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Psychoanalytic Approaches to Psychosomatic Medicine
Published in Paul Ian Steinberg, Psychoanalysis in Medicine, 2020
I believe it is relevant to outline a psychoanalytic approach to psychosomatic medicine because many physicians are not familiar with this. First, I will distinguish between conversion symptoms and somatization symptoms.
The Body-Mind Connection
Published in Shamit Kadosh, Asaf Rolef Ben-Shahar, Incorporating Psychotherapeutic Concepts and Interventions Within Medicine, 2019
Shamit Kadosh, Asaf Rolef Ben-Shahar
Psychosomatic medicine is a clinical and scientific field, founded on the concept that mind and body are integral aspects of human function. The main goals of the psychosomatic approach include building bridges between psych and soma, overcoming the mind-body dichotomy, understanding the interactions among biologic, psychologic, and social aspects in every patient, and developing a system based perspective and knowledge based on clinical and scientific research (Fritzsche, 2014).
A psychosexual body/mind approach
Published in Ruth Skrine, Blocks and Freedoms in Sexual Life, 2019
The idea that we have to live with the experience of not having answers may suggest that there is nothing we can do in the face of sexual unhappiness. Nothing could be further from the truth. Body/mind doctors have a unique opportunity to study the way in which the mind and body react on each other. Psychosomatic medicine is often discussed in relation to the deepest levels of the person and to those illnesses which are thought to have unconscious causes requiring prolonged psychoanalysis. Our experience as psychosexual doctors suggests that many people are in a muddle about their minds and bodies at a much more easily accessible level, and that at times most ordinary people are at risk of feeling their pain in the wrong part of themselves.
Ethical Management of Diagnostic Uncertainty: Response to Open Peer Commentaries on “Why Bioethics Should Be Concerned With Medically Unexplained Symptoms”
Published in The American Journal of Bioethics, 2018
Outside of psychosomatic medicine there has been quite a lot of effort to falsify the hypothesis that psychogenic diagnosis rarely errs. As I point out in the article, surveys by the American Autoimmune Disease Association find that 51% of patients with autoimmune disease report a history of obstructed access to medical care based on mistaken psychogenic diagnosis (American Autoimmune-Related Disease Association 2014). To scientifically verify that psychogenic diagnosis rarely errs, then, researchers could readily perform studies that definitively establish whether those survey results are accurate. Similarly, studies by Eurodis suggest that the problem of diagnostic delay for patients with rare disease is tied to error in psychogenic diagnosis (Kole and Faurisson 2009). It would not be difficult to help verify, or finally refute, the hypothesis that psychogenic diagnosis rarely errs through research that determines rates of mistaken psychogenic diagnosis for patients with rare diseases.
Brain–bladder axis: a case of anxiety-associated haematuria
Published in Psychiatry and Clinical Psychopharmacology, 2018
Yen-Feng Lee, Pei-Shen Ho, Chih-Sung Liang
The increasing understanding of the neural basis of mental symptoms has rendered mind–body dualism theoretically untenable. Symptoms, be they physical or psychiatric, could be considered products of the interconnection of bodily, mental, and environmental problems. Focusing on the interface between psychiatry and medicine, psychosomatic medicine has become a subspecialty of psychiatry. The major groups of patients in the field of psychosomatic medicine are those with somatoform disorders, those with comorbid psychiatric and general medical conditions complicating each other’s management, and those with psychiatric disorders resulting from the direct consequence of a medical condition or its treatment. In this vein, a psychosomatic medicine psychiatrist is like a medical-psychiatric detective, discovering the clues to psychosomatic patients, and improving their care.
Why Bioethics Should Be Concerned With Medically Unexplained Symptoms
Published in The American Journal of Bioethics, 2018
Since the early 1980s, when psychogenic diagnosis was first codified in the DSM-III with the category of “somatoform disorders,” practice in this area of medicine has been dictated by research in the psychiatric subdiscipline of psychosomatic medicine, though with little success. It is common knowledge that in cases of persistent MUS, physicians, and indeed mental health providers, can offer little in the way of treatment that can generally be expected to provide relief (Johansena and Risor 2017; Mayou and Sharpe 1997; Smith et al. 2003). In this first sense, “the problem of MUS” is the simple challenge of relieving symptoms.