Abstract
General practitioners have long been familiar with the phenomenon of patients presenting bodily complaints with no identifiable organic cause1. In many instances the problem has been attributed to emotional difficulties. There are estimates that emotional problems are present among more than a third of the patients seen by general practitioners2,3. Moreover, the prevalence rate of emotional problems has been higher among women than men4,5. Presentation of emotional problems through bodily complaints is related to the psychosocial and cultural background of the person6,7. Women of lower socioeconomic status are more likely to express psycho-logic distress through physical symptoms8. Somatization of emotional problems has been found to be related to ethnic origin9,10, level of education7 and cultural background11,12, and has been claimed to be also common in Israel13. The prevalence of physiological complaints with no organic basis is greater among women of low socioeconomic status, most of Mideastern origin11 referred to psychiatric clinics they are commonly diagnosed as hysterical reaction, immature personality, hypochondriasis or psychosomatic9.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
W. Gardner, Emotional disorders in medical practice, Ann. Intern. Med., 73 (4): 651 - 653 (1970).
U. Aviram and I. Levav, Psychiatric epidemiology in Israel - an analysis of community studies. Acta Psychiat. Scand., 52: 295 - 311 (1975).
C. A. Watts, “Psychiatric Disorders and Morbidity Statistics from General Practice,” Vol. III, H.M. Stationery Office, London (1962).
B. P. Dohrenwend and B. S. Dohrenwend, “Social Status and Psychological Disorders,” Wiley, New York (1969).
A. Ben-Sira, U. Aviram, I. Shoham and I. Stern, A facet theoretical approach to psychosomatic complaints and community services. Israel Ann. Psychiat., 61 (3): 219 - 231 (1978).
D. Mechanic, Social psychologic factors affecting the presentation of bodily complaints, in: “Politics, Medicine and Social Sciences,” D. Mechanic, ed., Wiley, New York (1974).
M. Zborowski, Cultural components in response to pain, J. Soc. Issues, 8 (4): 16 - 30 (1952).
P. B. Bart, Social structure and vocabularies of discomfort: what happened to female hysteria, J. Health Soc. Behay., 9: 188 - 193. (1968).
J. Lerner and P. Noy, Somatic complaints in psychiatric disorders: social and cultural factors. Int. J. Soc. Psychiat., 145 - 150 (1967).
D. Mechanic, “Medical Sociology,” The Free Press, New York (1968).
J. P. Hes, Hypochondriacal complaints in Jewish psychiatric patients, Israel Ann. Psychiat. Related Disciplines, 6: 134 - 142 (1968).
H. G. Wolff, “Headache and Other Head Pain,” Second Edition, Oxford University Press, New York (1963).
M. R. Polliack, The relationship between Cornell Medical Index and attendance rates, J. Royal Coll. Gen. Practit., 21: 453 - 459 (1971).
K. Brodman et al, The relation of personality disturbances to duration of convalescence from acute respiratory infections, Psychosom. Med., 9: 37 - 44 (1947).
I. K. Zola, Pathways to the doctor: from person to patient, Social Science and Medicine, 7: 677 - 89 (1973).
E. Freidson, “Professions of Medicine,” Dodds and Co., New York (1970).
D. Mechanic and E. H. Volkart, Stress, illness behavior and the sick role, Amer. Sociol. Rev. 5: 51 - 58 (1961).
E. Goffman, “Asylums,” Garden City, Doubleday, New York (1961).
E. Goffman, “Stigma,” Englewood Cliffs, Prentice Hall, N.J. (1963).
J. J. Schwab, E. B. Fennell and G. J. Warheit, The epidemiology of psychosomatics, Psychosomatics, 15 (2): 88 - 93 (1974).
R. Dubos, “Man, Medicine and Environment,” Praeger, New York (1968).
E. D. Wittkower, Historical perspective of contemporary psychosomatic medicine, Intern. J. Psychiat. in Med., 5(4):309-319 (1974).
Z. L. Lipowski, Psychosomatic medicine in the seventies: an overview, Amer. J. Psychiat., 134 (3): 233 - 244 (1977).
J. Halliday, “Psychological Medicine: A Study of the Sick Society,” Norton, New York (1948).
M. Mead, The concept of culture and the psychosomatic approach, Psychiatry, 10: 57 - 76 (1947).
B. S. Dohrenwend and B. P. Dohrenwend, eds., “Stressful Life Events: Their Nature and Effects,” Wiley, New York (1974).
L. Strole, T. S. Langner, S. T. Michael, M. K. Opler and T. A. Rennie, eds., “Mental Health in the Metropolis: The Midtown Manhattan Study,” McGraw-Hill, New York, London, Toronto (1962).
