This article describes how adults learn to self-manage chronic bodily symptoms, a complex and costly health problem. It proposes a theory of learning for an innovative, research-informed intervention, The BodyMind Approach® (TBMA) aimed at developing confidence, competence, skills, and knowledge and understanding for self-management for people with medically unexplained symptoms. TBMA is interdisciplinary, combining embodiment and arts in health with transformative learning. Having explored the problem, the article presents TBMA and argues for how it cultivates the type of learning which sustains the self-management of symptoms. Promoting self-management fills the gap between patient needs and health service capacity. Previous studies identify learning through this method enables people to manage their symptoms when under stress in an ever-changing environment, supporting sufficient structure, agency, reflexivity, self-efficacy, and self-regulatory strategies to maintain resilience in the face of life adversity, despite their symptoms.

中文翻译：

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BodyMind Approach® 作为变革性学习，促进患有医学上无法解释的症状的患者的自我管理

本文介绍了成年人如何学会自我管理慢性身体症状，这是一个复杂且代价高昂的健康问题。它提出了一种创新的、以研究为依据的干预学习理论，即 BodyMind Approach® (TBMA)，旨在为患有医学上无法解释的症状的人发展自我管理的信心、能力、技能、知识和理解。TBMA 是跨学科的，将健康中的体现和艺术与变革性学习相结合。在探讨了这个问题之后，文章提出了 TBMA 并论证了它如何培养维持症状自我管理的学习类型。促进自我管理填补了患者需求与卫生服务能力之间的差距。