Behavioral and psychological approaches to breathing disorders:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
New York u.a.
Plenum Press
1994
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XXVII, 321 S. graph. Darst. |
| ISBN: | 0306444461 |
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Datensatz im Suchindex
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Titel: Behavioral and psychological approaches to breathing disorders
Autor: Timmons, Beverly H
Jahr: 1994
Contents Introduction 1 Beverly H. Timmons I. Anatomy, Physiology, Physiopathology, and Psychology of the Respiratory System 1. Basic Anatomy and Physiology of the Respiratory System and the Autonomic Nervous System 17 Karen H. Naifeh 1. The Respiratory System . 17 1.1. Basic Anatomy . 18 1.2. Mechanics of Breathing . 22 1.3. Gas Exchange . 26 1.4. Regulation of Respiration. 31 1.5. Influence of Respiration on Cardiac Function. 35 2. The Autonomic Nervous System . 36 2.1. Anatomy . 36 2.2. Neurotransmitters . 40 2.3. Functions of the Autonomic Nervous System. 42 3. Stress . 44 4. Further Reading. 45 2. Nasopulmonary Physiology 47 Pat A. Barelli 1. The Role of the Nose in Breathing and Respiration. 47 1.1. Preparation of Air for the Lungs . 49 1.2. Control of Air Stream. 49 1.3. Olfaction . 49 xvii
CONTENTS xviii 1.4. Nasal Resistances . 49 1.5. Body Temperature. 50 1.6. Nasal Reflexes. 50 1.7. Nasal Reflexes and the Cardiovascular System. 50 1.8. Sleep and Postural Adjustment. 51 1.9. Nose versus Mouth Breathing . 52 2. The Role of the Rhinologist. 52 2.1. Nasal Examination . 52 2.2. Nasal Pressure Tests (Rhinomanometry) . 53 2.3. Sinus (Nasoantral) Pressure Tests. 54 2.4. Nasocardiovascular Relationships . 54 2.5. Nasopulmonary Tests . 54 2.6. Middle Turbinate Syndrome. 55 2.7. Nasal Surgery . 55 3. Psychological Aspects. 55 4. Conclusion. 56 5. References . 56 3. Behavioral Perspectives on Abnormalities of Breathing during Sleep 59 Christian Guilleminault and Donald L. Bitwise 1. Sleep and Respiratory Physiology . 59 2. Sleep Apnea Syndrome. 61 3. Treatments for Sleep Apnea Syndrome . 62 4. Guidelines for Therapists . 64 5. References . 65 6. Further Reading. 66 4. Control of Breathing and Its Disorders 67 Sheila Jennett 1. Components of Normal Automatic Control. 67 1.1. Brain Stem Neurons and Their Interconnections . 67 1.2. Motor Pathways from Brain to Respiratory Muscles . 68 1.3. Inputs to the Brain Stem Complex . 70 2. Components of
Normal Behavioral Control . 72 2.1. Use of the Respiratory System for Purposes Other Than Breathing. 72 2.2. Deliberate Control of Breathing. 73 3. Goals of Normal Automatic Regulation and Effects of Failure . 73 3.1. Maintaining Correct Volume of Ventilation for Gas Exchange Requirement (Metabolic Control) . 73
CONTENTS xix 3.2. Correction of Acid-Base State . 74 3.3. Pattern of Breathing for Minimal Work. 74 3.4. Correction following Reflex and Voluntary Interferences . 75 3.5. Summary . 75 4. Disorders of Control . 76 4.1. Disorders of the Pattern of Breathing . 76 4.2. Breathing Too Little or Too Much. 78 4.3. Inability to Exert Voluntary Control over Breathing . 80 5. Summary . 80 5. Breathing and the Psychology of Emotion, Cognition, and Behavior 81 Ronald Ley 1. Conditioning, Behavior, Emotions, and Breathing. 81 1.1. Conditioned Emotional Responses. 81 2. The Effects of Breathing on Emotions and Behavior. 82 3. Breathing and Cognition. 84 3.1. The Effects of Thoughts on Breathing. 84 3.2. The Effects of the Expectation of Noxious Events on Breathing . 85 3.3. The Effects of Breathing on Thoughts: Hyperventilation and Cognition . 86 3.4. Hyperventilation and Cognitive Deficit. 87 3.5. Test Anxiety and Hyperventilation. 88 4. Hyperventilation, Cognition, and Conditioned Emotions. 89 4.1. Frustration, Stress, and Hyperventilation . 89 5. Concluding Remarks. 90 5.1. Clinicians, Research, and the Progress of Science. 91 6. References . 91 II. Hyperventilation: Diagnosis and Therapy 6. Diagnosis and Organic Causes of Symptomatic Hyperventilation 99 William N. Gardner 1. Introduction . 99 2. Physiology and Definitions. 99
2.1. Introduction . 99 2.2. Alveolar and Dead-Space Volumes . 100
XX CONTENTS 2.3. End-Tidal Pco 2 . 100 2.4. Control of Breathing and C0 2 . 101 2.5. Definition of Hyperventilation . 101 2.6. Symptoms of Hyperventilation. 101 3. Short Historical Survey. 102 4. Diagnosis . 103 4.1. Symptoms . 103 4.2. Signs . 104 4.3. Voluntary' Overbreathing and Other Tests . 104 4.4. Measurement of Pco 2 . 104 5. Etiology of Hyperventilation . 105 5.1. Introduction . 105 5.2. Organic Causes of Hyperventilation . 106 6. Investigative Sequence . 108 6.1. Investigation of Presenting Symptoms. 108 6.2. Diagnosis of Hyperventilation . 109 6.3. Search for Organic Causes of Hyperventilation . 110 7. Treatment. 110 8. Conclusion. Ill 9. References . Ill 7. Hyperventilation Syndromes: Physiological Considerations in Clinical Management 113 L. C. Lum 1. Introduction . 113 2. Etiology . 115 3. Factors Affecting Symptom Threshold . 116 3.1. Climate, Weather, and Barometric Pressure . 116 3.2. Exacerbation of Symptoms at Rest . 116 3.3. Menstruation . 116 3.4. The Voice . 117 3.5. Blood Glucose. 117 4. Perception of
Internal and External Environment. 117 4.1. Hallucinations . 117 4.2. Depersonalization and Unreality . 117 5. Physiological Mechanisms . 118 5.1. Blood Glucose. 118 5.2. Respiratory Alkalosis . 119 5.3. Hypoxia . 119 5.4. Loss of C0 2 Ions from Neurons . 120
CONTENTS xxi 5.5. Tetany . 120 5.6. Sympathetic Dominance . 120 5.7. Allergies . 120 6. Pseudoallergy. 121 7. Panic and Phobic States . 121 7.1. Sex Distribution. 121 8. Implications for Treatment . 121 8.1. Breathing Retraining. 121 8.2. Diet . 121 8.3. Education. 122 8.4. Relaxation . 122 8.5. Hypnotherapy . 122 8.6. Self-Understanding . 122 9. Summary . 122 10. References . 123 8. Psychiatric and Respiratory Aspects of Functional Cardiovascular Syndromes 125 Christopher Bass, William N. Gardner, and Graham Jackson 1. Introduction . 125 2. Psychiatric Aspects . 126 3. Respiratory Aspects . 128 3.1. Breathlessness in FCSs. 128 3.2. Hyperventilation as an Etiological Factor in FCSs. 129 3.3. The Etiology of Chest Pain in Functional Heart Disorders . 130 3.4. Effects of Hyperventilation on Cardiovascular Function. 131 4. Assessment . 132 4.1. Cardiac Assessment . 132 4.2. Assessment for Evidence of Hyperventilation . 133 4.3. Psychiatric Assessment. 134 5. Management . 134 5.1.
