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Psychosomatische Aspekte der Theory of Mind

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Theory of Mind

Zusammenfassung

Patienten mit schweren Somatisierungsstörungen bzw. echten organischen Erkrankungen und gleichzeitig bestehenden gravierenden psychosozialen Konflikten sind oft ungeliebte Kinder der psychosomatischen Medizin. Anders als manche Patienten mit primär psychischer Beschwerdesymptomatik, wie im klinischen Vordergrund stehender Angst oder Depression, verspricht diese Patientengruppe meist keine schnellen, eindrucksvollen Therapieerfolge. Stattdessen ist schon die Motivationsphase zur Aufnahme bzw. Akzeptanz einer psychotherapeutischen Behandlung nicht selten mühsam und von ständig fluktuierender Ambivalenz und der Abwehr bedrückender Gefühle geprägt.

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Literatur

  • Bateman AW, Fonagy P (2003) The development of an attachment-based treatment program for borderline personality disorder. Bull Menninger Clin 67(3): 187–211

    Article  PubMed  Google Scholar 

  • Bateman AW, Fonagy P (2004) Mentalization-based treatment of BPD. J Personal Disord 18(1): 36–51

    Article  Google Scholar 

  • Beauregard M, Levesque J, Bourgouin P (2001) Neural correlates of conscious self-regulation of emotion. J Neurosci 21(18): RC165

    Google Scholar 

  • Bechara A, Damasio H, Damasio AR (2000) Emotion, decision making and the orbitofrontal cortex. Cerebr Cortex 10(3): 295–307

    Article  CAS  Google Scholar 

  • Beres D (1965) Symbol and object. Bull Menninger Clin 29: 3–23

    PubMed  CAS  Google Scholar 

  • Bush G, Luu P, Posner MI (2000) Cognitive and emotional influences in anterior cingulate cortex. Trends Cogn Sci 4: 215–222

    Article  PubMed  Google Scholar 

  • Critchley HD, Mathias CJ, Dolan RJ (2001) Neuroanatomical basis for first- and second-order representations of bodily states. Nature Neurosci 4: 207–212

    Article  PubMed  CAS  Google Scholar 

  • Eisenberger NI, Lieberman MD (2004) Why rejection hurts: a common neural alarm system for physical and social pain. Trends Cogn Sci 8(7): 294–300

    Article  PubMed  Google Scholar 

  • Damasio AR (2003) Looking for Spinoza: joy, sorrow, and the feeling brain. Harcourt, Orlando, FL

    Google Scholar 

  • Frith U, Frith CD (2003) Development and neurophysiology of mentalizing. Phil Trans R Soc London B Biol Sci 358(1431): 459–473

    Article  Google Scholar 

  • Fonagy P (2001) The human genome and the representational world: the role of early mother-infant interaction in creating an interpersonal interpretive mechanism. Bull Menninger Clin 65: 427–448

    Article  PubMed  CAS  Google Scholar 

  • Gallagher HL, Frith CD (2003) Functional imaging of »theory of mind«. Trends Cogn Sci 7(2): 77–83

    Article  PubMed  Google Scholar 

  • Gergely G, Watson JS (1996) The social biofeedback theory of parental affect-mirroring: the development of emotional self-awareness and self-control in infancy. Int J Psychoanal 77: 1181–1212

    PubMed  Google Scholar 

  • Greco M (2001) Inconspicuous anomalies: alexithymia and ethical relations to the self. Health 5(4): 471–492

    Google Scholar 

  • Gündel H (2001) Psychoedukative Schmerzbewältigungsprogramme zur Förderung der weiteren Psychotherapieakzeptanz. In: Kapfhammer HP, Gündel H (Hrsg) Psychotherapie der Somatisierungsstörungen. Thieme, Stuttgart

    Google Scholar 

  • Gündel H (2005) Unerreichbar oder schwer erreichbar – einige typische Schwierigkeiten in der Behandlung von Patienten mit schweren Somatisierungsstörungen und psychosomatischen Erkrankungen im engeren Sinne. Persönlichkeitsstörungen: 9: 167–177

    Google Scholar 

  • Gündel H, Greiner A, Ceballos-Baumann AO, von Rad M (2002) Aktuelles zu psychodynamischen und neurobiologischen Einflussfaktoren in der Genese der Alexithymie. Psychosom Psychother Med Psychol 52: 479–486

    Article  Google Scholar 

  • Gündel H, Lopez-Sala A, Ceballos-Baumann AO et al (2004) Alexithymia correlates with the size of the right anterior cingulate. Psychosom Med 66: 132–140

    Article  PubMed  Google Scholar 

  • Gusnard DA, Akbudak E, Shulman GL, Raichle ME (2001) Medial prefrontal cortex and self-referential mental activity: relation to a default mode of brain function. Proc Natl Acad Sci USA 98(7): 4259–4264

