title: [Therapeutic relationship and communication. Attitude towards patients with functional pain syndromes].
abstract: Establishing a trustful therapeutic relationship and reflecting on attitudes and behavior is essential in caring for patients with functional pain syndromes. Hope-disappointment circles are common and can be intensified by unfavorable caregiver behavior. A biopsychosocial, empathetic and coping-oriented attitude has proved to be useful. A motivating communication is recommended that carefully explores the pain and its interactions with psychosocial factors following the three typical phases of accepting complaints, establishing biopsychosocial understanding and developing coping strategies.
authors.affiliation: Psychosomatischer Konsildienst, Berufsgenossenschaftliche Unfallklinik Murnau, Murnau, Deutschland. c.hausteiner-wiehle@tum.de
authors.forename: C
authors.initials: C
authors.lastname: Hausteiner-Wiehle
authors.forename: R
authors.initials: R
authors.lastname: Schaefert
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D059350:Chronic Pain / Q000523:psychology* / Q000628:therapy*; D003142:Communication; D003479:Curriculum; D004502:Education, Medical, Continuing; D005858:Germany; D019983:Guideline Adherence; D006801:Humans; D059408:Pain Management / Q000379:methods* / Q000523:psychology*; D010817:Physician-Patient Relations; D013001:Somatoform Disorders / Q000523:psychology* / Q000628:therapy*
references.citation: Am J Med. 2010 Aug;123(8):675-82
references.pmid: 20541169
references.citation: Dtsch Arztebl Int. 2012 Jun;109(26):459-65
references.pmid: 22833756
references.citation: Psychosom Med. 2007 Dec;69(9):855-9
references.pmid: 18040094
references.citation: J Behav Med. 2013 Jun;36(3):246-58
references.pmid: 22476813
references.citation: GMS Z Med Ausbild. 2012;29(1):Doc11
references.pmid: 22403596
references.citation: Neurogastroenterol Motil. 2012 Oct;24(10):895-913
references.pmid: 22863120
references.citation: Psychother Psychosom. 2012;81(5):265-75
references.pmid: 22832397
references.citation: Z Psychosom Med Psychother. 2003;49(1):3-19
references.pmid: 12638085
references.citation: Pain Med. 2010 Dec;11(12):1747-9
references.pmid: 21134115
references.citation: Anasthesiol Intensivmed Notfallmed Schmerzther. 2012 Jun;47(6):426-9
references.pmid: 22744857