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Somatization or Psychosomatic Symptoms?

Received February 9, 2005; revised March 10, April 6, 2005; accepted May 13, 2005. From the Medical College of São José do Rio Preto, São Paulo, Brazil. Address correspondence and reprint requests to Dr. Ávila, Rua Saldanha Marinho–3564, São José do Rio Preto, São Paulo, Brazil CEP 15014-300. e-mail: lazslo{at}terra.com.br

The author describes some problems emerging from the approach to and comprehension of somatization symptoms, discussing ambiguities regarding somatization seen in the current classification manuals (ICD-10 and DSM-IV). Then the author presents a case report of a man who presented with a bizarre symptom of feminization that was successfully treated with psychotherapy. The author ends with a discussion of the relationship between meaning and symptom.

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