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.