Abstract:
:The interpersonal model is important for understanding somatizing behavior. According to this model, somatizing behavior is a form of interpersonal communication driven by insecure attachment. Interpersonal psychotherapy (IPT) is a time-limited, manual-based treatment designed to relieve symptoms and improve interpersonal functioning. Based on our experience using IPT with somatizing patients, we recommend a series of strategies for its successful implementation. These strategies include an emphasis on the therapeutic alliance within a bilaterally negotiated treatment contract, and aiming for improvement in interpersonal functioning rather than for alleviation of physical symptoms. Specific techniques include the use of bridging metaphors, communication analysis, and genuine positive reinforcement. With a focus on communication in a time-limited frame, fostered by a strong collaborative relationship, IPT appears to be a promising method of reducing somatizing behavior. We urge further research on the efficacy of this form of therapy.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Stuart S,Noyes R Jrdoi
10.1159/000092891subject
Has Abstractpub_date
2006-01-01 00:00:00pages
209-19issue
4eissn
0033-3190issn
1423-0348pii
92891journal_volume
75pub_type
杂志文章abstract:BACKGROUND:Increasing attention has been given to the transparency of potential conflicts of interest in clinical medicine and biomedical sciences, particularly in journal publishing and science advisory panels. The authors examined the degree and type of financial ties to the pharmaceutical industry of panel members r...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000091772
更新日期:2006-01-01 00:00:00
abstract::We have described examples of behaviors that occur antecedent to, concurrent with, or as a consequence of childhood asthma. Ways these patterns can be altered have also been described. Three points should be emphasized: first, social learning techniques can contribute to a child acquiring self-monitoring and self-mana...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000287396
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:Stress reduction and comprehensive lifestyle modification programs have improved atherosclerosis and cardiac risk factors in earlier trials. Little is known about the impact of such programs on quality-of-life (QoL) and psychological outcomes. Given recent significant improvements in cardiac care, we evaluat...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1159/000087781
更新日期:2005-01-01 00:00:00
abstract::Osgood's Semantic Differential was applied to a group of 35 neurotic patients at initial and final stage of individual psychoanalytical psychotherapy. When compared to 'normal' subjects who had not undergone treatment but were examined under the same conditions, neurotic subjects showed, between test and retest, more ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288099
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:In the present study the authors evaluated the relationship between personality traits (according to DSM-III-R) and poor metabolic control in an adult onset insulin-dependent diabetes mellitus sample (n = 77). METHODS:Personality traits were assessed with the Personality Diagnostic Questionnaire--Revised. M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289153
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:The objective of this study was to assess physicians' perception of their work, organisation and professional development. METHODS:All major disciplines at a major regional hospital were studied. Participants responded to a structured questionnaire concerning broad aspects of physicians' work. The response ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289127
更新日期:1997-01-01 00:00:00
abstract::The concept of denial is important for the psychosomatic understanding of cardiovascular disease and treatment. This study evaluated denial using several psychometric assessment scales in patients referred for psychiatric evaluations prior to heart transplantation. Surviving patients who had a mean survival of more th...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288421
更新日期:1991-01-01 00:00:00
abstract::An approach to the psychotherapy of ego-depleted states or with morbid disease involves the commitment of the therapist far beyond a distant psychoanalytic stance. Engagement must occur before a therapeutic alliance and exploration of underlying issues can begin. The patient in a helpless state needs the therapist's c...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287416
更新日期:1980-01-01 00:00:00
abstract::A special strategy of psychotherapeutic approach to psychosomatic patients is described including a 3-month period of inpatient and a 2-year period of outpatient group psychotherapy. Additional therapeutic procedures applied during the time of hospitalization are a special kind of sensitivity training ('sensual awaren...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286935
更新日期:1975-01-01 00:00:00
abstract:OBJECTIVE:The study investigates individual differences in the mental representation of attachment and their impact on the cortisol response to psychosocial stress in idiopathic spasmodic torticollis (IST). It was hypothesized (a) that in IST insecure attachment is more prevalent than in a non-clinical control group an...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012384
更新日期:2000-05-01 00:00:00
abstract::It used to be fashionable to begin consideration of psychosomatics about philosophy of mind and body. Nowadays it is a topic about health and practical care of patients--principally about the psychological aspects of any illness. Pathogenesis is becoming understood with some risk factors clearly identifiable. The high...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288009
更新日期:1987-01-01 00:00:00
abstract::This study was a randomized prospective clinical trial to test the effect of a professionally provided program of social support counselling on newly diagnosed lung cancer patients and their families. Over the 6 months of the intervention there was no differential change by experimental status for either the patients ...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000287871
更新日期:1985-01-01 00:00:00
abstract::All patients with physical illness have an underlying fantasy concerning why they became sick. This fantasy can be elicited by the consulting psychiatrist and the treating physician. The meaning of the fantasy is consistent with the psychodynamic theory of human behavior. Also, once the fantasy is understood, it can b...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287738
更新日期:1983-01-01 00:00:00
