Touching the Lived Body in Patients with Medically Unexplained Symptoms. How an Integration of Hands-on Bodywork and Body Awareness in Psychotherapy may Help People with Alexithymia
Identifieur interne : 000031 ( Main/Exploration ); précédent : 000030; suivant : 000032Touching the Lived Body in Patients with Medically Unexplained Symptoms. How an Integration of Hands-on Bodywork and Body Awareness in Psychotherapy may Help People with Alexithymia
Auteurs : Joeri Calsius [Belgique] ; Jozef De Bie [Belgique] ; Raf Hertogen [Belgique] ; Raf Meesen [Belgique]Source :
- Frontiers in Psychology [ 1664-1078 ] ; 2016.
Abstract
Medically unexplained symptoms (MUS) are a considerable presenting problem in general practice. Alexithymia and difficulties with mental elaboration of bodily arousal are hypothesized as a key mechanism in MUS. In turn, this inability influences the embodied being and participating of these patients in the world, which is coined as ‘
Url:
DOI: 10.3389/fpsyg.2016.00253
PubMed: 26973560
PubMed Central: 4770185
Affiliations:
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How an Integration of Hands-on Bodywork and Body Awareness in Psychotherapy may Help People with Alexithymia</title><author><name sortKey="Calsius, Joeri" sort="Calsius, Joeri" uniqKey="Calsius J" first="Joeri" last="Calsius">Joeri Calsius</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Rehabilitation Research Center – Biomedical Research Center, Faculty of Medicine and Life Sciences, University of Hasselt</institution><country>Hasselt, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="De Bie, Jozef" sort="De Bie, Jozef" uniqKey="De Bie J" first="Jozef" last="De Bie">Jozef De Bie</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Psychiatry, Ziekenhuis Oost-Limburg</institution><country>Genk, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Hertogen, Raf" sort="Hertogen, Raf" uniqKey="Hertogen R" first="Raf" last="Hertogen">Raf Hertogen</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Independent Researcher</institution><country>Hasselt, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Meesen, Raf" sort="Meesen, Raf" uniqKey="Meesen R" first="Raf" last="Meesen">Raf Meesen</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Rehabilitation Research Center – Biomedical Research Center, Faculty of Medicine and Life Sciences, University of Hasselt</institution><country>Hasselt, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26973560</idno><idno type="pmc">4770185</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4770185</idno><idno type="RBID">PMC:4770185</idno><idno type="doi">10.3389/fpsyg.2016.00253</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000490</idno><idno type="wicri:Area/Pmc/Curation">000490</idno><idno type="wicri:Area/Pmc/Checkpoint">000013</idno><idno type="wicri:source">PubMed</idno><idno type="wicri:Area/PubMed/Corpus">000078</idno><idno type="wicri:Area/PubMed/Curation">000078</idno><idno type="wicri:Area/PubMed/Checkpoint">000016</idno><idno type="wicri:Area/Ncbi/Merge">004088</idno><idno type="wicri:Area/Ncbi/Curation">004088</idno><idno type="wicri:Area/Ncbi/Checkpoint">004088</idno><idno type="wicri:Area/Main/Merge">000031</idno><idno type="wicri:Area/Main/Curation">000031</idno><idno type="wicri:Area/Main/Exploration">000031</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Touching the Lived Body in Patients with Medically Unexplained Symptoms. How an Integration of Hands-on Bodywork and Body Awareness in Psychotherapy may Help People with Alexithymia</title><author><name sortKey="Calsius, Joeri" sort="Calsius, Joeri" uniqKey="Calsius J" first="Joeri" last="Calsius">Joeri Calsius</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Rehabilitation Research Center – Biomedical Research Center, Faculty of Medicine and Life Sciences, University of Hasselt</institution><country>Hasselt, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="De Bie, Jozef" sort="De Bie, Jozef" uniqKey="De Bie J" first="Jozef" last="De Bie">Jozef De Bie</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>Department of Psychiatry, Ziekenhuis Oost-Limburg</institution><country>Genk, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Hertogen, Raf" sort="Hertogen, Raf" uniqKey="Hertogen R" first="Raf" last="Hertogen">Raf Hertogen</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Independent Researcher</institution><country>Hasselt, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author><author><name sortKey="Meesen, Raf" sort="Meesen, Raf" uniqKey="Meesen R" first="Raf" last="Meesen">Raf Meesen</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Rehabilitation Research Center – Biomedical Research Center, Faculty of Medicine and Life Sciences, University of Hasselt</institution><country>Hasselt, Belgium</country></nlm:aff><country xml:lang="fr">Belgique</country><wicri:regionArea></wicri:regionArea><wicri:regionArea># see nlm:aff region in country</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Psychology</title><idno type="eISSN">1664-1078</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Medically unexplained symptoms (MUS) are a considerable presenting problem in general practice. Alexithymia and difficulties with mental elaboration of bodily arousal are hypothesized as a key mechanism in MUS. In turn, this inability influences the embodied being and participating of these patients in the world, which is coined as ‘<italic>the lived body</italic>’ and underlies what is mostly referred to as body awareness (BA). The present article explores a more innovative hypothesis how hands-on bodywork can influence BA and serve as a rationale for a body integrated psychotherapeutic approach of MUS. Research not only shows that BA is a bottom-up ‘bodily’ affair but is anchored in a interoceptive-insular pathway (IIP) which in turn is deeply connected with autonomic and emotional brain areas as well as verbal and non-verbal memory. Moreover, it is emphasized how skin and myofascial tissues should be seen as an interoceptive generator, if approached in the proper manual way. This article offers supportive evidence explaining why a ‘haptic’ touch activates this IIP, restores the myofascial armored body, helps patients rebalancing their window of tolerance and facilitates BA by contacting their bodily inner-world. From a <italic>trans</italic>-disciplinary angle this article reflects on how the integration of bodywork with non-directive verbal guidance can be deeply healing and resourcing for the lived body experience in MUS. In particular for alexithymic patients this approach can be of significance regarding their representational failure of bodily arousal.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abu Hijleh, M" uniqKey="Abu Hijleh M">M. Abu-Hijleh</name></author><author><name sortKey="Dharap, A S" uniqKey="Dharap A">A. S. Dharap</name></author><author><name sortKey="Harris, P H" uniqKey="Harris P">P. H. 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