Concubine Syndrome: An Example of Interactionism in the Clinical Assessment of Headache

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Abstract
SYNOPSISPsychological and psychiatric factors contributing to headache etiology and prevalence have been reported over the past four decades. While intrapsychic and environmental explanations have been offered, no conceptual models have been suggested which accommodate both perspectives. Proposing to remedy this deficit with the presentation of a new model, we outline a case study of what is termed the “concubine syndrome,” that is a diagnostic classification which serves to illustrate the interaction of personality traits and external stressors that contribute to a particular type of headache problem. Using an interactional model of conceptualizing and treating this disorder, a discernible improvement was noted in reduction of headache pain. Aside from presenting criteria for differential diagnosis, we recommend further research and clinical evaluations which consider using this approach to assessing and treatment of headache disorders.

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