Mechanisms of conversion, somatoform and psychosomatic disorders in adulthood and childhood-adolescence
- Authors: Shaydukova L.K.1
-
Affiliations:
- Kazan State Medical University
- Section: Reviews
- Submitted: 18.06.2024
- Accepted: 21.07.2024
- Published: 05.09.2024
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/633527
- DOI: https://doi.org/10.17816/KMJ633527
- ID: 633527
Cite item
Abstract
Conversion, somatoform and psychosomatic disorders have been the subject of study for many years. If severe conversion disorders were common among patients in the 19th century, somatoform and psychosomatic disorders were more common in the 20th century. They have not lost their importance at present time. The combination of theoretical and clinical aspects gives the problematic a stable relevance, therefore these disorders lead to the need for interdisciplinary interaction, psychological and psychiatric counseling. The article briefly reviews fragments of the history of studying conversion and somatoform disorders, modern concepts of somatoform and psychosomatic disorders and their features in childhood and adolescence in comparison with the mechanisms of neurotic disorders, as well as the pathodynamics of somatoform disorders. The concepts of the emergence of somatoform and psychosomatic disorders are presented — macrosocial and microsocial, individual and family, psychoanalytic and psychodynamic, allowing to assess the breadth of the range of the raised problems. From the standpoint of the systemic approach, a parallel with neurotic disorders is drawn, the similarity of the mechanisms of their formation is emphasized, and the community of models of family relationships through “neurotic” and “somatic” symptoms is indicated. Identification of the features of somatoform disorders’ mechanisms in childhood and adolescence also brings a certain novelty and explains the increase in the group of “frequently ill children”. The combination of theoretical (psychological) and clinical (psychiatric) aspects is an important factor in the unification of the raised topic, which is initially interdisciplinary. The practical value lies in the analytical and didactic presentation of the material, which can be used by various specialists.
Full Text
About the authors
Lejla K. Shaydukova
Kazan State Medical University
Author for correspondence.
Email: shaidukova@list.ru
ORCID iD: 0000-0003-2258-1232
SPIN-code: 7514-5446
MD, Dr. Sci. (Med.), Prof., Depart. of Psychiatry and Medical Psychology
Russian Federation, KazanReferences
- Plotnikov DV, Severyanova LA. Aktsentuatsiya integral'nykh parametrov individual'nosti cheloveka kak faktor riska psikhosomaticheskikh rasstroistv. (Accentuation of integral parameters of human individuality as a risk factor for psychosomatic disorders.) Moscow: Triumph; 2021. 392 p. (In Russ.)
- Pribytkov AA, Yerichev AN, Kotsyubinsky AP, Yurkova IO. Therapy of somatoform disorders: pharmacological and psychotherapeutic approaches. Social and clinical psychiatry. 2014;24(4):73–80. (In Russ.) EDN: UIPAZV
- Gureje O, Reed JM. Bodily distress disorder in ICD-11: problems and prospects. World Psychiatry. 2016;(3):291–292. doi: 10.1002/wps.20353
- Edwards TM, Wiersma M, Cisneros A, Huth A. Children and adolescents with medically unexplained symptoms: A systematic review of the literature. Am J Fam Ther. 2019;47(3):183–197. doi: 10.1080/01926187.2019.1624226
- Isaev DN. Psikhosomaticheskaya meditsina detskogo vozrasta. (Psychosomatic medicine of childhood.) St. Petersburg: Spetsialnaya literatura; 1996. 454 p. (In Russ.)
- Antropov YuF, Shevchenko YuC. Lechenie detei s psikhosomaticheskimi rasstroistvami. (Treatment of children with psychosomatic disorders.) St. Petersburg: Rech; 2002. 560 p. (In Russ.)
- Smulevich AB, Tiganov AS, Dubnitskaya EB. Ipokhondriya i somatoformnye rasstroistva. (Hypochondria and somatoform disorders.) M.: IPTK “Logos”; 1992. 175 p. (In Russ.)
- Alexandrovsky YuA. Neurotic, stress-related and somatoform disorders. In: Psikhiatriya: natsional'noe rukovodstvo. (Psychiatry: national Guide.) Moscow: GEOTAR-Media; 2009. p. 525–554. (In Russ.)
- Sandomirsky ME. Psikhosomatika i telesnaya psikhoterapiya. Prakticheskoe rukovodstvo. (Psychosomatics and body psychotherapy: a practical guide.) Moscow: Klass; 2007. 592 p. (In Russ.)
