TY - JOUR KW - Delivery of Health Care, Integrated KW - Health Care Costs KW - Health Services/economics/utilization KW - Health Status KW - Humans KW - Object Attachment KW - Psychological Theory KW - Psychotherapy, Brief/methods KW - Psychotherapy/economics/methods KW - Somatoform Disorders/economics/psychology/therapy KW - United States AU - R. Maunder AU - J. Hunter A1 - AB - Persistent medically unexplained symptoms (MUS) are a serious problem because they are common, difficult to treat effectively, and have a significant impact on both functional outcomes and health-care utilization costs. An attachment-existential formulation of psychological factors that are associated with persistent MUS is presented, based on the interaction of death anxiety and preoccupied (anxious) attachment. Psychotherapeutic treatment recommendations that follow from this formulation are described in the form of a brief psychotherapy, involving semi-structured weekly sessions and narrative-writing homework that explores attachment and existential themes. This is the first description of a brief psychotherapy that integrates attachment theory and existential psychology. BT - American Journal of Psychotherapy C5 - Medically Unexplained Symptoms CP - 1 CY - United States IS - 1 JF - American Journal of Psychotherapy N2 - Persistent medically unexplained symptoms (MUS) are a serious problem because they are common, difficult to treat effectively, and have a significant impact on both functional outcomes and health-care utilization costs. An attachment-existential formulation of psychological factors that are associated with persistent MUS is presented, based on the interaction of death anxiety and preoccupied (anxious) attachment. Psychotherapeutic treatment recommendations that follow from this formulation are described in the form of a brief psychotherapy, involving semi-structured weekly sessions and narrative-writing homework that explores attachment and existential themes. This is the first description of a brief psychotherapy that integrates attachment theory and existential psychology. PP - United States PY - 2004 SN - 0002-9564; 0002-9564 SP - 17 EP - 33 EP - T1 - An integrated approach to the formulation and psychotherapy of medically unexplained symptoms: meaning- and attachment-based intervention T2 - American Journal of Psychotherapy TI - An integrated approach to the formulation and psychotherapy of medically unexplained symptoms: meaning- and attachment-based intervention U1 - Medically Unexplained Symptoms U2 - 15106397 VL - 58 VO - 0002-9564; 0002-9564 Y1 - 2004 ER -