Somatisation
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Somatisation
Somatization is a tendency to experience and communicate psychological distress in the form of bodily and organic symptoms and to seek medical help for them. More commonly expressed, it is the generation of physical symptoms of a psychiatric condition such as anxiety. The term somatization was introduced by Wilhelm Stekel in 1924. Somatization is a worldwide phenomenon. A somatization spectrum can be identified, up to and including at one extreme somatization disorder. Related psychological conditions Somatization can be, but is not always, related to a psychological condition such as: * Affective disorders (anxiety and depression) * Somatoform disorders The American Psychiatric Association (APA) has classified somatoform disorders in the DSM-IV and the World Health Organization (WHO) have classified these in the ICD-10. Both classification systems use similar criteria. Most current practitioners will use one over the other, though in cases of borderline diagnoses, both system ...
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Medically Unexplained Physical Symptoms
Medically unexplained physical symptoms (MUPS or MUS) are symptoms for which a treating physician or other healthcare providers have found no medical cause, or whose cause remains contested. In its strictest sense, the term simply means that the cause for the symptoms is unknown or disputed—there is no scientific consensus. Not all medically unexplained symptoms are influenced by identifiable psychological factors. However, in practice, most physicians and authors who use the term consider that the symptoms most likely arise from psychological causes. Typically, the possibility that MUPS are caused by prescription drugs or other drugs is ignored. It is estimated that between 15% and 30% of all primary care consultations are for medically unexplained symptoms. A large Canadian community survey revealed that the most common medically unexplained symptoms are musculoskeletal pain, ear, nose, and throat symptoms, abdominal pain and gastrointestinal symptoms, fatigue, and dizziness. Th ...
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Somatic Symptom Disorder
A somatic symptom disorder, formerly known as a somatoform disorder,(2013) dsm5.org. Retrieved April 8, 2014. is any mental disorder that manifests as physical symptoms that suggest illness or injury, but cannot be explained fully by a general medical condition or by the direct effect of a substance, and are not attributable to another mental disorder (e.g., panic disorder). Somatic symptom disorders, as a group, are included in a number of diagnostic schemes of mental illness, including the ''Diagnostic and Statistical Manual of Mental Disorders''. (Before DSM-5 this disorder was split into ''somatization disorder'' and ''undifferentiated somatoform disorder''.) In people who have been diagnosed with a somatic symptom disorder, medical test results are either normal or do not explain the person's symptoms (medically unexplained physical symptoms), and history and physical examination do not indicate the presence of a known medical condition that could cause them, though the DSM ...
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Ego Defense
In psychoanalytic theory, a defence mechanism (American English: defense mechanism), is an unconscious psychological operation that functions to protect a person from anxiety-producing thoughts and feelings related to internal conflicts and outer stressors. The idea of defence mechanisms comes from psychoanalytic theory, a psychological perspective of personality that sees personality as the interaction between three components: id, ego, and super-ego. These psychological strategies may help people put distance between themselves and threats or unwanted feelings, such as guilt or shame. Defence mechanisms may result in healthy or unhealthy consequences depending on the circumstances and frequency with which the mechanism is used.Utah Psych. "Defense Mechanisms"
2010. Retrieved on 05 October 2013.
Defence mechanisms ...
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Nocebo
A nocebo effect is said to occur when negative expectations of the patient regarding a treatment cause the treatment to have a more negative effect than it otherwise would have. For example, when a patient anticipates a side effect of a medication, they can experience that effect even if the "medication" is actually an inert substance. The complementary concept, the ''placebo'' effect, is said to occur when positive expectations improve an outcome. The effect is also said to occur in someone who falls ill owing to the erroneous belief that they were exposed to a toxin, or to a physical phenomenon they believe is harmful, such as EM radiation. Both placebo and nocebo effects are presumably wikt:psychogenic, psychogenic, but they can induce measurable changes in the body. One article that reviewed 31 studies on nocebo effects reported a wide range of symptoms that could manifest as nocebo effects, including nausea, stomach pains, itching, bloating, depression, sleep problems, loss o ...
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Hypochondriasis
Hypochondriasis or hypochondria is a condition in which a person is excessively and unduly worried about having a serious illness. An old concept, the meaning of hypochondria has repeatedly changed. It has been claimed that this debilitating condition results from an inaccurate perception of the condition of body or mind despite the absence of an actual medical diagnosis. An individual with hypochondriasis is known as a hypochondriac. Hypochondriacs become unduly alarmed about any physical or psychological symptoms they detect, no matter how minor the symptom may be, and are convinced that they have, or are about to be diagnosed with, a serious illness. Often, hypochondria persists even after a physician has evaluated a person and reassured them that their concerns about symptoms do not have an underlying medical basis or, if there is a medical illness, their concerns are far in excess of what is appropriate for the level of disease. It is also referred to hypochondriaism which is ...
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Amplification (psychology)
Amplification is used to describe a judged tendency of a person to amplify physical symptoms based on psychological factors such as anxiety or depression. Distinct interpretations of this type of presentation could be sensory processing disorder involving differences in the way a person reacts to sensory input which is regarded as a pervasive developmental disorder related to the autism spectrum; or there is an alternative psychological concept of 'innate sensitiveness' as a personality trait coined by Carl Jung later developed into the highly sensitive person trait. In one instance where amplification is used as a handle or point of reference or diagnosis it is said "somatosensory amplification refers to the tendency to experience somatic sensation as intense, noxious, and disturbing. What may be a minor 'twinge' or mild 'soreness' to the stoic, is a severe, consuming pain to the amplifier." Psychological state has been documented to affect the course of upper respiratory tract i ...