abstract::The Toronto Alexithymia Scale (TAS) offers a reliable method to measure alexithymia, a personality construct describing individuals endorsing the inability to identify and report emotions, processing a minimal fantasy life, utilizing an analytic cognitive style, and tending to somatize. Utilizing four cohorts of both ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288608
更新日期:1992-01-01 00:00:00
abstract::51 patients on chronic dialysis, awaiting transplantation, were assessed using a standardised psychiatric interview, together with measures of anxiety, depression, locus of control and social adjustment. 33% of the patients warranted a psychiatric diagnosis. During the study period, 30 patients received a transplanted...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288297
更新日期:1989-01-01 00:00:00
abstract::Clinical and laboratory observations of alexithymia suggest that a neurophysiologic hypothesis may be more useful than the traditional psychodynamic explanations for understanding psychosomatic processes. Current data support the concept of a functional disconnection between the two cerebral hemispheres. A mechanism f...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287557
更新日期:1982-01-01 00:00:00
abstract::The studies described in this paper provide evidence for the importance of social factors in determining the response of the hypothalamic-pituitary-adrenal (H-P-A) system to stress. The presence of familiar social partners can reduce or eliminate the cortisol response to either loss of a significant social relationshi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288677
更新日期:1993-01-01 00:00:00
abstract::The impact of the loss of the breast in women undergoing surgical treatment for breast cancer is subordinated to the confrontation with the diagnosis of a malignancy in causing depression. The equal distribution of depression in mastectomy and in lumpectomy patients supports the hypothesis that it is the confrontation...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288153
更新日期:1989-01-01 00:00:00
abstract::Given the contradictory reports concerning psychophysiological reactivity of hypertensives this issue was reexamined. In contrast to the large majority of studies, the hypertensive sample should not be made up of patients in medical care and the control group should be comparable in all relevant aspects other than blo...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288936
更新日期:1995-01-01 00:00:00
abstract::Past studies have found that medical patients with the diagnosis of depression (comorbidity) have longer hospital lengths of stay (LOS) than those without the diagnosis of depression. This suggested that scores on a depression scale would be positively correlated with LOS. On a rehabilitation ward, 14 stroke and 17 am...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288575
更新日期:1992-01-01 00:00:00
abstract::114 patients with permanent colostomy for carcinoma of the rectum were compared by questionnaire and interview with 110 cancer patients, having undergone colonic resection but not bearing a colostomy. The patients' own assessment of their health was for the colostomy group even better than for the controls. The emotio...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286938
更新日期:1975-01-01 00:00:00
abstract::The relation between personality characteristics and body awareness, defined as the attention paid to different body zones and measured by means of the Fisher Body Focus Questionnaire, is examined in two ways in groups of medical and dental students: (1) Our results replicate fairly well the relation, reported by Fish...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287385
更新日期:1979-01-01 00:00:00
abstract:INTRODUCTION:Ketamine has shown rapid though short-lived antidepressant effects. The possibility of concerning neurobiological changes following repeated exposure to the drug motivates the development of strategies that obviate or minimize the need for longer-term treatment with ketamine. In this open-label trial, we i...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,多中心研究
doi:10.1159/000457960
更新日期:2017-01-01 00:00:00
abstract::The personality trait of alexithymia was assessed in 95 patients (35 male, 60 female) with affective illnesses, receiving lithium prophylactically, by means of Schalling-Sifneos Personality Scale (SSPS). The mean SSPS score was similar to that of the healthy population: only 8 patients had a score below 50 points. No ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288058
更新日期:1988-01-01 00:00:00
abstract::The authors examined (1) strength of stress, (2) awareness of stress, and (3) influence of type A behavior and narcissistic personality on stress and its related factors in a sample of 500 middle-aged women. Compared to 400 middle-aged working men, the women scored lower on the type A and coping scales, suggesting the...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288953
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Antidepressant use is highly prevalent. Research has mainly focused on efficacy during short periods of use for depression and anxiety. There is a relative paucity of data regarding the frequency of long-term use. METHODS:To determine the prevalence and possible increase of long-term use of antidepressants ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000480456
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000481177
更新日期:2017-01-01 00:00:00
abstract::Compliance is an ancient topic subjected to intense recent scrutiny as a result of scientific and social changes which focus on lifestyle adjustment to chronic illness and emphasize increasing patient involvement in self-care. Difficulties in definition, measurement and research design as well as the complexity of the...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288624
更新日期:1992-01-01 00:00:00
abstract::Some patients become grossly disorganized during a hospital stay for medical illness. In the midst of a confusing medical picture, the unpredictable behavior of such patients causes great consternation among the medical or surgical staff. Families also become particularly anxious; their concern about the medical probl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287284
更新日期:1978-01-01 00:00:00
abstract:BACKGROUND:In spite of the connection of alexithymic characteristics to many stress-related disorders, little is known about the effects of these characteristics on the self-perception of stress, which may have functional value in the regulation of daily behavior. The present study assessed the influence of alexithymic...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012341
更新日期:1999-09-01 00:00:00