Luyten, P; De Meulemeester, C; Fonagy, P; (2019) Psychodynamic therapy in patients with somatic symptom disorder. In: Contemporary Psychodynamic Psychotherapy: Evolving Clinical Practice. (pp. 191-206).

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Abstract

This chapter provides a contemporary psychodynamic approach to the understanding and treatment of patients with somatic symptom disorder or functional somatic disorder (FSD). We focus on three related biobehavioral systems that are central in current psychoanalytic approaches to patients with these conditions: the attachment system, the mentalizing system, and impairments in epistemic trust. Empirical evidence supporting these views is summarized. We also discuss the evidence base of psychodynamic treatments for these patients, and we outline the treatment principles of dynamic interpersonal therapy for patients with FSDs. We conclude this chapter with a brief description of the psychodynamic treatment of a female patient with functional somatic symptoms.

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