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Volume 46, Issue 1 2018, Pages 1-122
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
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Volume 46, Issue 2 2018, Pages 123-226
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
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Volume 46, Issue 3 2018, Pages 227-338
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
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Volume 46, Issue 4 2018, Pages 339-484
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
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Volume 47, Issue 1 2019, Pages 1-142
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
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Volume 47, Issue 2 2019, Pages 143-238
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
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Case study

Zrnka Kovačić Petrović, Tina Peraica, Dragica Kozarić-Kovačić
Pages: 199-213

Abstract

Somatization disorder is characterized by a tendency of a person to communicate psychological distress and emotional conflicts through physical symptoms, while somatization is a psychological mechanism manifesting psychological distress and emotional conflicts as physical symptoms that lack an organic basis. It can develop as a single disorder or a mental disorder comorbid with other disorders, especially co-occurring with mood disorders, anxiety disorders, and personality disorders (most commonly, histrionic and obsessive-compulsive personality disorders). In most cases, people suffering from such disorders seek help from general practitioners or at healthcare facilities specialized for physical disorders. It is only after this that they seek psychiatric assistance. The treatment of people suffering from so-called somatoform disorders is complex, time-consuming and demanding and it requires a broad spectrum of psychiatric skills. However, it rarely yields positive outcomes. This research paper focuses on a case study of a patient with histrionic behaviour who experienced a conflict situation at work as a narcissistic injury. The narcissistic injury triggered the development of a dramatic clinical picture in the form of somatization and, consequently, the development of the somatization disorder. The inability of a person with a histrionic personality disorder to confront an injury of self can trigger somatization as a defence mechanism. The treatment requires careful identification of the root cause, the so-called trigger that initiated the development of the disorder, and the confrontation of a patient with the psychological and emotional etiology of his/her symptoms. Such an approach has a profound impact on a more positive outcome of the therapy. However, timely detection of somatization is important, among other things, to avoid unnecessary physical diagnostic procedures and to enable the normal performance of social and occupational roles of a patient.

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Volume 47, Issue 2 2019, Pages 143-238
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
Volume 47, Issue 1 2019, Pages 1-142
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY
Volume 46, Issue 4 2018, Pages 339-484
UDK 615.89
ISSN 0303-7908
CODEN: SOCPSY

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