Intended for healthcare professionals

Rapid response to:

General Practice

Patients' perceptions of medical explanations for somatisation disorders: qualitative analysis

BMJ 1999; 318 doi: (Published 06 February 1999) Cite this as: BMJ 1999;318:372

Rapid Response:

Hazards of the Truth in Somatization Disorder

That was a great article.

Some of our patients with CRPS and related conditions present with
somatization disorders. Explaining the nature of this is hazardous if done
in a clumsy way because it sets up conflict between those parts of
behavior ready to drop symptoms, and those parts needing symptoms for
whatever reason. Empowering explanations are certainly the way to go, and
the importance of professional boundaries cannot be stressed to highly in
this group.


David Flemming

Competing interests: No competing interests

10 February 1999
David C Flemming
Specialist in Pain Management
American WholeHealth, Chicago