Excluding Organic Disease . 134 5.2. Explanation and Reassurance. 134 5.3. Cognitive-Behavioral Treatment . 134 5.4. Psychotropic Drugs . 135 6. Conclusions . 135 7. References . 136
xxii CONTENTS 9. Hyperventilation and Psychopathology: A Clinical Perspective 139 Herbert Fensterheim 1. Introduction . 139 2. Diagnostic Criteria . 139 3. The Secondary Reactions . 140 4. Problems in Formulation and Treatment . 144 5. Summary . 146 6. References . 146 10. Management of Patients with Hyperventilation-Related Disorders 149 Christopher Bass 1. Introduction . 149 2. Disorders Associated with Hyperventilation . 149 3. Treatments . 150 3.1. Physical Treatments . 150 3.2. Breathing Retraining (Physiotherapy or Controlled Breathing) . 151 3.3. Psychological Treatments . 152 3.4. Breathing Control without the Cognitive Element May Be Ineffective . 152 4. Concluding Remarks. 153 5. References . 154 11. The Role of the Physiotherapist in the Treatment of Hyperventilation 157 Elizabeth A. Holloway 1. Introduction . 157 1.1. Normal Breathing . 158 1.2. Hyperventilators’Breathing Patterns . 158 2. Initial Assessment . 159 2.1. Source of Referral. 159 2.2. Observation . 159 2.3. History . 160 2.4. Symptoms . 160 2.5. Identification of Trigger Factors . 161 2.6. Allergies
. 161 2.7. Other Types of Breathing Training . 162 2.8. Voluntary Hyperventilation. 162 2.9. Panic Attacks. 162
CONTENTS xxiii 3. Reeducation of Breathing Patterns. 163 3.1. Explanation and Demonstration . 163 3.2. Preparation. 164 3.3. Retraining Method . 165 3.4. Frequency of Sessions . 166 3.5. Group Instruction . 167 3.6. Hospitalization. 167 3.7. Medication. 167 3.8. Progress . 168 3.9. Exacerbation of Symptoms. 168 3.10. Posture . 169 3.11. Matching Breathing Patterns to Activities. 169 3.12. Speech . 169 3.13. Clothing. 170 3.14. Practice . 170 3.15. Emergency or Coping Measures (when Pco 2 Is Likely to Fall) . 170 3.16. Challenge. 171 4. Relaxation . 171 4.1. General Physical Relaxation. 171 4.2. Mental Relaxation. 172 4.3. Tape-Recorded Instruction . 173 4.4. Specific Tensions. 173 5. Guidelines for Therapists . 173 6. Conclusion. 174 7. References . 174 8. Further Reading. 175 III. Other Therapeutic Approaches to Breathing Disorders 12. Breathing and Vocal Dysfunction 179 Daphne J. Pearce 1. Introduction . 179 2. Larynx . 179 3. Resonators
. 181 4. Breathing . 181 5. Singing. 182 6. Influences on Breathing and Phonation . 182
xxiv CONTENTS 7. Smoking. 183 8. Posture . 184 9. Vocal Use and Abuse . 184 10. Observation . 186 11. Vocal Dysfunction. 186 12. Therapy . 187 12.1. Relaxation . 188 12.2. Breathing . 188 12.3. Voice Exercises . 188 13. Conclusion and Guidelines for Therapists. 189 14. References . 190 15. Further Reading. 190 13. Respiratory System Involvement in Western Relaxation and Self-Regulation 191 Paul M. Lehrer and Robert L. Woolfolk 1. Introduction . 191 2. Progressive Relaxation . 191 3. Hypnosis . 193 4. Autogenic Training . 193 5. The Alexander Method. 194 6. Meditation . 195 7. Paced Slow Respiration . 196 8. Abdominal Breathing . 197 9. Biofeedback. 198 lb. Relaxation and Hyperventilation . 199 11. Conclusion. 200 12. References . 200 14. Behavioral Management of Asthma 205 Jonathan H. Weiss 1. Introduction . 205 2. Description of Asthma . 205 3. The Role of Psychological Factors in Asthma . 207 3.1. Cognitive
Variables. 208 3.2. Emotional Variables . 208 3.3. Behavioral Variables . 210 3.4. Background Variables . 210
