{"id":246487,"date":"2026-09-29T22:35:19","date_gmt":"2026-09-29T20:35:19","guid":{"rendered":"https:\/\/www.logosynthesis.international\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/"},"modified":"2026-09-29T22:35:19","modified_gmt":"2026-09-29T20:35:19","slug":"heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection","status":"publish","type":"post","link":"https:\/\/www.logosynthesis.international\/it\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/","title":{"rendered":"Frequenza cardiaca e stress nel sindrome da affaticamento cronico: una riflessione su un caso clinico"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><a href=\"https:\/\/news.logosynthesis.international\/2026\/07\/09\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/#engl-news\">English<\/a> <a href=\"https:\/\/news.logosynthesis.international\/2026\/07\/09\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/#franz-news\">Fran\u00e7ais<\/a> <a href=\"https:\/\/news.logosynthesis.international\/2026\/07\/09\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/#ital-news\">La citt\u00e0 di San Giovanni Rotondo \u00e8 situata nella parte meridionale della Puglia, a circa 100 km da Bari e a circa 15 km da Trani.<\/a><\/p>\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" data-recalc-dims=\"1\" loading=\"lazy\" width=\"1024\" height=\"668\" data-attachment-id=\"5339\" data-permalink=\"https:\/\/news.logosynthesis.international\/2026\/07\/09\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/pngfree-heart-rate-7504343\/\" data-orig-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=3000%2C1956&amp;ssl=1\" data-orig-size=\"3000,1956\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"pngfree-heart-rate-7504343\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=1024%2C668&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?resize=1024%2C668&amp;ssl=1\" alt=\"\" class=\"wp-image-5339\" \/><\/figure>\n<h2 class=\"wp-block-heading\"><strong>Herzfrequenz und Stress beim Chronischen Fatigue-Syndrom: Eine Fallreflexion<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Beim Chronischen Fatigue-Syndrom (CFS) ist der K\u00f6rper h\u00e4ufig nicht nur ersch\u00f6pft, sondern befindet sich auch unter einem anhaltenden Ma\u00df an physiologischem und psychologischem Stress. Die Herzfrequenz kann mitunter als einer der beobachtbaren Indikatoren dieser inneren Belastung dienen, obwohl sie von vielen Faktoren beeinflusst wird und daher mit Vorsicht interpretiert werden sollte.<\/p>\n<p class=\"wp-block-paragraph\">Der folgende Fall wurde von Dr. med. Suzanne von Blumenthal (Bad Ragaz, Schweiz) vorgestellt, Fach\u00e4rztin f\u00fcr Psychiatrie und Psychotherapie mit \u00fcber 30 Jahren klinischer Erfahrung. Sie war an der Einf\u00fchrung der Logosynthese in psychiatrische und psychotherapeutische Kreise in der Schweiz und international beteiligt. Derzeit leitet sie das Institut f\u00fcr Logosynthese Schweiz und bietet Aus- und Weiterbildungen sowie Supervision f\u00fcr Gesundheitsfachpersonen und multidisziplin\u00e4re Teams an. In ihrer klinischen Praxis bietet sie Psychotherapie unter Einbezug des Modells der Logosynthese in verschiedenen klinischen Bereichen an, darunter Depressionen, Angstst\u00f6rungen, Traumaerfahrungen und psychosomatische Erkrankungen.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Ein Fallbeispiel zur Begleitung eines Patienten mit CFS<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Der Fall veranschaulicht eine Beobachtung aus ihrer klinischen Praxis:<\/p>\n<p class=\"wp-block-paragraph\">\u201eSeit vier Wochen begleite ich einen Patienten mit Chronischem Fatigue-Syndrom, der nach einem f\u00fcnfmonatigen Krankenhausaufenthalt neue Ans\u00e4tze erkunden wollte. Da er weitgehend bettl\u00e4gerig ist, finden unsere Sitzungen per Videokonferenz statt.