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Mentaliseren bij ernstige onverklaarde lichamelijke klachten

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Tijdschrift voor Psychotherapie

Samenvatting

Patiënten met ernstige ‘onverklaarde lichamelijke klachten’ (OLK) blijken gebrekkig te mentaliseren. Zij hebben er moeite mee een verbinding te ervaren tussen lichamelijke verschijnselen en innerlijke toestanden. Daarom is tijdens intensieve klinische/deeltijdbehandeling een lichaamsgerichte mentalisatiefocus van groot belang. Therapeuten richten zich hierbij op lichaamssignalen van patiënten en van zichzelf. In hun interventies kan men categorieën onderscheiden die typisch zijn voor deze Lichaamsgerichte Mentalisatie-bevorderende therapie (L-MBT).

Abstract

Mentalizing in cases of severe medically unexplained symptoms

Patients with severe medically unexplained symptoms (MUS) have problems with mentalization: they have difficulty experiencing a connection between physical phenomena and inner states. Therefore a body-centred mentalizing focus is of great importance during an intensive clinical/day treatment. Therapists focus on their patients’ and their own bodily signals. Their interventions can be classified in a number of categories that are typical for this Body-centred mentalization-based therapy (B-MBT).

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Authors
  1. J. A. Spaans
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  2. J. A. Koelen
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  3. M. E. F. Bühring
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Additional information

drs. j.a. spaans is klinisch psycholoog; drs. j.a. koelen is psycholoog; dr. m.e.f. bühring is psychiater. Zij zijn allen verbonden aan Altrecht psychosomatiek, het kenniscentrum voor psychosomatiek te Zeist, de eerste als hoofdbehandelaar, de tweede als psychodiagnosticus en onderzoeker, de derde als psychiater en medisch manager.

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Spaans, J.A., Koelen, J.A. & Bühring, M.E.F. Mentaliseren bij ernstige onverklaarde lichamelijke klachten. TIJDSCHRIFT PSYCHOTHERAPIE 36, 5–21 (2010). https://doi.org/10.1007/BF03096114

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