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[The communicative function of psychogenic physical disorders].

J Küchenhoff1

  • 1Psychosomatischen Klinik, Universität Heidelberg.

Zeitschrift Fur Psychosomatische Medizin Und Psychoanalyse
|January 1, 1992
PubMed
Summary

This study classifies psychosomatic theories using semiotic models. It differentiates symbolic functioning in hysterical and psychovegetative disorders from the non-symbolic communication in alexithymic patients.

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Area of Science:

  • Psychology
  • Linguistics
  • Psychosomatic Medicine

Context:

  • The paper examines psychosomatic theories through the lens of semiotics, specifically referencing the works of Peirce and de Saussure.
  • It builds upon Freud's concept of hysterical symptoms as bodily symbolizations.
  • The study also incorporates M. Balint's theories on basic faults in relation to psychovegetative disorders.

Purpose:

  • To classify existing psychosomatic theories based on symbolic body functioning.
  • To apply modern semiotic theories (Peirce, de Saussure) to understand psychosomatic phenomena.
  • To differentiate the semiotic models applicable to various patient groups, including those with hysterical symptoms, psychovegetative disorders, and alexithymia.

Summary:

  • Hysterical symptoms are viewed as symbolic representations, aligning with Freudian concepts.
  • Psychovegetative disorders are interpreted as symbolic manifestations of pre-oedipal conflicts, linked to Balint's basic faults.
  • Psychosomatic symptoms in alexithymic patients are non-symbolic, representing a form of negative communication preceding decompensation.

Impact:

  • Provides a framework for understanding psychosomatic symptoms through distinct semiotic models.
  • Highlights the importance of differentiating patient types for appropriate theoretical application.
  • Offers insights into the communication patterns of alexithymic patients as a precursor to severe psychological distress.

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