Rethinking Somatization: Novel Approaches to an Age-Old Predicament

Abstract

People who experience somatization, one or more somatic symptoms that defy conventional medical diagnosis, are commonly seen in general medical practice. Without appropriate management and treatment, somatization can lead to severe and debilitating dysfunction and disproportionate health care costs. The pending release of the new edition of the DSM-V has reinvigorated discussion and research on somatization, particularly with regard to classification, diagnosis, management, and treatment. The heightened health costs associated with somatization patients, recently attributed to medicalization in Western countries, have further driven this mysterious phenomenon into the public spotlight. Despite concerted efforts to illuminate its causes and most effective treatment methods, this age-old problem remains a challenge to medical and mental health care professionals.