More than just pain?! A systemic compass for working with people with chronic pain

IF 0.7 4区 心理学 Q4 FAMILY STUDIES
Lisa Bernaerts
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Abstract

Over one in four people in Belgium experience severe physical pain. One in 10 people develop chronic pain every year worldwide. Treatment of chronic pain is based on the biopsychosocial model. Scientific views state, among other things, that pain is a threat to the social self, which is an interesting point of entry for (mental) health-care providers. Conversations with people with chronic pain are always about more than just their pain; they are interesting and cover a lot of ground. Talking about feelings of being hard done-by, clarifying the complexity of the situation, examining the body as an autonomous entity, offering psychoeducation as a hypothesis, and a general attitude of not-knowing form a compass that allows us to attune to the patient and not take up an advisory position. Living with chronic pain requires negotiating with the outside world, being allowed to care for and consider the body, and being allowed to differ from the norm and still fit in enough in a world where the body is just a background figure. An identity transformation and the effects of trauma are described. We meet Eddy and Anne, both dealing with chronic pain, who bring theory alive. The author gives an insight into her personal search and struggles as a psychotherapist introducing systemic psychotherapy in chronic pain patients.

Abstract Image

不仅仅是痛苦?!与慢性疼痛患者一起工作的系统指南
在比利时,超过四分之一的人经历过严重的身体疼痛。全世界每年有十分之一的人患有慢性疼痛。慢性疼痛的治疗是基于生物心理社会模型。科学观点表明,除其他外,疼痛是对社会自我的威胁,这对(精神)保健提供者来说是一个有趣的切入点。与患有慢性疼痛的人的谈话总是不仅仅是关于他们的疼痛;它们很有趣,涵盖了很多领域。谈论被虐待的感觉,澄清情况的复杂性,把身体作为一个独立的实体来检查,把心理教育作为一种假设,以及一种不知道的普遍态度,这些都形成了一个指南针,使我们能够与病人协调,而不是采取咨询的立场。与慢性疼痛共存需要与外界进行协商,被允许关心和考虑自己的身体,被允许与常规有所不同,同时仍能充分融入这个身体只是背景的世界。描述了身份的转变和创伤的影响。我们遇到了艾迪和安妮,他们都在处理慢性疼痛,他们把理论活了起来。作者给出了她作为一名心理治疗师在慢性疼痛患者中引入系统心理治疗的个人探索和斗争的见解。
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来源期刊
CiteScore
1.60
自引率
14.30%
发文量
40
期刊介绍: The ANZJFT is reputed to be the most-stolen professional journal in Australia! It is read by clinicians as well as by academics, and each issue includes substantial papers reflecting original perspectives on theory and practice. A lively magazine section keeps its finger on the pulse of family therapy in Australia and New Zealand via local correspondents, and four Foreign Correspondents report on developments in the US and Europe.
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