Somatoform disorders as disorders of affect regulation: A development perspective

  title={Somatoform disorders as disorders of affect regulation: A development perspective},
  author={Elisabeth Waller and Carl Eduard Scheidt},
  journal={International Review of Psychiatry},
  pages={13 - 24}
  • E. Waller, C. Scheidt
  • Published 1 January 2006
  • Psychology, Medicine
  • International Review of Psychiatry
This paper considers the role of disturbances in affect regulation in the development and course of somatoform disorders. We first give an overview of contemporary theories in the field of psychosomatic medicine that links deficits in emotion regulation to the process of somatization, and then review recent empirical research that focuses on the association between affect regulation and somatoform disorders, with an emphasis on studies investigating the alexithymia construct. Overall, the… 
Emotion regulation and mental health: recent findings, current challenges, and future directions
Despite some yet to be resolved challenges, the concept of emotion regulation has a broad and significant heuristic value for research in mental health.
Dysfunctional affect regulation in borderline personality disorder and in somatoform disorder.
Background: Although affect dysregulation is considered a core component of borderline personality disorder (BPD) and somatoform disorders (SoD), remarkably little research has focused on the
Dysfunctional affect regulation in borderline personality disorder and in somatoform disorder
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  • Psychology
    European journal of psychotraumatology
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Evidence was found for the existence of three qualitatively different forms of experiencing states: inhibitory experiencing states (overregulation of affect and negative psychoform dissociation), excitatory experiencing states most commonly found in BPD, and combination of inhibitory and excite experiencing states commonly occurring in comorbid BPD+SoD.
Vulnerability for functional somatic disorders: A contemporary psychodynamic approach
Patients with functional somatic disorders (FSD) are markedly heterogeneous with regard to the factors contributing to their illness, their symptoms, and treatment response. In this article, we
Somatoform Pain: A Developmental Theory and Translational Research Review
It is suggested that psychotherapeutic and/or pharmacological interventions that foster the development of affect regulation capacities in an interpersonal context will also serve to more effectively modulate aberrantly activated neural pain circuits and thus be of particular benefit for the treatment of somatoform pain.
A mentalization-based approach to the understanding and treatment of functional somatic disorders
Patients with functional somatic disorders (FSD) represent a sizeable group in our health care system. FSD are associated with high health care use and considerable personal and economic costs.
Personality and Affect When the Central Nervous System is Sensitized: An Analysis of Central Sensitization Syndromes in a Substance Use Disorder Population.
The impact of CSS on the clinical presentation of individuals presenting to treatment for a substance use disorder (SUD), with an emphasis on personality and emotional functioning, is examined, using descriptive psychopathology literature.
Emotion regulation in patients with somatic symptom and related disorders: A systematic review
The results indicate that patients show a reduced engagement with cognitive content of emotions in ER, which are usually shared by different diagnoses of SSD, and bodily constituents of ER seem to depict an over-reactive pattern.
Adult attachment and emotion dysregulation in borderline personality and somatoform disorders
Study results suggest that insecure attachment may play a role in both BPD and SoD, but in different ways, with hyperactivating emotion dysregulation prominent in B PD and deactivating emotions dysregulation evident in SoD.
The first step is the hardest - emotion recognition in patients with somatoform disorders.
The results suggest that psychotherapeutic treatment of patients with somatoform disorders should also focus on the recognition of emotions and deal with them.


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Disorders of Affect Regulation: Alexithymia in Medical and Psychiatric Illness
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The results underline the clinical validity of the TAS-20 (German version) as well as the alexithymia construct and highlight the importance of measures of psychopathology and illness severity in patients with somatoform disorders as compared to patients with chronic medical illness.
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