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Cited by 238Psychosomatic Disorders and Their TreatmentsPsychoanalysis and Psychopathology ResearchPsychotherapy Techniques and Applications

Attachment and Interpersonal Communication in Somatization

Stuart, Scott, Noyes, Russell·1999·Psychosomatics
DOI 10.1016/s0033-3182(99)71269-7
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Abstract

The authors review the research on childhood antecedents and personality contributions to the somatoform disorders, as well as research on social influences during adulthood. Based on these data, the authors hypothesize that somatizing patients display anxious attachment behavior that derives from childhood experiences with caregivers. Early exposure to illness increases the likelihood that distress will be manifested somatically. When under stress as adults, somatizers use physical complaints to elicit care. Somatizers' interpersonal interactions with others, including physicians, ultimately lead to rejection that reinforces the somatizer's belief that he or she will be abandoned. Modification of physicians' responses to these patients may improve treatment outcomes.

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Crossref · 10.1016/s0033-3182(99)71269-7

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  • The interpersonal model proposes that anxious and insecure attachments derived from caregivers in early childhood lead to increased maladaptive care-seeking behaviours and reassurance seeking in adulthood.

    “The other major theory of health anxiety is based on the interpersonal model [36]. This model proposes that anxious and insecure attachments derived from caregivers in early childhood leads to increased maladaptive care-seeking behaviours and reassurance seeking in adulthood [37].”

    From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [36]

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Authors
Stuart, S., & Noyes, R.
Affiliations
University of Iowa (US)
Corresponding author
Stuart, Scott
ORCID
Stuart, Scott
Venue
Psychosomatics
Publisher
Elsevier BV
Published
1999-01
Volume
40
Issue
1
Pages
34-43
ISSN
0033-3182 (ISSN-L)
DOI
10.1016/s0033-3182(99)71269-7
OpenAlex
W2042609187
Cited by
238
References
70
Citations by year
2026: 2 · 2025: 5 · 2024: 10 · 2023: 13 · 2022: 3 · 2021: 7 · 2020: 7 · 2019: 13 · 2018: 6 · 2017: 21 · 2016: 9 · 2015: 15 · 2014: 7 · 2013: 9 · 2012: 12
FWCI
4.75
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Psychosomatics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
somatization, somatoform disorders, attachment, attachment anxiety, personality, interpersonal communication, physician-patient interaction, rejection, abandonment, stress, physical complaints
MeSH terms
Adolescent, Adult, Child, Communication, Female, Humans, Interpersonal Relations, Male, Object Attachment, Personality Development, Physician-Patient Relations, Somatoform Disorders

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