Abstract
Ağrı bozukluğu DSM-IV’de somatoform bozukluklar kategorisi altında yer alır ve psikolojik faktörler, ağrı semptomlarının başlangıcında, şiddetinde, alevlenmesinde ve sürekliliğinde önemli bir role sahiptir. Klasik psikanalitik bakış açısına göre, bu hastaların psikolojik problemleri bedensel semptomlara dönüşür ve somatik yakınmalar alternatif bir iletişim yöntemi olarak kullanılır. Bilişsel gelişimsel modeller ise düşük seviyedeki duygu farkındalığını, duygusal uyarılmayı ayrıştıramamayı, duygu düzenlemelerindeki eksiklikleri vurgular. Bilişsel davranışçı terapi, antidepresan tedavisi ve psikodinamik terapi, somatoform bozuklukların tedavilerinde etkin müdahale yöntemleri olarak belirtilmiştir. Bu makalede somatoform bozuklukların temel teorik temelleri ve araştırma bulguları ele alınmakta, Winnicott’ın nesne ilişkileri yaklaşımı incelenmekte, araştırma, teori ve klinik uygulamalar arasındaki ilişkiyi kurabilmek için ağrı bozukluğu yaşayan bir vaka örneklendirilmektedir.
References
- Allen, L. A., Wookfolk, R. L., Escobar, J. I., Gara, M. A., & Hamer, R. M. (2006). Cognitive behavioral therapy for somatization disorder. Archives of Internal Medicine, 166, 1512—1518.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR). 4th ed. Washington, DC: American Psychiatric Association.
- American Psychiatric Association (2013). Somatic symptom disorder. Retrieved September , 2013 from http://www.dsm5.org/Documents/Somatic%20Symptom%20Disorder%20- Fact%20Sh eet.pdf
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- Social Work Journal, 13(3), 218—233. de Waal, M. W., Arnold, I. A., Eekhof, J. A., & van Hemert, A.M. (2004). Somatoform disorders in general practice: Prevalence, functional impairment and comorbidity with anxiety and depressive disorders. British Journal of Psychiatry, 184, 470—476.
- Hotopf, M., Wadsworth, M., & Wessely, S. (2001). Is “somatisation” a defense against the
A Review of Somatoform Disorders from the Perspective of Object Relations Theory of Winnicott: A Case Study of Pain Disorder Patient
Abstract
Pain disorder is under the category of somatoform disorders in the DSM-IV, and psychological factors play an important role on the onset, severity, exacerbation, and maintenance of pain symptoms. According to classical psychoanalytic view, psychological problems of somatoform disorder patients are converted into bodily symptoms; furthermore, somatic complaints can be a tool of an alternative communication method. Cognitive developmental models emphasize the lower levels of emotional awareness, undifferentiated emotional arousal, and deficits in emotion regulation. Cognitive behavioral therapy, antidepressants, and psychodynamic therapy are found to be effective intervention methods in the treatment of somatoform disorders. The current article discusses the basic theoretical and research basis of the somatoform disorders, reviews the Winnicott’s object relation theory, and presents a case study of pain disorder patient in order to connect the associations between research, theoretical basis and clinical practice.
References
- Allen, L. A., Wookfolk, R. L., Escobar, J. I., Gara, M. A., & Hamer, R. M. (2006). Cognitive behavioral therapy for somatization disorder. Archives of Internal Medicine, 166, 1512—1518.
- American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR). 4th ed. Washington, DC: American Psychiatric Association.
- American Psychiatric Association (2013). Somatic symptom disorder. Retrieved September , 2013 from http://www.dsm5.org/Documents/Somatic%20Symptom%20Disorder%20- Fact%20Sh eet.pdf
- Bagby, R. M., Parker, J. D. A., & Taylor, G. J. (1994). The twenty item Toronto Alexithymia
- Scale I. Item selection and cross validation of the factor structure. Journal of Psychosomatic Research, 38, 23—32. Chescheir, M. W. (1985). Some implications of Winnicott’s concept for clinical practice. Clinical
- Social Work Journal, 13(3), 218—233. de Waal, M. W., Arnold, I. A., Eekhof, J. A., & van Hemert, A.M. (2004). Somatoform disorders in general practice: Prevalence, functional impairment and comorbidity with anxiety and depressive disorders. British Journal of Psychiatry, 184, 470—476.
- Hotopf, M., Wadsworth, M., & Wessely, S. (2001). Is “somatisation” a defense against the
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Psychology |
| Other ID | JA56EM96YE |
| Journal Section | Research Article |
| Authors | |
| Publication Date | September 1, 2014 |
| Submission Date | August 4, 2014 |
| Acceptance Date | September 29, 2014 |
| Published in Issue | Year 2014 Volume: 1 Issue: 3 |