Psychosomatic Diseases and Somatoform Disorder(DSM-III)-From the standpoint of psychiatry(Psychosomatic Diseases and Somatoform Disorders)

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  • 心身症と身体表現性障害-精神医学の立場から-(心身症と身体表現性障害)(第27回日本心身医学会総会)
  • 心身症と身体表現性障害--精神医学の立場から
  • シンシンショウ ト シンタイ ヒョウゲ

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Abstract

In DSMIII (the third edition of the Diagnostic and Statisitical Manual of Mental Disorders of APA 1980) there Is a new cllnrcal entrty named "Somatoform Drsorders" According to this manual rt Is defined" the essentral features of this group of drsorders are physical symptoms suggesting physical disorder (hence, Somatoform) for which there are no demonstrable organic findings or known physiological mechanisms and for which there is positive evidence, or a strong presumption, that the symptoms are linked to psychological factors or confiicts."Most doctors, who deal with psychosomatic disorders in Japan, must be paying attention on this new clinical entity, because there is some description concerning these situations in the " Therapeutic Manual of Psychosomatic Disorders" (by the Japanese Society of Psychosomatic Medicme 1970) as follows "Some cases whrch can be dragno ed as neuros s although they have mamly physrcal manrfestations, should be treated the same way as psychosomatic disorders in a wider sense." These Somatoform Disorders are classified into five subtypes as follows ; (1) Somatization disorder (Briquet's disease), (2) Conversion disorder (hysterical neurosis), (3) Psychogenic pain disorder, (4) Hypochondriasis (hypochondriacal neurosis), (5) Atypical disorder (dysmorphic disorder). Moreover, some other relevant concepts concerning "hypochondriacal neurosis, " such as c6nestopathie, hypochondriacal delusion and kdrperliches Beeinflussungsgefthl (K. Schneider) are also introduced and discussed in this paper.

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