Eikenboom, Center for Psychosomatic Medicine in Zeist, The Netherlands, is a tertiary
referral clinic for severe and chronic somatoform disorders. Patients have been treated
extensively but usually unsuccessful before being referred to our Center. Cognitive
Behaviour Therapy, which is often used for patients with Somatically Unexplained Physical
Symptoms (SUPS) is not always sufficiently effective for very complex patients. It
can be important to broaden the therapeutic perspectives for these patients.
This poster presents a transdiagnostic explanation model in which impaired mentalization
of primary representations of the body (body-mentalization) plays a central role next
to the following factors: 1) problematic attention and perception; 2) low acceptation
of symptoms and the restrictions they imply; and 3) negative systemic influences.
A body-mentalization based treatment for severe variants of SUPS is described. In
Dutch we call this model MAMS (Mentalization, Acceptation, Modulation, Systemic Work).
In this multimodal therapy the dialectics between change and acceptation, individual
and group, fixed structures and organic development is a starting point. This is why
the therapy is called: Dialectic Mentalization Based Therapy for severe Somatoform
disorders (D-MBT-S).
This integrative multi-modal approach improves quality of live significantly. It has
shown to decrease psychopathology and medical costs.
Literatur: Bühring, MEF,Vom Körperleben zum sprachlichen Ausdruck-Psychosomatische Rehabilitation
in den Niederlanden, Praxis Klinische Verhaltensmedizin und Rehabilitation 2000; 52:
52-61. Spaans J, Veselka L, Luyten P. & Bühring M (im Druck). Lichaamsmentalisatie:
over mentaliseren bij ernstige somatoforme stoornissen. Tijdschrift voor Psychiatrie
Bühring, MEF, Boom KJ, Spaans J ( red.) Regionaal Zorgprogramma Somatoforme stoornissen
- Een regionaal samenwerkingsproject van Altrecht, Universitair Medisch Centrum Utrecht,
Vindicta, SBWU, Hofpoortziekenhuis, Mesos Medisch Centrum, locatie Overvecht, Centrum
Maliebaan, Regionale Commissie Vrijgevestigde Psychotherapeuten, Regionaal Orgaan
Eerstelijns Psychologen, Zuidwest Utrecht, 2006
Mentalization Based Therapy - multimodal therapy - severe somatoform disorders