<\/p>\n<p class=\"wp-block-paragraph\">In einer fr\u00fcheren Sitzung arbeiteten wir an einem Druckgef\u00fchl im Brustbereich. Am Ende dieser Sitzung stellte der Patient fest, dass seine Herzfrequenz \u2013 gemessen mit einer Smartwatch \u2013 von \u00fcber 100 auf etwa 75 Schl\u00e4ge pro Minute gesunken war.<\/p>\n<p class=\"wp-block-paragraph\">In der folgenden Sitzung stand eine \u00fcberw\u00e4ltigende Ersch\u00f6pfung im Mittelpunkt. Der Patient beschrieb seinen K\u00f6rper als w\u00fcrde er sich \u201ewie Blei\u201c anf\u00fchlen. Das Belastungserleben wurde mit 9 von 10* bewertet, begleitet von Unruhe, Angst und Trauer. Seine Herzfrequenz betrug zu diesem Zeitpunkt 103 Schl\u00e4ge pro Minute.<\/p>\n<p class=\"wp-block-paragraph\">Mithilfe des Logosynthese-Basisprozesses arbeiteten wir Schritt f\u00fcr Schritt mit verschiedenen Elementen seines Erlebens: dem Gef\u00fchl der Schwere im K\u00f6rper, dem Bild eines schweren Sacks auf seinen Schultern, dem Glaubenssatz \u201eIch m\u00f6chte, aber es ist nicht m\u00f6glich\u201c sowie einem Druckgef\u00fchl im Kopf, das er als einen Ballon beschrieb.<\/p>\n<p class=\"wp-block-paragraph\">Nach der Sitzung berichtete der Patient \u00fcber ein deutliches Gef\u00fchl k\u00f6rperlicher Entspannung. Er stellte au\u00dferdem eine Verringerung seines Belastungserlebens fest, und seine Herzfrequenz war auf 72 Schl\u00e4ge pro Minute gesunken.<\/p>\n<p class=\"wp-block-paragraph\">Dies ist selbstverst\u00e4ndlich eine Beobachtung aus einem Einzelfall. Dennoch ist es interessant festzustellen, dass Ver\u00e4nderungen im subjektiven Erleben mit Ver\u00e4nderungen physiologischer Messwerte einhergingen. Der Patient selbst \u00e4u\u00dferte \u00dcberraschung \u00fcber das, was er w\u00e4hrend des Prozesses in seinem K\u00f6rper erlebte.<\/p>\n<p class=\"wp-block-paragraph\"><em>In der Logosynthese wird das Belastungserleben mithilfe der Subjective Units of Distress Scale (SUDS) gemessen, wobei 0 keine Belastung und 10 maximale Belastung bedeutet.<\/em><\/p>\n<h2 class=\"wp-block-heading\"><strong>Stresserleben und physiologische Ver\u00e4nderung<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Was in diesem Fall besonders auff\u00e4llt, ist nicht eine kausale Behauptung \u00fcber die Herzfrequenz, sondern das gleichzeitige Auftreten von Ver\u00e4nderungen im berichteten Erleben und in der physiologischen Messung.<\/p>\n<p class=\"wp-block-paragraph\">Aus einer von der Logosynthese informierten Perspektive l\u00e4sst sich dies unter anderem so verstehen, dass innere Repr\u00e4sentationen \u2013 wie Empfindungen von Schwere, Druck oder einschr\u00e4nkende \u00dcberzeugungen \u2013 beeinflussen k\u00f6nnen, wie Stress im K\u00f6rper erlebt wird. Wenn sich diese inneren Repr\u00e4sentationen ver\u00e4ndern, kann sich auch das allgemeine Empfinden von Belastung ver\u00e4ndern.<\/p>\n<p class=\"wp-block-paragraph\">In diesem Fall ging die Verringerung des berichteten Belastungserlebens mit einer Ver\u00e4nderung der Herzfrequenz einher. Auch wenn dies nicht verallgemeinert werden kann, wirft es Fragen dar\u00fcber auf, wie inneres Erleben und physiologische Regulation im gelebten Erleben miteinander in Wechselwirkung stehen k\u00f6nnten.<\/p>\n<p class=\"wp-block-paragraph\">Die Ver\u00e4nderung der Herzfrequenz wird hier weder als Behandlungsergebnis noch als Therapieziel dargestellt, sondern als ein beobachtbarer Marker, der eine berichtete Ver\u00e4nderung des inneren Erlebens begleitet.