{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T02:18:11Z","timestamp":1783563491475,"version":"3.55.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T00:00:00Z","timestamp":1742515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,3,21]],"date-time":"2025-03-21T00:00:00Z","timestamp":1742515200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100009244","name":"Stockholm University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009244","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Schmerz"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Background<\/jats:title>\n            <jats:p>Persistent physical symptoms (PPS), including (primary) pain, can, according to Emotional Awareness and Expression Therapy (EAET), be precipitated, perpetuated, and prolonged by emotional processes related to unresolved trauma and psychosocial conflicts. EAET is a\u00a0novel, short-term, psychodynamic- and emotion-focused psychological treatment that targets these etiological factors, intending to substantially reduce or eliminate pain and\/or somatic symptoms.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>This article provides an overview of EAET\u2019s theoretical background, core treatment principles, and empirical evidence from randomized controlled trials (RCTs) in alleviating somatic symptoms in people with PPS. Moreover, the potential of EAET and future research directions are discussed.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>We report a\u00a0selective literature review synthesizing the foundations and treatment characteristics of EAET and the findings from RCTs investigating EAET since 2017.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Grounded in psychodynamic theory, with influences from affective neuroscience and emotion-focused therapy, the core treatment principles are reframing symptom explanations, fostering emotional processing, and facilitating corrective interpersonal experiences. EAET has been implemented in various formats, including individual therapy, group therapy, and internet-administered self-help. Since 2017, seven RCTs have been published, demonstrating efficacy in reducing symptoms, which appears superior to cognitive\u2013behavioral therapy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>EAET is particularly effective for treating chronic (primary) pain conditions such as fibromyalgia and musculoskeletal pain. However, further studies are required to evaluate its long-term efficacy, determine patient characteristics associated with positive outcomes, and better understand its most active mechanisms.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00482-025-00878-6","type":"journal-article","created":{"date-parts":[[2025,3,24]],"date-time":"2025-03-24T18:25:57Z","timestamp":1742840757000},"page":"256-262","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["To feel is to heal\u2014introduction to Emotional Awareness and Expression Therapy","F\u00fchlung ist Heilung \u2013 Einf\u00fchrung in die \u201eEmotional Awareness and Eexpression Therapy\u201c"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3312-2976","authenticated-orcid":false,"given":"Daniel","family":"Maroti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Frisch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Lumley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,21]]},"reference":[{"issue":"1","key":"878_CR1","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1186\/s12916-020-1505-4","volume":"18","author":"C Burton","year":"2020","unstructured":"on behalf of the EURONET-SOMA Group, Burton\u00a0C, Fink\u00a0P, Henningsen\u00a0P, L\u00f6we\u00a0B, Rief\u00a0W (2020) Functional somatic disorders: discussion paper for a\u00a0new common classification for research and clinical use. BMC Med 18(1):34","journal-title":"BMC Med"},{"issue":"10444","key":"878_CR2","doi-asserted-by":"publisher","first-page":"2649","DOI":"10.1016\/S0140-6736(24)00623-8","volume":"403","author":"B L\u00f6we","year":"2024","unstructured":"L\u00f6we\u00a0B, Toussaint\u00a0A, Rosmalen\u00a0JGM, Huang\u00a0WL, Burton\u00a0C, Weigel\u00a0A et\u00a0al (2024) Persistent physical symptoms: definition, genesis, and management. Lancet 403(10444):2649\u20132662","journal-title":"Lancet"},{"issue":"7","key":"878_CR3","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1007\/s11926-019-0829-6","volume":"21","author":"MA Lumley","year":"2019","unstructured":"Lumley\u00a0MA, Schubiner\u00a0H (2019) Emotional awareness and expression therapy for chronic pain: rationale, principles and techniques, evidence, and critical review. 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M.A.\u00a0Lumley earns fees for conducting professional training in EAET. S.\u00a0Frisch has no conflict of interest to declare.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This review did not involve any patient data; therefore, no ethical approval was required. The case of Anna is a\u00a0composite presentation of many patients created to illustrate a\u00a0typical treatment scenario of EAET.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}