The Rebirth of Neuroscience in Psychosomatic Medicine, Part II: Clinical Applications and Implications for Research

Lane, Richard D.; Waldstein, Shari R.; Critchley, Hugo; Derbyshire, Stuart; Drossman, Douglas A.; Wager, Tor D.; Schneiderman, Neil; Chesney, Margaret A.; Jennings, J. Richard; Lovallo, William R.; Rose, Robert M.; Thayer, Julian F.; Cameron, Oliver G.

doi:10.1097/psy.0b013e318198a11f

Cited by 76 publications

(60 citation statements)

References 180 publications

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“…von HPA-Achse oder Psychoneuroimmunologie auf die Funktionsweise und Regulation einzelner Organsysteme nicht erfassen können. Dieser spezielle Fokus kennzeichnet die sogenannte "brain-body-medicine", die in zahlreichen Forschungsprojekten bereits wichtige Vermittlungsmechanismen zwischen einzelnen Systemebenen aufzuklären vermochte [41,42,43]. Dieses Wissen ist für eine psychosomatische Perspektive unverzichtbar, will sie die akuten und langfristigen Auswirkungen von Konflikten, Traumata, psychosozialen oder biologischen Stressoren auf die Funktionalität einzelner Organsysteme hinsichtlich Anpassung, Homöostase und Allostase studieren [44,45,46,47].…”

Section: Forschungsperspektive Das Biopsychosoziale Modell Vonunclassified

Psychosomatische Medizin – Geschichte, Definition, Extension, Organisation

Kapfhammer

2010

psychiatr. psychother.

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Psychosomatic medicine defines a medical perspective that investigates biological, psychological and social influences on origin, onset and course of somatic diseases and functional bodily syndromes in a systematic and balanced way, and that stresses a patient-centred approach in treatment. There are various historical pathways, manifold scientific and health care interests making definition and range of psychosomatic medicine difficult. Central areas of psychosomatic work are the comorbidity of somatic diseases and psychological disorders, syndromes of somatization, impaired styles of coping with medical conditions and difficult illness behaviour, and the psychological and psychosocial sequelae of chronic diseases. Following a biopsychosocial model psychosomatic treatments favour both psychotherapeutic and psychopharmacological strategies. Within health delivery system there is consensus to promote a general psychosomatic perspective in medical education and qualification and to strengthen psychosomatic competencies in primary care and medical specialties. As a proper medical specialty psychosomatic medicine refers to consultation-liaison services at its main professional area. At an academic level an independent clinical department may be justified in respect of the manifold tasks of education and research. There is a major need of psychosomatic rehabilitation within modern society. Regarding separate psychosomatic inpatient facilities there is a fierce controversy in German-speaking countries between the specialities of psychosomatic medicine and psychotherapy on the one hand and psychiatry and psychotherapy on the other.

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Section: Forschungsperspektive Das Biopsychosoziale Modell Vonunclassified

Psychosomatische Medizin – Geschichte, Definition, Extension, Organisation

Kapfhammer

2010

psychiatr. psychother.

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“…Associando essas evidências aos inúmeros estudos que atestam a influência dos aspectos psicoemocionais na homeostase dos diversos sistemas fisiológicos e, consequentemente, na etiopatogenia e na evolução de distintas classes de enfermidades 53,54 , torna-se imprescindível a inclusão dos pensamentos, sentimentos e emoções no raciocínio fisiopatológico convencional, a fim de que possamos ampliar o entendimento do adoecer humano.…”

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Antropologia Médica Vitalista: uma ampliação ao entendimento do processo de adoecimento humano

Teixeira

2017

Rev. Med. (São Paulo)

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Antropologia é a ciência que tem como objetivo estudar o homem em sua pluralidade de modos de vida e de pensamento, incorporando os diversos aspectos da individualidade às suas modalidades de estudo (biológica, social, cultural e filosófica). Por sua vez, a Antropologia Médica estuda os fatores que influenciam o processo saúde-doença, incluindo os aspectos biossocioculturais e os variados sistemas de saúde. Seguindo o objetivo intrínseco de estudar o homem em sua pluralidade, a Antropologia Médica Vitalista fornece subsídios filosóficos para uma ampliação do entendimento do processo de adoecimento, analisando o mecanismo saúde-doença em conformidade com a estrutura ontológica humana. Fundamentando o diagnóstico e o tratamento das doenças em diversas racionalidades médicas não convencionais (Medicina Tradicional Chinesa, Medicina Tradicional Indiana, Medicina Homeopática e Medicina Antroposófica), a concepção vitalista é uma doutrina filosófica que considera a existência de uma força (princípio) vital responsável pela manutenção da saúde e da vida, unida substancialmente ao corpo físico. Além disso, valorizando a interação de outras instâncias superiores da individualidade humana (mente, alma e espírito) no equilíbrio fisiológico-vital, a concepção vitalista inclui a influência dos pensamentos, sentimentos e emoções na etiopatogenia e na evolução das doenças, aspectos difundidos pela dinâmica psicossomática moderna e pelo recente campo de pesquisas que relaciona a saúde à espiritualidade.

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“…Nonetheless, by identifying deficits in emotional processing, and relating them to MacLean’s [84] proposal that ‘psychosomatic disorders’ are a consequence of impaired communication between the limbic system and the neocortex, Nemiah [4] anticipated the important contributions that neuroscientific research on emotion and emotion regulation is now bringing to the field of psychosomatic medicine [85]. …”

Section: Affects Trauma and Somatic Diseasementioning

confidence: 99%

Affects, Trauma, and Mechanisms of Symptom Formation: A Tribute to John C. Nemiah, MD (1918–2009)

Taylor¹

2010

Psychother Psychosom

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John Nemiah was interested in the impact of emotionally traumatic events on mental and bodily processes and in conceptualizing the psychological defenses and deficits that contribute to the development of psychological and somatic symptoms. He viewed dissociation as the central psychological mechanism in the formation of a spectrum of symptoms, and conceptualized alexithymia as a deficit in the cognitive processing of emotion such that stress-induced arousal could bypass the psyche and produce somatic symptoms. This article briefly reviews some of Nemiah’s conceptual ideas and relates them to several new theories and concepts and findings from empirical research. His concept of the ‘psychic elaboration’ of emotion is consistent with contemporary theories of the cognitive processing of emotions that emphasize the importance of imagery and linguistic symbolizations. Alexithymia is inversely related to mentalization and is associated with insecure attachment styles and emotional trauma, which influence the capacity to regulate affects induced by stressful events. A multiple code theory of emotional information processing links psychological and somatic symptoms to various degrees of dissociation within and between the elements comprising emotion schemas and to compensatory attempts at repair. Recent studies support Nemiah’s view that alexithymia and intrapsychic conflicts may both contribute to the pathogenesis of panic attacks. There is also substantial evidence of an association between childhood trauma and the development of somatic disease in adult life. Secure attachments and well-developed capacities for symbolization and affect regulation seem to render individuals more resilient to the traumas and stressful events of everyday life.

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The Rebirth of Neuroscience in Psychosomatic Medicine, Part II: Clinical Applications and Implications for Research

Cited by 76 publications

References 180 publications

Psychosomatische Medizin – Geschichte, Definition, Extension, Organisation

Psychosomatische Medizin – Geschichte, Definition, Extension, Organisation

Antropologia Médica Vitalista: uma ampliação ao entendimento do processo de adoecimento humano

Affects, Trauma, and Mechanisms of Symptom Formation: A Tribute to John C. Nemiah, MD (1918–2009)

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