Somatization, defined as a transient or persistent tendency to experience and communicate psychological distress in the form of somatic symptoms and to seek medical help for them, represents a common problem in clinical practice. A comprehensive inpatient rehabilitation program for somatizing patients has been developed at the Clarke Institute in Toronto and is described in detail. It involves concurrent application of psychiatric, psychological, social, and medical therapies.
References
1.
LipowskiZ.J.Somatization: the concept and its clinical applications.Am J Psychiatry1988(in press).
2.
LipowskiZ.J.Somatization: a borderland between medicine and psychiatry.Can Med Assoc J1986; 135: 609–614.
3.
BridgesR.W., GoldbergD.P.Somatic presentation of DSM-III psychiatric disorders in primary care.J Psychosom Res1985; 29: 563–569.
4.
QuillT.E.Somatization disorder: one of medicine's blind spots.JAMA1985; 254: 3075–3079.
5.
KellnerR.Somatization and hypochondriasis.Wesport, Conn: Praeger-Greenwood Press, Inc,1986.
6.
SmithR.C.A clinical approach to the somatizing patient.J Fam Pract1985; 21: 294–301.
7.
HouptJ.L., KeefeF.J., SnipesM.T.The clinical specialty unit: the use of psychiatry inpatient unit to treat chronic pain syndromes.Gen Hosp Psychiatry1984; 6: 65–70.
8.
WooleyS.C., BlackwellB., WingetC.A learning theory model of chronic illness behavior: theory, treatment, and research.Psychosom Med1978; 40: 379–401.
9.
KellnerR.Hypochondriasis and somatization.JAMA1987; 258: 2718–2722.
