The problematic concept of somatoform pain DSM-IV

DSM-IV is the problematic concept of somatoform pain disorder and list the following criteria for pain disorders:

1. Pain in one or more anatomical region (s) are at the forefront of the clinical picture and should justify clinical attention for sufficient severity.
2. The pain causes clinically significant distress or deterioration in social, occupational, or other important areas of functioning.
3. The psychological factors are important for the beginning, severity, exacerbation, or maintenance of the pain.
4. Symptoms or failure is not intentionally produced or feigned.
5. The pain could not be better explained and did not meet the criteria for dyspareunia by affective, anxiety, or psychotic disorders.

Pain disorder according to DSM-IV is characterized by pain, which is the focus of clinical attention and in terms of onset, degree, exacerbation or maintenance significantly related to psychological factors. Psychological factors are important both as a cause, trigger symptoms or maintaining factor. The guidelines present in the clinical diagnosis of ICD-10 mind-body dualism tends to be avoided in the DSM-IV, but implicitly there. Psychological factors are not to be understood as a "decisive causal effect" on pain, which is different from the ICD-10 guidelines where they should be dominant and no organic substrate (not even myogelosis muscle) can be given.