<\/p>\n<p class=\"wp-block-paragraph\">Bei Erkrankungen wie dem Chronischen Fatigue-Syndrom (CFS), bei denen das System bereits erheblich belastet ist, k\u00f6nnen selbst kleine Ver\u00e4nderungen im subjektiv erlebten inneren Druck bedeutsam sein und eine n\u00e4here Betrachtung verdienen.<\/p>\n<p class=\"wp-block-paragraph\">Dies l\u00e4dt dazu ein, neugierig zu erforschen, wie Stress im inneren Erleben organisiert ist \u2013 und wie Ver\u00e4nderungen in dieser Organisation sowohl subjektiv als auch physiologisch sichtbar werden k\u00f6nnen.<\/p>\n<p><a name=\"engl-news\"><\/a>English<\/p>\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" data-recalc-dims=\"1\" loading=\"lazy\" width=\"1024\" height=\"668\" data-attachment-id=\"5339\" data-permalink=\"https:\/\/news.logosynthesis.international\/2026\/07\/09\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/pngfree-heart-rate-7504343\/\" data-orig-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=3000%2C1956&amp;ssl=1\" data-orig-size=\"3000,1956\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"pngfree-heart-rate-7504343\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=1024%2C668&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?resize=1024%2C668&amp;ssl=1\" alt=\"\" class=\"wp-image-5339\" \/><\/figure>\n<h2 class=\"wp-block-heading\">Frequenza cardiaca e stress nel sindrome da affaticamento cronico: una riflessione su un caso clinico<\/h2>\n<p class=\"wp-block-paragraph\">In Chronic Fatigue Syndrome (CFS), the body is often not only fatigued, but operating under a sustained level of physiological and psychological stress. Heart rate can sometimes act as one of the observable indicators of this internal load, although it is influenced by many factors and should be interpreted cautiously.<\/p>\n<p class=\"wp-block-paragraph\">The following case was shared by Dr. med. Suzanne von Blumenthal (Bad Ragaz, Switzerland), a psychiatrist and psychotherapist with over 30 years of clinical experience. She has been involved in introducing Logosynthesis into psychiatric and psychotherapeutic contexts in Switzerland and internationally. She currently leads the Institute of Logosynthesis Switzerland and provides training and supervision for health professionals and multidisciplinary teams. In her clinical practice, she offers psychotherapy including the model of Logosynthesis in different clinical areas like depression, anxiety disorders, trauma experiences and psychosomatic disorders.<\/p>\n<h3 class=\"wp-block-heading\"><strong>A case example of accompanying a patient with CFS<\/strong><\/h3>\n<p class=\"wp-block-paragraph\">The case illustrates an observation from her clinical practice:<\/p>\n<p class=\"wp-block-paragraph\">\u201cFor four weeks, I have been accompanying a patient with chronic fatigue syndrome, who wanted to explore new approaches after a five-month stay in hospital. Since he is largely bedridden, our sessions take place via video conference.<\/p>\n<p class=\"wp-block-paragraph\">In an earlier session, we worked on chest pressure. At the end of that session, the patient noted that his heart rate \u2013 recorded with a smartwatch \u2013 had decreased from over 100 to approximately 75 beats per minute.<\/p>\n<p class=\"wp-block-paragraph\">In the following session, overwhelming fatigue was central. The patient described his body as feeling like \u2018lead\u2019. Distress was rated at 9 out of 10*, accompanied by unease, fear, and grief. His heart rate at that time was 103 beats per minute.