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Cited by 15Psychosomatic Disorders and Their TreatmentsMedicine, History, and PhilosophyPatient-Provider Communication in Healthcare

Different strokes for different folks: the bodymind approach as a learning tool for patients with medically unexplained symptoms to self-manage

Open access
Payne, Helen, Brooks, Susan·2018·Frontiers in Psychology
DOI 10.3389/fpsyg.2018.02222PMC PMC6243086
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Abstract

Medically unexplained symptoms (MUS) are common and costly in both primary and secondary health care. It is gradually being acknowledged that there needs to be a variety of interventions for patients with MUS to meet the needs of different groups of patients with such chronic long-term symptoms. The proposed intervention described herewith is called The BodyMind Approach (TBMA) and promotes learning for self-management through establishing a dynamic and continuous process of emotional self-regulation. The problem is the mismatch between the patient's mind-set and profile and current interventions. This theoretical article, based on practice-based evidence, takes forward the idea that different approaches (other than cognitive behavioural therapy) are required for people with MUS. The mind-set and characteristics of patients with MUS are reflected upon to shape the rationale and design of this novel approach. Improving services for this population in primary care is crucial to prevent the iterative spiraling downward of frequent general practitioner (GP) visits, hospital appointments, and accident and emergency attendance (A&E), all of which are common for these patients. The approach derives from embodied psychotherapy (authentic movement in dance movement psychotherapy) and adult models of learning for self-management. It has been developed from research and practice-based evidence. In this article the problem of MUS in primary care is introduced and the importance of the reluctance of patients to accept a psychological/mental health referral in the first instance is drawn out. A description of the theoretical underpinnings and philosophy of the proposed alternative to current interventions is then presented related to the design, delivery, facilitation, and educational content of the program. The unique intervention is also described to give the reader a flavor.

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  • Chronic pain patients may refuse cognitive-based interventions because they experience the physical nature of their symptoms and may perceive their mental health concerns as stigma.

    “As chronic pain patients experience the physical nature of their symptoms and may perceive their mental health concerns as stigma, they may refuse cognitive-based interventions (Payne and Brooks, 2018).”

    From The Development of Mindful-Based Dance Movement Therapy Intervention for Chronic Pain: A Pilot Study With Chronic Headache Patients (2021) · cites this paper as Payne and Brooks, 2018

    The Introduction and “Mind-Set of Patients With MUS” sections say that patients with medically unexplained symptoms physically experience their symptoms, may view CBT referrals as stigmatizing, and may not engage with CBT. The claim extends that explanation to chronic pain patients generally, whereas the paper makes it about patients with medically unexplained symptoms. (LLM, conf=0.86)

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Cites

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Research works printed but not linked: 6

  1. Edwards T. M. Stern A. Clarke D. D. Ivbijaro G. Kasney L. M. (2010). Treatment of patients with MUS in primary care: review of literature. Mental Health Fam. Med. 4 209– 221. PMC3083260 22477945
  2. Gallagher S. Hutto D. (forthcoming). Chapter 3 Routledge International Handbook of Embodied Perspectives in Psychotherapy: Approaches from Dance Movement and Body Psychotherapies, eds Payne H. Koch S., J. Tantia, and T. Fuchs (London: Routledge).
  3. Payne H. (2006a). (Editor and Contributor) Dance Movement Therapy: Theory, Research and Practice. London: Routledge.
  4. Payne H. (2006b). “The body as container and expresser: authentic Movement groups in the development of wellbeing in our bodymindspirit,” in About A body: Working with the Embodied Mind in Psychotherapy, eds Corrigall J. Payne H. Wilkinson H. (London: Routledge).
  5. Payne H. (2017a). “Chapter 10, Reliable change in outcomes from The BodyMind ApproachTM with people who have medically unexplained symptoms/somatic symptom disorder in primary care,” in Essentials in Dance Movement Psychotherapy: International Perspectives on Theory Research and Practice, ed. Payne H. (New York, NY: Routledge), 149– 170.
  6. Shapiro L. (2011). Embodied cognition. New York, NY: Routledge.

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Authors
Payne, H., & Brooks, S.
Affiliations
University of Hertfordshire (GB)
Corresponding author
Payne, Helen
ORCID
Payne, Helen
Venue
Frontiers in Psychology
Publisher
Frontiers Media SA
Published
2018-11-13
Volume
9
Pages
1837-1837
ISSN
1664-1078 (ISSN-L)
DOI
10.3389/fpsyg.2018.02222
PMC
PMC6243086
OpenAlex
W2901462120
Cited by
15
References
95
Citations by year
2026: 1 · 2025: 3 · 2024: 3 · 2022: 2 · 2021: 3 · 2020: 1 · 2019: 2
FWCI
1.18
Type
journal article
Language
en
Update notices
corrigendum (2019-08-07)
Open access
Licence
Locations
  • Frontiers in Psychology (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • University of Hertfordshire Research Archive (University of Hertfordshire) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
University of Hertfordshire
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Medicine, History, and Philosophy
  • Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Keywords
medically unexplained symptoms, self-management, emotion regulation, dance therapy, Authentic Movement, primary care, psychological intervention

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