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An Integrative, Attachment-Based Approach to the Management and Treatment of Patients with Persistent Somatic Complaints

  • Patrick LuytenEmail author
  • Peter Fonagy

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

Keywords

Chronic Fatigue Syndrome Attachment Style Borderline Personality Disorder Allostatic Load Attachment Figure 
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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© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Faculty of Psychology and Educational SciencesKU LeuvenLeuvenBelgium
  2. 2.Research Department of Clinical, Educational and Health PsychologyUniversity College LondonLondonUK

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