<\/p>\n<p class=\"wp-block-paragraph\">Using the Logosynthesis Basic Procedure, we worked step by step with different elements of his experience: the sensation of heaviness in the body, the image of a heavy bag on his shoulders, the belief \u2018I want to, but it\u2019s not possible,\u2019 and a sensation of pressure in the head described as a balloon.<\/p>\n<p class=\"wp-block-paragraph\">After the session, the patient reported a noticeable sense of physical relaxation. He also noted a reduction in distress, and his heart rate had decreased to 72 beats per minute.<\/p>\n<p class=\"wp-block-paragraph\">This is, of course, a single-case observation. It is nonetheless interesting to note how changes in subjective experience appeared alongside changes in physiological measures. The patient himself expressed surprise at what he experienced in his body during the process.<\/p>\n<p class=\"wp-block-paragraph\">*In Logosynthesis, distress is measured using a Subjective Units of Distress Scale (SUDS), where 0 indicates no distress and 10 indicates maximum distress.\u201d<\/p>\n<h3 class=\"wp-block-heading\"><strong>Stress experience and physiological change<\/strong><\/h3>\n<p class=\"wp-block-paragraph\">What stands out in this case is not a causal claim about heart rate, but the co-occurrence of changes in reported experience and physiological measurement.<\/p>\n<p class=\"wp-block-paragraph\">From a Logosynthesis-informed perspective, one way of understanding this is that internal representations\u2014such as sensations of heaviness, pressure, or limiting beliefs\u2014can shape how stress is experienced in the body. When these internal representations shift, the overall sense of strain may also shift.<\/p>\n<p class=\"wp-block-paragraph\">In this case, reductions in reported distress appeared alongside a change in heart rate. While this cannot be generalised, it raises questions about how internal experience and physiological regulation may interact in lived experience.<\/p>\n<p class=\"wp-block-paragraph\">The heart rate change is not presented as an outcome or treatment target, but as an observable marker accompanying a reported shift in internal experience.<\/p>\n<p class=\"wp-block-paragraph\">In conditions such as CFS, where the system is already under significant load, even small shifts in perceived internal pressure may be meaningful to explore.<\/p>\n<p class=\"wp-block-paragraph\">This invites curiosity about how stress is organised in internal experience\u2014and how shifts in that organisation may be reflected both subjectively and physiologically.<\/p>\n<p><a name=\"franz-news\"><\/a>Fran\u00e7ais<\/p>\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" data-recalc-dims=\"1\" loading=\"lazy\" width=\"1024\" height=\"668\" data-attachment-id=\"5339\" data-permalink=\"https:\/\/news.logosynthesis.international\/2026\/07\/09\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/pngfree-heart-rate-7504343\/\" data-orig-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=3000%2C1956&amp;ssl=1\" data-orig-size=\"3000,1956\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"pngfree-heart-rate-7504343\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=1024%2C668&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?resize=1024%2C668&amp;ssl=1\" alt=\"\" class=\"wp-image-5339\" \/><\/figure>\n<h2 class=\"wp-block-heading\"><strong>Fr\u00e9quence cardiaque et stress dans le syndrome de fatigue chronique : R\u00e9flexion \u00e0 partir d\u2019un cas clinique<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Dans le syndrome de fatigue chronique (SFC), le corps est souvent non seulement \u00e9puis\u00e9, mais fonctionne \u00e9galement sous un niveau soutenu de stress physiologique et psychologique. La fr\u00e9quence cardiaque peut parfois constituer l\u2019un des indicateurs observables de cette charge interne, bien qu\u2019elle soit influenc\u00e9e par de nombreux facteurs et qu\u2019elle doive donc \u00eatre interpr\u00e9t\u00e9e avec prudence.