Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To sort articles by author…

PEP-Web Tip of the Day

While performing a search, you can sort the articles by Author in the Search section. This will rearrange the results of your search alphabetically according to the author’s surname. This feature is useful to quickly locate the work of a specific author.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Luyten, P. De Meulemeester, C. (2017). Understanding and Treatment of Patients with Persistent Somatic Complaints through the Lens of Contemporary Attachment Theory. Att: New Dir. in Psychother. Relat. Psychoanal., 11(3):205-222.

(2017). Attachment: New Directions in Psychotherapy and Relational Psychoanalysis, 11(3):205-222

Understanding and Treatment of Patients with Persistent Somatic Complaints through the Lens of Contemporary Attachment Theory

Patrick Luyten, Ph.D. and Celine De Meulemeester

This paper describes recent progress in our understanding of patients with persistent somatic complaints, based on a broad and integrative attachment approach. Attachment theory indeed provides a powerful lens through which to understand patients with persistent somatic complaints and the often extremely negative states in which they find themselves. It was Bowlby's genius to describe how the attachment system is activated in times of threat and distress and normatively serves to seek the proximity of others in an attempt to co-regulate stress. Yet, this primary attachment strategy typically increasingly fails when faced with the continuous distress associated with chronic somatic complaints. What often ensues is a negative vicious cycle characterised by an excessive reliance on secondary attachment strategies (either hyperactivation or deactivating the attachment system), problems with (embodied) mentalizing, and severe problems with epistemic trust, that is, trust in others as a reliable source of knowledge, including knowledge of the patient's physical and mental state. These issues are discussed in relation to Bowlby's original formulations and contemporary thinking about persistent somatic complaints and functional somatic disorders. We also summarise implications for clinical practice.

[This is a summary or excerpt from the full text of the article. PEP-Web provides full-text search of the complete articles for current and archive content, but only the abstracts are displayed for current content, due to contractual obligations with the journal publishers. For details on how to read the full text of 2016 and more current articles see the publishers official website.]

Copyright © 2019, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.