AI Melehin*

PhD, Associate Professor, Clinical Psychologist of the Highest Qualification Category, Consultant Somnologist, Cognitive Behavioral Therapist, Psychoanalyst of Psychosomatic Orientation (Paris School, IPSO), Psychoncologist, Body-Oriented Therapist, Titular Member of the Academy of Cognitive Therapy, USA

*Corresponding Author: AI Melehin, PhD, Associate Professor, Clinical Psychologist of the Highest Qualification Category, Consultant Somnologist, Cognitive Behavioral Therapist, Psychoanalyst of Psychosomatic Orientation (Paris School, IPSO), Psychoncologist, Body-Oriented Therapist, Titular Member of the Academy of Cognitive Therapy, USA.

Received: April 25, 2024; Published: June 05, 2024

Abstract

Every year, such a direction of clinical psychology and urology as «psychosomatic»/«psychodynamic» urology is gaining momentum, which examines the interactions between the body and the nervous system, the mental organization of the patient in the functioning of the pelvic organs and pelvic floor. In the cycle of our work since 2019, it has been shown [1-10] that the bladder, rectum, pelvic floor, and genitals are very vulnerable to psychosomatic phenomena, acting as a kind of thermometer of distress and conflict. In addition to physical causes, malfunctions in these organs are often associated with events in consciousness, certain types of reactions to everyday events and social conditions of life. However, these connections are often overlooked or not given sufficient attention by general practitioners. Recall that bladder function control is learned in the first years of life. Physiologically, it is a very complex system that is very susceptible to disorders. Neurophysiologically, urination behavior is a hierarchically structured control circuit with cognitive-conscious motor components and affective-unconscious components. Thus, in the broadest sense, urination is associated with the excretion, emission, stopping of urine with delay and restraining functions. In principle, there is a deliberate relationship between the human psyche and bladder dysfunctions (urinary incontinence, pollakizuria, dysuria, urge symptoms, urination disorders): somatic disease affects the mental state. This explains the fact that different people experience similar situations in different ways and cope with them (coping strategies), someone is somatized, and someone is not. Thus, with the development of bladder dysfunctions or other urogynecological symptoms, it is necessary to take into account the individual psychological situation and the mental status of the patient, to understand the peculiarity of the symptom, why it arose right now, the cycle of occurrence, the characteristics of resilience/stability, conflict, vulnerability.

References

1. Melehin AI. “Cognitive behavioral therapy in the complex treatment of chronic prostatitis and pelvic pain syndrome”. Digest of Urology 5 (2019): 26-32.
2. Melehin AI. “Genetic and urogenic diagnostics: tactics of cognitive-pedagogical psychotherapy”. Neurodynamics”. Journal of Clinical Psychology and Psychiatry 4 (2019): 47-56.
3. Melehin AI. “Cognitive behavioral psychotherapy of chronic pelvic pain syndrome: specificity and effectiveness”. Experimental and Clinical Urology 1 (2020): 80-96.
4. Melehin AI. “The remote form of cognitive behavioral psychotherapy of refractory irritable bowel syndrome”. Journal of Telemedicine and Electronic Health Care2 (2020): 30-46.
5. Melehin AI. “Recurrent cystitis in women as a somatoform disorder”. The third Kornilov readings. Clinical and socio-biological aspects of affective pathology: a collection of abstracts of the interregional scientific and practical conference dedicated to the memory of the professor. Tomsk: TSU (2021): 115-121.
6. Melehin AI. “Psychological characteristics of women with chronic recurrent cystitis”. Actual problems of psychiatry and narcology in modern conditions: materials of the all-scientific and practical conference of the Russian second Kandinsky readings. Chita (2021): 71-74.
7. Melehin AI. “Specificity of psychological functioning of patients with interstitial cystitis”. Experimental and Clinical UROLOGY 3 (2021): 49-59.
8. Melehin AI. “Clinical and psychological aspects of chronic urological pelvic pain syndrome”. Psychiatry, Psychotherapy and Clinical Psychology3 (2021): 536-553.
9. Melehin A I. “The connection between chronic pelvic pain syndrome and pathological narcissism in men”. Digest of Urology 4 (2022): 88-98.
10. Melehin AI. “Specifics of coping strategies for coping with stress in women with interstitial cystitis: factor analysis”. Digest of Urology 3 (2022): 46-57.
11. Debus G and Kestner R. “Psychosomatic aspects of urinary incontinence in women”. Geburtschilfe Frauenhail2 (2015): 165-169.
12. Baldoni F., et al. “Urethral syndrome: a study in the field of psychosomatic urology”. The Psychotype of Another Psychosome1-3 (1989): 114-118.
13. van Knippenberg V., et al. “Multidisciplinary treatment of functional urological disorders with concomitant psychosomatic pathology at the tertiary pelvic care center - a retrospective cohort study”. A Neurological Freak4 (2022): 1012-1024.
14. Shimizu T., et al. “Effects of psychological/mental stress on urination function: Possible brain molecules associated with the effects of psychological/mental stress on urination function”. 28.11 (2021): 1093-1104.

Citation

Citation: AI Melehin. “Russian School of Psychosomatic Neurology: Key Aspects”.Acta Scientific Medical Sciences 8.7 (2024): 30-33.

Copyright

Copyright: © 2024 AI Melehin. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.