<\/p>\n<p class=\"wp-block-paragraph\">Le cas suivant a \u00e9t\u00e9 partag\u00e9 par la Dre Suzanne von Blumenthal (Bad Ragaz, Suisse), m\u00e9decin sp\u00e9cialiste en psychiatrie et psychoth\u00e9rapie, forte de plus de 30 ans d\u2019exp\u00e9rience clinique. Elle a contribu\u00e9 \u00e0 l\u2019introduction de la Logosynth\u00e8se dans les contextes psychiatriques et psychoth\u00e9rapeutiques en Suisse et \u00e0 l\u2019international. Elle dirige actuellement l\u2019Institut de Logosynth\u00e8se Suisse et assure des formations ainsi que des supervisions destin\u00e9es aux professionnels de la sant\u00e9 et aux \u00e9quipes multidisciplinaires. Dans sa pratique clinique, elle propose une psychoth\u00e9rapie int\u00e9grant le mod\u00e8le de la Logosynth\u00e8se dans diff\u00e9rents domaines cliniques tels que la d\u00e9pression, les troubles anxieux, les exp\u00e9riences traumatiques et les troubles psychosomatiques.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Un exemple de cas d\u2019accompagnement d\u2019un patient atteint du SFC<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Ce cas illustre une observation issue de sa pratique clinique :<\/p>\n<p class=\"wp-block-paragraph\">\u00ab Depuis quatre semaines, j\u2019accompagne un patient atteint du syndrome de fatigue chronique, qui souhaitait explorer de nouvelles approches apr\u00e8s un s\u00e9jour de cinq mois \u00e0 l\u2019h\u00f4pital. Comme il est en grande partie alit\u00e9, nos s\u00e9ances se d\u00e9roulent par visioconf\u00e9rence.<\/p>\n<p class=\"wp-block-paragraph\">Lors d\u2019une s\u00e9ance pr\u00e9c\u00e9dente, nous avons travaill\u00e9 sur une sensation de pression dans la poitrine. \u00c0 la fin de cette s\u00e9ance, le patient a constat\u00e9 que sa fr\u00e9quence cardiaque \u2013 mesur\u00e9e \u00e0 l\u2019aide d\u2019une montre connect\u00e9e \u2013 \u00e9tait pass\u00e9e de plus de 100 \u00e0 environ 75 battements par minute.<\/p>\n<p class=\"wp-block-paragraph\">Lors de la s\u00e9ance suivante, une fatigue accablante occupait une place centrale. Le patient d\u00e9crivait son corps comme \u00e9tant \u00ab en plomb \u00bb. Son niveau de d\u00e9tresse \u00e9tait \u00e9valu\u00e9 \u00e0 9 sur 10*, accompagn\u00e9 d\u2019un sentiment de malaise, de peur et de tristesse. Sa fr\u00e9quence cardiaque \u00e9tait alors de 103 battements par minute.<\/p>\n<p class=\"wp-block-paragraph\">\u00c0 l\u2019aide de la Proc\u00e9dure de Base de la Logosynth\u00e8se, nous avons travaill\u00e9 \u00e9tape par \u00e9tape avec diff\u00e9rents \u00e9l\u00e9ments de son exp\u00e9rience : la sensation de lourdeur dans le corps, l\u2019image d\u2019un lourd sac sur ses \u00e9paules, la croyance \u00ab Je voudrais, mais ce n\u2019est pas possible \u00bb, ainsi qu\u2019une sensation de pression dans la t\u00eate d\u00e9crite comme un ballon.<\/p>\n<p class=\"wp-block-paragraph\">Apr\u00e8s la s\u00e9ance, le patient a rapport\u00e9 une sensation notable de d\u00e9tente physique. Il a \u00e9galement constat\u00e9 une diminution de sa d\u00e9tresse, et sa fr\u00e9quence cardiaque \u00e9tait descendue \u00e0 72 battements par minute.<\/p>\n<p class=\"wp-block-paragraph\">Il s\u2019agit bien entendu d\u2019une observation portant sur un seul cas. Il est n\u00e9anmoins int\u00e9ressant de constater que les changements dans l\u2019exp\u00e9rience subjective semblaient s\u2019accompagner de changements dans les mesures physiologiques. Le patient lui-m\u00eame s\u2019est dit surpris de ce qu\u2019il avait ressenti dans son corps au cours du processus.