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GAY PEOPLE'S CHRONICLE
November 20, 1992
Images in the mind can help heal the body
by Jamie Evans
Three years ago, when Cleveland psychotherapist Belleruth Naparstek first started making her series of 14 "Health Journeys" audio tapes for specific illnesses, high priority went to creating one for her patients and friends with HIV and AIDS.
"In the '80's, I was showing people on the HIV spectrum how to use this safe, simple approach." Naparstek, LISW, recalls. "The feedback was enthusiastic. People told me guided imagery helped them relax and regain a sense control over their health."
What exactly is guided imagery? Naparstek, a clinical social worker, adjunct faculty at Case Western Reserve University, and nationally known lecturer, says "Guided imagery is a way of creating images in the mind that direct the body to increase physical and emotional healing. Narratives on the tapes contain positive imagery that is designed to activate the nervous system to send neurohormones (the body's chemical messengers) through the bloodstream to trigger healing activity in the cells."
In order to determine how effective the bodymind link can be for people with HIV,
Lucille Eller, R.N., M.S.N., a Ph.D. candidate at CWRU's Francis Payne Bolton School of Nursing, is currently conducting a study that uses Naparstek's HIV imagery. Her research is being funded by a grant from University Hospitals and will help ascertain whether guided imagery is more effective at one stage than another.
Eller explains, "This is an experimental design looking at groups of adult men and women from Cleveland. They include people who are recently diagnosed HIV and asymptomatic, others who are mildly symptomatic, and finally those who have full-blown AIDS. In one group people are using guided imagery. In another they are doing only a relaxation technique, and in the third they are receiving only standard treatment."
Eller's study is the first of its kind to distinguish the impact of relaxation from guided imagery, and the first to measure long term effects of guided imagery studies using patients with cancer, high blood pressure and other conditions were conducted by hospitals, universities and research institutions nationwide. The results show guided imagery and other relaxation techniques can boost the immune system, lower
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blood pressure, reduce depression, control pain and speed up healing after surgery.
Naperstek explains why. "Guided imagery offers a corrective story to the bodymind by using the body's own special language, the senses. Because of this, it is possible for profound and relatively speedy change to occur."
There are three principles underlying guided imagery that create an ideal environment for patients, she adds. First, in a state of deep relaxation, rapid change and more intense healing can occur. Second, to the body, an image can be just as physically real as an actual event. Finally, people who take an active part in their own healing feel and do better."
Occasionally, a person may feel anxious when using an HIV tape, because they are frightened by specific images of the virus. In this case Naparstek recommends other tapes that include general wellness, depression and grief. "This is a way for people to attend to their health...I have a seropositive friend who does an enormous amount of work with other tapes. Guided imagery has helped him settle into his body and connect with what it needs."
Naparstek is quick to point out that
guided imagery is "complementary" medicine and not a substitute for regular medical care. She consulted with leading medical experts while researching her information for the Health Journeys series of tapes. Michael Lederman, M.D., John Carey, M.D., and Stefan Ripich, R.N. along with many HIV patients, were her advisers for the HIV tape. Similar research went into Health Journeys for diseases that include cancer, asthma, multiple sclerosis, rheumatoid arthritis, and diabetes; mental health concerns such as grief, depression and relationships; and medical procedures such as chemotherapy and surgery.
Although guided imagery has helped many people feel they are taking responsibility for their health, it does not work for everyone. However, studies show a person's ability to use it will grow with experience. And as Naparstek sees it, the benefits can be enormous. "The imagery isn't just about the cells. It's imaging the reduction of symptoms and battling fatigue and depression. That, in turn, helps a person get back in touch with wanting to be a part of things and participate fully in their life."
Health Journeys are available at Medic Drugstore or by mail order from Image Paths, Inc., 216-623-4675.
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