Has CBT much to offer somatisers?

I find very little of interest on somatisation in the CBT literature. I encounter these patients quite alot and they are difficult. Here are some questions and I would really welcome comments.
1) What is the role of unexpressed emotion. Is it present in most of these patients? Should it be formulated in terms of a dysfunctional assumption such as 'if I express emotion....' Is it usually linked in with a fear of weakness?
2) How much does symptom monitoring and processing play a part in maintenance as it does in hypocondriasis?
3) How strongly do we need to consider the impact of the benefit and legal system in the maintenance of these problems.

Replies:

Re: Has CBT much to offer somatisers?, by Jonathan Simons,Ph.D. jsimons2@earthlink.net, 1/29/00 Re:Has CBT much to offer somatisers?, by Jim Spira, PhD, MPH, 10/11/00 Re:Has CBT much to offer somatisers?, by Steven Locke, MD, 10/15/00

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