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Psychosomatic Medicine
Psychosomatic medicine is an interdisciplinary medical field exploring the relationships among social, psychological, behavioral factors on bodily processes and quality of life in humans and animals. The academic forebear of the modern field of behavioral medicine and a part of the practice of consultation-liaison psychiatry, psychosomatic medicine integrates interdisciplinary evaluation and management involving diverse specialties including psychiatry, psychology, neurology, psychoanalysis, internal medicine, pediatrics, surgery, allergy, dermatology, and psychoneuroimmunology. Clinical situations where mental processes act as a major factor affecting medical outcomes are areas where psychosomatic medicine has competence. Psychosomatic disorders Some physical diseases are believed to have a mental component derived from stresses and strains of everyday living. This has been suggested, for example, of lower back pain and high blood pressure, which some researchers have sugge ...
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Virginia Woolf
Adeline Virginia Woolf (; ; 25 January 1882 28 March 1941) was an English writer, considered one of the most important modernist 20th-century authors and a pioneer in the use of stream of consciousness as a narrative device. Woolf was born into an affluent household in South Kensington, London, the seventh child of Julia Prinsep Jackson and Leslie Stephen in a blended family of eight which included the modernist painter Vanessa Bell. She was home-schooled in English classics and Victorian literature from a young age. From 1897 to 1901, she attended the Ladies' Department of King's College London, where she studied classics and history and came into contact with early reformers of women's higher education and the women's rights movement. Encouraged by her father, Woolf began writing professionally in 1900. After her father's death in 1904, the Stephen family moved from Kensington to the more bohemian Bloomsbury, where, in conjunction with the brothers' intellectual friends, t ...
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Anna O
Bertha Pappenheim (27 February 1859 – 28 May 1936) was an Austrian-Jewish feminist, a social pioneer, and the founder of the Jewish Women's Association (''). Under the pseudonym Anna O., she was also one of Josef Breuer's best-documented patients because of Sigmund Freud's writing on Breuer's case. Childhood and youth Bertha Pappenheim was born on 27 February 1859 in Vienna, the third daughter of Recha Pappenheim and Sigmund Pappenheim. Her mother Recha, née Goldschmidt (1830–1905), was from an old and wealthy family in Frankfurt am Main. Her father Sigmund (1824–1881), a merchant, the son of an Orthodox Jewish family from , Austria-Hungary (today's Bratislava, Slovakia), was the cofounder of the Orthodox Schiffschul in Vienna; the family name alludes to the Franconian town of Pappenheim. As "just another daughter" in a strictly traditional Jewish household, Bertha was conscious that her parents would have preferred a male child. Her parents' families held traditional ...
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Sigmund Freud
Sigmund Freud ( , ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating psychopathology, pathologies explained as originating in conflicts in the Psyche (psychology), psyche, through dialogue between a patient and a psychoanalyst. Freud was born to Galician Jews, Galician Jewish parents in the Moravian town of Příbor, Freiberg, in the Austrian Empire. He qualified as a doctor of medicine in 1881 at the University of Vienna. Upon completing his habilitation in 1885, he was appointed a docent in neuropathology and became an affiliated professor in 1902. Freud lived and worked in Vienna, having set up his clinical practice there in 1886. In 1938, Freud left Austria to escape Nazi persecution. He died in exile in the United Kingdom in 1939. In founding psychoanalysis, Freud developed therapeutic techniques such as the use of free association (psychology), free a ...
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Organ Language
According to the psychoanalytic explanation of psychosomatic illness, organ language is the bodily expression of an unconscious conflict as a form of symbolic communication. It is also called organ-speech, a term that Sigmund Freud uses in his 1915 essay "The Unconscious" attributing its coinage to Victor Tausk. History In 1915 Freud wrote: Definition According to the American Psychiatric Association, In other words, the target organ, tissue or somatic function would be semantically related to the repressed mental content. Further examples: "difficulty in swallowing may represent an unpalatable situation; an asthmatic episode may symbolize a load on the chest; itching may simbolize irritation or that 'something has gotten under the person's skin'." Divergences with the psychiatric paradigm Psychiatry not influenced by such psychoanalytic ideas rejects both the semantic correlation with the target organ and that the cause is an unconscious conflict. If anything, psychosom ...
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Psychological Repression
Repression is a key concept of psychoanalysis, where it is understood as a defence mechanism that "ensures that what is unacceptable to the conscious mind, and would if recalled arouse anxiety, is prevented from entering into it." According to psychoanalytic theory, repression plays a major role in many mental illnesses, and in the psyche of the average person.Laplanche pp. 390, 392 There has been debate as to whether (or how often) memory repression really occurs and mainstream psychology holds that true memory repression occurs infrequently. American psychologists began to attempt to study repression in the experimental laboratory around 1930. However, psychoanalysts were at first uninterested in attempts to study repression in laboratory settings, and later came to reject them. Most psychoanalysts concluded that such attempts misrepresented the psychoanalytic concept of repression. Sigmund Freud's theory As Sigmund Freud moved away from hypnosis, and towards urging his patient ...
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