Автор: Н.И. Козлов

Psychosomatics

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Psychosomatics is called two different things. On the one hand, this direction in medicine and psychology, studying the relationship of diseases and human psychology. On the other hand, psychosomatics in life is more often called proper health problems, caused (apparently) by psychological reasons. More correctly and strictly it is called psychosomatic diseases and psychosomatic disorders, but in everyday communication this is simply called: psychosomatics.

It is about this - this article.

Disease, like a sharp decline in the ability to work, can arise and in virtue of physiological, and for psychological reasons. Not every disease, in spite of the assurances of L. Hay, L. Burbo and their followers, necessarily has psychological roots: anyone with the most heart healthy can become infected with an infectious disease. Another thing is that if a person does not really want to be healthy, especially if there are some or other benefits in the disease, illnesses arise with a much greater probability.

Diseases "with a psychological background" are more common in women than in men, and more often in the elderly, rather than young people. Children need to make special efforts to get sick. Elderly people need to make great efforts to be healthy and not get sick. To fall ill, an elderly person has to stop caring about his health, stop wanting to be healthy. However, children are also quite inventive, and if desired, most children easily fall ill when it is profitable for them. Many adults do the same.

Psychological underpinning, the psychological factor in the emergence of diseases is not denied today, almost no one, the whole issue in the specific weight of this factor. It’s one thing that a woman became ill with the flu in connection with an epidemic of flu, although against the background of the "why not cheer". Here the psychological factor is present, but it is not decisive. It’s another matter when a woman falls ill with a severe form of asthma - for no reason at all, without any seemingly physiological and social prerequisites - but just when her husband was going to leave her. If her asthma gets worse every time her husband once again has a fantasy of leaving her, you can talk more about psychosomatics - health problems, caused primarily by psychological factors.

Psychosomatic diseases and disorders are those that are caused by psychogenic factors, the causes of which are to a greater extent the mental processes of the patient than directly any physiological causes.

If the medical examination can not detect the physical or organic cause of the disease, if the disease is the result of emotional states such as anger, anxiety, depression, guilt, or if there are reasons to assume the psychological benefits of the disease, in these cases the disease can be classified as having a psychosomatic nature.

Unlike hypochondria, which some mistakenly consider to be a psychosomatic illness, patients with psychosomatic diseases experience real pain, real nausea or other real physically sensed symptoms, but without a diagnosed cause.

In modern medicine, the term "psychosomatic" has acquired a largely negative meaning: doctors often refer to "psychosomatics" as anything related to simulation, mental disorders, or outright fraud.

Organic or psychosomatic?

If you have a cold, bronchial asthma, a stomach ulcer or headache, a good doctor sees this as a somatic and is likely to be treated with medicine. A psychologist or a psychologically oriented doctor will assume that this is all psychosomatic and will offer psychotherapy. What to believe?

In occasion of some diseases today there are fierce disputes among experts: it is somatic (organic), psychosomatic or in general simulation. First of all, this is "chemical sensitivity" (MCS), "Gulf War Syndrome" ("fat fatue syndrome"). Many diseases at one time were considered psychosomatic - exactly as long as the medicine did not find the physiological causes of these diseases and did not learn how to treat them. These are asthma, allergies, imaginary pregnancy and migraines. If you have similar health problems, you should contact a doctor, not a psychologist.

The main rule: if you can assume and psychosomatics, and medical problems - go to the doctor, and not to the psychologist. If you have a cold, bronchial asthma, a stomach ulcer or headache, you need to see a doctor, not psychologists. All health problems must first be treated by a doctor. Applying to a psychologist or a psychotherapist, bypassing a doctor, means risking your health.

The essence of claims to the fascination with psychological methods of treatment is the same as claims to treatment with the help of healers: the essence is not that healers can directly damage the patient, but in a possible delay, or even the exclusion of conventional treatment, which is fraught with fatal consequences.

If, in spite of the efforts of quality doctors, the question is not solved, then it is possible and it makes sense to address a psychologist about psychosomatics ↑.

Work with psychosomatics

Psychosomatics are often treated with suggestions, tranquilizers and the removal of a problem situation, presumably causing somatic disorders. Sometimes it is promising to analyze the internal benefits of cash psychosomatics. For variants of psychological work with psychosomatics, see →

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