<\/p>\n<p class=\"wp-block-paragraph\">*En Logosynth\u00e8se, la d\u00e9tresse est mesur\u00e9e \u00e0 l\u2019aide de l\u2019\u00e9chelle des Subjective Units of Distress Scale (SUDS), o\u00f9 0 indique l\u2019absence de d\u00e9tresse et 10 une d\u00e9tresse maximale.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Exp\u00e9rience du stress et changement physiologique<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Ce qui ressort de ce cas n\u2019est pas une affirmation de causalit\u00e9 concernant la fr\u00e9quence cardiaque, mais la coexistence de changements dans l\u2019exp\u00e9rience rapport\u00e9e et dans les mesures physiologiques.<\/p>\n<p class=\"wp-block-paragraph\">Dans une perspective \u00e9clair\u00e9e par la Logosynth\u00e8se, une mani\u00e8re de comprendre cela est que les repr\u00e9sentations internes \u2013 telles que les sensations de lourdeur, de pression ou les croyances limitantes \u2013 peuvent fa\u00e7onner la mani\u00e8re dont le stress est v\u00e9cu dans le corps. Lorsque ces repr\u00e9sentations internes se modifient, le sentiment global de tension peut \u00e9galement \u00e9voluer.<\/p>\n<p class=\"wp-block-paragraph\">Dans ce cas, la diminution de la d\u00e9tresse rapport\u00e9e s\u2019est accompagn\u00e9e d\u2019une modification de la fr\u00e9quence cardiaque. Bien que cela ne puisse pas \u00eatre g\u00e9n\u00e9ralis\u00e9, cette observation soul\u00e8ve des questions quant \u00e0 la mani\u00e8re dont l\u2019exp\u00e9rience interne et la r\u00e9gulation physiologique peuvent interagir dans l\u2019exp\u00e9rience v\u00e9cue.<\/p>\n<p class=\"wp-block-paragraph\">La modification de la fr\u00e9quence cardiaque n\u2019est pas pr\u00e9sent\u00e9e ici comme un r\u00e9sultat ou un objectif th\u00e9rapeutique, mais comme un indicateur observable accompagnant un changement rapport\u00e9 dans l\u2019exp\u00e9rience interne.<\/p>\n<p class=\"wp-block-paragraph\">Dans des affections telles que le syndrome de fatigue chronique (SFC), o\u00f9 le syst\u00e8me est d\u00e9j\u00e0 soumis \u00e0 une charge importante, m\u00eame de l\u00e9g\u00e8res modifications de la pression interne ressentie peuvent \u00eatre significatives et m\u00e9riter d\u2019\u00eatre explor\u00e9es.<\/p>\n<p class=\"wp-block-paragraph\">Cela invite \u00e0 s\u2019interroger avec curiosit\u00e9 sur la mani\u00e8re dont le stress est organis\u00e9 dans l\u2019exp\u00e9rience interne \u2014 et sur la fa\u00e7on dont les changements dans cette organisation peuvent se refl\u00e9ter \u00e0 la fois subjectivement et physiologiquement.<\/p>\n<p><a name=\"ital-news\"><\/a>La citt\u00e0 di San Giovanni Rotondo \u00e8 situata nella parte meridionale della Puglia, a circa 100 km da Bari e a circa 15 km da Trani.<\/p>\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" data-recalc-dims=\"1\" loading=\"lazy\" width=\"1024\" height=\"668\" data-attachment-id=\"5339\" data-permalink=\"https:\/\/news.logosynthesis.international\/2026\/07\/09\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/pngfree-heart-rate-7504343\/\" data-orig-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=3000%2C1956&amp;ssl=1\" data-orig-size=\"3000,1956\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;,&quot;alt&quot;:&quot;&quot;}\" data-image-title=\"pngfree-heart-rate-7504343\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?fit=1024%2C668&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/news.logosynthesis.international\/wp-content\/uploads\/2026\/07\/pngfree-heart-rate-7504343.png?resize=1024%2C668&amp;ssl=1\" alt=\"\" class=\"wp-image-5339\" \/><\/figure>\n<h2 