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LEONARDO MACHADO
leomachadot@gmail.com
Recife, Pernambuco
(Brasil) |
Translation
Mani Fagundes dos Santos
- manifagundes@yahoo.co.nz |
Aetiologies of the
panic
disorder
The
panic disorder is a very
afflicting disease, but
its prognosis is
not so bad then, as the
medical literature shows
impressive
results and motivating
recovery
Panic disorder is a
syndrome characterized
by the occurrence of
recurrent panic attacks
typically unpredictable
and spontaneous. These
are distinct episodes of
fear or anxiety, which
lead to several related
somatic symptoms such as
palpitations and
sweating. They are so
painful for individuals
who have it as they feel
they are dying. Its
aetiology, however,
still remains unknown to
conventional medicine.
In spite of that studies
of the human genome have
identified suggestive
risk loci at 1q, 7p15,
10q, 11p and
13q.However,it is
unclear how the
autonomic nervous system
in this syndrome
exhibits
an
increased
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sympathetic tone
(this is a
system of
"alert" that
creates many
changes in the
body), adapts
itself more
slowly to
repeated stimuli
(the interesting
thing is that it
adapts itself
faster in half)
and responds
excessively to
moderate stimuli
(ideally it
would have a
balance). This
implies that,
certainly, these
patients have an
exaggerated
sensitivity to
somatic
symptoms, and
this triggers a
state of
increased
vigilance that
precipitated the
attacks. We
know, too, that
the brain stem
(composed of the
mesencephalon
(or midbrain),
the medulla and
the bridge), the
limbic system
and pre-frontal
cortex are the
most important,
in the scope of
the central
nervous system
in the genesis
of panic.
Speaking on
Neuroendocrine
terms, one can
see that, among
other
abnormalities,
at least three
neurotransmitter
systems are
involved: a
norepinephrine,
serotonin and
Gamma-amino
butyric acid
(GABA).
Recently,
through research
with brain
imaging, such as
emission
tomography for
positrons, it is
perceived that
the attacks of
panic are
associated with
cerebral
vasoconstriction. |
So far, however, we only
showed somatic
aetiologies. However,
these causes can be
called, how I often do,
cause-consequence, of
causes-instrument or
causes-environment, as
it does not manage to
solve the fundamental
problem from the
beginning, when
explaining the reasons
why from the moment that
the phenomena started.
We must therefore take
into account the
psychosocial factors.
Fear is a major
motivating force of
human conduct, because
it is a factor
of life preservation
Noting, therefore, the
cognitive-behavioural
theories, we would see
that, according to the
classical conditioning,
a noxious stimulus that
occurs with a neutral
stimulus could result in
the avoidance of the
second. Although these
theories they are good
to explain the severity
of the panic attacks,
like the biological
causes mentioned above,
they can not answer the
following question: Why
is there a first panic
attack?
Thus, it is necessary to
understand the specific
psychological causes. In
this perspective fear
and anxiety are the main
figures in the
aetiology. And, although
they are quite similar,
they possess features
that distinguish them.
Fear is a major
motivating force of
human conduct. This is
because it is a factor
for preserving life,
defence and protection,
which is the increase in
the instinct of
self-defence,
conservation. Thus, when
well run, fear turns
into prudence and
balance, helping in
decision-making, at
least at the beginning
of the evolutionary
journey. When, however,
disproportionate, it
becomes
psychopathological
expressions in the form
of a panic disorder, for
example.
Anxiety, on the other
hand, although its
definition to be very
difficult, even for
Etymological issues, is
a distressing emotional
state characterized by
unpleasant feelings of
anticipation of an
imminent danger. It is
not known, however, why.
Before, is a state of
general anxiety in
anticipation of
suffering, which has no
obvious reason.
Aside from these two
forces, another entity
should be highlighted:
guilt. That's because it
is closely linked to the
genesis of both. Guilt
generates fear, by
various processes, and
these, when thrown to
the deep unconscious,
could bring up anxiety,
when tangible
manifestations appear.
It is
the immortal spirit
that, according to
Spiritism,
the origin of all
distressing process,
especially in
psychopathology
This triad:
guilt-fear-anxiety, may
have their origins in
childhood, as Sigmund
Freud pointed out,
through wrong
educational processes,
for example, that instil
fear based on a
threatening bringing up
based on trade and
rewards; or that
generate parents
projections on their
children, based on
educating children as if
they were a continuation
of the parents, forming
guilt in them if they do
not do what is expected
from them. Guilt can
also be created by a
loss in this period,
whether physical,
especially the death of
parents, geographic,
especially by divorce,
or sentimental, when the
parents deprive the
children of their
companies, making with
them emotional trade,
buying with the money
they earn at the lack of
family living. And in
individuals that are
more emotionally
fragile, the vulnerable
condition of the planet,
which is subject to many
natural shocks, can
generate uncontrolled
states, and therefore
psychopathological
disorders. Emphasised by
the garbage news media
that exalt the freak and
the grotesque.
