Why Does My Body Hurt? Somatoform Disorders and Pain

2014 ◽  
pp. 173-181
Author(s):  
Ellen Matthias ◽  
Olga Pollatos
Keyword(s):  
Somatoform Disorders

Behavioral Factors Impact Impairment and Disability Evaluation

2011 ◽  
Vol 16 (5) ◽  
pp. 5-7
Author(s):  
Lee Ensalada
Keyword(s):  
Social History ◽  
Standardized Test ◽  
Somatoform Disorders ◽  
Disability Evaluation ◽  
Body Part ◽  
Emotional Reactions ◽  
Illness Behavior ◽  
Validity Testing ◽  
Symptom Validity Testing ◽  
Disease Pattern

Abstract Illness behavior refers to the ways in which symptoms are perceived, understood, acted upon, and communicated and include facial grimacing, holding or supporting the affected body part, limping, using a cane, and stooping while walking. Illness behavior can be unconscious or conscious: In the former, the person is unaware of the mental processes and content that are significant in determining behavior; conscious illness behavior may be voluntary and conscious (the two are not necessarily associated). The first broad category of inappropriate illness behavior is defensiveness, which is characterized by denial or minimization of symptoms. The second category includes somatoform disorders, factitious disorders, and malingering and is characterized by exaggerating, fabricating, or denying symptoms; minimizing capabilities or positive traits; or misattributing actual deficits to a false cause. Evaluators can detect the presence of inappropriate illness behaviors based on evidence of consistency in the history or examination; the likelihood that the reported symptoms make medical sense and fit a reasonable disease pattern; understanding of the patient's current situation, personal and social history, and emotional predispositions; emotional reactions to symptoms; evaluation of nonphysiological findings; results obtained using standardized test instruments; and tests of dissimulation, such as symptom validity testing. Unsupported and insupportable conclusions regarding inappropriate illness behavior represent substandard practice in view of the importance of these conclusions for the assessment of impairment or disability.

Challenges in the Diagnostic Conceptualization of CRPS-1 (Formerly Conceptualized as RSD)

2006 ◽  
Vol 11 (2) ◽  
pp. 1-3, 9-12
Author(s):  
Robert J. Barth ◽  
Tom W. Bohr
Keyword(s):  
Clinical Practice ◽  
Complex Regional Pain Syndrome ◽  
Somatoform Disorders ◽  
International Association ◽  
Pain Syndrome ◽  
Somatoform Disorder ◽  
Syndrome Type ◽  
Previous Issue

Abstract From the previous issue, this article continues a discussion of the potentially confusing aspects of the diagnostic formulation for complex regional pain syndrome type 1 (CRPS-1) proposed by the International Association for the Study of Pain (IASP), the relevance of these issues for a proposed future protocol, and recommendations for clinical practice. IASP is working to resolve the contradictions in its approach to CRPS-1 diagnosis, but it continues to include the following criterion: “[c]ontinuing pain, which is disproportionate to any inciting event.” This language only perpetuates existing issues with current definitions, specifically the overlap between the IASP criteria for CRPS-1 and somatoform disorders, overlap with the guidelines for malingering, and self-contradiction with respect to the suggestion of injury-relatedness. The authors propose to overcome the last of these by revising the criterion: “[c]omplaints of pain in the absence of any identifiable injury that could credibly account for the complaints.” Similarly, the overlap with somatoform disorders could be reworded: “The possibility of a somatoform disorder has been thoroughly assessed, with the results of that assessment failing to produce any consistencies with a somatoform scenario.” The overlap with malingering could be addressed in this manner: “The possibility of malingering has been thoroughly assessed, with the results of that assessment failing to produce any consistencies with a malingering scenario.” The article concludes with six recommendations, and a sidebar discusses rating impairment for CRPS-1 (with explicit instructions not to use the pain chapter for this purpose).

Modern approaches to the prevention and treatment of alterations in reproductive health in women with somatoform disorders and autonomic homeostasis

2016 ◽  
pp. 98-101
Author(s):  
Vl.V. Podolsky ◽  
◽  
V.V. Podolsky ◽  
Keyword(s):  
Reproductive Health ◽  
Hormonal Regulation ◽  
Preventive Measures ◽  
Somatoform Disorders ◽  
Emotional Health ◽  
Uterine Fibroids ◽  
Reproductive Function ◽  
Epidemiological Studies ◽  
Prevention And Treatment ◽  
Artificial Abortion

