2oi2r24, 428 Terapia efler La Sintesis Efler / Efler Synthesis by Waldo Mora Ulloa waldo@efler.cl RESUMEN Effer es la voz elegida para nominar esta intervencién cientifica, humanista y educativa, creada para la mujer, que consiste de tres acciones paralelas: (1) effleurage refinado, donde las aferencias tactiles del grupo C, distribuidas por las mitades distales de las extremidades, la cabeza, el cuello y el rostro de la clienta, son estimuladas de manera éptima, segin los parémetros fisiolégicos de tales fibras nerviosas; (2) la clienta escucha un fondo musical sin voces; (3) la clienta realiza un ejercicio de imagineria especifico, indicado por el guia. El tiempo de sesién es aproximadamente una hora y, aparte de las instrucciones iniciales, no hay palabras mientras se realiza el proceso ni después de terminar la intervencién. El objetivo de la efler es conducir el sistema nervioso de la clienta hacia un estado de actividad simpatica baja, actividad parasimpatica alta y niveles favorables de algunas neurotransmisoras, como endorfinas, dopamina, serotonina y otras. Mediante tales cambios neurofisiolégicos se pretende retrotraer la intensidad del sindrome general de adaptacién, asi como también canalizar una conformacién de actividad enceféllica favorable, que se manifieste como mejoramientos, tanto emocional como afectivo (tratamiento Para la depresién anaclitica, seguin el paradigma de Rene Spitz). PALABRAS CLAVE Aferencias CT, neotenia, caricia, apego, vinculo, hospitalismo, Rene Spitz, terapia musical, imagineria Quiada, mujer, emocién, afecto, estrés, depresién anacltica, piel, effleurage, efler, bienestar. DEDICATORIA Y AGRADECIMIENTOS A Carolina Andrea (Colita), quien valoré favorablemente esta intervencién y me alenté a difundirla. A las clientas, por su confianza y su aporte al estudio neurofisiolégico de la efler. ABSTRACT Efler is the word chosen to nominate this scientific, humanist, and educational intervention, created for the woman, that consists of three parallel actions: (1) modified effleurage, where the tactile afferents of group C, distributed by the distal halves of the limbs, head, neck and face of the client, are optimally stimulated, according to the physiological parameters of these nerve fibers; (2) the client listens to a voiceless musical backaround; (3) the client performs a specific imagery exercise, indicated by the guide. The session time is approximately one hour and, apart from the initial instructions, there are no words during the process or after the intervention is finished. The purpose of efler is to lead the client's nervous system to a state of low sympathetic activity, high parasympathetic activity, and beneficial amounts of some neurotransmitters, such as endorphins, dopamine, serotonin and others, By means of such neurophysiological changes is intended to retract intensity of the general syndrome of adaptation, as well as funnel a favorable conformation of encephalic activity that manifests as improvements, both emotional and affective (treatment for anaclitic depression, according to the Rene Spitz paradigm). KEYWORDS hitpseferl 162oi2r24, 428 Terapia efler CT afferences, neoteny, caress, attachment, bond, hospitalism, Rene Spitz, music therapy, guided imagery, woman, emotion, affection, stress, anaclitic depression, skin, effleurage, efler, well-being. DEDICATION AND ACKNOWLEDGEMENTS To Carolina Andrea (Wédelein), who favorably valued this therapy and encouraged me to make it known. To all women clients, for their trust and contribution to the physiological study of the efler. REFERENCIAS / REFERENCES + Ackerley, Rochelle, Helena Wasting, Jaquette Liljencrantz, H8kan Olausson, Richard D. Johnson, and Johan Wessberg (2014). Human C-Tactile afferents are tuned to the temperature of a skin-stroking caress. The Journal of Neuroscience 34 (8): 2879- 2883. + Barrett, Kim, Heddwen Brooks, Scott Boitano, and Susan Barman (2010). Ganong’s Review of Medical Physiology (23th Ed). McGraw-Hill Medical + Berridge, Kent, and Morten Kringelbach (2011). Building a neuroscience of pleasure and well-being. Psychology of Well-Being 3: 1-26. + Bolgeri, Pedro, Comunicaciones personales y eventos significativos que ocurrieron durante talleres de psicologia humanista realizados en la Universidad Educares y Universidad de La Serena. ‘+ Boric, Alejandro. 