open access

Vol 12, No 2 (2015)
Review paper
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Disorders occurring in a somatic form: troubling phenomenon — troubling diagnosis

Katarzyna Nitsch, Marcin Jabłoński, Jerzy Samochowiec, Jacek Kurpisz
Psychiatria 2015;12(2):77-84.

open access

Vol 12, No 2 (2015)
Prace poglądowe - nadesłane

Abstract

Disorders occurring in a somatic form (i.e. somatic symptoms which cannot be explained by an organic disorder) are an intriguing phenomenon of human nature. They are also a conceptual, diagnostic and therapeutic challenge for contemporary medicine. Before the work on the most recent edition of the American Diagnostic and Statistical Manual of Mental Disorders DSM-5 was finished, somatoform disorders, which are one of the most ambiguous and troubling diagnostic categories, had been discussed. In psychiatry this diagnosis is used with reference to the disorders involving the rechanneling of psychological problems into the sphere of a body, i.e. showing somatic symptoms arising out of neurosis. The discussion has become an opportunity to look into the nature of this group of disorders and specify the way modern psychiatry conceptualizes it. The aim of this article is to illustrate what are somatic symptoms and mention controversial aspects of this diagnosis. It includes the latest information from the scope of epidemiology, comorbidity, therapy as well as individual and social consequences of the discussed phenomenon. Moreover, descriptions of “new” diagnostic criteria according to DSM-5 are provided.

Abstract

Disorders occurring in a somatic form (i.e. somatic symptoms which cannot be explained by an organic disorder) are an intriguing phenomenon of human nature. They are also a conceptual, diagnostic and therapeutic challenge for contemporary medicine. Before the work on the most recent edition of the American Diagnostic and Statistical Manual of Mental Disorders DSM-5 was finished, somatoform disorders, which are one of the most ambiguous and troubling diagnostic categories, had been discussed. In psychiatry this diagnosis is used with reference to the disorders involving the rechanneling of psychological problems into the sphere of a body, i.e. showing somatic symptoms arising out of neurosis. The discussion has become an opportunity to look into the nature of this group of disorders and specify the way modern psychiatry conceptualizes it. The aim of this article is to illustrate what are somatic symptoms and mention controversial aspects of this diagnosis. It includes the latest information from the scope of epidemiology, comorbidity, therapy as well as individual and social consequences of the discussed phenomenon. Moreover, descriptions of “new” diagnostic criteria according to DSM-5 are provided.

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Keywords

somatoform disorders, DSM-5, functional disorders

About this article
Title

Disorders occurring in a somatic form: troubling phenomenon — troubling diagnosis

Journal

Psychiatria (Psychiatry)

Issue

Vol 12, No 2 (2015)

Article type

Review paper

Pages

77-84

Bibliographic record

Psychiatria 2015;12(2):77-84.

Keywords

somatoform disorders
DSM-5
functional disorders

Authors

Katarzyna Nitsch
Marcin Jabłoński
Jerzy Samochowiec
Jacek Kurpisz

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