The role of stress in the development of certain medical illnesses is increasingly recognised and there is a growing need to find effective psychological treatments that can address this factor in physical illness. This text considers the ways in which stressful situations can interact with individuals to cause bodily changes that result in illness or physical symptoms. Accessible and fully up-to-date, this engaging text offers, in particular: - An analysis of neuroscientific bases for understanding psycho somatic reactions - Full clinical accounts of disorders, including telling case study material - An original approach to understanding mind-body medicine - A clear account of the development of psychoanalytic approaches to this complex field Trainees and practitioners in counselling, psychotherapy, healthcare and medicine will find this a fascinating text that both deepens their understanding and enriches their practice.

New approaches from cognitive therapy have made significant advances towards helping clients with psychosomatic problems. This practical and comprehensive guide describes a cognitive way of working with clients who present for counselling with physical symptoms, but where psychological issues or problems are causing or maintaining those symptoms.

This volume is an encyclopedic book on psychosomatic disorders, written for neurologists, psychiatrists, psychologists, psychiatric social workers, and other mental and physical health professionals. It could be used as a textbook in advanced training programs for the above-mentioned profes sions. It covers the entire field of mind-body issues in psychology and psychiatry and related areas of clinical medicine. The mind-body relationship is a two-way street. Anxiety, fear, anger, and other emotional states can produce physiological changes such as tears, elevated heart rate, and diarrhea. When these changes affect one's health, they belong to the province of psychosomatic medicine. On the other hand, the intake of alcohol and other substances can affect such psycholog ical processes as thinking and mood. When the intake of substances is helpful, they belong to the province of psychopharmacology. The substances that are hurtful and adversely affect one's mental health belong to the category of addictions and drug abuse. All these issues are somatopsychic. The present volume does not deal with somatopsychic phenomena no matter what effect they may have. It deals with the physical effects of psychological issues, and only with those that cause harm to the human body. Thus, it describes and analyzes psychosomatic disorders. It is divided into four major parts: theoretical viewpoints, etiological considerations, the psychosomatic diseases, and treatment methods.

The purpose of the World Psychiatric Association is to coordinate the activities of its Member Societies on a wor1d-~ide scale and to advance enquiry into the etiology, pathology, and treatment of mental illness. To further this purpose, the Association organizes mono- or mu1tithematic Regional Symposia in different parts of the world twice a year, and World Congresses dealing with all individual fields of psychiatry once every five or six years. Between these meetings the continuation of the Association's scientific work is assured through the activities of its specialty sections, each covering an important field of psychiatry. The programs of the World Congresses reflect on the one hand the intention to present the coordinating functions of the Association and on the other to open a broad platform for a free exchange of views. Thus, the VII World Congress of Psychiatry, held in Vienna from July 11 to 16, 1983, was composed of two types of scientific events - those structured by the Association and those left to the initiative of the participants. The first type comprised Plenary Sessions, planned by the Scientific Program Committee, and Section Symposia, organized by the WPA sections; the second embraced Free Symposia, free papers, video sessions, and poster presentations prepared by the participants. Altogether, 10 Plenary Sessions, 52 Section Symposia, and 105 Free Symposia took place, and 78 free papers and poster sessions and 10 video sessions were held.

This intriguing volume presents the most contemporary views on the conceptualization and treatment of somatoform disorders and related conditions from experts in psychodynamic and cognitive behavioral approaches. It does so with respect to both perspectives, without advocating for either approach. By presenting expert views from diverse perspectives, the book raises, what is a central point in most of the chapters, that emotion, its processing and regulation, is a cornerstone of these disorders. The volume also highlights the role of pathogenic coping or defense mechanisms like dysfunctional avoidance (from a CBT perspective) and conversion (from the psychodynamic perspective) in the maintenance of psychosomatic symptoms. The volume’s contents include detailed literature reviews on the most common—and most treatment-resistant—mind/body conditions, including chronic pain, responses to trauma, alexithymia, and the spectrum of health anxiety disorders. Noted experts distinguish between types of medically unexplained symptoms, discuss their complex processes, and provide models for intervention where cognitive-behavioral or psychodynamic approaches may be appropriate or effective. And a fascinating case study of a patient presenting multiple trauma-related disorders explores therapist resourcefulness over a course of shifting symptoms and frustrating setbacks. Among the topics covered: Maintaining mechanisms of health anxiety: current state of knowledge. Negative affect and medically unexplained symptoms. Alexithymia as a core trait in psychosomatic and other psychological disorders. Trauma and its consequences for body and mind. Embodied memories, a new pathway to the unconcious. Psychotherapy among HIV patients: a look at a psychoimmunological research study after 20 years. Health anxiety: a cognitive-behavioral framework. The wealth of options discussed in Somatoform and Psychosomatic Disorders offers health psychologists, psychiatrists, psychotherapists, counselors, and psychoanalysts bold new ideas for case formulation, treatment planning, and intervention with some of their most intractable cases.

Closely geared to general practice yet without neglecting basic theory, this book has retained so much appeal among readers .as to warrant a third edition. We assume that the work has retained its place among the leading publications on psychosomatics because it embodies our strong interest in the 'here and now' of medical practice. The timing of this thoroughly revised and enlarged edition appears opportune as psychosomatic basic care and the medicine of dialogue acquire more meaning in daily routine practice, and as the need for basic information increases. We conceive psychosomatics to be an integral part of medicine. When we speak of 'psychosomatic disorders' in this book, our premise is that somatic and psychosocial aspects play an important role in their pathogenesis and course. This notion constitutes the very basis of what is understood as psychosomatic medical treatment. Such a point of departure calls for a consistent spirit of cooperation with regard to the problems involved. This alone satisfies the initial requirement of simultaneously considering both the somatic and psychosocial aspects of health and illness.

Jean Benjamin Stora has worked as a psychoanalyst and psychosomatist for almost five decades. The aim of integrative psychosomatics is to heal the body and mind in relationship to one another rather than treating the body as a machine with parts to be fixed. Thus, Stora explores a patient's current and past life history in relation to physical illness and offers therapeutic support alongside medical treatments. To better understand this revolutionary approach, Stora presents fifteen case studies from the past twenty years. We read of George suffering from hyperlipidemia; Giles, a diabetic facing amputation; Elvira, an alcoholic; Dorothy, who complains the doctors treat body parts but not her; Beatrice facing a reappearance of breast cancer; and ten further patients. This complex process takes into account the fundamental role of the central nervous system in the relationship of mind and body. Thus, neuroscience is a key component of this holistic approach, as well as the new discipline of neuropsychoanalysis. This is most clearly shown in the case of Emma, suffering after brain surgery. The Psychosomatic Therapy Casebook is an excellent introduction to integrative psychosomatics. The stories presented in the first four chapters can be read by anyone with an interest in the subject. The fifth and final chapter is aimed at psychotherapists, psychoanalysts, and doctors looking to gain a greater understanding of the practice. It contains a comprehensive review of the technical points involved and clearly shows the difference between psychoanalytic technique and the technique of psychosomatic therapy. This is an important book in learning to treat the person as a whole rather than split into mind and body.