By Katharine A. Phillips

Brown Univ., windfall, RI. bargains clinicians a huge synthesis of the present wisdom approximately somatoform and factitious problems. Clarifies matters surrounding somatization ailment, hypochondriasis, physique dysmorphic affliction, conversion disease, and factitious ailment. Softcover. DNLM: Somatoform issues.

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After 4 months, the waiting-list control group received the same treatment. Evaluations were performed on both groups before randomization, and again at posttreatment/waiting-list control group stages. Further assessments were done at 3-month follow-up for the cognitiveHypochondriasis 35 36 SOMATOFORM AND FACTITIOUS DISORDERS 4 45 17 Goldstein and Birnbom 1976 Kellner 1983 Warwick and Marks 1988 Retrospective Prospective Retrospective Prospective, noncontrolled 23 Ladee 1966 Design Retrospective N Outpatients Geriatric outpatients Outpatients Inpatients Type of patient Psychotherapy Psychotherapy Psychoanalytic psychotherapy 11% received supportive psychotherapy, 8% ECT Type(s) of therapy ICD-9 Fear Ques- Outpatients with Exposure and tionnaire, DSM-III-R hypo- response 9-point scale chondriasis prevention DSM-III clinical interview Clinical interview Clinical judgment Clinical interview Evaluation tools Psychotherapeutic trials for treatment of hypochondriasis Kenyon 1964 118 Study Table 2–1.

Geneva, World Health Organization, 1992 26 SOMATOFORM AND FACTITIOUS DISORDERS Chapter 2 Hypochondriasis Brian A. D. D. , flatulence) or melancholia. In the late 17th century, Thomas Willis postulated that the brain was the source of both hypochondriasis in men and hysteria in women (Willis 1685) and added symptoms suggestive of panic disorder, such as trembling, palpitations, dizziness, and an imaginary fear of illness, to the description of hypochondriasis. ” This physician may have been one of the first cognitive theorists in noting that “terrible ideas, formed only in the imagination, will affect the brain and the body with painful sensations” (Berrios 2001).

Philadelphia, PA, WB Saunders, 1986, pp 123–151 Cloninger CR, Yutzy S: Somatoform and dissociative disorders: a summary of changes for DSM-IV, in Current Psychiatric Therapies. Edited by Dunner DL. Philadelphia, PA, WB Saunders, 1993, pp 310–314 Cloninger CR, Reich T, Guze SB: The multifactorial model of disease transmission: III. Familial relationship between sociopathy and hysteria (Briquet’s syndrome). Br J Psychiatry 127:23–32, 1975 Somatization Disorder 21 Cohen K, Auld F, Booker H: Is alexithymia related to psychosomatic disorder and somatizing?

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