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Abstract

In general usage, the concept “psychosomatic disorder” is taken to refer to a category of somatic illness that has certain proposed characteristics. The viability of this category is examined by evaluating the supportability of its proposed characteristics. The conclusion is reached that the category is a very tenuous one at best. It is suggested, however, that it is possible and useful to distinguish between the core concept “psychosomatic,” which represents an approach to explanation, and the elaborated concept “psychosomatic disorder,” which is a nosological concept. Finally, two systems are described that attempt to systematize the relationship between psychological and somatic variables in the context of somatic illness.

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References

Wolff

: A concept of disease in man. Psychosom Med 24:25–30, 1962

Matarazzo

Saslow

: The relationship between medical and psychiatric symptoms. J Abnorm Soc Psychol 62:55–61, 1961

Miller

: Learning of visceral and glandular responses. Science 163:434–45, 1969

Graham

: Health, disease and the mind body problem: Linguistic parallelism. Psychosom Med 29:52–71, 1967

Dunbar

: Psychosomatic Diagnosis. New York, Paul Hoeber, 1943

Alexander

: Psychosomatic Medicine: Its Principles and Applications. New York, Norton, 1950

Graham

Kabler

Graham

: Physiological response to suggestion of attitudes specific for hives and hypertension. Psychosom Med 24:159–69, 1962

Noyes

Kolb

: Modern Clinical Psychiatry. Philadelphia, Saunders, 1958

Weiss

Fontana

: Treating emotionally provoked asthma. Paper read at the Annual Meeting of the American Medical Association, 1973

10.

Lipowski

: New perspectives in psychosomatic medicine. Canad Psychiat Assoc J 15:515–25, 1970

11.

Pribram

: Emotion: Steps toward a neuropsychological theory, in Neurophysiology and Emotion. Edited by Glass

. New York, Rockefeller Univ Press, 1967

12.

Arnold

: An excitatory theory of emotion, in Feelings and Emotions. Edited by Reymert

. New York, McGraw-Hill, 1950

13.

Mandler

: The conditions for emotional behavior, in Neurophysiology and Emotion. Edited by Glass

. New York, Rockefeller Univ Press, 1967

14.

Halliday

: The significance of the concept of a psychosomatic affection. Psychosom Med 7:240, 1945

15.

Lipowski

: Physical illness, the patient and his environment: Psychosocial foundations of medicine, in American Handbook of Psychiatry, Vol. 4. Edited by Arieti

. New York, Basic Books (in press)

16.

Weiss

Ellis

: Asthma and bronchiolitis, in Pediatric Pulmonary Physiology and Disease. Edited by Scarpelli

, Philadelphia, Lea and Febiger (in press)

The Current State of the Concept of a Psychosomatic Disorder

Abstract

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