The thesis deals with attributional styles and their research in patients with psychosomatic disorder. The text is divided into a theoretical part and an empirical part. The term psychosomatic disorder is defined in the theoretical part. The essential links between psychosomatic disorder, stress and cognitive processes are mentioned. Selected attribution theory and the concepts of attributional styles, then make up the majority theory. In the empirical part, there are hypotheses defined using three psychodiagnostic methods tested on a set of people with psychosomatic disorder and compared with the healthy population. Key words: attribution attribution theory attributional style psychosomatic disorder/psychosomatic illness somatoform disorders

Psykisk ohälsa bland elitidrottare har varit ett stigmatiserat område och forskning kring ämnet växer. Idag finns mycket som tyder på att elitidrottare utövar en livsstil med stora fysiska och psykiska belastningar vilket har visat sig vara mer ohälsosamt än vad den generella uppfattningen tidigare varit. Som elitidrottare förväntas en att leva efter idrottens alla regler för att bli framgångsrik. I den här uppsatsen studeras förekomst av, och skillnader i psykosomatiska besvär mellan tre grupper av gymnasieelever i årskurs tre som har elitidrottsinriktning (Nationellt godkänd idrottsutbildning, NIU), allmän idrottsinriktning (Idrottsprogram, IDR) och elever utan idrottsinriktning. Det undersöks även om det förekommer samband mellan psykosomat­iska besvär och de olika gymnasiala inriktningarna. Studien har genomförts med en kvant­itativ tvärsnittsstudie med enkäter som delades ut till två skolor i en ort i mellersta Sverige. Totalt deltog 116 elever i undersökningen, med elit- och idrotts- samt utan idrottsinriktning. Resultatet visade att det fanns psykosomatiska besvär hos de olika gymnasiala in­riktning­arna, men inga signifikanta skillnader eller samband fastställdes. Ett intressant biresultat som påträffades är ett signifikant samband mellan att vara nervös och irriterad och att vara stress­ad och ha svårt att sova, samt att sambandet stärktes för samtliga elever att ha nämnda besvär. Nyckelord: Folkhälsa, psykisk ohälsa, psykosomatiska besvär, elitidrott, gymnasieelever, gymnasial idrottsinriktning. / Mental illness among elite athletes has been a stigmatized area and the research area is growing. Today, a lot of things points towards that elite athletes are practicing a lifestyle with great physical and mental tension. Having a profession as an elite athlete has proven to be more unhealthy than the general perception was. As an elite athlete you are expected to live for the sport, to follow its rules in order to achieve a successful career. This study investigates the prevalence of, and differences in psychosomatic disorders between three groups of secondary school students in their last year who have elite sport special­ization (Nationally certified physical education), public sports specialization (sports program) and students without sport specialization. It also investigates whether there is an association between psychosomatic disorders and the three various sport specializations. A quantitative cross-sectional study was performed and a questionnaire were distributed to two schools in central Sweden. A total of 116 students in their 3rd and last year of the secondary school with elite- and sport orientation and without sport orientation participated in the survey. The results showed a difference in the prevalence of psychosomatic disorders among the various orientations in secondary school. Eventhough no significant diff­erences or associations between psychosomatic disorders and secondary school orientation was found, a secondary finding was found in the form of significant correlations for the student to be nervous and irritated with being stressed and having trouble falling asleep, and the associations became stronger for students having these problems. Keywords: Public health, mental disorder, psychosomatic disorder, elite sports, secondary school students, secondary school sport specialization.

Made available in DSpace on 2016-04-04T18:28:03Z (GMT). No. of bitstreams: 1 Claudia Mezzarano Faria.pdf: 515723 bytes, checksum: 0a4f508dfa9e9c03f903b1a3eb2bac59 (MD5) Previous issue date: 2012-02-24 / The aim of this study was to clarify Winnicott s understandings of the psychosomatic problems, especially those related to the genesis, dynamics and potential treatment, thus contributing to the development of his psychosomatic theory. Several cases and clinical vignettes with psychosomatic symptoms and references, scattered in his work, were gathered, organized and classified. Data analysis was based on these references in relation to the theory. Beginning with the notions of integration psyche-soma and personalization, Winnicott considers the real psychosomatic disorder related to primary (early) development processes. He assumes the commonly called psychosomatic disorder phenomenon is only the body-psyche connection (linkage). Furthermore, he assumes that in several cases, the physical manifestations of psycho-emotional difficulties are natural phenomenon of human life and part of the maturation process. The classification of cases and clinical vignettes was proposed as follows: False psychosomatic disorder versus True psychosomatic disorder , in order to distinguish the phenomenon that is routinely taken as a psychosomatic disorder, but that only indicates the psyche-soma intimate relationship, from the true psychosomatic disorder, in Winnicott?s concept, and the False psychosomatic disorder subcategories Natural reaction versus Pathological symptom , to separate natural physical manifestations of emotional difficulties from some kind of psychopathology, although not characterized as a real psychosomatic disorder. The genesis, dynamics and potential treatment of a psychosomatic symptom depends on the category it fits. By analyzing and systematizing the Winnicott material (work), we intended to contribute to deepening his theory and to solving the empiric-clinical problem of the psychosomatic phenomena. / Essa pesquisa objetivou explicitar a compreens?o que Winnicott teve dos problemas psicossom?ticos, principalmente em rela??o ? g?nese, din?mica e possibilidade de tratamento, contribuindo para o desenvolvimento de sua teoria psicossom?tica. Procurou-se reunir, organizar e classificar diversos casos e vinhetas cl?nicas, dispersos na obra de Winnicott, nos quais h? refer?ncia aos sintomas psicossom?ticos. A an?lise dos dados se deu a partir da rela??o desses com a teoria winnicottiana. A partir das no??es de Integra??o psiquesoma e Personaliza??o, Winnicott considera que o dist?rbio psicossom?tico verdadeiro est? relacionado com falhas em processos primitivos do desenvolvimento, e ressalta que o fen?meno que comumente ? chamado de dist?rbio psicossom?tico refere-se apenas ?s vincula??es entre o corpo e o psiquismo. Al?m disso, Winnicott afirma que, muitas vezes, as manifesta??es f?sicas advindas de dificuldades psicoemocionais s?o fen?menos naturais que fazem parte da vida e do processo de amadurecimento. Dessa forma, foram propostas as seguintes classifica??es para os casos e vinhetas cl?nicas: Falso dist?rbio psicossom?tico versus Verdadeiro dist?rbio psicossom?tico , com o intuito de diferenciar o fen?meno que corriqueiramente ? chamado de dist?rbio psicossom?tico, mas que apenas indica a ?ntima rela??o entre psique e soma, do dist?rbio psicossom?tico verdadeiro, na concep??o winnicottiana, e as subcategorias Rea??o natural versus Sintoma patol?gico , dentro da categoria Falso dist?rbio psicossom?tico , que indica que algumas manifesta??es f?sicas devem ser caracterizadas apenas como modos de se reagir ?s dificuldades inerentes ? vida, enquanto que outras indicam a presen?a de alguma psicopatologia, ainda que n?o se caracterize como um dist?rbio psicossom?tico verdadeiro. A g?nese, a din?mica e a forma de se tratar um problema psicossom?tico depende da categoria na qual ele se enquadre. Ao sistematizar e analisar esse material apresentado por Winnicott procurou-se contribuir para o aprofundamento de sua teoria e para a resolu??o do problema emp?rico-cl?nico dos fen?menos psicossom?ticos.