What is psychosomatics? Is there a difference in the meaning and "treatment" of doctors and psychologists?

What is psychosomatics? Is there a difference in the meaning and "treatment" of doctors and psychologists?

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answers (2)

Answer 1
March, 2021

The above is well distracted, so I'll add from my experience. I am a neurotic and have experienced many psychosomatic conditions. For example, a feeling of suffocation, which was false. Pains and singing feelings in the chest. Pain in the abdomen with panic attacks and syndoomas. Heat all over the body from muscle tension during prolonged magical attack. Rapid and heavy breathing.

Answer 2
March, 2021

A lot of things are related to psychosomatics. This is perhaps the most speculative area of ​​psychology. There are several groups of such diseases. Historically, the first group is neurosis. The patient begins to show symptoms of a disease that does not exist. These are, for example, paralysis, bouts of vomiting, hysterical blindness and deafness. Or simply complains of pain in the organs. It is believed that, getting into a traumatic situation, individuals of a special kind are inclined, as they say, to go into illness. This is a kind of psychological defense (like repression or projection, etc.), only very crude and primitive. To some extent, with the help of the disease, the neurotic takes time out and, moreover, manipulates others. The main method of treatment here is psychotherapy. Also, in almost all cases, drug treatment is used. The ancients say that over the past decades, hysterical neurosis has greatly lost ground: it is almost impossible to find hysterical blindness, seizures with arching in an arc, epileptic seizures (similar to epileptic ones). It is not entirely clear why this happened. Probably, neurotic patients were "taught" to be sick in a less energy-consuming way. Perhaps the authors of the past somewhat exaggerated the condition and number of their patients.

Another group of psychosomatic diseases is already real somatic problems. This is what is most often meant by psychosomatics in popular sources. It is believed that some features of the psyche lead to the formation of a real disease. In my opinion, psychology has nothing to do here, at least, it is ineffective. Asthma, for example, cannot be cured by psychotherapy. An analogy with water dripping from a tap would be appropriate here. The faucet can be shut off, but the rust on the sink will not disappear. This also includes the famous vegetative-vascular dystonia. All psychosomatosis are listed in Wikipedia (article "psychosomatic diseases").

Now we can discuss speculations and inaccuracies. The most striking example is a stomach ulcer. She was historically considered a psychosomatic illness, especially wealthy clients, in treatment, even resorted to the services of psychotherapists. And, basically, patients were treated with a special diet. And then this is what happened: In 1994, the US National Institutes of Health published an expert opinion stating that most recurrent stomach ulcers and acidic gastritis are caused by microbial infection, and recommended that antibiotics be included in therapeutic regimens for the treatment of gastric ulcer, and gastritis with high acidity. Evidence also gradually accumulated that duodenal ulcers and duodenitis are also associated with infection. It turned out that it is necessary to treat not with diet and psychotherapy, but mainly with antibiotics. The psychological community, especially the so-called practicing psychologists, prefer not to notice this. Perhaps a certain percentage of ulcers are caused by psychosomatics, but in this case, it is necessary at least to reconsider all theoretical and empirical developments in this area.

This area of ​​psychology is considered one of the most convenient for writing all kinds of products. A psychologist comes to the hospital, tests a certain group of patients, then does the same with healthy ones, then compares the results and the scientific article is ready. Thus, certain psychological characteristics are highlighted that led to the appearance of this or that disease. That is, the disease is not psychosomatic, but psychogenic factors could affect its course and development. As a result, now you can find a description of the psychological profile of almost any disease. A lot of works are written in this area, skeptics say that they can relatively often contradict each other - but still no one reads these endless dissertations) You also need to keep in mind that all these studies are carried out on people who have already got sick and we, by and large, we do not know - they changed under the influence of the disease, or, in fact, we found some features that contribute to the development of the disease. Such features exist even in tuberculosis; for its development, a decrease in immunity is needed and some psychological features can contribute to this. For example, the love of theft will lead a person to prison, there will be a decrease in immunity and the disease will begin).

But, to me, most of the research in this area looks very unconvincing. Especially, I recommend to beware of Internet signs, which describe which diseases are caused by which emotions.

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