What does PAT mean in psychology

Somatoform disorders, psychotherapy


[engl. somatization disorders; psychotherapy], [KLI], the primary objective in the behavioral treatment of somatoform disorders (= SST.) relates to the development of an individual recovery model and the change in the patient's attributions (causal attribution), which are more related to somatic change strategies. The regaining of trust in the functionality of one's own Body as well as the psych. and social ability to act and experience should be in the foreground of the therap. Striving to stand. Patients' trust in the functionality of their own body is usually deeply shaken. To make matters worse, after an odyssey of visits to the doctor, the patients received no answer for their somatic explanation of the cause. This often prevents good compliance for a psychotherapist. Treatment that is an urgent requirement for a favorable prognosis. The creation of a trusting therapist-patient relationship (therapy relationship; psychotherapy) is therefore of outstanding importance. When talking to the patient, it is therefore very important to first confirm the credibility of the complaints. It makes sense to explain to the patient clearly that his complaints are caused by a misperception of body processes. Just patient with SST. require comprehensive transparency from the therapist. Procedure so that the planned steps and their consequences should be shown. In cognitive-behavioral therapy, the patient is taught the influence of stress on physical well-being. It should be made clear that internal and external stress can have a significant influence on physical complaints. As a rule of stress management techniques should be specific. Body awareness exercises (relaxation processes, mindfulness training, sensory and enjoyment training) can be used for stress vaccination. Help cogn. Techniques such as identification of dysfunctional body-related cognitions, changing spirals of thought and pondering, rational problem analysis and problem assessment, cognitive restructuring and Socratic dialogue, a change in the assessment of the meaning of the symptoms should be achieved. A reassessment of the physical symptoms is to be linked with an improvement in everyday skills. Taking into account the patient's resources (resource orientation), pos. activating behaviors are encouraged (enjoyment and sensory training). In addition to these therapy methods, there are also specific Biofeedback techniques are indicated as they meet the patient's need for body-related control. Biofeedback therapy supports the control of body awareness and should be used as a module in a comprehensive multimodal therapy. The effectiveness of behavioral techniques in SST. is proven by numerous studies (Voderholzer & Hohagen, 2013). Numerous authors point to the particular role of improving the patient's lifestyle. You can use sport therapy. Measures and nutritional advice represent an additional aid. Although the beginning of the SST. often already in childhood and adolescence, psychiatric and psychotherapeutic therapy is rarely carried out at this age. Presentation and treatment. In some cases, negative social, school and family problems have already arisen in adolescents due to the symptoms, so that in some cases inpatient care has come about. For these reasons it seems important to diagn and therap. Efforts to start early and gain a better understanding of the SST. in childhood and adolescence. Abdominal pain, headache and other somatic complaints in childhood can be classified as specific after a corresponding somatic assessment. and typical warning signs for the psych. Load on children and adolescents. Hence the early counseling and psychotherap. Treatment of children and adolescents and their parents is of paramount importance. Appropriate empirically evaluated training programs, such as MIPAS family, can be preventive (prevention) like therap. act (Gerber et al., 2010).

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