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An Integrative Trauma-Based Approach Toward Chronic Pain: Specific Applications to Interstitial Cystitis/Bladder Pain Syndrome
Ist Teil von
Journal of psychotherapy integration, 2016-12, Vol.26 (4), p.378-393
Ort / Verlag
Educational Publishing Foundation
Erscheinungsjahr
2016
Link zum Volltext
Quelle
EBSCOhost APA PsycARTICLES
Beschreibungen/Notizen
The impact of chronic illness on an individual's life is profound, affecting physical, social, and vocational functioning. Incurring and living with illness can dramatically alter an individual's life trajectory, challenging identity and ideas of the future. The illness itself can be physically and psychologically traumatic. Vulnerability to trauma increases when individuals have poor preexisting coping mechanisms and with illness severity. In this paper, we discuss interstitial cystitis/bladder pain syndrome (IC/BPS), a disabling chronic pain condition with no known cure. The traumatic potential of IC/BPS is high due to the nature and severity of the condition, ambiguity of symptoms, patient characteristics, and treatment process. Psychotherapy in IC/BPS is extremely complex, where therapists are tasked with assisting in managing pain and illness against a background of traumatic life experiences, identity confusion, and negative treatment experiences with medical providers. The literature on psychotherapeutic approaches specific to IC/BPS is limited, presenting additional challenges. We focus on the potential additive utility of integrating psychodynamic approaches to trauma with existing interventions for chronic pain for those who suffer from IC/BPS. We describe a clinical case to illustrate our approach.