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      A Qualitative Study of the Views of Patients With Medically Unexplained Symptoms on The BodyMind Approach ®: Employing Embodied Methods and Arts Practices for Self-Management

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          Abstract

          The arts provide openings for symbolic expression by engaging the sensory experience in the body they become a source of insight through embodied cognition and emotion, enabling meaning-making, and acting as a catalyst for change. This synthesis of sensation and enactive, embodied expression through movement and the arts is capitalized on in The BodyMind Approach ® (TBMA). It is integral to this biopsychosocial, innovative, unique intervention for people suffering medically unexplained symptoms (MUS) applied in primary healthcare. The relevance of embodiment and arts practices in TBMA are discussed in relation to the views of participants in the pursuit of self-management. If widely employed TBMA could have an enormous impact, reach, and significance for patients and global health services. This original pre-clinical trial of qualitative research reports on the perceptions of participant patients with generic MUS, a world-wide issue usually treated by either psychological therapy or physiotherapy. TBMA is not a therapy but a health education program founded upon the concept of an integration of psychological elements with physiological, bodily, and sensory experiences. Thematic analysis of qualitative data sets from open-ended questions in semi-structured interviews and a written questionnaire post intervention is presented. Five aspects which appear to be key to learning self-management were derived from analyzing the data: (1) body with mind connections; (2) importance of facilitation; (3) potential benefits; (4) preparedness for change; (5) self-acceptance/compassion. This article advances the discourse on the nature of self-management for MUS through changing the mind-set and the relationship participants have with their bodily symptom/s through employing embodied methods and arts practices, challenging current, and solely verbal, psychological conceptual frameworks. Rigor lies in the method of data analysis using cross verification of credibility between reported findings and scrutiny by stakeholders. We conclude that facilitated TBMA groups employing embodied methods and arts practices can act as a method for developing the self-management of MUS and improving wellbeing.

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          Using thematic analysis in psychology

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            Psychology of Habit

            As the proverbial creatures of habit, people tend to repeat the same behaviors in recurring contexts. This review characterizes habits in terms of their cognitive, motivational, and neurobiological properties. In so doing, we identify three ways that habits interface with deliberate goal pursuit: First, habits form as people pursue goals by repeating the same responses in a given context. Second, as outlined in computational models, habits and deliberate goal pursuit guide actions synergistically, although habits are the efficient, default mode of response. Third, people tend to infer from the frequency of habit performance that the behavior must have been intended. We conclude by applying insights from habit research to understand stress and addiction as well as the design of effective interventions to change health and consumer behaviors.
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              DEVELOPMENTAL SEQUENCE IN SMALL GROUPS.

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                Author and article information

                Contributors
                Journal
                Front Psychol
                Front Psychol
                Front. Psychol.
                Frontiers in Psychology
                Frontiers Media S.A.
                1664-1078
                07 December 2020
                2020
                : 11
                : 554566
                Affiliations
                School of Education, University of Hertfordshire , Hatfield, United Kingdom
                Author notes

                Edited by: Johanna Czamanski-Cohen, University of Haifa, Israel

                Reviewed by: Einat Shuper Engelhard, University of Haifa, Israel; Judith Dita Federman, University of Haifa, Israel

                *Correspondence: Helen Payne, H.L.Payne@ 123456herts.ac.uk
                Susan Deanie Margaret Brooks, s.d.brooks@ 123456btinternet.com

                This article was submitted to Health Psychology, a section of the journal Frontiers in Psychology

                Article
                10.3389/fpsyg.2020.554566
                7750328
                16a246de-4d5d-4654-9ed3-6ffddadcb229
                Copyright © 2020 Payne and Brooks.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 22 April 2020
                : 28 October 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 94, Pages: 14, Words: 0
                Categories
                Psychology
                Original Research

                Clinical Psychology & Psychiatry
                self management,medically unexplained symptoms,patient perceptions,embodiment,qualitative research,the bodymind approach,the arts

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