- McDougall J. Teatry tela: psikhoanaliticheskii podkhod k lecheniyu psikhosomaticheskikh rasstroistv. (Theaters of the body: a psychoanalytic approach to the treatment of psychosomatic disorders.) Moscow: Kogitotsentr; 2007. 215 p. (In Russ.)
- Metody sovremennoi psikhoterapii. Uchebnoe posobie. (Methods of modern psychotherapy. Textbook.) Comp. by LM Krol, EA Purtova. Moscow: Klass; 2001. 480 p. (In Russ.)
- Tzigankov BD, Kulichenko AD. Effectiveness of cognitive-behavioral therapy for treating somatic disorders: a review of foreign metaanalyses and clinical studies. Kremljovskaya medicina. Klinichesky vestnik. 2015;(1):81–88. (In Russ.) EDN: TRPPNF
- Polnoe sobranie sochinenii Zigmunda Freida v 26 tomakh. 2-e izd. T. 1. Freid Z., Breier I. Issledovaniya isterii. (The complete works of Sigmund Freud in 26 volumes. 2nd ed. Vol. 1. Freud S, Breuer J. Studies of hysteria.) St. Petersburg: Eastern European Institute of Psychoanalysis (VEIP); 2020. 464 p. (In Russ.)
- Freud S. Les psychonévroses de défense Nouvelles remarques sur les psychonévroses de défence. En: Névrose, psychose et perversion. Laplanche J, traducteur. Paris: PUF; 1973. P. 1–14.
- Freud S. Qu’ilestjustifié de séparer de la neurasthénie un complexe symptomatique sous le nom de “névrosed’angoisse”. En: Névrose, psychose et perversion. Laplanche J, traducteur. Paris: PUF; 1973. P. 15–38.
- Wittkower ED. Studies on the Influence of emotions on the functions of the organs. J Ment Sci. 1935;81(334):533–682. doi: 10.1192/bjp.81.334.533
- Litvintsev SV. Some problematic and discussion issues of psychosomatic relationships and somatoform disorders from the standpoint of clinical psychiatry. VM Bekhterev review of psychiarty and medical psychology. 2018;(3):80–89. (In Russ.) EDN: YNJINF
- Steinberg H. Johann Christian August Heinroth: psychosomatic medicine eighty years before Freud; the birth of the word “psychosomatic” in medical literature by Johann Christian August Heinroth. Advanc Neurol Psychiatry. 2007;75(7):413–417. doi: 10.1055/s-2006-955010
- Khokhlov LK. Dispute of “psichiks and somatiks”. The evolution of ideas about psychosomatic and somatopsychic relatons. Social and clinical psychiatry. 2019;29(2):79–85. (In Russ.) EDN: NFSBKZ
- Wittkower ED, Warnes H. Transcultural psychosomatics. Psychother Psychosom. 1974;23(1–6):1–12. doi: 10.1159/000286612
- Kholmogorova AB, Garanyan NG. Somatization: the history of the concept, cultural and family aspects, explanatory and psychotherapeutic models. Moskovskii psikhoterapevticheskii zhurnal. 2000;(2):5–48. (In Russ.) EDN: RIDOLB
- Livingston R, Witt A, Smith GR. Families who somatize. J Dev Behav Pediatr. 1995;16(1):42–46. doi: 10.1097/00004703-199502000-00007
- Minukhin S. My many voices. In: Ehvolyutsiya psikhoterapii. T. 1. «Semeinyi portret v inter'ere»: semeinaya terapiya. (Evolution of psychotherapy. Vol. 1, “Family portrait in the interior”: family therapy.) Moscow: Klass; 1998. 304 p. (In Russ.)
- Helm Stierlin: delegation und familie. Beiträge zum Heidelberger familien dynamischen konzept. Suhrkamp, 1982. 257 р.
- Bowlby J. Separation anxiety. Int J Psychoanal. 1960;41:89–113. PMID: 13803480
- Kutter P, Muller T. Psikhoanaliz. Vvedenie v psikhologiyu bessoznatel'nykh protsessov. (Psychoanalysis. An introduction to the psychology of unconscious processes.) Kogito Center; 2011. 384 p. (In Russ.)
- Mahler S, Pine MF, Bergman A. The psychological birth of the human infant: Symbiosis and individuation. London: Routledg, 2018. 320 р. doi: 10.4324/9780429482915
- Ammon G. Psikhosomaticheskaya terapiya. (Psychosomatic therapy.) St. Petersburg: Rech; 2000. 237 p. (In Russ.)