CONTENTS XXV 4. Assessing Psychological Variables in Asthma. 210 4.1. Asthma Interview . 211 4.2. Asthma Problems Checklist (APCL) . 212 4.3. Asthma Attitude Survey (AAS) . 212 4.4. Asthma Diary . 213 5. Treating the Psychological Contributors to Asthma . 213 5.1. Knowing the Facts and Fallacies about Asthma and Its Management . 215 5.2. Knowing One’s Symptom Précipitants and Aggravants . 216 5.3. Knowing and Attending to Early Warning Signs and Knowing What to Do in Response to Them . 216 5.4. Relaxing and Doing Abdominal Breathing . 217 5.5. Talking to the Doctor and Other Members of the Treatment Team . 218 6. Conclusions . 218 7. References . 219 15. Respiratory Practices in Yoga 221 Frank A. Chandra 1. Introduction . 221 2. Pranayama . 221 3. Prolonged Expiration . 222 4. Abdominal Diaphragmatic Breathing. 222 5. Increased Resistance . 222 6. Alternate Nostril Breathing. 222 7. Nasal Passages and Nasal Cycles. 223 8. Asthma. 223 9. Effects of Pranayama on Carbon Dioxide Levels . 224 10. Underbreathing, Normal, and Overbreathing . 225 11. Respiratory Muscles . 226 12. Valsalva Maneuver . 226 13. Comparison of Pranayama and Mechanically Assisted Ventilation. 227 14.
Abdominal Pressures. 227 15. Hormonal Effects . 228 16. Meditation . 229 17. Conclusion. 229 18. Guidelines for Therapists . 230
xxvi CONTENTS 19. References . 230 20. Further Reading. 232 16. Styles of Breathing in Reichian Therapy 233 David Boadeila 1. Introduction . 233 2. Breathing Patterns. 235 3. Muscle-Bound Breathing . 235 4. Intestinal Breathing. 236 5. Breathing as Sucking . 238 6. Schizoid and Hysterical Breathing. 238 7. Words of Caution for Therapists . 241 8. References . 242 9. Further Reading. 242 17. Breathing and Feeling 243 Ashley V. Conway 1. Introduction . 243 2. Life Events, Hyperventilation, and Anxiety: An Integrative Model. 244 3. Implications for Therapy . 248 4. References . 250 18. Breathing Therapy 253 Magda Proskauer 19. Breathing-Related Issues in Therapy 261 Beverly H. Timmons 1. Stress and Breathing . 261 2. Emotion and Breathing. 263 3. Placebo Responses and Breathing . 265 4. Panic Attacks and Breathing . 266 4.1. Models of Panic . 266 4.2. Assessing Treatment Outcome Studies . 267
CONTENTS xxvii 5. Breathing Patterns: Their Significance for Therapists . 270 5.1. Psychophysiological Studies of Breathing Patterns. 270 5.2. Physiological and Clinical Evidence . 271 5.3. Performance and Breathing Patterns . 273 6. Breathing Retraining. 274 6.1. Problems in Retraining Breathing . 276 7. Breathing Measurements in Therapy . 281 7.1. Measurement of Breathing Patterns. 281 7.2. Biofeedback of Respiratory Measurements. 282 7.3. Measurement of Other Parameters of Breathing. 282 7.4. Measuring the Effects of Hyperventilation . 282 8. Future Directions. 286 9. References . 288 Appendix: Publications of the Symposia on Respiratory Psychophysiology . 293 Author Index. 295 Subject Index . 301 |
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| indexdate | 2025-04-03T14:02:23Z |
| institution | BVB |
| isbn | 0306444461 |
| language | English |
