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BEFORE POST SESSION
Seven Common Causes of Psychosomatic Disorders Seven Common Causes of Psychosomatic Disorders
• Conflict• Organ Language• Motivation
MOTIVATIONSecondary GainSecondary Gain
Symptom “seems” to Symptom “seems” to solve a problemsolve a problem
MOTIVATIONSecondary GainSecondary Gain
Symptom “seems” to Symptom “seems” to solve a problemsolve a problem
History History
43 year old vice-president43 year old vice-presidentof a large chemical company of a large chemical company
with multiple venereal with multiple venereal warts for 3 months. warts for 3 months.
Partner refuses intercoursePartner refuses intercourse
3 Weeks Post Treatment 3 Weeks Post Treatment
Seven Common Causes of Psychosomatic Disorders Seven Common Causes of Psychosomatic Disorders
• Conflict• Organ Language• Motivation• Past Experience
PAST EXPERIENCEEmotionally Emotionally
Charged EventCharged EventImmediate Symptoms orImmediate Symptoms or
Sensitizing EventSensitizing Event
PAST EXPERIENCEEmotionally Emotionally
Charged EventCharged EventImmediate Symptoms orImmediate Symptoms or
Sensitizing EventSensitizing Event
““It is not known what It is not known what precipitates recurrences precipitates recurrences
of genital herpesof genital herpes……most cited emotional stressmost cited emotional stress
...and menses.”...and menses.”
14 year old girl with herpes 14 year old girl with herpes labialis during every labialis during every
menstrual period since her menstrual period since her first period at age 12.first period at age 12.
History History
Next Month Next Month
“The Facts Of Our Lives
Are Not As Important As Our Attitudes Towards Them.”
- Viktor Frankl
“The Facts Of Our Lives
Are Not As Important As Our Attitudes Towards Them.”
- Viktor Frankl
Aphorism Aphorism
“No one can hurt you emotionally without your subconscious
permission.”
“No one can hurt you emotionally without your subconscious
permission.”
Maxim Maxim
22 year old medical student gets 22 year old medical student gets HIVES eating CHOCOLATE. HIVES eating CHOCOLATE. “As long as I can remember.”“As long as I can remember.”
History History
Phobic About SnakesPhobic About Snakes
Easter MorningEaster Morning
True Allergy or True Allergy or Psychic Aversion? Psychic Aversion? True Allergy or True Allergy or
Psychic Aversion? Psychic Aversion?
Diagnostic DilemmaDiagnostic Dilemma
Seven Common Causes of Psychosomatic Disorders Seven Common Causes of Psychosomatic Disorders
• Conflict• Organ Language• Motivation• Past Experience• Identification• Identification
IDENTIFICATIONEmpathic Relationship Empathic Relationship With Someone Who Is With Someone Who Is
(usually) Dead(usually) Dead
IDENTIFICATIONEmpathic Relationship Empathic Relationship With Someone Who Is With Someone Who Is
(usually) Dead(usually) Dead
History History
40+ year old man came to emergency room with
classic appendicitis. Severe post-op paralytic ileus.