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A Conceptual Model of Psychosomatic Illness in Children: Family Organization and Family Therapy
Abstract
Linear and open systems (multiple feedback) models of psychosomatic illness in children are contrasted in terms of their implications for cause and treatment. An open systems family model is presented that describes three necessary (but not independently sufficient) conditions for the development and maintenance of severe psychosomatic problems in children: (1) a certain type of family organization that encourages somatization; (2) involvement of the child in parental conflict; and (3) physiological vulnerability. Predisposition for psychosomatic illness, symptom choice, and maintenance are discussed within this conceptual framework. We report on family therapy strategies based on this model and the results of family treatment with 48 cases of "brittle" diabetes, psychosomatic asthma, and anorexia nervosa.
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Citations
Cited by
Interparental conflict and the children of discord and divorce.
Emery, R. E. (1982) · Psychological Bulletin · doi:10.1037//0033-2909.92.2.310 · Cited by 1,380
Canadian practice guidelines for the treatment of children and adolescents with eating disorders
Couturier, J., Isserlin, L., Norris, M., Spettigue, W., Brouwers, M., Kimber, M., McVey, G., Webb, C., Findlay, S., Bhatnagar, N., et al. (2020) · Journal of Eating Disorders · doi:10.1186/s40337-020-0277-8 · Cited by 215
Logan, D. E., & Scharff, L. (2005) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsj060 · Cited by 202
Anorexia nervosa: a study of 34 twin pairs and one set of triplets
Holland, A. J., Hall, A., Murray, R., Russell, G. F. M., & Crisp, A. H. (1984) · British Journal of Psychiatry · doi:10.1192/bjp.145.4.414 · Cited by 174
Emotional, behavioural, and educational disorders in diabetic children
Gath, A., Smith, M. A., & Baum, J. D. (1980) · Archives of Disease in Childhood · doi:10.1136/adc.55.5.371 · Cited by 73
Metadata
- Authors
- Minuchin, S.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1975-08-01
- Volume
- 32
- Issue
- 8
- Pages
- 1031
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W1997987450
- Cited by
- 843
- References
- 0
- FWCI
- 11.65
- Type
- journal article
- Language
- en
- Open access
- closed
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- Minuchin, S. (1975). A Conceptual Model of Psychosomatic Illness in Children: Family Organization and Family Therapy. Archives of General Psychiatry. https://doi.org/10.1001/archpsyc.1975.01760260095008
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