Abstract

The somatizing patient presents a unique challenge to psychotherapeutic practice. Traditional diagnostic and treatment procedures have proven ineffective in identifying and appropriately treating these elusive patients whose chronic somatic symptoms frustrate the efforts of both physicians and psychotherapists to effect a cure. Rather than accepting the prevailing view that dynamically oriented psychotherapy IS contraindicated, it is argued that psychodynamic techniques can be tailored to the special needs and demands of the somatizing patient. An important treatment issue involves a redefinition of the concept of cure. In addition, careful and creative attention to the counter transference reactions of the therapist provides valuable material to be utilized in working with somatizing patients.

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