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Romanian Journal of Internal Medicine

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Evolution of Psychosomatic Diagnosis in DSM. Historical Perspectives and New Development for Internists

Ramona Moldovan
  • “Babeş-Bolyai” University, Cluj, Department of Psychology, Romania
/ Mădălina Radu
  • “Babeş-Bolyai” University, Cluj, Department of Psychology, Romania
/ Adriana Băban
  • “Babeş-Bolyai” University, Cluj, Department of Psychology, Romania
/ D.L. Dumitraşcu
  • “Iuliu-Haţieganu” University of Medicine and Farmacy, Medical Clinic II, Cluj, Romania
Published Online: 2015-10-07 | DOI: https://doi.org/10.1515/rjim-2015-0003

Abstract

The so-called “Psychosomatic symptoms” represent a real challenge for internists. These have often been described as non-specific, non-organic, functional, dysfunctional or idiopathic. These “diagnostic puzzles” are obviously difficult to treat. Psychosomatic symptoms have been categorized as hysteria, psychogenic, psychosomatic, conversion, somatization and somatoform disorder. It is only when modern classificatory systems such as the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD) were developed that research was stimulated and new clinical developments became much stronger than any other time. The current paper is aimed at briefly presenting the evolution of psychosomatic symptoms in DSM while pointing out the major milestones as well as the benefits and challenges along the way. We discuss the perspectives open with the advent of the 5th edition the DSM-V.

Abstract

Aşa numitele „Simptome psihosomatice” reprezintă o provocare pentru internişti. Aceste simptome au fost frecvent descrise ca nespecifice, ne-organice, funcţionale, disfuncţionale sau idiopatice. Aceste „puzzles” diagnostice sunt desigur greu de tratat. Simptomele psihosomatice au fost categorizate ca isterie, psihogene, psihosomatice, tulburări de conversie, somatizare şi tulburări somatoforme. Sistemele moderne de clasificare precum Diagnostic and Statistical Manual (DSM) şi Clasificarea Internaţională a Maladiilor (CMI) au stimulat cercetarea şi au permis o mai pregnantă identificare clinică a acestor tulburări. Prezentul articol arată succint evoluţia simptomelor psihosomatice din perspectiva DSM, cu accent pe avantajele şi provocările acestui sistem de clasificare. Sunt discutate perspectivele deschise odată cu apariţia ediţiei a cincea a DSM, DSM-V.

Keywords: Diagnostic and Statistical Manual of Mental Disorders; psychosomatic symptoms

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About the article

Received: 2015-02-10

Published Online: 2015-10-07

Published in Print: 2015-03-01



Citation Information: Romanian Journal Of Internal Medicine, ISSN (Online) 1220-4749, DOI: https://doi.org/10.1515/rjim-2015-0003. Export Citation

© 2015. This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License. (CC BY-NC-ND 4.0)

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