Handbook of Pain Syndromes: Biopsychosocial Perspectives

By Andrew R. Block; Edwin F. Kremer et al. | Go to book overview
Save to active project

Chapter 28
Somatization, Hypochondriasis, and Related Conditions

Stefan Lautenbacher University of Marburg, Germany

Gary B. Rollman University of Western Ontario, Canada


DESCRIPTION OF THE DISORDERS

General Considerations

Medical patients often present with physical symptoms, including pain, that have no apparent somatic cause. The complaints are frequently accompanied by anxiety, depression, and denial of psychological problems ( Dworkin, 1994; Dworkin, Wilson, & Massoth, 1994). In such cases, subclinical or clinical forms of somatoform disorders should be considered. These are conditions in which psychological conflicts and problems have taken the form of a somatic illness ( Ford, 1995).

According to the Diagnostic and Statistical Manual of Mental Disorders ( 4th ed., DSM-IV) ( American Psychiatric Association [APA], 1994), somatoform disorders are subdivided into five specific conditions: body dysmorphic phobia, hypochondriasis, somatization disorder, conversion disorder, and pain disorder. As well, there are two residual diagnostic categories: undifferentiated somatoform disorder and somatoform disorder not otherwise specified. Many other labels, such as hysteria, functional complaints, vegetative dystonia, and Briquet's syndrome, have previously been used to describe similar conditions. Not infrequently, disorders such as asthma, peptic ulcer, esophageal motility disorder, or nonulcer dyspepsia have been erroneously mixed with somatoform disorders; the former have a clearly more distinct psychophysiological basis ( Kellner, 1994; Salkovskis, 1996).

-613-

Notes for this page

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
Loading One moment ...
Project items
Notes
Cite this page

Cited page

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited page

Bookmark this page
Handbook of Pain Syndromes: Biopsychosocial Perspectives
Table of contents

Table of contents

Settings

Settings

Typeface
Text size Smaller Larger
Search within

Search within this book

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

While we understand printed pages are helpful to our users, this limitation is necessary to help protect our publishers' copyrighted material and prevent its unlawful distribution. We are sorry for any inconvenience.
Full screen
/ 692

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.

Are you sure you want to delete this highlight?