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When the Body Speaks its Mind: A Psychiatrist Probes the Mysteries of Hypochondria and Munchausen's Syndrome

par Berney Goodman

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"On any given day, most of us experience some form of minor, short-lived symptom without physical illness - such as back pain, palpitations, or a nervous stomach - often the body's expression of emotional discomfort. Most people recognize these pains as an indication that they are overstressed and need to make an adjustment." "But often these symptoms do not speak so clearly, and both patients and doctors enter a labyrinth of complex physical ailments for which there is no apparent biological cause. The result is a medical mystery that preoccupies patients and confounds and frustrates doctors and psychiatrists." "When the Body Speaks Its Mind explains through compelling case histories how people can become hypochondriacs, people whose physical symptoms are masks for their true psychological problems. In these fascinating stories: An elderly man's ghostly and unbearable pain is eventually linked to his traumatic childhood and current sexual difficulties; a young executive's visits to scores of medical specialists for a host of ailments over many years finally lead him to realize the origin of these ailments in a deep-seated anger; and the disturbing truth about a woman's fairy-tale marriage is revealed during the pursuit of the causes for her disabling palpitations." "But these unusual cases seem mundane when compared with the extreme condition known as Munchausen's syndrome, in which patients skillfully feign and create illness to lure their physicians into performing complex treatments, even when it means flirting with death through unnecessary surgery or prescriptions. Medical specialists are often confounded by these carefully constructed physical symptoms, and the patients live much of their lives in hospitals. Armed with surprising knowledge of diagnostic medicine and manipulating the compassionate tendencies of their doctors, Munchausens are the terrorists of the medical world." "In this captivating book, Dr. Goodman acts as a detective, delving into the psychological mysteries behind his patients' physical symptoms. His insightful sleuthing uncovers appropriate treatments for these complex mind-body problems and presents new understanding of the promise of modern psychiatry and the power of the mind."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved… (plus d'informations)
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Instead of Somatization disorder being rare, he seems to find it rather common. Definition: Somatization is when a mental stress is expressed through physical signs of illness.

The author is a psychiatrist. He seems to find it fascinating that we find it more socially acceptable to express our mental ills through physical symptoms. Many times it takes a while to peel through the veneer of deception to get to the real issue.

He seems to be especially fascinated with munchausen's syndrome, which is when the patient deliberately induces illness even to near death at enormous cost to society and the medical system. Dr. Goodman continues his description of them in a chapter titled "Medical Terrorists", and describes them as incurable. When discovered, they simply move on to be admitted to a different hospital.

The last chapter "Afterthoughts...and Feelings" describes a perfect world, or perhaps an imperfect world, and what the psychiatrists role might be in predicting the future. He predicts increased incidence of somatization because of the stress of changing society. But he also has hope that the pendulum tends to swing back from excess. He even has an idea for group therapy of Muchausen patients.

The "selected sources" look to be mostly primary sources - that is refereed journals.

Very interesting reading. I enjoyed reading this book. I enjoy reading books, where the author is an expert in his field. (As contrasted to (the sometimes popular) books by professional authors on topics they learn simply to write the book.) ( )
  bread2u | Jul 1, 2020 |
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"On any given day, most of us experience some form of minor, short-lived symptom without physical illness - such as back pain, palpitations, or a nervous stomach - often the body's expression of emotional discomfort. Most people recognize these pains as an indication that they are overstressed and need to make an adjustment." "But often these symptoms do not speak so clearly, and both patients and doctors enter a labyrinth of complex physical ailments for which there is no apparent biological cause. The result is a medical mystery that preoccupies patients and confounds and frustrates doctors and psychiatrists." "When the Body Speaks Its Mind explains through compelling case histories how people can become hypochondriacs, people whose physical symptoms are masks for their true psychological problems. In these fascinating stories: An elderly man's ghostly and unbearable pain is eventually linked to his traumatic childhood and current sexual difficulties; a young executive's visits to scores of medical specialists for a host of ailments over many years finally lead him to realize the origin of these ailments in a deep-seated anger; and the disturbing truth about a woman's fairy-tale marriage is revealed during the pursuit of the causes for her disabling palpitations." "But these unusual cases seem mundane when compared with the extreme condition known as Munchausen's syndrome, in which patients skillfully feign and create illness to lure their physicians into performing complex treatments, even when it means flirting with death through unnecessary surgery or prescriptions. Medical specialists are often confounded by these carefully constructed physical symptoms, and the patients live much of their lives in hospitals. Armed with surprising knowledge of diagnostic medicine and manipulating the compassionate tendencies of their doctors, Munchausens are the terrorists of the medical world." "In this captivating book, Dr. Goodman acts as a detective, delving into the psychological mysteries behind his patients' physical symptoms. His insightful sleuthing uncovers appropriate treatments for these complex mind-body problems and presents new understanding of the promise of modern psychiatry and the power of the mind."--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved

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