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      The role of attachment in medically unexplained symptoms and long-term illness

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      BJPsych Advances
      Royal College of Psychiatrists

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          Summary

          In this article, we explore the role of attachment in the development of medically unexplained symptoms (MUS) and response to physical illness. We review the evidence that attachment insecurity is common in people with different forms of MUS and certain long-term physical conditions. We discuss a possible developmental model for understanding how MUS develop. We conclude with discussion of potential therapies and implications for services.

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          Most cited references6

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          The development of embodied cognition: six lessons from babies.

          The embodiment hypothesis is the idea that intelligence emerges in the interaction of an agent with an environment and as a result of sensorimotor activity. We offer six lessons for developing embodied intelligent agents suggested by research in developmental psychology. We argue that starting as a baby grounded in a physical, social, and linguistic world is crucial to the development of the flexible and inventive intelligence that characterizes humankind.
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            The Patient-Provider Relationship: Attachment Theory and Adherence to Treatment in Diabetes

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              Attachment relationships as determinants of physical health.

              Childhood adversity alters the relational world of the child and inhibits the development of secure attachment bonds. The purpose of this article is to survey recent evidence that attachment insecurity has the potential to impair physical health throughout the lifespan. It is proposed that attachment insecurity contributes to disease risk through a range of mechanisms which include (1) disturbances in arousal and recovery within physiological systems that respond to stress; (2) physiological links between the mediators of social relationships, stress, and immunity; (3) links between relationship style and various health behaviors; and (4) disease risk factors that serve as external regulators of dysphoric affect, such as nicotine and alcohol. The evidence for these mechanisms, particularly the evidence that has accumulated since the model was first proposed in 2000, is presented and discussed.
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                Author and article information

                Journal
                applab
                BJPsych Advances
                BJPsych advances
                Royal College of Psychiatrists
                2056-4678
                2056-4686
                May 2015
                January 2 2018
                May 2015
                : 21
                : 03
                : 167-174
                Article
                10.1192/apt.bp.114.013045
                bc24d654-0272-407f-838c-ec16e32570b5
                © 2015
                History

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