The Mind-Body Interface in Somatization: When Symptom Becomes Disease

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Chapter Ten Psychopharmacology and Somatization. Chapter Eleven Death or Transformation. Subject Index. Author Index. About the Authors. Lynn Smith , Patrick W. Conway , Jonathan O.

The Mind-Body Interface in Somatization: When Symptom Becomes Disease

Lynn Smith, PhD, ABPN, was an associate clinical professor of anesthesiology at the University of Colorado Health Sciences Center and for more than forty years specialized in the diagnosis and treatment of somatizing syndromes. He founded and operated the first hospital-based neuropsychological laboratories in the United States, where he did considerable research in personality, chronic pain, and psychosomatics.

Patrick W. Conway, DO, MDiv, has more than thirty years of experience in the fields of pastoral ministry and counseling. He has practiced as a psychotherapist in hospital-based psychiatric settings and is certified in the delivery of Dialectical Behavior Therapy.

Summit Medical Group

Jonathan O. For decades the APA has labeled these individuals as mentally ill.


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Firstly, by the simple expedient of relaxing the criteria for inclusion. This, of course, is bad enough, but in addition they have added an entirely new group of potential victims: people who have a real illness about which they worry to a degree that a psychiatrist considers excessive!

Body Talk: Stories of Somatization Part 2 - Mind-Body Connection

So now, by APA fiat, and the world-wide release of the long-awaited DSM-5, these individuals, in addition to cancer, diabetes, kidney failure, arthritis, or whatever real ailment they have… also have a mental illness, and can be legitimately drugged into oblivion by anyone with a prescription pad. And for decades, the APA ignored this.

But — and this is the critical point — instead of recognizing this continuum or spectrum, as they call it , they are simply substituting an arbitrarily low cut-off 1 for an arbitrarily high cut-off 8.

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And lumping these individuals in with people who worry about a disease that they do really have, somehow counters this pernicious trend? The fact is that worrying about a disease, real or fictitious, has no bearing whatsoever on mind-body dualism.

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But it gets even worse. They are retaining conversion disorder and pseudocyesis false pregnancy in DSM-5 with their requirements of medically unexplained symptoms! They do this to expand their turf and their incomes, and to maintain an ever-increasing flow of profits for their pharmaceutical allies.


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DSM-5 is just more of the same — only worse. How can they go on promoting this intellectual travesty and this reckless destruction of human life?

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How can they be so crassly self-serving and so indifferent to the plight of their victims? Have they finally lost all sense of proportion and decency? I am a licensed psychologist, presently retired.