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Somatoform disorders 

Somatoform disorders
Somatoform disorders

David Coghill

, Sally Bonnar

, Sandra L. Duke

, Johnny Graham

, and Sarah Seth

Page of

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date: 27 September 2020

Definitions 308

Presentation 310

Impact 311

Epidemiology and aetiology 312

Assessment, differential diagnosis, and co-morbidity 314

Management 316

Clinical example 318

Recommended reading 320

The terminology surrounding the somatoform disorders is complex, poorly operationalized, and standardized, and many issues relating to definition remain unresolved. In many ways, this is a reflection of the limitations of the physical/psychological dichotomy that continues to pervade medical thinking. To add to this lack of operationalization, many of the terms in common usage appear to be somewhat interchangeable. These include terms such as ‘functional’, ‘psychosomatic’, ‘medically unexplained physical symptoms’ (‘MUPS’), ‘abnormal illness behaviour’, and occasionally the more old fashion terms ‘hysterical’ and ‘neurotic’; This wide nosological variety complicates an already complex field....

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