Wisconsin Medical Journal

نویسنده

  • Thomas W. Heinrich
چکیده

Doctor Heinrich is chief, Psychiatric Consultation Service and assistant professor of Psychiatry at the Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin. Please address correspondence to Thomas Heinrich, MD, Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226; phone 414.456.8950; fax 414.456.6295; e-mail [email protected]. ABSTRACT Somatization, the physical expression of psychological distress, is a prevalent and important problem. It is seen in a wide variety of clinical settings and represents a significant evaluation and management dilemma. The burden to the patient—coupled with the consequential economic and social costs—can be substantial. As a result, the identification and appropriate management of these patients and their often-challenging symptoms is imperative. The following review attempts to summarize the significant body of work committed to the concept of somatization in the medical, surgical, and psychiatric literature. Articles were found through a Medline Search. The search was performed utilizing the terms “somatoform disorders,” “somatization,” “somatization disorder,” “alexithymia,” and “medically unexplained symptom” for January 1966 through May 2004. Appropriate referenced articles and text were also identified and incorporated.

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تاریخ انتشار 2008