The
importance of organic justified pain is evidenced by the Canadian trial
involving 1,000 patients medical clinic. In patients who do not have a safe
organic causes of their complaints during the observation period of three
years, are symptoms of pain in the first place. Among the eight most common
complaints are four symptoms.
Some authors
(eg, psychoanalyst Egle) defines persistent somatoform pain disorder is much
narrower than the ICD-10. Somatoform pain will continue according to this view
on the level of pure center, yet isolated from peripheral patient. Pain, which
is hard somatic findings in the periphery (myogelosis muscle, "tender
points"), will, on this view does not make this diagnostic category, ie
all functional impairment, etiology mechanism based on the autonomic nervous
system (primary headache and lower back pain, Pelvipathie , fibromyalgia,
orofacial pain-dysfunction syndrome) would therefore not somatoform pain
disorder. However, the difference between organic and psychogenic pain related
considered outdated and not coincide well with the guidelines, but the criteria
for ICD research.
People with
somatoform pain disorder differ from patients with organ-related pain often in
the following ways:
The pain is
only vaguely local.
The pain is
described rather than affective sensory adjectives.
Usually,
there is no difference in pain intensity as a function of day and aggravating
factors or other exculpatory.
Among
exposure biography can be found in prehistoric times physical violence or
sexual abuse.
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