XXXX , Psychopathology, and DSM-5 Somatic Symptom Disorder.

@entity1 @entity308 @entity66 @entity146 @entity458 @entity102 @entity148 @entity2166 @entity158 @entity393 @entity1118
Unlike acute @entity158 that warns us of @entity66 , @entity102 or persistent @entity158 serves no adaptive purpose. Though there is no agreed on definition of @entity1118 , it is commonly referred to as @entity158 that is without biological value, lasting longer than the typical healing time, not responsive to treatments based on specific remedies, and of a duration greater than 6 months. @entity1118 that is severe and intractable has detrimental consequences, including @entity458 , @entity393 , social isolation, and, not surprisingly, it is highly comorbid with @entity308 and @entity148 . Historically, @entity158 without an apparent anatomical or neurophysiological origin was labelled as psychopathological. This approach is damaging to the @entity1 and provider alike. It pollutes the therapeutic relationship by introducing an element of mutual distrust as well as implicit, if not explicit, blame. It is demoralizing to the @entity1 who feels at fault, disbelieved, and alone. Moreover, many medically unexplained @entity158 are now understood to involve an interplay between peripheral and central neurophysiological mechanisms that have gone awry. The new Diagnostic and Statistical Manual of @entity146 , Fifth Edition, somatic symptom disorder overpsychologizes @entity1 with @entity1118 ; it has low sensitivity and specificity, and it contributes to misdiagnosis, as well as unnecessary stigma. @entity2166 remains the most appropriate, accurate, and acceptable diagnosis for @entity1 who are overly concerned about their @entity158 .
