Formative Psychology

Stress & Disease

Chronic Eczema

Highly significant Improvement of Skin Condition, Anxiety, Depression and Helplessness after Treatment with Formative Psychology (Keleman)

Gerhard Zimmermann, MD
Mainz, Germany

Eczema is caused to a considerable extent by stress and a chronically aroused nervous system. Allergies can aggravate in some cases the eczema and the itching, but are an additional symptom and not the real cause of the eczema. Allergies are overreactions of the immunesystem and are promoted by an increasing amount of sensual stimulation typical for the information age. Itching is an expression of an highly aroused autonomic nervous system while scratching reduces excitement and helps the patient regulate his tension.

Patients with allergies and eczema have distinct somatic and arousal patterns. These patterns go along with pressure, anger, anxiety, depressiveness, helplessness and passivity. Formative Psychology developed by Stanley Keleman (www.centerpress.com) dramatizes and disorganizes these behavioral patterns and creates a relationship between behavior and the symptoms. This somatic dialog allows the patient to recognize behavior patterns he was unaware of in connection with his symptoms. The Symptom is understood as a crises that requires a change in behavior. The therapy helps a patient to manage individual and disease related conflicts.

In a controled scientific study 41 patients with severe eczema were treated three month with Formative Group Psychotherapy. The treatment lead to a highly significant improvement of skin condition, anxiety, depression and helplessness. One year after the treatment the health state improved even further. Additionally the tendency to allergic reactions decreased and the total blood IgE level was significantly lowered.
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Total Body Severity Assessment in Atopic Dermatitis


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Itching in Atopic Dermatitis - Marburger Coping Questionnaire for Skin Diseases


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IgE Blood Levels in Atopic Dermatitis


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»Geidt H.-T.: Durchführung und Evaluation eines gruppenpsychotherapeutischen Programmes bei Neurodermitispatienten. Dissertation, Mainz 1998.

»Zimmermann G.: Psychosomatik des atopischen Ekzems (Neurodermitis). In: Allergologie Systematisch, Schopf R., Hrsg., 1. Aufl. 1997, pp 127-131.

This study was performed at the Department of Dermatology, University of Mainz, Direktor Prof. Dr. med. Jürgen Knop and was supported by the Department of Psychology, University of Mainz, Direktor Prof. Dr. Martin Hautzinger.
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»Website von Stanley Keleman (http://www.centerpress.com)
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For more information please call or write to:

Dr. med. Gerhard Zimmermann
Dermatologist - Behavioural Medizin

Schillerplatz 20
D-55116 Mainz

  +49 - 61 31 - 23 51 00
  +49 - 61 31 - 23 51 09
   
  dr.g.zimmermann@t-online.de
  www.stressmanagement.de

 

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Dr. med. Gerhard Zimmermann
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