Somatic awareness in the clinical care of patients with body distress symptoms

被引:13
作者
Bakal D. [1 ,2 ]
Coll P. [2 ,3 ]
Schaefer J. [1 ,2 ]
机构
[1] Department of Medicine, University of Calgary, Calgary, AB
[2] Clinic for Mind/Body Medicine, Calgary Health Region, Calgary, AB
[3] Department of Psychiatry, University of Calgary, Calgary, AB
关键词
Irritable Bowel Syndrome; Fibromyalgia; Body Schema; Medically Unexplained Symptom; Functional Somatic Syndrome;
D O I
10.1186/1751-0759-2-6
中图分类号
学科分类号
摘要
The purpose of this paper is to provide primary care physicians and medical specialists with an experiential psychosomatic framework for understanding patients with body distress symptoms. The framework relies on somatic awareness, a normal part of consciousness, to resolve the dualism inherent in conventional multidisciplinary approaches. Somatic awareness represents a guiding healing heuristic which acknowledges the validity of the patient's physical symptoms and uses body sensations to identify the psychological, physiological, and social factors needed for symptom self-regulation. The experiential approach is based on psychobiologic concepts which include bodily distress disorder, central sensitization, dysfunctional breathing, and contextual nature of mood. © 2008 Bakal et al; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 26 条
[1]  
Simon G., Gater R., Kisely S., Piccinelli M., Somatic symptoms of distress: An international primary care study, Psychosom Med, 58, pp. 481-488, (1996)
[2]  
Binder L.M., Campbell K.A., Medically unexplained symptoms and neuropsychological assessment, J Clin Exp Neuropsychol, 26, pp. 369-392, (2004)
[3]  
Gureje O., Treating Medically-unexplained Symptoms: Is It Still a Shot in the Dark?
[4]  
Larun L., Malterud K., Identity and coping experiences in Chronic Fatigue Syndrome: A synthesis of qualitative studies, Patient Educ Couns, 69, pp. 20-28, (2007)
[5]  
Lucassen P.L., Some Remarks About a High Quality Trial
[6]  
Bracken P., Thomas P., Time to move beyond the mind-body split, BMJ, 325, pp. 1433-1434, (2002)
[7]  
Morriss R., Dowrick C., Salmon P., Peters S., Dunn G., Rogers A., Lewis B., Charles-Jones H., Hogg J., Clifford R., Rigby C., Gask L., Cluster randomized controlled trial of training practices in reattribution for medically unexplained symptoms, Br J Psychiatry, 191, pp. 536-542, (2007)
[8]  
Escobar J.I., Gara M.A., Diaz-Martinez A.M., Interian A., Warman M., Allen L.A., Woolfolk R.L., Jahn E., Rodgers D., Effectiveness of a time-limited cognitive behavior therapy-type intervention among primary care patients with medically unexplained symptoms, Ann Fam Med, 5, pp. 328-335, (2007)
[9]  
Salmon P., Peters S., Clifford R., Iredale W., Gask L., Rogers A., Dorwick C., Hughes J., Morriss R., Why do general practitioners decline training to improve management of medically unexplained symptoms?, J Gen Intern Med, 22, pp. 565-571, (2007)
[10]  
Henningsen P., Zipfel S., Herzog W., Management of functional somatic syndromes, Lancet, 369, pp. 946-955, (2007)