S. L. Syme and L. F. Berkman, Social class, susceptibility to illness, Amer. J. Epidemiol., 104 (1976).
D. L. Phillips and B. E. Segal, Sexual status and psychiatric symptoms, Amer. Sociol. Rev., 34: 58 - 72 (1969).
D. Mechanic, The influence of mothers on their children’s health attitudes and behavior, Pediatrics, 33: 444 - 453 (1964).
A. Hollingshead and F. C. Redlich, “Social Class and Mental Illness,” Wiley, New York, (1958).
A. H. Leighton et al., “Psychiatric Disorders Among the Yoruba,” Cornell University Press, Ithaca (1963).
D. C. Leighton et al., “The Character of Danger,” Basic Books, New York (1963).
J. Birtchnell, Social class, parental social class and social mobility in psychiatric patients and general population controls, Psychol. Med., 1: 209 - 221 (1971).
E. M. Gruenberg, Comments on social structure and mental disorders: competing hypothesis of explanation by H. W. Durnham, Milbank Memorial Fund Quarterly, pp. 227 - 265 (1959).
Odegaard $ruly, Emigration and Insanity: A study of mental disease among the Norvegian-born population of Minnesota, Acta Psychiat. Neurol., Supp1. 4: 182 - 184 (1932).
R. H. Price, Etiology, the social environment and the prevention of psychological disfunction, in: “Health and the Social Environment,” P. M. Insel and R. H. Moos, eds., D. C. Heath, Lexington, Mass. (1974).
F. J. Kallman, The genetic theory in schizophrenic twin index family, Amer. J. Psychiat., 103: 309 - 322 (1946).
D. Rosenthal and S. S. Kety, eds., “Transmission of Schizophrenia,” Pergamon, London (1968).
N. Garmezy, Children at risk. The search for antecedents of schizophrenia, Schizophrenia Bulletin, Nos. 8 : 9 (1974).
I. I. Gottesman and K. Shields, “Schizophrenia and Genetics,” Academic Press, New York (1972).
W. B. Cannon, Stresses and strains of homeostatic, Amer. J. Med. Sci., 189: 1 - 14 (1935).
H. Selye, “The Stress of Life,” McGraw Hill Paperbacks, New York (1956).
H. G. Wolff, “Stress and Disease,” Charles C. Thomas, Springfield, Ill., (1953).
T. H. Holmes and R. H. Rahe, The social readjustment rating scale, J. Psychosom. Res., 11: 213 - 218 (1967).
B. P. Dohrenwend and B. S. Dohrenwend, Social and cultural influences on psychopathology, Annual Review of Psychology, Vol. 25 (1974).
A. Antonovsky, Breakdown: a needed fourth step in the conceptual armamentarium of modern medicine, Social Science and Medicine, Vol. 6 (1972).
B. H. Kaplan, J. C. Cassel and S. Gore; Social support and health, Medical Care, 15(5) Suppl.: 47 - 58 (1977).
Z. Ben-Sira and L. Guttman, “A Facet Theoretical Approach to Research,” The Israel Institute of Applied Social Research, Jerusalem (1971).
J. Cassel, The contribution of the social environment to host resistance, Amer. J. Epidemiol., 102 (2): 107 - 123 (1976).
K. B. Nuckollos, J. Cassel and B. H. Kaplan, Psychosocial assets, life crisis and prognosis of pregnancy, Amer, J. Epidemiol., 95: 431 - 441 (1972).
M. K. Opler, “Culture and Mental Health,” Macmillan, New York (1959).
T. S. Langner and S. T. Michael, “Life Stress and Mental Health,” The Free Press of Glencoe (1963).
R. S. Lazarus, “Psychological Stress and the Coping Process,” McGraw-Hill, New York (1966).
H. Leventhal, Finding and theory in the study of fear communications, in: “Advances in Experimental Social Psychology,” Vol. 5, L. Berkowitz, ed., Academic Press, New York (1970).
S. N. Einsenstadt, “The Absorption of Immigrants,” Routledge & K. Paul, London (1954)
M. Kols, Cultural patterns and adaptation processes of immigrants from the Atlas Mountains, (in Hebrew), Megamot, 345 - 376 (1956).
J. T. Shuval, “Social Function of Medical Practice,” Jossey-Bass, San Francisco (1970).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1984 Springer Science+Business Media New York
About this chapter
Cite this chapter
Aviram, U., Ben-Sira, Z., Shoham, I., Stern, I. (1984). Bodily Complaints with No Identified Organic Cause Among Women: Psychosocial Resources as a Buffer. In: Hudolin, V. (eds) Social Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4684-4535-0_93
Download citation
DOI: https://doi.org/10.1007/978-1-4684-4535-0_93
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4684-4537-4
Online ISBN: 978-1-4684-4535-0
eBook Packages: Springer Book Archive