Document Detail

"Unexplained" somatic symptoms, functional syndromes, and somatization: do we need a paradigm shift?
MedLine Citation:
PMID:  11346330     Owner:  NLM     Status:  MEDLINE    
Medically unexplained functional or somatization symptoms are somatic disorders that are not adequately explained by physical disease processes. The way in which these disorders have been understood and managed has varied over the history of medicine. However, only in the past 100 years has the "mental" explanation predominated. A benefit of this trend has been the development of effective treatments in the form of "antidepressant" drugs and cognitive-behavioral therapies; a cost has been limited integration of these treatments into medical practice and lack of acceptability to patients. We suggest that there is much to learn from physicians of the pre-Freudian era. Their etiologic theories are now supported by new scientific evidence, and their clinical practice provided ways of making psychological treatment acceptable to patients. We propose a paradigm shift in which unexplained symptoms are remedicalized around the notion of a functional disturbance of the nervous system and treatments currently considered "psychiatric" are integrated into general medical care.
M Sharpe; A Carson
Publication Detail:
Type:  Historical Article; Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Annals of internal medicine     Volume:  134     ISSN:  0003-4819     ISO Abbreviation:  Ann. Intern. Med.     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-10     Completed Date:  2001-05-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0372351     Medline TA:  Ann Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  926-30     Citation Subset:  AIM; IM    
University Department of Psychiatry, Kennedy Tower Royal Edinburgh Hospital, Edinburgh EH10 5HF, United Kingdom.
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MeSH Terms
History, 17th Century
History, 19th Century
History, 20th Century
Referral and Consultation
Somatoform Disorders / history,  psychology*,  therapy
Comment In:
Ann Intern Med. 2001 May 1;134(9 Pt 1):783-5   [PMID:  11329237 ]

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