Har du en somatoform lidelse kanskje?

somatoforme lidelser, fellesbetegnelse for lidelser kjennetegnet ved at legemlige symptomer dominerer pasientens plager uten at legemlig sykdom kan påvises, samtidig som man finner holdepunkter for at psykologiske forhold er av avgjørende betydning for symptombildet. Det skilles mellom fem ulike former for somatoforme lidelser: somatiseringslidelse, enkel somatiseringslidelse, hypokondri, somatoform autonom dysfunksjon, og somatoform smertelidelse.
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Jeg oppdaget dette ordet i dag da jeg leste en annen artikkel, om endokrinologer som river seg i håret over oss som vil ha thyroid, har lest bøker som Broda O. barnes, eller suspekte nettsteder og er litt skeptiske til annen medisin de vil gi oss.

Slik ser de på de av oss som har fine blodprøver men vil ha stoffskiftemedisiner fordi de tror på at de har lavt stoffskifte

The majority of patients who demand thyroid hormone treatment for multiple symptoms, despite normal thyroid function tests, have functional somatoform disorders, which in the postmodern world can understandably be misdiagnosed as hypothyroidism. Yet we inside medicine are not even sure how best to classify somatoform disorders, let alone explain them to patients, and this broad diagnostic label has many shortcomings. In particular (i) the terminology is unacceptable to patients; (ii) the classification supports the Cartesian dualism that somatic symptoms can be either 'organic' or 'psychogenic'; (iii) these disorders do not form a single category, although some have argued that there is a significant overlap which may well have therapeutic if not aetiological relevance; (iv) such a diagnosis is socially and culturally dependent and (v) there is considerable unreliability and ambiguity in defining the diagnosis.[3] A paradigm shift in our categorization of somatoform disorders has been proposed recently, with a recommendation to return to a far less dualistic approach.[4] This shift is based on evidence that functional neurological changes can be identified in some patients with somatoform disorders, and there is therefore a compelling case for a different approach using a 'psychologically augmented medical consultation'.
Somatoforme lidelser er vel bare et nytt ord for psykosomtatisk. Eller, du innbiller deg ting. Men det er jo interessant at forfatteren av denne artikkelen sier rett ut at de som sitter på innsiden av medisinen er ikke helt sikre på hvordan de skal klassifisere disse somatoforme lidelsene. Enda vanskeligere er det å forklare dem for pasienten. Kanskje det blir så vanskelig fordi det er en mulighet for at de ikke finnes?

Enda verre er når det kommer til de av oss som lider av helseisme, eller hvordan dette eledige sammensatte ordet skal oversettes:

Whilst such analyses are undoubtedly changing our perception of patients' symptoms and ways of tackling them, progress is slow and not helped by the rise of 'healthism', which has been characterized by the following features: 'high health awareness and expectations, information seeking, self-reflection, distrust of doctors and scientists, healthy and often alternative lifestyle choices, and a tendency to explain illness in terms of folk models of invisible germ-like agents and malevolent science.
Another concern for patients has been the recent debate over narrowing the TSH reference range.[13,14] As with the treatment of subclinical hypothyroidism, this is a complex area, demanding a sophisticated knowledge of laboratory medicine and clinical endocrinology to interpret and translate the current state of play into everyday clinical practice. In assessing these arguments, however, we should not be surprised that patients question our reliance on TSH levels when they have read such publications themselves
As functional somatoform disorders are dissected further, new ways of managing these common and troublesome disorders will undoubtedly become established. In the meantime we must avoid endocrinological collusion as a strategy, which in turn requires the avoidance of thyroid hormone treatment of euthyroid individuals, a robust defence of the biochemical basis for the diagnosis of hypothyroidism and institution of replacement with synthetic thyroxine as the standard, rather than Armour thyroid extract.

Jeg vet alt, oops der kommer det noe jeg ikke forstår! Men jeg forstår jo alt! Altså finnes ikke det som tillsynelatende kommer der. Altså vet jeg alt. Jeg vet alt!

Jeg vet alt, oops der kommer det noe jeg ikke forstår! Men jeg forstår jo alt! Altså finnes ikke det som tillsynelatende kommer der. Altså vet jeg alt. Jeg vet alt!