The body speaks its mind: The BodyMind Approach® for patients with medically unexplained symptoms in primary care in England

Payne, Helen

doi:10.1016/j.aip.2014.12.011

Cited by 26 publications

(29 citation statements)

References 13 publications

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“…The BodyMind Approach is a newly developed intervention to overcome the obstacles of the patient mind-set and lack of treatment option. It is a specialist, community-based program for primary care patients with MUS based on research ( Payne and Stott, 2010 ) and practice-based evidence ( Payne, 2015 , 2017a ; Payne and Brooks, 2016 , 2017 ) conducted at the University of Hertfordshire, United Kingdom. During the research a cost effectiveness study was conducted by a health economist to demonstrate the expected savings to primary care of implementing TBMA (Payne and Fordham, 2008).…”

Section: The Bodymind Approachmentioning

confidence: 99%

Different Strokes for Different Folks: The BodyMind Approach as a Learning Tool for Patients With Medically Unexplained Symptoms to Self-Manage

Payne

Brooks

2018

Front. Psychol.

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Medically unexplained symptoms (MUS) are common and costly in both primary and secondary health care. It is gradually being acknowledged that there needs to be a variety of interventions for patients with MUS to meet the needs of different groups of patients with such chronic long-term symptoms. The proposed intervention described herewith is called The BodyMind Approach (TBMA) and promotes learning for self-management through establishing a dynamic and continuous process of emotional self-regulation. The problem is the mismatch between the patient’s mind-set and profile and current interventions. This theoretical article, based on practice-based evidence, takes forward the idea that different approaches (other than cognitive behavioural therapy) are required for people with MUS. The mind-set and characteristics of patients with MUS are reflected upon to shape the rationale and design of this novel approach. Improving services for this population in primary care is crucial to prevent the iterative spiraling downward of frequent general practitioner (GP) visits, hospital appointments, and accident and emergency attendance (A&E), all of which are common for these patients. The approach derives from embodied psychotherapy (authentic movement in dance movement psychotherapy) and adult models of learning for self-management. It has been developed from research and practice-based evidence. In this article the problem of MUS in primary care is introduced and the importance of the reluctance of patients to accept a psychological/mental health referral in the first instance is drawn out. A description of the theoretical underpinnings and philosophy of the proposed alternative to current interventions is then presented related to the design, delivery, facilitation, and educational content of the program. The unique intervention is also described to give the reader a flavor.

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Section: The Bodymind Approachmentioning

confidence: 99%

Different Strokes for Different Folks: The BodyMind Approach as a Learning Tool for Patients With Medically Unexplained Symptoms to Self-Manage

Payne

Brooks

2018

Front. Psychol.

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“…Thus DMT involves experiential exercises including mindfulness skills and attention training. There are several other studies suggesting that this type of training, which includes experiential exercises, could be beneficial to the patients (Hayes et al, 2011 ; Michalak et al, 2012 ; Horst et al, 2013 ; Payne, 2015 ). It could also be speculated that DMT increases psychological flexibility, which has been shown to be associated with wellbeing and quality of life (Hayes et al, 2011 ; Keng et al, 2011 ), as the skills for observation, reflection and body state modulation improve.…”

Section: Discussionmentioning

confidence: 99%

A dance movement therapy group for depressed adult patients in a psychiatric outpatient clinic: effects of the treatment

2015

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We were interested in investigating the effects of dance movement therapy (DMT) in a psychiatric outpatient clinic with patients diagnosed with depression. DMT aims to engage the patients in physical and verbal exploration of their experiences generated in movement based interaction. The assumption was that DMT, which includes both physical engagement as well as emotional and social exploration, would alleviate the mood and psychiatric symptoms. All adult patients (n = 33) included in the study received treatment as usual (TAU). Twenty-one patients participated in a 12-session DMT group intervention, and the remaining 12 patients chose to take TAU only. The majority of the patients suffered from moderate or severe depression, recurrent and/or chronic type. The effects of the interventions were investigated after the intervention, and at 3-month follow-up. Compared to the TAU, adding DMT seemed to improve the effect of the treatment. The effect of the DMT was observable whether the patient was taking antidepressant medication or not. At follow-up, between group effect sizes (ES) were medium in favor for the DMT group (d = 0.60–0.79). In the DMT group, the within ES at the 3 months follow-up varied from 0.62 to 0.82 as compared to TAU 0.15–0.37. The results indicated that DMT is beneficial in the treatment of depressed patients.

