Somatization in adolescence with reference to dysmorphophobia. 1996

D Ohya, and I Matsumoto, and M Saito
Department of Neuropsychiatry, Kansai Medical University, Moriguchi, Japan.

An adolescent male obtained a position in a large business with assistance from others. Initially he had tension headaches due to maladjustment. He then showed signs of dysmorphophobic symptoms, expressed as a dissatisfaction with his nose. Subsequently, he had cosmetic rhinoplasty twice for esthetic reasons. After a few years, he presented with a psychosis. During treatment his symptoms developed into headache and fever that disappeared upon recovery. He was therefore able to seek employment independently. This transition of symptoms assumes an aspect of adolescent mentality and presents a trial and error approach to establishing a social identity. In general, somatization is assumed to be an immature defense mechanism of individual psychopathology. However, somatization may be a sign of an improvement in one's health. Somatization in adolescence may also be a sign of the beginning of a reintegration into society and have a bridging functional aspect that induces socialization in adulthood.

UI MeSH Term Description Entries
D008297 Male Males
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012649 Self Concept Persons' view of themselves. Self Esteem,Self Perception,Self Confidence,Self-Perception,Concept, Self,Confidence, Self,Esteem, Self,Perception, Self,Perceptions, Self,Self Esteems,Self Perceptions,Self-Perceptions
D012951 Socialization The training or molding of an individual through various relationships, educational agencies, and social controls, which enables him to become a member of a particular society. Socializations
D013001 Somatoform Disorders Disorders having the presence of physical symptoms that suggest a general medical condition but that are not fully explained by another medical condition, by the direct effects of a substance, or by another mental disorder. The MEDICALLY UNEXPLAINED SYMPTOMS must cause clinically significant distress or impairment in social, occupational, or other areas of functioning. In contrast to FACTITIOUS DISORDERS and MALINGERING, the physical symptoms are not under voluntary control. (APA, DSM-V) Briquet Syndrome,Pain Disorder,Somatization Disorder,Medically Unexplained Syndrome,Medically Unexplained Syndromes,Disorder, Somatoform,Somatization Disorders,Somatoform Disorder,Syndrome, Briquet,Syndrome, Medically Unexplained,Unexplained Syndrome, Medically

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