Pathologies of the Mind/Body Interface
Exploring the Curious Domain of the Psychosomatic Disorders
Routledge – 2013 – 192 pages
Routledge – 2013 – 192 pages
Patients suffering from psychosomatic disorders represent a formidable challenge. Psychosomatic disorders are common, and account for substantial personal discomfort, unnecessary medical expenditures, socioeconomic loss, and disability. They are challenging to diagnose, treat, and are rarely completely cured. Furthermore, they often provoke strong negative reactions from family, friends, and caregivers, who are unable to fathom their inconsistencies. Currently, little is known as to how they develop or why their symptoms tend to transform over time. In Pathologies of the Mind/Body Interface, Richard Kradin, a medical internist, pulmonologist, and psychoanalyst at a large Harvard hospital, examines the historical, philosophical, cultural, psychological, and neurobiological factors that contribute to the development of psychosomatic disorders. He focuses on the role that developmental stress and attachment disorders appear to play in increasing the risk of developing psychosomatic symptoms, and advises medical practitioners and psychologists on how to diagnose and treat them. Dr. Kradin suggests areas of importance for future medical and psychological research into the causes and treatments of these debilitating disorders.
“Kradin’s unique perspective, as both a researching physician and a psychoanalyst, reminds one of the compassionate and courageous Freud, trusting the symptoms, even the psychosomatic ones, to lead us to a necessary understanding of the patient.” - Joseph Coppin PhD, Chair, Department of Depth Psychology, Pacifica Graduate Institute, California
“This is a highly readable and multi-dimensional review of an important cluster of human conditions encountered in medical practice that account for much human suffering and societal expense. In this exceptional new book Dr. Kradin, a medical scientist and psychoanalyst, provides us with pragmatic and insightful counsel.” - Gregory Fricchione, MD, Associate Chief of Psychiatry; Director, Benson Henry Institute for Mind Body Medicine at MGH; Director, Division of Psychiatry and Medicine, Massachusetts General Hospital; Professor of Psychiatry, Harvard Medical School
“A wonderful, wise, clear overview of where we are in understanding psychosomatic conditions. Dr. Kradin is one of the best qualified people to explore this important subject. He integrates the latest findings in neuroscience, attachment literature, psychoanalysis, the placebo effect, and internal medicine to help explain psychosomatics. This is a marvelous place to begin one's quest to understand psychosomatic illness, and mind-body medicine.” - Norman Doidge MD, FRCPC, author of The Brain That Changes Itself
“Dr. Kradin provides a very thorough overview of the historical thinking behind psychosomatic disorders, the complex developmental and psychosocial backgrounds of these patients, and the importance of a nuanced understanding of such individuals. Most importantly, he provides concrete and compassionate guidance for clinicians seeking to work more effectively with these challenging patients.” - Greg J. Lamberty, PhD, LP, ABPP, Rehabilitation Psychology Supervisor, TBI Model Systems Site Project Director, Clinical Neuropsychology Postdoctoral Residency Director, Minneapolis VA Health Care System
Introduction 1. Basic Concepts 2. Hysteria: The Psychosomatic Disorder Par Excellence 3. Somatophobia 4. Mind and its Development 5. Stress 6. The Placebo Response 7. The Psychosomatic Disorders 8. Psychosomatic Disorders: Living on the Edge 9. Treating the Psychosomatic Disorders 10. Conclusion
Richard L. Kradin, MD, is a practicing Pulmonologist and Psychoanalyst at Massachusetts General Hospital (MGH), and Associate Professor of both Medicine and Pathology at Harvard Medical School. He is Director of the Dyspnea Clinic at MGH, and also past Research Director of the Mind/Body Medical Institute in Boston, MA. He is the author of The Placebo Response and the Power of Unconscious Healing (Routledge 2008), and of approximately 200 articles in medical literature. His research interests include psychological aspects of pulmonary disease, chronic fatigue syndrome, and the role of early attachment disturbances in the development of psychosomatic symptoms and placebo responses.