Fibromyalgia is a syndrome of wide spread pain that is known from all parts of the world. An
aspect of the syndrome of fibromyalgia is fluctuation as in onset of pain variation in the
level of symptoms time off from pain and recovery from pain and other symptoms. The analysis
of these fluctuations might create a basis for solid suggestions regarding the nature of the
syn-drome itself. E.g. the pain level is well known to vary with mental and physical load
including exposure to cold. Simultaneously fibromyalgia has been found to mean an altered
balance in the autonomic nervous system. In the first section of the book a developmental stage
or life before fibromyalgia is covered. Intra- and interpersonal patterns based on narrations
of the afflicted are pictured. Identified patterns are psychometrically examined and
environmental as well as psychobiological patterns are accounted for. In the mid-section of the
book life with fibromyalgia is scrutinized including biomarkers. Patterns regarding variation
in the level of pain gaps in fibromyalgia pain and environmental factors influencing these
gaps are related. The effect on life symptoms and defense measures is elucidated from the
angle of mental load. The last sections portrait psychological and environmental influences
concerning recovery but especially the striking phenomenon of recovery being scarce. Special
attention is paid to cognitive-emotional functioning the need to target dissociation and
environmental influences on maintenance.
