Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
När traumat sätter sätter sig i kroppen: Affektreglering och somatoforma dissociationer hos patienter
Ersta Sköndal University College, Department of Health Care Sciences, St Lukas Educational Institute.
2016 (Swedish)Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
When trauma effects the body : Affect regulation and somatoform dissociations in patients (English)
Abstract [sv]

Traumatiska upplevelser som inte bearbetas kan ge somatiska symtom, i en del fall som uttryck för dissociation, så kallade somatoforma dissociationer. Patienter med dessa symtom söker sig till sjukvården där bristande kunskap om symtom på trauma kan fördröja adekvat behandling. Studiens syfte är undersöka traumainriktade terapeuters erfarenheter av arbete med patienter som har somatoforma dissociationer. Frågeställningarna är: Vilka upplevelser har psykoterapeuter av affektreglering och allians med traumatiserade patienter? Vilka symtom i form av somatoforma dissociationer ses hos patienterna? Hur kan man fånga upp traumarelaterad problematik inom sjukvården? Metoden är en kvalitativ undersökning i form av intervjuer med fem legitimerade psykoterapeuter som arbetar på traumamottagningar. Resultatet visar att somatiska symtom är vanliga hos traumatiserade patienter och att en del av symtomen kan betraktas vara somatoforma dissociationer. De somatiska symtomen kan ses som ett uttryck för obearbetade affekter och affektreglering är en väg till minskning av symtomen. I psykoterapin är tilliten en viktig del i alliansen. Slutsatser som kan dras är att somatoforma dissociationer kan behöva lyftas fram för att tydliggöra de somatiska uttryckens koppling till trauma. Inom sjukvården är det av vikt med ökad kunskap kring trauma så att patienten även får hjälp till affektreglering genom terapi och inte endast t ex fortsatt medicinsk behandling för somatiska och psykiska symtom.

Abstract [en]

Experiences of trauma that not are taken care of may give somatic symptoms, in some cases as signs of dissociation, so called somatoform dissociations. Patients with these symptoms search for help in the medical care where insufficient knowledge of trauma symptoms can delay adequate treatment. The aim of this study is to investigate therapists’ experiences of therapy with traumatized patients that have somatoform dissociations. The questions to be asked are: Which experiences do psychotherapists have of affect regulation and alliance with traumatized patients? Which symptoms do patients have that can be seen as somatoform dissociations? How can you be aware of trauma related problems in the medical care? The method is a qualitative approach based on interviews of five legitimated psychotherapists working with traumatized patients. The result shows that somatic symptoms are common in traumatized patients and that some symptoms can be seen as somatoform dissociations. The somatic symptoms can be seen as signs of unprocessed affects and affect regulation is a way to reduce the symptoms. In psychotherapy faith is an important part of the alliance. Derived conclusions are that somatoform dissociations need to be highlighted so that the link between somatic symptoms and dissociation can be clarified. In the medical care the knowledge of trauma is essential so that the patient also gets help with affect regulation and not only further medical treatment of somatic and psychological symptoms.

Place, publisher, year, edition, pages
2016. , 29 p.
Keyword [en]
Trauma, Dissociation, Somatoform dissociation, Affect regulation, Alliance
Keyword [sv]
Trauma, Dissociation, Somatoform dissociation, Affektreglering, Allians
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:esh:diva-5154OAI: oai:DiVA.org:esh-5154DiVA: diva2:914764
Educational program
Psykoterapeutprogrammet
Uppsok
Social and Behavioural Science, Law
Available from: 2016-03-29 Created: 2016-03-25 Last updated: 2016-03-29Bibliographically approved

Open Access in DiVA

fulltext(675 kB)150 downloads
File information
File name FULLTEXT01.pdfFile size 675 kBChecksum SHA-512
7ec5cb859e683e6edb945d3a71ac6608fbb3587651e6a629ebb050045b344280401c5e877206a6152ab5d0f08f116d9f447e244d2d87bd8e80fa467bd3673b6f
Type fulltextMimetype application/pdf

By organisation
St Lukas Educational Institute
Applied Psychology

Search outside of DiVA

GoogleGoogle Scholar
Total: 150 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 268 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf