Pain, Affect, and Attachment
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Various psychodynamic processes may underlie the development of psychogenic pain disorder such as conversion, the displacement of affect, or narcissistic defenses. However, many of the processes suggested are related to a disorder of affect regulation. The term affect regulation in psychoanalytic literature refers to phenomena which are often described by the concept of alexithymia. Empirical observations suggest that alexithymia is correlated to insecure attachment, especially an insecure dismissing representation of attachment. Psychodynamic psychotherapy in psychogenic pain disorder should focus on the reintegration of split-off affects which may provoke intensive counter-transference and which in order to be used therapeutically must be linked to attachment experiences within and outside of the therapeutic relationship.
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Ainsworth, M. D., Blehar, M., Waters, E., & Wall, S. (1978). Patterns of attachment. Hillsdale, NJ: Lawrence Erlbaum Associates.
Beebe, B., Jaffe, J., & Lachmann, F. M. (1992). A dyadic systems view of communication. In N.J. Skolnick & S. C. Warshaw (Eds.), Relational perspectives in psychoanalysis (pp. 61-81). Hillsdale, NJ: Analytic Press.
Belsky, J. (1984). The determinants of parenting: a process model. Child.Dev., 55(1), 83-96. Retrieved from PM:6705636
Bernardy, K. (2004). Schmerz ausdrucks verhalten bei Fibromyalgie.
Brosschot, J. F., & Aarsse, H. R. (2001). Restricted emotional processing and somatic attribution in fibromyalgia. Int.J Psychiatry.Med, 31(2), 127-146. Retrieved from PM:11760858
Cassidy, J. (1994). Emotion regulation: influences of attachment relationships. Monogr.Soc Res.Child.Dev., 59(2-3), 228-249. Retrieved from PM:7984163
De Gucht, V, & Heiser, W. (2003). Alexithymia and somatisation: quantitative review of the literature. J Psychosom.Res., 54 (5), 425-434. doi:S0022399902004671 [pii]. Retrieved from PM:12726898
Dozier, M., Stovall, K. C., & Albus, E. A. (1999). Attachment and psychopathology inadulthood. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: theory,research, and clinical applications (pp. 497-519). New York, NY: Guilford Press.
Egeland, B., & Farber, E. A. (1984). Infant-mother attachment: factors related to its development and changes over time. Child.Dev., 55(3), 753-771. Retrieved from PM:6734316
Egle, U. T. (2003). Psychosocial stress and pain. In U.T. Egle, S. O. Hoffmann, K. A. Lehmann, & W. A. Nix (Eds.), Handbook of chronic pain (pp. 69-76). Schattauer, Germany, Stuttgart.
Engel, G. L. (1959). Psychogenic pain and pain-prone patient. Am.J Med, 26(6), 899-918. Retrieved from PM:13649716
Freud, S. (1971). Inhibitions symptoms and anxiety. London, UK: Hogarth Press.
Fonagy, P., Gyorgy, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization, and the development of self (pp. 75, 96). Stuttgart, Germany: Klett-Cotta.
George, C., Kaplan, N., & Main, M. (1985). The adult attachment interview. University of California, Berkeley. [Unpublish].
Grossmann, K., & Grossmann, K. E. (2003). Elternbindung und Entwicklung desKindes in Beziehungen. In B. Herpertz-Dahlmann, F. Resch, M. Schulte-Markwort, & A. Warnke (Eds.), Entwicklungspsychiatrie:Biologische Grundlagen und dieEntwicklung psychischer Storungen (pp. 115-135). Stuttgart, Germany: Schattauer.
Hoffmann, S. O. (2003). Psychodynamisches Verstandnis von Schmerz. In U.T. Egle, S. O. Hoffmann, K. A. Lehmann, & W. A. Nix (Eds.), Handbook of chronic pain (pp. 77-88). Schattauer, Germany, Stuttgart.
Hoffmann, S.O., Egle, U.T. (1989) Der psychogen und psychosomatisch Schmerzkranke. Entwurf zu einer psychoanalytisch orientierten Nosologie. Psychother Med Psychol 39: 193–201.
Hofer, M. A. (1984). Relationships as regulators: a psychobiologic perspective on bereavement. Psychosom.Med, 46(3), 183-197. Retrieved from PM:6739679
Hofer, M. A. (1987). Early social relationships: a psychobiologist's view. Child.Dev., 58(3), 633-647. Retrieved from PM:3608643
Nemiah, J. C.& Sifneos, P. E. (1970) Affect and fantasy in patients with psychosomatic disorders. In O. W. Hill (Eds) Modern trends in psychosomatic medicine (pp. 26-34). London, UK: Butterworth Press.
Kosturek, A., Gregory, R. J., Sousou, A. J., & Trief, P. (1998). Alexithymia and somatic amplification in chronic pain. Psychosomatics., 39(5), 399-404. doi:S0033-3182(98)71298-8 [pii];10.1016/S0033-3182(98)71298-8 [doi]. Retrieved from PM:9775696
Krause, R., Merten, J., Schwab, F., & Steimer-Krause, E. (1998). General psychoanalytic nosology. Stuttgart, Germany: Kohlhammer.
