Evaluation of the psychodynamic aspects of somatization in schizophrenia patients/Sizofreni hastalarinda somatizasyonun psikodinamik anlaminin degerlendirilmesi

• Published in: Noro-Psikiyatri Arsivi Vol. 46; no. 3; p. 110
• Main Authors: Ozen, Emine Mujgan, Yesilbursa, Dogan, Belene, Ali, Solmaz Turkcan, Ayse, Yurt, Erdal
• Format: Journal Article
• Language: English
• Published: AVES 01-09-2009
• Subjects: Care and treatment; Complications and side effects; Prognosis; Risk factors; Somatoform disorders; Turkey
• ISSN: 1300-0667

Somatization which is the somatic way of expressing emotional distress and unconscious conflicts instead of words, frequently accompanies schizophrenia as well as many other psychiatric disorders. Schizophrenia patients have a specific interest in bodily sensations. Libidinal energy which is withdrawn from objects is transferred to the body (soma) and the body remains to be the only real object to communicate with. It's known that schizophrenia may start with somatic and hypochondriac symptoms, and that hypochondriac symptoms may also emerge during the recovery periods in schizophrenia. On the other hand our clinical observations indicate that schizophrenia patients present with somatic complaints in any phase of the disorder. The association of schizophrenia and somatization has not been studied much. However, schizophrenia patients expressing somatic complaints are common in clinical practice. This review aims to evaluate the meaning of somatization in schizophrenia, to assess the psychodynamic aspects of somatic complaints of schizophrenia patients and the impacts of somatization on treatment and prognosis of schizophrenia. (Archives of Neuropsychiatry 2009; 46: 110-4) Key words: Somatization, schizophrenia, somatic way, somatic complaints, emotional distress, psychodynamic Duygusal sikmtilarin ve bilincdisi catismalann sozel ifadeler yerine bedensel bir dille anlatildigi somatizasyon (bedensellestirme) bircok psikiyatrik durum gibi siklikla sizofreniye de eslik etmektedir. Sizofrenide bedensel duyumlara yonelik ilgi artmistir. Nesnelerden cekilen libidinal enerji, bedene yatirilmakta ve beden iliski kurulabilen tek nesne olarak varligini surdurmektedir. Pek cok ,sizofrenik surecin bedensel, hipokondriyak belirtilerle basladigi ve iyilesme donemlerinde yine hipokondriyak belirtiler gosterdigi iddia edilmektedir. Diger yandan klinik gozlemler sizofreni hastalarinin hastaligin farkli donemlerinde bedensel yakinmalar sergiledikleri yonundedir. Psikiyatri yazininda sizofreni ve somatizasyon birlikteligini arastiran calisma yok denecek kadar azdir. Bununla birlikte klinik uygulamada bedensel yakinmalari olan sizofreni hastalarina siklikla rastlanmaktadir. Bu gozden gecirme yazisinda sizofrenide somatizasyonun yeri, sizofreni hastalarinin bedensel yakinmalarinin psikodinamik anlami, somatizasyonun sizofreni tedavisine ve prognozuna olan etkileri degerlendirilmektedir. (Noropsikiyatri Arsivi 2009; 46: 110-4) Anahtar kelimeler: Somatizasyon, sizofreni, bedensel dil, bedensel yakinma, duygusal sikinti, psikodinamik