Successful psychotherapy for psychogenic seizures in men

This qualitative study examined factors contributing to the development and successful treatment of psychogenic non-epileptic seizures (PNES), in civilian men. In-depth interviews were conducted with therapist-client dyads comprising two male clients who had been successfully treated for PNES and th...

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Bibliographic Details
Published in:Psychotherapy research 2012-11, Vol.22 (6), p.682-698
Main Authors: Quinn, Maria Clare, Schofield, Margot J., Middleton, Warwick
Format: Article
Language:English
Subjects:
Adult
case study methodology
gender
Humans
Male
Males
Masculinity
Men - psychology
Professional-Patient Relations
psychogenic seizures
Psychotherapy
Psychotherapy - methods
psychotherapy outcomes
Qualitative Research
Seizures - psychology
Seizures - therapy
Somatoform Disorders - psychology
Somatoform Disorders - therapy
Studies
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Summary:This qualitative study examined factors contributing to the development and successful treatment of psychogenic non-epileptic seizures (PNES), in civilian men. In-depth interviews were conducted with therapist-client dyads comprising two male clients who had been successfully treated for PNES and their therapists. A theory-building case study approach provided evidence that those factors known to contribute to PNES and other somatoform symptoms in females and in males engaged in war also contributed to these symptoms in these two civilian males. In addition, PNES in these civilian males occurred in contexts where masculine identity was developmentally curtailed and socially constrained. Successful treatments occurred in long-term therapeutic relationships that sanctioned verbal expression of strong emotion and provided the attunement necessary for development of a robust masculine identity. These findings have implications for the funding of therapy, and training of therapists.
ISSN:1050-3307
1468-4381
DOI:10.1080/10503307.2012.704085