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Journal of Contemporary Psychotherapy

, Volume 38, Issue 1, pp 45–53 | Cite as

An Integrative Approach to Somatoform Disorders Combining Interpersonal and Cognitive-behavioral Theory and Techniques

  • Scott Stuart
  • Russell NoyesJr.
  • Vladan Starcevic
  • Arthur Barsky
Original Paper

Abstract

Data regarding the treatment of somatoform disorders suggest that the gains associated with current psychopharmacologic or psychotherapeutic treatments are modest at best. There have been a few moderately effective treatments for selected functional somatic syndromes, but patients who present with multi-system symptoms meeting criteria for the DSM-IV somatoform disorders are notoriously unresponsive to treatment. Experts in the field have advocated several approaches, including interpersonally oriented and cognitive-behavioral therapies, and have emphasized the importance of the provision of reassurance within the doctor-patient relationship. While each individual approach has merit, none is likely to be maximally efficacious as a stand-alone treatment. In this article we describe the theoretical underpinnings and technical aspects of a treatment for somatizing patients that integrates these three elements.

Keywords

Interpersonal Therapy Somatic 

Notes

Acknowledgments

This work was supported by the following grants: 5K24MH72757-02 (NIMH- Stuart). A. Barsky's work was supported by grant NIMH MH 040487 and NIAMS AR47014

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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Scott Stuart
    • 1
  • Russell NoyesJr.
    • 1
  • Vladan Starcevic
    • 2
  • Arthur Barsky
    • 3
  1. 1.Department of PsychiatryUniversity of IowaIowa CityUSA
  2. 2.Department of Psychological Medicine, Nepean HospitalUniversity of SydneySydney/PenrithAustralia
  3. 3.Brigham and Women’s HospitalHarvard UniversityBostonUSA

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