Luyten, P;
Fonagy, P;
(2016)
An Integrative, Attachment-Based Approach to the Management and Treatment of Patients with Persistent Somatic Complaints.
In: Hunter, J and Maunder, R, (eds.)
Improving Patient Treatment with Attachment Theory: A Guide for Primary Care Practitioners and Specialists.
(pp. 127-144).
Springer: Cham, Switzerland.
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Abstract
Many patients seen in clinical practice present with persistent fatigue and pain-related problems. Although this patient group is very heterogeneous, many of them have difficulties establishing a working relationship with health professionals, which negatively influences their treatment and prognosis. In this chapter, we present a broad, integrative attachment-based approach to the understanding, management, and treatment of these patients. The focus is on three related features of patients presenting with persistent somatic complaints: (a) attachment issues; (b) impairments in (embodied) mentalizing, that is, the capacity to reflect on one’s own embodied self and others; and (c) problems with epistemic trust – the capacity to trust others as a source of knowledge about the world. We also outline the implications of this approach for our understanding, management, and treatment of these patients.
| Type: | Book chapter |
|---|---|
| Title: | An Integrative, Attachment-Based Approach to the Management and Treatment of Patients with Persistent Somatic Complaints |
| ISBN-13: | 978-3-319-23300-0 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/978-3-319-23300-0_9 |
| Publisher version: | https://doi.org/10.1007/978-3-319-23300-0_9 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Chronic Fatigue Syndrome, Attachment Style, Borderline Personality Disorder, Allostatic Load, Attachment Figure |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/1468816 |
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