[Debatable issues in the problem of somatoform and related disorders]

The questions of including into ICD-10 and DSM-III-R of extranosological category--somatoform disorders is discussed. Some positive moments were considered, but inexpediency of the limitation of somatoform disorders to psychological disturbances only, doubtfulness of both including psychosomatic diseases in this category and age limitations in beginning and duration of the disease were stressed. The concept of somatopsychic diseases was proposed with three main variations: 1) with relatively independent rise of somatic and psychic disorders, 2) with prevailing etiopathogenic role of psychic factor (psychosomatic disorders, somatized psychic disturbances, somatoform neurotic and psychosomatic disturbances), 3) with prevailing etiopathogenic role of somatic factors (somatogenic psychic disorders). The actual distribution of somatopsychic disturbances are presented on the syndromal, nosologic and personal levels using data of prophylactic medical examination of one big enterprise's employees.