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Somatisierung und Schmerz

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Neuropsychodynamische Psychiatrie

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Zusammenfassung

Somatisierung beschreibt das Auftreten von körperlichen Symptomen – Schmerzen, vegetativen Symptomen u. a. – ohne eindeutig nachvollziehbare medizinische Ursache. Psychodynamisch kann Somatisierung als Folge der Verdrängung von subjektiv unerträglichen Emotionen, Konflikten und Erinnerungen verstanden werden. Neurobiologisch liegt eine gestörte Funktion in wichtigen Hirnregionen des autobiografischen Gedächtnisses zugrunde. Stehen Schmerzen als Hauptsymptom im Vordergrund, lässt sich häufig eine subjektiv erlebte soziale Trennungssituation als Auslöser eruieren. Überlappende neuronale Repräsentanzen für Schmerzen und soziale Isolierung stellen hierbei die neurobiologische Grundlage für eine übersteigerte Schmerzwahrnehmung dar.

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Author information

Authors and Affiliations

  1. Klinik für Psychiatrie, Psychosomatik und Psychotherapie, Klinikum der Johann Wolfgang Goethe-Universität, Heinrich-Hoffmann-Straße 10, 60528, Frankfurt am Main, Deutschland

    Dr. Moritz de Greck

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  1. Dr. Moritz de Greck
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Correspondence to Moritz de Greck .

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Editors and Affiliations

  1. Zentrum für Depressionen, Angsterkrankungen und Psychotherapie, Psychiatrische Universitätsklinik Zürich, Zürich, Switzerland

    Heinz Böker

  2. Klinik für Psychiatrie und Psychotherapie/Psychosomatik, Städtische Kliniken Frankfurt am Main-Höchst, Frankfurt am Main, Germany

    Peter Hartwich

  3. Institute of Mental Health Research, University of Ottawa, Ottawa, Canada

    Georg Northoff

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de Greck, M. (2016). Somatisierung und Schmerz. In: Böker, H., Hartwich, P., Northoff, G. (eds) Neuropsychodynamische Psychiatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47765-6_19

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  • DOI: https://doi.org/10.1007/978-3-662-47765-6_19

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47764-9

  • Online ISBN: 978-3-662-47765-6

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