The objective: the developing of a system of preventive measures and principles of pregravid preparation for women with somatoform disorders and violation of autonomic homeostasis (VAH), in which observed changes in reproductive health (CRH) in the shape of states after undergoing artificial abortion, infertility and uterine fibroids. Patients and methods. Conducted clinical and epidemiological studies in the population of women of fertile age (WFA) allowed identifying for further examination of women with CRH in the form of state after undergoing artificial abortion, infertility and uterine fibroids in women with VAH. Further women were examined, in particular the conducted clinical and instrumental methods of research; determined the state of autonomic homeostasis and psycho emotional health of the biotopes of the organism, immunity; analyzed the hormonal regulation of the menstrual cycle; performed genetic studies and determined the morphofunctional state of reproductive system. Results. The most frequent complications during pregnancy in women who had CRH in history in the form of abortions, infertility and uterine fibroids and in the background of the PAF, there was a threat of interruption of pregnancy (often in I and II trimester – 56%) and preterm delivery (21%). The study of the catamnesis of further reproductive health found that in the case of well-conducted therapeutic measures in women undergoing artificial abortion, had infertility and uterine leiomyoma in the background of VAH, restore reproductive function, and in 82% of cases occurred a pregnancy. Conclusion. The the provided study of reproductive health, and state of various organs and systems of fertile aged women with somatoform disorders and violations of the autonomic homeostasis allowed to develop preventive measures for these women and pregravid preparation with the inclusion to the therapy Magnesium and vitamins (Magne-В6®). Key words: somatoform disorders, violation of autonomic homeostasis, changes in reproductive health, prevention and treatment, women of fertile age, Magne-В6®.

Model of correlation between anticipatory consistency and intuitiveness in the development of neuroses

2020 ◽  
pp. 31-36
Author(s):  
Alexander Granitsa
Keyword(s):  
Significant Role ◽  
Defense Mechanisms ◽  
Somatoform Disorders ◽  
General System ◽  
Healthy People ◽  
Coping With Stress ◽  
Psychological Defense ◽  
Cluster Analyses ◽  
Neurotic Disorders

The aim of the study was to form the model of correlation between intuitiveness and anticipatory consistency in case of neurotic and somatoform disorders. The study included 197 patients with neurotic and somatoform disorders and 66 healthy people. We found a lower level of intuitiveness and anticipatory consistency in patients with neurotic disorders than in healthy people. Correlation and cluster analyses have shown that anticipatory inconsistency and a reduced intuitiveness play a significant role in the mechanisms of neurosis development. Intuitiveness in neurotic and somatoform disorders is the link between anticipatory consistency and psychological defense mechanisms in the general system of coping with stress.

Somatoform disorders: diseases of the civilization

2020 ◽  
pp. 25-30
Author(s):  
I. Kukhtevich
Keyword(s):  
Health Professionals ◽  
Somatoform Disorders ◽  
Neuropsychiatric Disorders ◽  
The Other ◽  
Significant Part ◽  
Organic Basis ◽  
Autonomic Disorders ◽  
The One ◽  
Somatic Diseases

Functional autonomic disorders occupy a significant part in the practice of neurologists and professionals of other specialties as well. However, there is no generally accepted classification of such disorders. In this paper the authors tried to show that functional autonomic pathology corresponds to the concept of somatoform disorders combining syndromes manifested by visceral, borderline psychopathological, neurological symptoms that do not have an organic basis. The relevance of the problem of somatoform disorders is that on the one hand many health professionals are not familiar enough with manifestations of borderline neuropsychiatric disorders, often forming functional autonomic disorders, and on the other hand they overestimate somatoform symptoms that are similar to somatic diseases.

Modern psychodynamic psychotherapy of somatoform disorders: technology, effectiveness

2020 ◽  
pp. 53-61
Author(s):  
Igor Belokrylov ◽  
Semen Semikov
Keyword(s):  
Psychodynamic Psychotherapy ◽  
Somatoform Disorders ◽  
Psychological Treatment ◽  
Short Form ◽  
Psychoanalytic Psychotherapy ◽  
The Internet ◽  
Present Stage ◽  
Basic Technique ◽  
Evidence Database ◽  
Form Preference

At the present stage psychodynamic (psychoanalytic) psychotherapy is one of the most commonly used methods of psychological treatment and somatoform disorders (SFR), second only to cognitive-behavioral psychotherapy. The trends of the method technology are the following: focusing interventions on the most important pathogenetic mechanisms of SFR, short-form preference, distant treatment via the Internet, combining the basic technique with nonanalytical methods (in particular, hypnosis). The studies highlighted in the review provide reliable information about the effectiveness of the psychodynamic psychotherapy of SFR, however currently the evidence database on this issue is not sufficient and needs to be replenished.

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