class=\"wp-block-heading\"><strong>Frequenza cardiaca e stress nella Sindrome da Fatica Cronica: una riflessione su un caso clinico<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Nella Sindrome da Fatica Cronica (CFS), il corpo \u00e8 spesso non solo affaticato, ma anche sottoposto a un livello costante di stress fisiologico e psicologico. La frequenza cardiaca pu\u00f2 talvolta rappresentare uno degli indicatori osservabili di questo carico interno, sebbene sia influenzata da numerosi fattori e debba pertanto essere interpretata con cautela.<\/p>\n<p class=\"wp-block-paragraph\">Il seguente caso \u00e8 stato condiviso dalla Dott.ssa Suzanne von Blumenthal (Bad Ragaz, Svizzera), medico specialista in psichiatria e psicoterapia con oltre 30 anni di esperienza clinica. Ha contribuito all\u2019introduzione della Logosintesi nei contesti psichiatrici e psicoterapeutici in Svizzera e a livello internazionale. Attualmente dirige l\u2019Istituto Svizzero di Logosintesi e offre formazione e supervisione a professionisti della salute e a team multidisciplinari. Nella sua pratica clinica offre psicoterapia integrando il modello della Logosintesi in diversi ambiti clinici, tra cui depressione, disturbi d\u2019ansia, esperienze traumatiche e disturbi psicosomatici.<\/p>\n<h2 class=\"wp-block-heading\"><strong>Un esempio di accompagnamento di un paziente con CFS<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Il caso illustra un\u2019osservazione emersa dalla sua pratica clinica:<\/p>\n<p class=\"wp-block-paragraph\">\u201cDa quattro settimane accompagno un paziente affetto da Sindrome da Fatica Cronica che, dopo un ricovero ospedaliero di cinque mesi, desiderava esplorare nuovi approcci. Poich\u00e9 \u00e8 prevalentemente allettato, i nostri incontri si svolgono in videoconferenza.<\/p>\n<p class=\"wp-block-paragraph\">In una seduta precedente abbiamo lavorato sulla sensazione di pressione al torace. Al termine della seduta, il paziente ha osservato che la sua frequenza cardiaca \u2013 registrata tramite uno smartwatch \u2013 era diminuita da oltre 100 a circa 75 battiti al minuto.<\/p>\n<p class=\"wp-block-paragraph\">Nella seduta successiva, al centro del lavoro vi era una stanchezza opprimente. Il paziente descriveva il proprio corpo come se fosse \u00abdi piombo\u00bb. Il livello di disagio era valutato 9 su 10*, accompagnato da inquietudine, paura e tristezza. In quel momento la sua frequenza cardiaca era di 103 battiti al minuto.<\/p>\n<p class=\"wp-block-paragraph\">Utilizzando la Procedura di Base della Logosintesi, abbiamo lavorato passo dopo passo con diversi elementi della sua esperienza: la sensazione di pesantezza nel corpo, l\u2019immagine di un pesante sacco sulle spalle, la convinzione \u00abVorrei, ma non \u00e8 possibile\u00bb e una sensazione di pressione alla testa descritta come un pallone.<\/p>\n<p class=\"wp-block-paragraph\">Al termine della seduta, il paziente ha riferito una percepibile sensazione di rilassamento fisico. Ha inoltre osservato una riduzione del disagio e la sua frequenza cardiaca era scesa a 72 battiti al minuto.<\/p>\n<p class=\"wp-block-paragraph\">Si tratta naturalmente dell\u2019osservazione di un singolo caso. \u00c8 comunque interessante notare come i cambiamenti nell\u2019esperienza soggettiva siano apparsi accompagnati da cambiamenti nelle misurazioni fisiologiche. Il paziente stesso ha espresso sorpresa per ci\u00f2 che ha sperimentato nel proprio corpo durante il processo.