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“…Both professions accept that any physical changes in posture or autonomic nervous system activity will affect mood, perception, sensory experience, cognition and well-being (Carroll, 2009;Levy, 1988;Sletvold, 2014;Westland, 2015a;Payne 2015Payne , 2016Zubala & Karkou, 2014).…”

Section: Some Fundamental Assumptionsmentioning

confidence: 99%

“…BP and DMP honour subjective experiences such as physical sensations, embodied presence and relationship, as well as interventions which integrate and re-vitalise (Berrol, 1992(Berrol, , 2006Krantz, 2012;Nolan, 2012;Ogden et al, 2006;Payne, 2015;Rolef Ben-Shahar, 2014;Westland, 2015a). Both professions accept that any physical changes in posture or autonomic nervous system activity will affect mood, perception, sensory experience, cognition and well-being (Carroll, 2009;Levy, 1988;Sletvold, 2014;Westland, 2015a;Payne 2015Payne , 2016Zubala & Karkou, 2014).…”

Section: Some Fundamental Assumptionsmentioning

confidence: 99%

“…These ideas and practices expand the discussion around embodiment beyond what phenomenology and current scientific discoveries can offer. Payne (2015Payne ( , 2016 designed a model from elements of DMP and authentic movement termed The BodyMind Approach™ specifically for NHS patients in primary care experiencing persistent bodily sensory distress without a medical explanation (medically unexplained symptoms). Bodily symptoms for which physicians found no medical or hereditary cause were a focus for the early psychoanalytic movement such as Janet, (1889), Groddeck, (1983) andFerenczi, (1952).…”

Section: Professional Settings For Practice In the Ukmentioning

confidence: 99%

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A comparative analysis of body psychotherapy and dance movement psychotherapy from a European perspective

Payne

Warnecke

Karkou

et al. 2016

Body, Movement and Dance in Psychotherapy

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The role of embodiment within contemporary psychotherapy practice and its discussion are gathering momentum, and are part of a paradigm shift in psychotherapy in which theory and practice are being reformulated. Body Psychotherapy (BP) and Dance Movement Psychotherapy (DMP) are playing a leading role in these deliberations. Although these two professions have separate professional bodies, distinct theoretical grounding and clinical methodology, they both place enormous value on the central role of the body and its movement as indicators of relational problems, and as agents of therapeutic change. There are few authors comparing and contrasting Body Psychotherapy and Dance Movement Psychotherapy although they have much in common as they are both embodied, enactive psychotherapies. However, neither their overlaps in theory, methodology and some of their clinical practice nor their distinct character have been sufficiently delineated. This article elucidates some similarities and differences in fundamental assumptions, compares and contrasts definitions and terms, and considers common and contrasting theoretical perspectives, techniques and methods. It is expected that this will contribute to the on-going discussion of the articulation of core characteristics in both professions and will facilitate a better understanding and collaboration between them.

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The body speaks its mind: The BodyMind Approach® for patients with medically unexplained symptoms in primary care in England

Cited by 26 publications

References 13 publications

Different Strokes for Different Folks: The BodyMind Approach as a Learning Tool for Patients With Medically Unexplained Symptoms to Self-Manage

Different Strokes for Different Folks: The BodyMind Approach as a Learning Tool for Patients With Medically Unexplained Symptoms to Self-Manage

A dance movement therapy group for depressed adult patients in a psychiatric outpatient clinic: effects of the treatment

A comparative analysis of body psychotherapy and dance movement psychotherapy from a European perspective

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