internationally developing area of research and therapeutic application. NEAL MILLER Yale University

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