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| spelling | Behavioral and psychological approaches to breathing disorders ed. by Beverly H. Timmons ... New York u.a. Plenum Press 1994 XXVII, 321 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Ademhaling gtt Appareil respiratoire - Maladies - Aspect psychosomatique Appareil respiratoire - Psychophysiologie Disturbios psicossomaticos larpcal Hyperventilatie gtt Hyperventilation - Aspect psychosomatique Sistema respiratorio (fisiologia) larpcal Hyperventilation Psychosomatic aspects Respiration Disorders physiopathology Respiration Disorders psychology Respiration Disorders therapy Respiratory Physiological Phenomena Respiratory system Diseases Psychosomatic aspects Respiratory system Psychophysiology Psychosomatik (DE-588)4076418-7 gnd rswk-swf Atemstörung (DE-588)4124577-5 gnd rswk-swf Atemstörung (DE-588)4124577-5 s Psychosomatik (DE-588)4076418-7 s DE-604 Timmons, Beverly H. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006544684&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Behavioral and psychological approaches to breathing disorders Ademhaling gtt Appareil respiratoire - Maladies - Aspect psychosomatique Appareil respiratoire - Psychophysiologie Disturbios psicossomaticos larpcal Hyperventilatie gtt Hyperventilation - Aspect psychosomatique Sistema respiratorio (fisiologia) larpcal Hyperventilation Psychosomatic aspects Respiration Disorders physiopathology Respiration Disorders psychology Respiration Disorders therapy Respiratory Physiological Phenomena Respiratory system Diseases Psychosomatic aspects Respiratory system Psychophysiology Psychosomatik (DE-588)4076418-7 gnd Atemstörung (DE-588)4124577-5 gnd |
| subject_GND | (DE-588)4076418-7 (DE-588)4124577-5 |
| title | Behavioral and psychological approaches to breathing disorders |
| title_auth | Behavioral and psychological approaches to breathing disorders |
| title_exact_search | Behavioral and psychological approaches to breathing disorders |
| title_full | Behavioral and psychological approaches to breathing disorders ed. by Beverly H. Timmons ... |
| title_fullStr | Behavioral and psychological approaches to breathing disorders ed. by Beverly H. Timmons ... |
| title_full_unstemmed | Behavioral and psychological approaches to breathing disorders ed. by Beverly H. Timmons ... |
| title_short | Behavioral and psychological approaches to breathing disorders |
| title_sort | behavioral and psychological approaches to breathing disorders |
| topic | Ademhaling gtt Appareil respiratoire - Maladies - Aspect psychosomatique Appareil respiratoire - Psychophysiologie Disturbios psicossomaticos larpcal Hyperventilatie gtt Hyperventilation - Aspect psychosomatique Sistema respiratorio (fisiologia) larpcal Hyperventilation Psychosomatic aspects Respiration Disorders physiopathology Respiration Disorders psychology Respiration Disorders therapy Respiratory Physiological Phenomena Respiratory system Diseases Psychosomatic aspects Respiratory system Psychophysiology Psychosomatik (DE-588)4076418-7 gnd Atemstörung (DE-588)4124577-5 gnd |
| topic_facet | Ademhaling Appareil respiratoire - Maladies - Aspect psychosomatique Appareil respiratoire - Psychophysiologie Disturbios psicossomaticos Hyperventilatie Hyperventilation - Aspect psychosomatique Sistema respiratorio (fisiologia) Hyperventilation Psychosomatic aspects Respiration Disorders physiopathology Respiration Disorders psychology Respiration Disorders therapy Respiratory Physiological Phenomena Respiratory system Diseases Psychosomatic aspects Respiratory system Psychophysiology Psychosomatik Atemstörung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=006544684&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT timmonsbeverlyh behavioralandpsychologicalapproachestobreathingdisorders |