Krause, R. (2004). Emotion, pain, conversion. In R. Sandweg (Ed.), Chronic pain and civilization: organ disorders, mental processes and social conditionalities (pp. 71-84). GÙttingen, Germany: Vandenhoeck & Ruprecht.
Laireiter.A.R. (1989). Alexithymie. Zur theoretischen und methodologischen Kritik eines Arbeitsmodells zur psychoanalytisch-psychosomatischen Medizin und Ansatze einer alternativen theoretischen Grundlegung im Rahmen der wissenschaftlichen Psychologie. Inaugural- Dissertation, Universitat Salzburg, Salzburg, Osterreich.
Lane, R. D., Quinlan, D. M., Schwartz, G. E., Walker, P. A., & Zeitlin, S. B. (1990). The Levels of Emotional Awareness Scale: a cognitive-developmental measure of emotion. J Pers.Assess., 55(1-2), 124-134. doi:10.1080/00223891.1990.9674052 [doi]. Retrieved from PM:2231235
Lumley, M. A., Asselin, L. A., & Norman, S. (1997). Alexithymia in chronic pain patients. Compr.Psychiatry., 38(3), 160-165. doi:S0010-440X(97)90069-9 [pii]. Retrieved from PM:9154372
Magai, C. (1999). Affect, imagery, and attachment: Working models of interpersonal affect and the socialization of emotion. In J. Cassidy & P. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 787-802). New York, NY: Guilford Press.
Nemiah, J. C. (1978). Alexithymia and psychosomatic illness. Journal of Continuing Education in Psychiatry, 39, 25-27.
Pipp, S., & Harmon, R. J. (1987). Attachment as regulation: a commentary. Child Development, 58(3), 648-652.
Rudolf, G. (1992). KÙrpersymptomatik als Schwierigkeit in der Psychotherapie. Praxis der Psychotherapie und Psychosomatik, 37, 11-23.
Rudolf G (1998) The process of depressive somatization. In: Rudolf G, Henningsen P (Eds) Somatoform disorders (pp. 171–184). Stuttgart, Germany, Schattauer.
Scheidt, C. E. (2002). Storungsspezifische psychodynamische Kurzzeitpsychotherapie somatoformer Schmerzstorungen. Psychotherapeut, 47(2), 110-123. Retrieved from http://dx.doi.org/10.1007/s00278-002-0213-1. Retrieved from Springer-Verlag.
Scheidt, C. E. (2003). Psychoanalytische Einzeltherapie somatofomer Schmerzen. In U.T. Egle, S. O. Hoffmann, K. A. Lehmann, & W. A. Nix (Eds.), Handbook of chronic pain (pp. 404-411). Schattauer, Germany, Stuttgart
Sifneos, P. E. (1987). Anhedonia and alexithymia: a potential correlation. In: D. C. Clark & Fawcett, J. (Eds) Anhedonia and affect deficit states (pp. 119–127). New York, NY: PMA Publishing Corporation.
Slawsby, E. A. (1995). Psychosocial factors of pain in chronic atypical facial pain [PhD Thesis]. Boston, MA: University of Massachusetts.
Spangler, G., Schieche, M. (1995) The psychobiology of attachment. In: G. Spangler & Zimmermann, P. (Eds) Die Attachment theory: Basics, research and application (pp. 297-310). Stuttgart, Germany: Klett-Cotta.
Sriram, T. G., Chaturvedi, S. K., Gopinath, P. S., & Shanmugam, V. (1987). Controlled study of alexithymic characteristics in patients with psychogenic pain disorder. Psychother.Psychosom., 47(1), 11-17. Retrieved from PM:3438440
Sroufe, L. A. (1990). An organizational perspective on the self. In D. Cicchetti & M. Beeghly (Eds.), The self in transition: Infancy to childhood (pp. 281-307). Chicago, IL: University of Chicago Press.
Sroufe, L. A. (1997). Emotional development: the organization of emotional life in the early years. Cambridge, UK: Cambridge University Press.
Subic-Wrana, C., Bruder, S., Thomas, W., Gaus, E., Merkle, W., Kohle, K. et al. (2002). Distribution of alexithymia as a personality-trait in psychosomatically ill in-patients--measured with TAS-20 and LEAS. Psychotherapie Psychosomatik Medizinische Psychologie, 52(11), 454-460.
Taylor, G. J., Bagby, R. M., & Parker, J. D. A. (1997). Disorders of affect regulation: alexithymia in medical and psychiatric illness. Cambridge, UK: Cambridge University Press.
Tronick, E. Z. (1989). Emotions and emotional communication in infants. Am.Psychol, 44(2), 112-119. Retrieved from PM:2653124
Waller, E., Scheidt, C. E., & Hartmann, A. (2004). Attachment representation and illness behavior in somatoform disorders. J Nerv.Ment.Dis., 192(3), 200-209. doi:00005053-200403000-00005 [pii]. Retrieved from PM:15091301
Wentzel, A. Offenbacher M, Sigl C, Stucki G,Butollo W (2001) Bnding experience of fibromyalgia patients compared to a control group and clinical symptoms associated with. In: M Bassler (Eds) Storungsspezifische Ansatze in der stationaren Psychotherapie (pp. 65-73). Gießen, Germany: Psychosozial-Verlag.
