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Titolo:
Psychodynamic therapy in chronic pain patients: A systematic review
Autore:
Sollner, W; Schussler, G;
Indirizzi:
Innsbruck Univ, Klin Med Psychol & Psychotherapie, A-6020 Innsbruck, Austria Innsbruck Univ Innsbruck Austria A-6020 rapie, A-6020 Innsbruck, Austria
Titolo Testata:
ZEITSCHRIFT FUR PSYCHOSOMATISCHE MEDIZIN UND PSYCHOTHERAPIE
fascicolo: 2, volume: 47, anno: 2001,
pagine: 115 - 139
SICI:
1438-3608(2001)47:2<115:PTICPP>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
GER
Soggetto:
IRRITABLE-BOWEL-SYNDROME; PSYCHOGENIC PAIN; BACK-PAIN; BRIEF PSYCHOTHERAPY; SEXUAL ABUSE; DISORDER; METAANALYSIS; HEADACHE; EFFICACY; TRAUMA;
Keywords:
pain; psychodynamic psychotherapy; psychoanalysis; therapeutic technique; indication; outcome; effectiveness;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
70
Recensione:
Indirizzi per estratti:
Indirizzo: Sollner, W Innsbruck Univ, Klin Med Psychol & Psychotherapie, Sonnenburgstr 9, A-6020Innsbruck, Austria Innsbruck Univ Sonnenburgstr 9 Innsbruck Austria A-6020 ustria
Citazione:
W. Sollner e G. Schussler, "Psychodynamic therapy in chronic pain patients: A systematic review", Z PSYCHOS M, 47(2), 2001, pp. 115-139

Abstract

Psychoanalysis has made fundamental contributions to our understanding of somatoform pain disorder; however, psychodynamic therapy procedures have not been accorded their due recognition in the treatment of chronic pain. This is due to the inadequate differential indication for the employment of psychodynamic treatment methods, on the one hand, and to the refusal of most of the psychoanalysts to modify the standard psychoanalytic procedures in accordance with the requirements of pain treatment. This article reviews evidence of the modification of psychodynamic therapy procedures and their outcome in chronic pain patients in the context of past research. We conducted a systematic computer-based literature research employing MEDLINE, EVIDENCE BASED MEDICINE, and PSYNDEX data-bases between 1980 and 2000. Psychodynamic therapy procedures are indicated in the first instance for patients with psychic co-morbidity and those with somatoform pain disorder. A modification of the psychotherapeutic technique, involving an approach that is more structured and is also rather supportive at least at the beginning, is necessary. While employing psychodynamic methods in the treatment ofpain patients, greater importance should be attached to the physical leveland to the,holding function of the therapist than is usually the case withthe conventional psychoanalytic therapy procedures.

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Documento generato il 18/01/20 alle ore 01:41:35