Abuse, Chronic Pain and Psychodynamic Psychotherapy

  • Ranjan Roy

Interest in any kind of a relationship between childhood abuse and pain dates back to the middle of the twentieth century. Engel (1959) wrote a seminal paper proposing a complex relationship between these two somewhat disparate phenomena. His theory of pain proneness, which was explored in depth by Roy (1998), has since received considerable empirical support. This chapter, to begin with, presents two cases where there was evidence of this relationship, followed by a brief review of the most recent empirical literature on abuse and pain. In this respect we review abuse and pelvic pain literature in some depth. In the final section we search for evidence of the effectiveness of psychotherapeutic interventions for these complex phenomena. We also review the literature on the use of psychodynamic psychotherapy in (1) various psychological and psychiatric disorders, (2) somatoform disorders, and (3) chronic pain.

Case Illustrations

We present two very different cases. The first story is...


Chronic Pain Sexual Abuse Irritable Bowel Syndrome Childhood Abuse Childhood Sexual Abuse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Ranjan Roy
    • 1
  1. 1.University of ManitobaWinnipegCanada

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