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.
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