Pain, psychogenesis, and psychiatric diagnosis

Journal/Book: Int Rev Psychiatr. 2000; 12: Rankine Rd, Basingstoke Rg24 8Pr, Hants, England. Carfax Publishing. 99-102.

Abstract: The principles of medical classification are discussed. Psychiatric classification shares with the rest of medicine an inability to be totally systematic. Medical classification achieves comprehensiveness at the cost of specificity. The definition of pain is discussed and the interrelationships of selection factors and psychogenesis are reviewed as psychological causes of pain. Problems with the term somatizing are then considered. As a result, abandoning the term is proposed. Finally, the status of Pain Disorder in DSM-V is appraised. Although there is a need for the category, only a small number of cases should meet the criteria.

Note: Article Merskey H, London Hlth Sci Ctr, Univ Campus, 339 Windermere Rd, London, ON N6A 5A5, CANADA

Keyword(s): ZYGAPOPHYSEAL-JOINT PAIN; BACK PAIN; WORKPLACE; DEPRESSION

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