At this point, however,
reflection on the
essential human nature
is needed, and thus it
is imperative to
reformulate the concepts
brought by compendiums
that are intended for
the study of the psyche,
adding them the words
spirit and perispirit.
When this happens, many
insoluble problems
attain solutions. Since
it is the immortal
spirit, which is the
origin of all
distressing process,
especially in
psychopathologies. Is
Valuable, therefore, to
remember the words of
the eminent Allan Kardec:
"taking into account
only the ponderable
material element,
Medicine, in assessing
the facts, deprives
itself of a constant
cause of action. With
knowledge of perispirit
is the key to many
insoluble problems of
today "(*).
Thus, admitting the
existence of the spirit
and the ethereal
envelope around it, it
is easy, to deduct the
reencarnatory reality of
it. At this point, it is
understood that the
triad
(guilt-fear-anxiety),
also may have its origin
in spiritual frame, as
the panic disorder is
rooted in being who
disregarded the laws of
God, and, because these
are imprinted in the
consciousness of the
individual, even if
human justice can not
observe the offence, the
offender himself keeps
this triad on their
psychic webs.
The
sum of educational
processes and wrong
experiences in various
previous reincarnations
contribute trigger the
panic
Thus, because the
individual was
unpunished in his/her
past life, he/she
reincarnates following
an intimate view of a
need to get rid of the
guilt, with a
physiological
predisposition,
imprinting in the genes
the necessity of
repairing the crime.
This guilt, although not
identifiable with an
obvious cause in the
present life, generates
terrible anguish that
the individual has a
tendency of
self-punishment, as a
frustrating way to get
rid of it. Moreover, it
brings the fear of being
identified. When this
fear is bombarded in to
the deep unconscious, in
an attempt to be
forgotten, it generates
the motivating somatic
manifestations of
anxiety. Moreover, the
very sum of educational
processes and wrong
experiences in various
previous reincarnations
contribute to onset the
panic.
A similar state opens
the individual’s
psychological barriers
to the interventions of
disincarnate spirits.
Therefore, when the
obsession is installed,
the victim will be
bombarded by a parasite
exchange, with
terrifying images of
clichés that are set up
to become alive and
menacing. These images,
in turn, can be obtained
by spiritual entities,
from the depths of the
offender’s
unconsciousness, when
he/she fits the
description on the
previous paragraph, or
even do not have deep
respect for the mistakes
of the past, the
obsessing spirits send
these images and the
ones that are obsessed
accept them. It is
indeed a mix of these
situations.
Thus, without a shadow
of a doubt, as you can
see, the panic disorder
is a very afflicting
disease. Fortunately,
its prognosis is not so
bad so. The data of the
medical literature shows
impressive results and
motivating recovery. And
if they only take into
account the benefits of
drugs and psychotherapy,
what about the
possibilities of the
association of these
treatments with
spiritual therapy?
References:
1. Kaplan, Harold I.
Sadock, Benjamin J.
GREBB, Jack A. trad.
Dayse Batista.
Compendium of
Psychiatry: behavioral
sciences and clinical
psychiatry. 7. Ed. 6th
reprint. Porto Alegre:
Artmed, 1997, Capt..
16.2, p.553-562.
2. Harrison internal
medicine. Editor Dennis
L. Kasper ...
[et al.]. 16. ed.
Rio de Janeiro:
McGraw-Hill
Interamericana do Brasil
Ltda., 2006, Capt..
371, p.2672-2674.
3. Moore, Burness E.
Fine, Bernard D.
Psychoanalytic terms and
concepts.
3. ed. Porto Alegre:
Artes Medical, 1992,
p.17-18.
3. Grünspun, H. Neurotic
disorders in children -
and Psychodynamic
Psychopathology. 1. Ed.
capt.15, p.455-456.
4. Machado, A.
Functional neuroanatomy.
2. ed. São Paulo:
Editora Atheneu, 2005,
Cap.20, 27, 28, p.195,
270-271, 277.
5. Franco, P. Divaldo
Love, unbeatable love.
Spirit by Joanna de
Angelis. 2. Ed. Bahia:
LEAL Publisher, 1998,
capt.10, p.195-198.
6. Franco, P. Divaldo
Autodescobrimento - a
search inside.
Spirit by Joanna de
Angelis. 11. Ed. Bahia:
LEAL Publisher, 1995,
capt.9, p.117-120.
7. Franco, P. Divaldo
Existential conflicts.
Spirit by Joanna de
Angelis. 1. Ed. Bahia:
LEAL Publisher, 2005,
capt.4, 6, 8, p.49-62,
73-82, 97-106.
8. Kardec, Allan. The
Spirits' Book.
76. ed.
Rio de Janeiro: FEB,
questions 459 and 621.
(The order of service).
9. Kardec, Allan. The
Mediums' book.
62. ed. Rio de Janeiro:
FEB, Part II, capt.I,
paragraph 54, p.78.
(*)
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