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Lomax study11/15/2022 The results provide new insights around obstacles to engagement alongside potential solutions when addressing the psychological needs of clients with MUS. The use of interpretative phenomenological analysis to study the experiences of ED clients with MUS offers an established qualitative method for exploring the processes underlying therapeutic change. We present findings relevant to the effectiveness of a novel psychotherapy innovation within a hospital emergency department (ED). Clinical and methodological significance: In this article, we highlight that Medically Unexplained Symptoms (MUS) are a priority area for both physical and mental health care services. Psycho-emotional processes warrant further study to explore the applicability to other conceptual models for assessing and treating MUS. Specific elements of this work were identified as integral components of the psychotherapy change process for MUS.ĭirectly observing the physical effects of emotional experiencing in MUS provides sensory evidence that can enable patients to make mind-body connections. Obstacles to clinical engagement in treatment for MUS were described in relation to patients' and therapists' ability to identify, address, and utilize emotion processes. Interpretative phenomenological analysis was employed with three superordinate themes emerging: Barriers to examining emotional processes reflections on the therapeutic process psychological change and improved well-being. Seven semi-structured interviews were conducted with ED patients presenting with MUS who received a course of intensive short-term dynamic psychotherapy treatment. In this study, qualitative methods were used to examine patients' perspectives and subjective experiences of emotional processes in the context of a psychotherapy assessment and treatment service for MUS provided in a hospital emergency department (ED). Evidence of the contribution of emotional processes to the emergence, maintenance, and experience of medically unexplained symptoms (MUS) suggests that clinical approaches which target these processes could be beneficial.
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