1 Introduction.- 2 Definitions and Terms.- 2.1 Somatopsychic Presentations.- 2.2 Profiles and Associated Hypotheses.- 2.3 Typicality of Life Events and Situations.- 2.4 Multicausality.- 2.5 Syndrome Shift.- 2.6 Superstability.- 2.7 Alexithymia.- 2.8 Hypochondriasis.- 2.9 Placebo Effect.- 2.10 Conversion Hysteria Versus Psychosomatic Disorder: Diagnosis.- 3 Psychosomatic Disorders: Who should Treat Them?.- 3.1 A Need for Greater Clinical Exposure.- 3.2 Why Clinicians Gave up Referring Classical Psychosomatoses.- 3.3 The Team.- 3.4 Support Groups.- 3.5 Couple Therapy.- 3.6 Group Therapy.- 3.7 Reassurance.- 4 Psychodynamic Concepts and Mechanisms.- 4.1 Transference.- 4.2 Ambivalence.- 4.3 “Identifying With”.- 4.4 Defences.- 4.5 When Illness Is Gainful.- 4.6 Stages of Personality Development.- 5 Interviews.- 5.1 The First Interview.- 5.2 Subsequent Appointments and Spacing of Interviews.- 5.3 An Additional Note for General Practice.- 6 Alimentary Tract.- 6.1 The Aphthoses.- 6.2 Sjögren’s Syndrome/Sicca Syndrome/Keratoconjunctivitis Sicca.- 6.3 Nervous Dysphagia/Oesophageal Spasm and Aerophagy.- 6.4 The Splenic Flexure Syndrome.- 6.5 Persistent Severe Disabling Aerophagy and/or Dysphagia.- 6.6 Duodenal Ulcer.- 6.7 Whipple’s Disease (Intestinal Lipodystrophy).- 6.8 Coeliac Disease (Idiopathic Steatorrhoea).- 6.9 Appendicitis.- 6.10 Crohn’s Disease (Regional Enteritis).- 6.11 Ulcerative Colitis.- 6.12 Irritable Bowel Syndrome.- 6.13 Proctalgia Fugax.- 6.14 Chronic Relapsing Amoebic Dysentery.- 6.15 Chronic Constipation.- 7 Respiratory Tract.- 7.1 Hyperventilation Syndrome.- 7.2 Vasomotor Rhinitis.- 7.3 Asthma.- 8 Cardiovascular Disorders.- 8.1 Essential Hypertension.- 8.2 Cardiac Arrhythmias.- 8.3 Ischaemic Heart Disease.- 8.4 Raynaud’s Phenomenon.- 9 CentralNervous System.- 9.1 Migraine, Vascular Headache and Premenstrual Tension.- 9.2 Multiple Sclerosis.- 9.3 Stroke.- 9.4 Subarachnoid Haemorrhage.- 9.5 Idiopathic Parkinsonism.- 9.6 Guillain-Barré Syndrome.- 9.7 Myasthenia Gravis.- 10 Immune System: Disorders of Immunological Competence and Autoimmunity.- 10.1 Rheumatoid Arthritis and Autoimmune Disease.- 10.2 Infectious Mononucleosis.- 10.3 Sarcoidosis.- 10.4 Cancer and Malignancy: Psychosomatic Aspects.- 10.5 Guillain-Barré Syndrome.- 11 Endocrinological Disorders.- 11.1 General Considerations.- 11.2 Diabetes Mellitus.- 11.3 Dwarfism: Emotional Deprivation and Growth Retardation.- 11.4 Idiopathic Hirsutism.- 11.5 Hyperprolactinaemia.- 11.6 Thyroiditis.- 12 Musculoskeletal System.- 12.1 The Dropped Shoulder Syndrome — Costoclavicular Compression.- 12.2 Intervertebral Disc Disorders.- 13 Urological Disorders.- 13.1 Case Histories.- 13.2 Urethral Syndrome, Detrusor Irritability or Pseudocystitis.- 13.3 Hunner’s Ulcer — Interstitial Cystitis.- 13.4 Factitious Haematuria.- 14 Disorders of Blood.- 14.1 Pernicious Anaemia.- 14.2 Infectious Mononucleosis.- 14.3 Acquired Haemolytic Anaemia and Essential Thrombocytopenia.- 14.4 Hypereosinophilic Syndrome.- 14.5 Psychogenic Purpura: Autoerythrocyte Sensitisation.- 14.6 Thrombosis.- 14.7 The Haematological Stress Syndrome.- 15 Disorders of the Skin.- 15.1 Psoriasis.- 15.2 Atopic Dermatitis.- 15.3 Chronic Urticaria.- 16 Gynaecology, Obstetrics and Sexual Function.- 16.1 Menstrual Disorders.- 16.2 Vaginal Discharge.- 16.3 Irritable Colon, Colon Spasm, Spastic Colon.- 16.4 Infertility.- 16.5 Pregnancy and Labour.- 16.6 Breast Feeding.- 16.7 Disorders of Sexual Function.- 17 Anorexia Nervosa, Bulimia, Induced Vomiting and Purging.- 17.1 Psychopathogenesis.- 17.2 PsychologicalManagement.- 17.3 Behavioural Management.- 17.4 Outpatient or Inpatient Management or Both.- 17.5 Family Therapy — The Systems Model.- 17.6 Prognosis.- 18 Ear, Nose and Throat and Eye Disorders.- 19 Psychosomatic Medicine: Past, Present and Future.- 19.1 Distant Past.- 19.2 Past.- 19.3 Recent Past and Present.- 19.4 The Future.- 19.5 Summary.