<\/p>\n<p class=\"wp-block-paragraph\">*Nella Logosintesi, il disagio viene misurato mediante la Subjective Units of Distress Scale (SUDS), nella quale 0 indica l\u2019assenza di disagio e 10 il massimo livello di disagio.\u201d<\/p>\n<h2 class=\"wp-block-heading\"><strong>Esperienza dello stress e cambiamento fisiologico<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Ci\u00f2 che emerge in questo caso non \u00e8 un\u2019affermazione di causalit\u00e0 riguardo alla frequenza cardiaca, bens\u00ec la concomitanza di cambiamenti nell\u2019esperienza riferita dal paziente e nelle misurazioni fisiologiche.<\/p>\n<p class=\"wp-block-paragraph\">Da una prospettiva informata dalla Logosintesi, un modo per comprendere questo fenomeno \u00e8 che le rappresentazioni interne \u2013 come sensazioni di pesantezza, pressione o convinzioni limitanti \u2013 possono influenzare il modo in cui lo stress viene vissuto nel corpo. Quando queste rappresentazioni interne cambiano, pu\u00f2 modificarsi anche la percezione complessiva della tensione.<\/p>\n<p class=\"wp-block-paragraph\">In questo caso, la riduzione del disagio riferito \u00e8 apparsa accompagnata da un cambiamento della frequenza cardiaca. Sebbene questa osservazione non possa essere generalizzata, solleva interrogativi sul modo in cui l\u2019esperienza interna e la regolazione fisiologica possano interagire nell\u2019esperienza vissuta.<\/p>\n<p class=\"wp-block-paragraph\">Il cambiamento della frequenza cardiaca non viene presentato come un risultato o un obiettivo del trattamento, bens\u00ec come un indicatore osservabile che accompagna un cambiamento riferito nell\u2019esperienza interna.<\/p>\n<p class=\"wp-block-paragraph\">In condizioni come la Sindrome da Fatica Cronica (CFS), nelle quali l\u2019organismo \u00e8 gi\u00e0 sottoposto a un carico significativo, anche piccoli cambiamenti nella pressione interna percepita possono essere significativi e meritare di essere esplorati.<\/p>\n<p class=\"wp-block-paragraph\">Questo invita a osservare con curiosit\u00e0 come lo stress sia organizzato nell\u2019esperienza interna e come i cambiamenti in tale organizzazione possano riflettersi sia soggettivamente sia a livello fisiologico.<\/p>","protected":false},"excerpt":{"rendered":"<p>English Fran\u00e7ais Italiano Herzfrequenz und Stress beim Chronischen Fatigue-Syndrom: Eine Fallreflexion Beim Chronischen Fatigue-Syndrom (CFS) ist der K\u00f6rper h\u00e4ufig nicht nur ersch\u00f6pft, sondern befindet sich auch unter einem anhaltenden Ma\u00df an physiologischem und psychologischem Stress. Die Herzfrequenz kann mitunter als einer der beobachtbaren Indikatoren dieser inneren Belastung dienen, obwohl sie von vielen Faktoren beeinflusst wird [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-246487","post","type-post","status-publish","format-standard","hentry","category-unkategorisiert"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Heart Rate and Stress in Chronic Fatigue Syndrome: A Case Reflection - LIA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.logosynthesis.international\/it\/heart-rate-and-stress-in-chronic-fatigue-syndrome-a-case-reflection\/\" \/>\n<meta property=\"og:locale\" content=\"it_IT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Heart Rate and Stress in Chronic Fatigue Syndrome: A Case Reflection - LIA\" \/>\n<meta property=\"og:description\" content=\"English Fran\u00e7ais Italiano Herzfrequenz und Stress beim Chronischen Fatigue-Syndrom: Eine Fallreflexion Beim Chronischen Fatigue-Syndrom (CFS) ist der K\u00f6rper h\u00e4ufig nicht nur ersch\u00f6pft, sondern befindet sich auch unter einem anhaltenden Ma\u00df an physiologischem und psychologischem Stress. 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