The link between abuse and fibromyalgia is scientifically indisputable. Abuse is a severe form of trauma. emotional abuse in fibromyalgia patients is the most common form of trauma, followed by sexual abuse and physical violence.
According to Freud's seduction theory, the infantile sexual abuse is the root of all neurosis. The resulting trauma creates emotions, and cognitions that simply cannot be integrated. And so, the adult who experienced sexual abuse as a child suffer from repressed memories and feelings which were not assimilated, and are hold responsible for the upcoming pains of fibromyalgia.
Linguistic and expressive techniques of the abuser trap the abused partner; consequently, the sense of being an active subject rather than a passive object of use is associated solely with the abuser reflecting the Lacanian reasoning.
Sometimes husbands or boyfriends who are disrespectful, unfaithful, jealous, and inadequate attribute these aspects of themselves to their wives or girlfriends through an unconscious fantasy, the projective identification, a term used in object relations psychology. The sex mates apply emotional aggressiveness to maintain their omnipotence.
The male superior or the boss is emotionally cruel towards fibromyalgia patients. According to Kohut's self-psychology model, his narcissistic psychopathology results from parental lack of empathy during his development.
The adult emotionally abusive romantic relationship assumes a childhood emotional abuse that occurs in response to parents who were firmly rejective, intrusive, remonstrative, and hostile. These patients foster maladaptive interaction patterns with their mates and perpetuate dysfunctional connections without intimacy, supporting maladaptive coping capacities grounded on attachment theory.
Emotionally molested patients must deal with insults, ignorance, judgment, and accusation unnecessarily. Emotional abuse may be rooted in low self-esteem. Fear, guilt and shame are some emotions that reinforce the circle of abuse and self-neglect. The core belief of worthlessness and weakness prevails in the patient's cognitive map. From the behavioral point of view, someone who has undergone emotional abuse seems upset, agitated, nervous, withdrawn, unresponsive, scared, timid, and avoiding people. Almost 40% of fibromyalgia patients may have a history of being abused. In addition, investigators found that women who had experienced domestic abuse were almost twice as likely to generate fibromyalgia and chronic fatigue syndrome.
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