Longing for existential recognition: a qualitative study of everyday concerns for people with somatoform disorders

Annemette Bondo Lind, Mette Bech Risør, Klaus Nielsen, Charlotte Delmar, Morten Bondo Christensen, Kirsten Lomborg

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

OBJECTIVE: Patients with somatoform disorders could be vulnerable to stressors and have difficulties coping with stress. The aim was to explore what the patients experience as stressful and how they resolve stress in everyday life.

METHODS: A cross-sectional retrospective design using 24 semi-structured individual life history interviews. Data-analysis was based on grounded theory.

RESULTS: A major concern in patients was a longing for existential recognition. This influenced the patients' self-confidence, stress appraisals, symptom perceptions, and coping attitudes. Generally, patients had difficulties with self-confidence and self-recognition of bodily sensations, feelings, vulnerability, and needs, which negatively framed their attempts to obtain recognition in social interactions. Experiences of recognition appeared in three different modalities: 1) "existential misrecognition" covered the experience of being met with distrust and disrespect, 2) "uncertain existential recognition" covered experiences of unclear communication and a perception of not being totally recognized, and 3) "successful existential recognition" covered experiences of total respect and understanding. "Misrecognition" and "uncertain recognition" related to decreased self-confidence, avoidant coping behaviours, increased stress, and symptom appraisal; whereas "successful recognition" related to higher self-confidence, active coping behaviours, decreased stress, and symptom appraisal.

CONCLUSION: Different modalities of existential recognition influenced self-identity and social identity affecting patients' daily stress and symptom appraisals, self-confidence, self-recognition, and coping attitudes. Clinically it seems crucial to improve the patients' ability to communicate concerns, feelings, and needs in social interactions. Better communicative skills and more active coping could reduce the harm the patients experienced by not being recognized and increase the healing potential of successful recognition.

Original languageEnglish
JournalJournal of Psychosomatic Research
Volume76
Issue number2
Pages (from-to)99-104
Number of pages6
ISSN0022-3999
DOIs
Publication statusPublished - Feb 2014
Externally publishedYes

Keywords

  • Somatoform disorders
  • adaptation, psychological
  • adult
  • affective symptoms
  • communication
  • cross-sectional studies
  • emotions
  • existentialism
  • female
  • humans
  • interpersonal relations
  • interview, psychological
  • journal article
  • male
  • medical history taking
  • middle aged
  • models, psychological
  • qualitative research
  • recognition (psychology)
  • research support, Non-U.S. Gov't
  • retrospective studies
  • self concept
  • social support
  • stress, psychological
  • value of life
  • young adult

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