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McGraw-Hill / Interamericana. + Chanda, Mona Lisa, and Daniel Levitin (2013). The neurochemistry of music. Trends in Cognitive Sciences 17 (4): 179-193. + Cline, Kyle (1999). Chinese Massage for Infants and Children. Healing Arts Press, Rochester, Vermont, + Cosgrove, Kelly, Carolyn Mazure, and Julie Staley (2007). Evolving knowledge of sex differences in brain structure, function and chemistry. Biol. Psychiatry 62 (8): 847-855. + Crespi, Bernard, and Emma Leach (2013). The evolutionary biology of human neurodevelopment. In Evolutionary Developmental Anthropology, edited by Julia Boughner and Campbell Rolian. Wiley. + de Ridder, Dirk (2007), Brain and nerve stimulation for mood enhancement. Philosophica 79: 11-24, + Enesco, Ileana (2001). Psicologia del Desarrollo. www.encicionet.es + Emde, Robert, Paul Polak, and René Spitz (1965). Anaclitic depression in an infant raised in an institution. Journal of The American Academy of Child and Adolescent Psychiatry 4 (4): 545-553. + Emde, Robert (1998). Las influencias integradores de los procesos afectivos en el desarrollo y en el psicoandlisis, Psicoandlisis APdeBA 20 (3): 473-516. hitpseferl 2162oi2r24, 428 Terapia efler Ferrari, Alize, Fiona Charlson, Rosana Norman, Scott Patten, Greg Freedman, Christopher Murray, Theo Vos, and Harvey Whiteford (2013), Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLOS Medicine 10 (11):1-12. Goyal, M., S. Singh, E. Sibinga, N. Gould, A. Rowland-Seymour, R. Sharma, Z. Berger, D. Sleicher, D. Maron, H. Shihab, P. Ranasinghe, S. Linn, S. Saha, E. Bass, and J. Haythornthwaite (2014). Meditation Programs for Psychological Stress and Well-Being. Comparative Effectiveness Review 124. Hidore, Suzanne (1997). The primary prevention of psychosocial disorders: A caring, loving relationship. The Person-Centered Journal 4: 8-17. Jackson, Emily, Patrick McNeil, and Lauren Schlegel (2008). Does therapeutic touch help reduce pain and anxiety in patients with cancer? Clinical Journal of Oncology Nursing 12 (1): 113-120. Juslin, Patrik, and Daniel Vastfjaall (2008). Emotional esponse to music. Behavioral and Brain Sciences 31: 559-621. Kerr, Fiona, Rick Wiechula, Rebecca Feo, Tim Schultz, and Alison Kitson (2016). The neurophysiology of human touch and eye gaze and its effects on therapeutic relationships and healing: a scoping review protocol. JBISRIR: 60-66. Kim, Suck, Carlos Schenck, Jon Grant, Gihyun Yoon, Peter Dosa, Brian Odlaug, Liana Schreiber, Thomas Hurwitz, and James Pfaus (2013). Neurobiology of sexual desire. NeuroQuantology 11 (2) 332-359 Kokubo, Hideyuki, Mikio Yamamoto, and Kimiko Kawano (2007). Standard Evaluation Method of Non- contact Healing Using Biophotons. Journal of International Society of Life Information Science 25: 30-39 Kut, Elvan, Victor Candia, Jan von Overbeck, Judit Pok, Daniel Fink, and Gerd Folkers (2011). Pleasure-related analgesia activates opioid-insensitive circuits. The Journal of Neuroscience 31 (11) 4148 - 4153. Lam Kam Chuen (1991). The Way of Energy. Simon & Schuster. Leuner, Hanscarl (1969). Guided affective imagery (GAI). American Journal of Psychotherapy 23 (1) 4-22. Lin Yutang (1942). The Wisdom of India and China. Random House. Linguist, Kristen, Ajay Satpute, Tor Wager, Jochen Weber, and Lisa Barrett (2015). The brain basis of positive and negative affect. Cerebral Cortex 2015: 1-13. Maturana, Humberto, y Francisco Varela (1984). £1 Arbol def Conocimiento. Editorial Universitaria, Santiago de Chile Maturana, Humberto, y Susana Bloch (1996). Bailando Juntos. Dolmen, Santiago de Chile. Mckinney, Cathy, Michael Antoni, Mahendra Kumar, Frederick Tims and Philip McCabe (1997). Effects of guided imagery and music (GIM) therapy on mood and cortisol in healthy adults. Health Psychology 16 (4): 390-400. Montagu, Ashley (1955). Time, morphology, and neoteny in the evolution of man. American Anthropologist 57 (1): 13-27. Montagu, Ashley, and Floyd Matson (1979). The Human Connection. McGraw-Hill Book Company, New York. Mumford, Susan (1995). A Complete Guide to Massage. Octopus, London. Olausson, Hakan, Johan Wessberg, India Morrison, Francis McGlone, and Ake Vallbo (2010). The neurophysiology of unmyelinated tactile afferents. Neuroscience and Biobehavioral Reviews 34: 185- 191. Olausson, Hakan, Johan Wessberg, India Morrison, and Francis McGlone (Editors, 2016). Affective Touch and the Neurophysiology of CT Afferents. Springer. Patel, Aniruddh (2010). Music, biological evolution, and the brain. In Bailar, M., (Ed), Emerging Disciplines, pages 91-144, Rice University Press, Houston. hitpseferl ais2012128, 428 Terapia efter + Pawling, Ralph, Peter Cannon, Francis McGlone, Susannah Walker (2017). C-tactile afferent stimulating touch carries a positive affective value. PLoS ONE 12 (3): 0173457. + Purves, Dale, Editor et al (2004), Neuroscience. Sinauer. + Skulachey, Vladimir, Susanne Holtze, Mikhail Vyssokikh, Lora Bakeeva, Maxim Skulachev, Alexander Markov, Thomas Hildebrandt, and Viktor Sadovnichii (2017). Neoteny, prolongation of youth: from naked mole rats to "naked apes" (humans). Physiol. Rev. 97: 699-720. + Spitz, Rene (1996). El Primer Affo de Vida del Nifio. Fondo de Cultura Econémica, México D-F. + Squire, Larry, Darwin Berg, Floyd Bloom, Sasha Du Lac, Anirvan Ghosh, and Nicholas Spitzer (2008) Fundamental Neuroscience. Elsevier. + Svensson, Johan (2014). Neural Correlates of Pleasure. School of Bioscience, University of Skévde, Sweden + Vigotsky, Andrew, & Ryan Bruhns (2015). The neurophysiological response to manual therapy and its analgesic implications: A narrative review. Peer) PrePrints 3: e996v1. + World Health Organization (2013). Assessment and Management of Conditions Specifically Related to Stress, Geneva. + Yang Jwing-Ming (1946). The Root of Chinese Chi Kung. YMAA Pul Massachusetts, ation Center. Jamaica Plain, EL AUTOR / AUTHOR Licenciado en Ciencias (1984) y Magister en Ciencias Biolégicas (1988), por la Facultad de Ciencias de la Universidad de Chile. Participacién en diversos cursos y talleres, en especial de los ambitos del comportamiento humano, psicologia humanista, informética y educacién superior. Ex miembro de Sociedad de Genética de Chile, Behavior Genetics Association y Parasychologycal Association. Ejercicio profesional en las universidades de Chile (2a), Diego Portales (17a), Educares (10a), de Aconcagua (9a), y también en algunas otras instituciones, principalmente como académico en la formacién de psicélogos. Areas de interés: genética, neurofisiologia, comportamiento, psicologia, estadistica, desarrollo de software, métodos numéricos y simulacién computacional Bachelor of Science (1984) and Master of Biological Sciences (1988), by the Faculty of Sciences, University of Chile, Participation in several courses and workshops, specially about human behavior, humanistic psychology, computer science and higher education. Former member of Genetics Society of Chile, Behavior Genetics Association, and Parasycholagycal Association. Professional practising in the universities of Chile (2y), Diego Portales (17y), Educares (10y), Aconcagua (9y), and some