(somatoform) disorders and hypochondriasis

Even if there is no reason, physical (somotoform) disorders caused by anxiety can be experienced. Emotional determinants are effective in the formation of physical diseases. In such disorders, the tension is reflected in the internal organs, as the paths are closed in terms of the discharge of emotions. The unconscious plays a role in this process. Such people complain of physical ailments even though there are no symptoms. Although they do not have any physical ailments, the physical reactions accompanying the emotions are exaggerated together with the symptoms that occur in such disorders. Body (Somatoform) disorders include hypochondriasis, conversion hysteria, hyperchondriasis, and psychogenic pain.

Hypochondriasis The state of being overly concerned with bodily functions and having irrational beliefs about the dysfunction or disease of the internal organs is called hypochondriasis. Such complaints are seen in approximately 4-6% of patients who apply to health institutions. This condition, which is seen equally in men and women, occurs most frequently at the age of 30 in men and at the age of 40 in women. Hypochondriacal people have a firm belief that they have a serious illness and there is no hope of recovery from this illness. It is possible for the sick person to be congenitally hypersensitive to body functions and senses or to have a low pain threshold. The individual who wants to punish himself because of the unacceptable feeling of guilt does not accept the assurance that it is not of unconscious origin. According to Freud, as a result of the displacement defense mechanism, the patient creates a different physical illness in his body in order to solve an anxiety that he cannot solve unconsciously. Because it is easier to face a pain in the body than to face the situation that is the main concern. An example of this is when a woman who lost her husband constantly feels pain in her chest, even though she has no physical basis. According to behavioral psychologists, a person who receives attention from his environment due to illness resorts to this way to maintain interest.

Hyperchondriasis In this situation, which is seen as the opposite of hypochondriasis, people hesitate to go to the doctor even though they experience symptoms of the disease. The individual refuses the treatment, thinking that nothing will happen to him, or in order to preserve the self-consciousness of being strong about himself and to avoid the anxiety caused by the possibility of illness. Since such people refuse treatment, they die from diseases such as heart disease, cancer, kidney and liver inflammation that require serious treatment. Ignoring the symptoms delays the process of going to the doctor and starting treatment.

Conversion Hysteria An individual with this type of disorder may have functional deficiencies in certain sensory organs, although there is no physiological or neurological cause. For example, hearing loss occurs or paralysis occurs in the body, although the person has no physical disorders. A woman who is subjected to severe insults by her husband at home may lose her hearing even though she has no physical problems. Hearing heavy insults for women is worrying and self-harming. Instead of coping with this situation, the person unconsciously prefers to escape from an anxiety-provoking situation with loss of function. Freud calls the behavioral disorders of such individuals as conversion. According to Freud, this conflict in the unconscious changes form and reflects itself on the body.

Psychogenic Pain Similar to conversion hysteria, the difference in psychogenic pain is that instead of loss of function, continuous pain and pain occurs in any part of the body. There is no physiological or neurological cause of the pain. Likewise, the pain and pain experienced can be an expression of escaping from anxiety or the interest that may come from the environment.

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