- Schur M. Comments on the metapsychology of somatization. Psychoanal Study Child. 1955;10(1):119–164. doi: 10.1080/00797308.1955.11822553
- Sifneos PE. The prevalence of “alexithymic” characteristics in psychosomatic patients. In: Topics of Psychosomatic Research. Proceedings of the 9th European Conference on Psychosomatic Research. Vienna; 1972. p. 255–262. doi: 10.1159/000286529
- Ushakov GK. Detskaya psikhiatriya. (Child psychiatry.) Moscow: Meditsina; 1973. 321 p. (In Russ.)
- Kovalev VV. Psikhiatriya detskogo vozrasta. Ruk-vo dlya vrachei. (Child psychiatry. Handbook for Physicians.) Moscow: Meditsina; 1995. 560 p. (In Russ.)
- Nemiah JC, Sifneos PE. Affect and fantasy in patients with psychosomatic disorders. In: Hill OW. Modern trends in psychosomatic medicine. London: Butterworth; 1970. p. 26–34.
- Selye G. Stress bez distressa. (Stress without distress.) Moscow: Progress; 1982. 124 p. (In Russ.)
- Engel GL, Schmale A. Psychoanalytic theory of somatic disorder conversion, specificity, and the disease onset situation. J Amer Psych Ass. 1967;15(2):344–365. doi: 10.1177/000306516701500206
- Abrahamson LY, Seligman MEP, Teasdale JD. Learned helplessness in humans: Critique and reformulation. J Abnorm Psych. 1978;87:49–74. doi: 10.1037/0021-843X.87.1.49
- Dunbar HF. Mind and body: Psychosomatic medicine. New York: Random House; 1947. 263 р.
- Cannon WB. The wisdom of the body. New York: WW Norton & Co; 1932. p. 177–201.
- Aleksander F. Psikhosomaticheskaya meditsina. Printsipy i prakticheskoe primenenie. (Psychosomatic medicine. Principles and practical application.) Moscow: EKSMO-Press; 2002. 352 p. (In Russ.)
- Devor M. Pain mechanism and pain syndromes. In: Campbell JN, editor. Pain 1996 — An updated review. Refresher course syllabus. Seattle: IASP Press; 1996. P. 103–112.
- Rief W, Broadbent E. Explaining medically unexplained symptoms-models and mechanisms. Clin Psychol Rev. 2007;27:821–841. doi: 10.1016/j.cpr.2007.07.005
- Kirmayer LJ, Robbins JM, Paris J. Somatoform disorders: Personality and the social matrix of somatic distress. J Abnorm Psychol. 1994;103:125–136. doi: 10.1037/0021-843X.103.1.125
- Psychoanalyse und Protest: Alexander Mitscherlich und die “Achtundsechziger”. Tobias Freimller, Hrsg. Gttingen: Wallstein; 2008. 211 р.
- Berezantsev AYu. Psikhosomatika i somatoformnye rasstroistva. (Psychosomatics and somatoform disorders.) Moscow: Informatsionnye tekhnologii; 2001. 96 p. (In Russ.)
- Shaydukova LK, Melchikhin SI, Shagiakhmetov FS. «Depressive anosognosia» phenomenon in lonely women with alcohol addiction. Neurological Bulletin. 2003;XXV(1–2):35–38. (In Russ.) doi: 10.17816/nb89663
- Shaydukova LK. Topical issues of depressive disorders in adults, children and adolescents: classification, clinic, treatment. Social and clinical psychiatry. 2022;32(4):88–94. (In Russ.) EDN: LQAJVC
- Da Costa JM, Medes J. On irritable heart: A clinical study of a form of functional cardiac disorder and its consequences. Am J Med Sci. 1871;61:18–52. doi: 10.1097/00000441-187101000-00001
- Esina EY, Tsygan VN, Lyutov VV, Gizatullin TR. Psikhosomatozy. (Psychosomatoses.) St. Petersburg: SpetsLit; 2021. 253 p. (In Russ.) EDN: WTFLPZ
- Guse SB. Genetics of Briquet's syndrome and somatization disorder. Ann Clin Psychiatry. 1993;5:225–230. doi: 10.3109/10401239309148821
- Lakosina ND, Trunova MM. Nevrozy, nevroticheskie razvitiya lichnosti: Klinika i lechenie. (Neurosis, neurotic personality development: Clinic and treatment.) Moscow: Meditsina; 1994. 190 p. (In Russ.)
- Kangas M, Kallesoe KH, Rask CU. Functional somatic syndromes (FSS) in children and adolescents: conceptual, measurement and treatment issues. Zeitschrift für Psychologie. 2020;228(2):81–92. doi: 10.1027/2151-2604/a000401