    Article  PubMed  CAS  Google Scholar 

  • Hariri AR, Bookheimer SY, Mazziotta JC (2000) Modulating emotional responses: effects of a neocortical network on the limbic system. Neuroreport 11(1): 43–48

    Article  PubMed  CAS  Google Scholar 

  • Hariri AR, Mattay VS, Tessitore A et al (2003) Neocortical modulation of the amygdala response to fearful stimuli. Biol Psychiatry 53(6): 494–501

    Article  PubMed  Google Scholar 

  • Hornak J, Bramham J, Rolls ET et al (2003) Changes in emotion after circumscribed surgical lesions of the orbitofrontal and cingulate cortices. Brain 126: 1691–1712

    Article  PubMed  CAS  Google Scholar 

  • Krystal H (1979) Alexithymia and psychotherapy. Am J Psychother 33: 17–31

    PubMed  CAS  Google Scholar 

  • Lane RD (2000) Neural correlates of conscious emotional experience. In: Lane RD, Nadel L (eds) Cognitive neuroscience of emotion. Oxford University Press, New York, p 359

    Google Scholar 

  • Lane RD, Garfield D (2005) Becoming aware of feelings: integration of cognitive-developmental, neuroscientific and psychoanalytic perspectives. Neuropsychoanalysis 7: 5–30

    Google Scholar 

  • Lane RD, Schwartz GE (1987) Levels of emotional awareness: a cognitive-developmental theory and its application to psychopathology. Am J Psychiatry 144(2): 133–143

    PubMed  CAS  Google Scholar 

  • LeDoux JE (1006) The emotional brain: the mysterious underpinnings of emotional life. Simon & Schuster, New York

    Google Scholar 

  • Marty P, de M’Uzan M (1963) La „pensée opératoire“. Rev Franc Psychoanal 27: 345–356

    Google Scholar 

  • McDougall J (1974) The psychosoma and psychoanalytic process. Int Rev Psychoanal 1: 437–459

    Google Scholar 

  • McDougall J (2000) Theater des Körpers. Ein psychoanalytischer Ansatz für die psychosomatische Erkrankung. Verlag Internationale Psychoanalyse, Stuttgart

    Google Scholar 

  • Ochsner KN, Bunge SA, Gross JJ, Gabrieli JD (2002) Rethinking feelings: an FMRI study of the cognitive regulation of emotion. J Cogn Neurosi 14(8): 1215–1229

    Article  Google Scholar 

  • Öngür D, Price JL (2000) The organization of networks within the orbital and medial prefrontal cortex of rats, monkeys and humans. Cerebr Cortex 10(3): 206–219

    Article  Google Scholar 

  • Piaget J (1937) La construction du réel. Delachaux et Niestlé, Neuchâtel

    Google Scholar 

  • Ruesch J (1948) The infantile personality. Psychosom Med 10: 134–144

    PubMed  CAS  Google Scholar 

  • Sifneos PE (1972) Short-term psychotherapy and emotional crisis. Harvard University Press, Cambridge, MA

    Google Scholar 

  • Streeck-Fischer A, Van Der Kolk BA (2000) Down will come baby, cradle and all: diagnostic and therapeutic implications of chronic trauma on child development. Aust N Z J Psychiatry 34: 903–918

    Article  PubMed  CAS  Google Scholar 

  • Stolorow RD, Atwood GE (1991) The mind and the body. Psychoanal Dial 1: 181–195

    Article  Google Scholar 

  • Subic-Wrana C, Bruder S, Thomas W et al (2002) Distribution of alexithymia as a personality-trait in psychosomatically ill in-patients – measured with TAS 20 and LEAS. Psychother Psychosom Med Psychol 52(11): 454–460

    Article  PubMed  Google Scholar 

  • Watkins LR, Maier SF (2005) Immune regulation of central nervous system functions: from sickness responses to pathological pain. J Intern Med 257(2): 139–155

    Article  PubMed  CAS  Google Scholar 

  • Zepf S (1981) Psychosomatische Medizin auf dem Weg zur Wissenschaft. Campus, Frankfurt

    Google Scholar 

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Authors and Affiliations

  1. Universitätsklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Ulm, Am Hochsträß 8, 89081, Ulm, Deutschland

    Prof. Dr. med. Harald Gündel

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  1. Prof. Dr. med. Harald Gündel
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Correspondence to Harald Gündel .

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Editors and Affiliations

  1. Klinik und Poliklinik für, TU München Klinikum Rechts der Isar, München, Bayern, Germany

    Hans Förstl

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© 2012 Springer-Verlag Berlin Heidelberg

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Gündel, H. (2012). Psychosomatische Aspekte der Theory of Mind. In: Förstl, H. (eds) Theory of Mind. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-24916-7_15

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  • DOI: https://doi.org/10.1007/978-3-642-24916-7_15

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-24915-0

  • Online ISBN: 978-3-642-24916-7

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