On the laterality of psychogenic somatic symptoms

Tabulation of cases reported in the literature of unilateral psychogenic somatic symptoms revealed that more symptoms were on the left side of the body than on the right; this result, although falling short of statistical significance, is consistent with recent reviews of hospital records by Stern and by Galin et al. A review of organic diseases and traumata for which lateral preferences have been reported, and a retrospective study of hospital emergency room records, provided no evidence for the hypothesis that the left-sided predominance of psychogenic symptoms is underlain by a generalized greater vulnerability of the left side to organic pathologies. The satus of three other explanations for the asymmetrical incidence of psychogenic symptoms is discussed.