Psychophysiological Role Induction or the Trojan Horse Procedure

  • Ian E. Wickramasekera


It is absolutely essential immediately to move the patient presenting physical complaints without physical findings toward a psycho-physiological model and away from a biomedical model (mind—body dichotomy model) of one’s presenting complaints. The psycho-physiological model is implemented through a role induction which should be administered within the first three sessions of patient contact, before the window of hope and opportunity, temporarily opened by a new therapy context, closes in the patient’s head. The psycho-physiological role induction is an effort to challenge and change the patient’s perception of the possible origins of one’s somatic complaint. This is done by challenging the patient’s prior beliefs about the extent to which one’s thoughts can influence or do in fact inaccurately reflect one’s biological functions. This is accomplished through a psycho-physiological role induction, which uses what I call a Trojan Horse Procedure. This procedure has at least four components, which start on the outside with somatic symptoms and work their way upward into the patient’s head. (See Table 7.)


Somatic Complaint Trojan Horse Feedback Session Strip Chart Educational Model 
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 New York 1988

Authors and Affiliations

  • Ian E. Wickramasekera
    • 1
  1. 1.Behavioral Medicine Clinic and Stress Disorders Research LaboratoryEastern Virginia Medical SchoolNorfolkUSA

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