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Psycology » Psychodynamic-oriented model of psychosomatic disorders

Model of psychosomatic disorders in y. Glasser

This model was developed based on the theory of control, which is the theoretical foundation of the so-called reality therapy. Its author, William Glasser defined the essence of the theory of control as follows: "... our behavior is always a manifestation of attempts to control the world and ourselves as part of this world in order to best meet our needs» (Glasser W., 1989, op. According to R. Nelson-Jones, 2002). Thus, one by itself is considered as some control system, whose purpose - under its influence others. These representations, in our opinion, in common with the concept of locus of control on J. Rotter

Model intrapsychic conflict

The concept of intrapsychic conflict stems from psychoanalytic ideas about the structure of personality. Initially, according to Freud's "vertical" model of the mind, it conflicts ego, the conscious part of the personality, with its moral and critical and unconsciously instinctive parts (respectively conflicts ego and super-ego, ego and id). These ideas were expanded by K. Horney (1997), there are three types of basic facilities, attitudes (towards people against people, and from them), which we have already mentioned and which repeatedly will return the description of psychosomatic disorders. Normally, in an emotionally stable person, all three establish

Basic anxiety (Karen Horney)

In fact, many manifestations of psychosomatic disorders are personal reflection of chronic anxiety. In this regard, it is necessary first of all to mention described Karen Horney (1997) basic anxiety, which in her opinion is the basis of all neuroses and which implies a "sense of who has a child, being isolated and helpless in a potentially hostile world." Close to that described "psychoanalytic" view presentation are other psycho directions, in particular existential psychotherapy, the alarm as an integral part of human existence: "Be a man - then life


This term referred to as "otelesnivanie" negative emotions, leading to the emergence of uncomfortable bodily sensations, and in their long-term existence - a variety of violations of the internal organs. From a modern viewpoint, there are two points of view on somatization: A) can be regarded as somatization scrapped psychological defense mechanisms (Bassin FV Prangishvili AS, Sherozia AE, 1978), a "breakthrough psychological defense." B) somatization - this is not a "mistake" psychological defense, and its own product. It is actually a result of the action is protection mechanisms, but imperfect protection (ie, displacement, and not su

Resomatizatsiya (Shur) and two-phase displacement (a. mitsherlih)

Close to psychoanalytic views on the nature of psychosomatic disorders expressed Shur (Freud's personal physician). This model was named resomatizatsii theory, by which is meant a return (regression) to the primitive method of child emotional response, inherent for the young child. Infant expresses his feelings not only weep or cry, and the whole body. You can call it a form of right-hemisphere communication with others - the natural and only possible for the age in which verbal communication channel is still missing. In psychoanalysis, is well known for this form of psychological defense

Alexithymia (n. Sifneos)

Another model of psychosomatic diseases offered P. Sifneos (Sifneos PE, 1996; 1973) and is called "Alexithymia". A person who has a similar personality trait, poorly versed in their own emotions and not able to verbally describe their emotional state - a kind of "emotional deaf-mutism." Moreover, it is difficult to describe their experiences, and as difficult and sometimes impossible to connect them with bodily sensations - and this is "emotional blindness". Remember the adage: "The heart of another - the darkness." We can say that for a person suffering alexithymia, "darkness" - his own soul. He Givet

Modern psychodynamic ideas about psychosomatic

Revision of the views of classical psychoanalysis led to the formation of ideas about the existence of certain typical internal conflicts and personality traits predisposing to psychosomatic illnesses (Luban-Plotstsa B. et al, 1994). Of intrapsychic conflicts with named: 1. Loss of the object. 2. Narcissistic injury. 3. Aggressive defense. As for the mentioned psychological traits, they are the result of violations of certain age periods of personal development, in terms of classical psychoanalysis describes as fixation, or "jam" at the appropriate stage of psycho

Psychosomatic theory specificity f. m Alexander

Studying the mechanisms of psychosomatic diseases naturally leads to the question of personal predisposition not only to the formation of such disorders in general, but also about their organ orientation. In this context, the idea arose of psychosomatic specificity factor that determines why one patient an upset, for example, the cardiovascular system, and the other - the digestive tract, etc. In the 40s-60s. by Ph. M.Aleksandera was shown the role played in the development of psychosomatic diseases are not one-time experiences a traumatic situation, and protracted, repeating

Theory of personality profiles f. Dunbar

Another approach to the problem of psychosomatic specificity was suggested by F. Dunbar. According to her theory, the basis of psychosomatic disorders are personal characteristics of the individual, determining the particular vulnerability of certain internal organs. For example, personality traits such as anxiety, predisposes to the development of coronary heart disease, hypertrophic and independence - to increased injuries. A similar set of psychological characteristics that determines the specificity of those or other psychosomatic disorders, personality profile of the patient - for example, "ulcer" or "coronary". When at

Cognitive approach - body diagram of claim Schilder

The concept of psychological "body scheme" was introduced psychoanalyst P. Schilder to describe a system of representations of the physical side of man's own "I" on his body - a kind of bodily and psychological "map". The "body image" is not a passive and "frozen" once and for all given. On the contrary, it is dynamic and subjective, as formed by the individual in the process of activity. Body diagram is constructed from separate fragments them - different manifestations of body awareness in various situations. Accordingly, the intersection of representations of the inner world (your own body) and the world ext
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