other institutions too, mainly as lecturer in education for psychology students. Fields of interest: genetics, neurophysiology, behavior, psychology, statistics, software development, numerical methods, and computer simulation. PUBLICACIONES RELEVANTES / RELEVANT PUBLICATIONS + Mora, Waldo (1985). Aplicacién del principio "El fenémeno es siempre més que una medida de él", en un estudio etolégico y genético de trayectorias de larvas del género Drosophila [Tn: Application of the principle "The phenomenon is always more than a measure of it", in an ethological-genetic study of Drosophila larvae trajectories], Coloquio Estudiantil Sobre Ciencia. Pontificia Universidad Catélica de Chile, Santiago de Chile. + Mora, Waldo (1986). Aproximacién a la arquitectura genética de la geotaxis larval en Drosophila [Tn: Approximation to genetic architecture of larval geotaxis in Drosophila]. Trabajo de Incorporacién. Reunién Anual de la Sociedad de Genética de Chile, Colegio Médico de Chile, La Dehesa, Chile. + Troncoso, Brunilda, Raul Godoy-Herrera and Waldo Mora (1987). The development of larval movement patterns in Drosophila [Tn: El desarrollo de patrones de movimiento en larvas de Drosophila]. Heredity 58: 321-330. + Doggenweiler, Carlos, Maria Ferndndez, Ariel Ahumada y Waldo Mora (1988). Validacién de resultados de la simulacién computacional del desarrollo temprano de mamiferos [Tn: Substantiation of computer simulation results to early mammalian development]. Reunién Anual de la Sociedad de Biologia de Chile, La Serena, Chile hitpseferl 462oi2r24, 428 Terapia efler Mora, Waldo (1988). Diferencias intersexuales en las preferencias cromaticas de Homo sapiens [Intersex differences in chromatic preferences of Homo sapiens]. Reunién Anual de la Sociedad de Genética de Chile, Universidad del Bio Bio, Chillén, Chile. Mora, Waldo, y Ximena Diaz (1993). Herencia de la onicofagia I: validacién de un modelo autosémico recesivo mediante simulacién [Tn: Inheritance of onicophagy I: validation of an autosomal recessive model through simulation}. Reunién Anual de la Sociedad de Genética de Chile, Universidad Metropolitana, Santiago de Chile. Letelier, Juan, Humberto Maturana, Waldo Mora, and Jorge Mpodozis (1993). Velocity conduction groups in the optic nerve of the pigeon [Tn: Grupos de velocidad de conduccién en el nervio éptico de la paloma]. Annual Neuroscience Meeting Abstracts 19:529. Washington D.C. Mora, Waldo, Sergio Schilling, Carmen Ramirez y Juan Cruz (2004). Aumento de la entropia numérica asociado a las mediciones de clarividencia y precognicién utilizando generadores de numeros aleatorios y pseudoaleatorios [Tn: Increased numerical entropy associated with clairvoyance and precognition measurements using random and pseudorandom number generators}. II Encontro PSI, Livro de Registro de Trabalhos Apresentados: 148 - 153, Universidade Becerra de Meneses, Curitiba, Brasil Mora, Waldo, y Sergio Schilling (2006). Estudio preliminar de la relacién entre Psi experiencial y Psi experimental utilizando un cuestionario breve y una computadora equipade con dispositive TRNG [Th: Preliminary study of relationship between experiential Psi and experimental Psi using a brief questionnaire and a TRNG device equipped computer]. 3rd Psi Meeting: Implications and Applications of Psi, Proceedings of Presented Papers: 53 - 58, Universidade Becerra de Meneses, Curitiba, Brasil Schilling, Sergio, and Waldo Mora (2007). Genetic analysis of psi experiences [Tn: Anilisis genético de las experiencias psi]. 50th Annual Parapsychological Association Convention Proceedings: 212- 216. McGill University, Halifax, Canada. iniciado el 23 de junio de 2017 TT DT IN INFANCY (AN ATTEMPT AT TH SSIFIC Arpad Spitz (1887, Vienna - 1974, Denver) lm -- New York University hitpseferl 562oi2r24, 428 hitpseferl Terapia efler 86