ArticleMedical humanities2019
Agency, embodiment and enactment in psychosomatic theory and practice.
Article in Medical humanities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The neurobiology of functional neurological disorders characterised by impaired awareness.Frontiers in psychiatry · 2023Pooled it
- Looking back at resignation syndrome: the rise and fall of a culture-bound endemic.Philosophy, ethics, and humanities in medicine : PEHM · 2025Article
- Random Forest Regression May Become the Optimal Regression Model for Osteoarthritis of the Knee in Elderly, in the Context of Embodied Cognition and Psychosomatic Medicine.Journal of multidisciplinary healthcare · 2025Article
- Hybrid Feel-Own-Move®: protocol for an effectiveness-implementation study of a psychomotor intervention for survivors of domestic violence.Frontiers in public health · 2025Article
- Explanation for symptoms and biographical repair in a clinic for persistent physical symptoms.SSM. Qualitative research in health · 2024Article
- Illness perceptions, experiences of stigma and engagement in functional neurological disorder (FND): exploring the role of multidisciplinary group education sessions.BMJ neurology open · 2024Article
- Acquiring a new understanding of illness and agency: a narrative study of recovering from chronic fatigue syndrome.International journal of qualitative studies on health and well-being · 2023Article
- Personal identity, somatic symptoms, and symptom-related thoughts, feelings, and behaviors in adolescence: Examining between- and within-person associations and the role of depressive symptoms.Journal of youth and adolescence · 2023Article
- Injury, illness, and emotion: A review of the motivational continuum from trauma through recovery from an ecological perspective.Brain, behavior, & immunity - health · 2023Review
- When feelings hurt: Learning how to talk with families about the role of emotions in physical symptoms.Paediatrics & child health · 2023Article
- Why art? The role of arts in arts and health.Frontiers in psychology · 2023Article
- A cultural-ecosocial systems view for psychiatry.Frontiers in psychiatry · 2023Article
- Feel-Own-Move: a psychomotor therapy program for victims of intimate partner violence living in shelter homes. Feasibility and effects on mental health, bodily dissociation, and quality of life.Frontiers in psychology · 2023Article
- Enactive interventions can enhance agency, health, and social relationships during childhood.Frontiers in psychology · 2023Article
- Restoring the missing person to personalized medicine and precision psychiatry.Frontiers in neuroscience · 2023Article
- Separation and not residency permit restores function in resignation syndrome: a retrospective cohort study.European child & adolescent psychiatry · 2023Article
- Placebo From an Enactive Perspective.Frontiers in psychology · 2021Article
- "Mombrain and Sticky DNA": The Impacts of Neurobiological and Epigenetic Framings of Motherhood on Women's Subjectivities.Frontiers in sociology · 2021Article
- Play the Pain: A Digital Strategy for Play-Oriented Research and Action.Frontiers in psychiatry · 2021Article
- A Developmental Framework for Embodiment Research: The Next Step Toward Integrating Concepts and Methods.Frontiers in systems neuroscience · 2021Review
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Authors and funding
2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
In this paper, we examine some of the conceptual, pragmatic and moral dilemmas intrinsic to psychosomatic explanation in medicine, psychiatry and psychology. Psychosomatic explanation invokes a social grey zone in which ambiguities and conflicts about agency, causality and moral responsibility abound. This conflict reflects the deep-seated dualism in Western ontology and concepts of personhood that plays out in psychosomatic research, theory and practice. Illnesses that are seen as psychologically mediated tend also to be viewed as less real or legitimate. New forms of this dualism are evident in philosophical attacks on Engel's biopsychosocial approach, which was a mainstay of earlier psychosomatic theory, and in the recent Research Domain Criteria research programme of the US National institute of Mental Health which opts for exclusively biological modes of explanation of illness. We use the example of resignation syndrome among refugee children in Sweden to show how efforts to account for such medically unexplained symptoms raise problems of the ascription of agency. We argue for an integrative multilevel approach that builds on recent work in embodied and enactive cognitive science. On this view, agency can have many fine gradations that emerge through looping effects that link neurophenomenology, narrative practices and cultural affordances in particular social contexts. This multilevel ecosocial view points the way towards a renewed biopsychosocial approach in training and clinical practice that can advance person-centred medicine and psychiatry.
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