Embodiment und Körperpsychotherapie

Wenn der Körper in der Psychotherapie stärker gewichtet werden soll, stellt sich die Frage, wie dieses Ziel mit psychologischer Theoriebildung vereinbar ist. Nach unserer Auffassung kann dies eine Theorie des „Embodiment“ leisten. Entsprechende Ansätze werden seit einiger Zeit in den Kognitionswissenschaften („embodied cognition“) diskutiert. An die Beschreibung dieser Theorie schließt sich eine Diskussion an, wie sich Embodiment auf die soziale Interaktion auswirkt, denn dies ist essenziell für die therapeutische Interaktion. Abschließend wird an einem Beispiel gezeigt, wie sich der Embodiment-Ansatz in einer Psychotherapie umsetzen lässt.

Renegotiating sexual intimacy in the context of altered embodiment:the experiences of women with breast cancer and their male partners following mastectomy and reconstruction

OBJECTIVE: Breast cancer diagnosis and treatments can have a profound impact upon women's well-being, body image, and sexual functioning, but less is known about the relational context of their coping and the impact upon their intimate partners. Our study focuses upon couples' experiences of breast cancer surgery, and its impact on body image and sexual intimacy. METHOD: Utilizing a dyadic design, we conducted 8 semistructured individual interviews, with 4 long-term heterosexual couples, after the women had undergone mastectomy with reconstruction. Interviews explored both partners' experiences of diagnosis, decision-making, and experiences of body image and sexual intimacy. Interpretative phenomenological analysis (IPA) was adopted; this is a qualitative research approach characterized by in-depth analysis of the personal meaning of experiences. RESULTS: Findings illustrate the positive acceptance that partners may express toward their wives' postsurgical bodies. They illuminate ways in which gendered coping styles and normative sexual scripts may shape couples' negotiations of intimacy around "altered embodiment." Reciprocal communication styles were important for couples' coping. The management of expectations regarding breast reconstruction may also be helpful. CONCLUSIONS: The insights from the dyadic, multiple perspective design suggest that psychologists must situate the meaning of supportive relationships and other protective factors in the context of complex life events and histories, in order to understand and support people's developing responses to distress. (PsycINFO Database Record