Contents

Contributors ix
Introduction to the Review of Psychiatry Series xi
John M. Oldham, M.D., and
Michelle B. Riba, M.D., M.S., Series Editors
Foreword xv
Katharine A. Phillips, M.D.

Chapter 1
Somatization Disorder 1
Vicenzio Holder-Perkins, M.D.
Thomas N. Wise, M.D.
Evolution of Diagnostic Criteria 2
Epidemiology 7
Clinical Features 8
Etiologic Considerations 9
Differential Diagnosis 12
Evaluating the Patient with Somatization Disorder 13
Treatment Considerations 16
Conclusion 20
References 21

Chapter 2
Hypochondriasis 27
Brian A. Fallon, M.D.
Suzanne Feinstein, Ph.D.
Clinical Features 28
Theoretical Models 31
Treatment of Hypochondriasis 43
Conclusion 59
References 60
Chapter 3
Body Dysmorphic Disorder 67
Katharine A. Phillips, M.D.
History 67
Prevalence 68
Clinical Features 69
Etiology and Pathophysiology 76
Relationship With Other Disorders 76
Diagnosis 80
Treatment 81
Conclusion 88
References 88

Chapter 4
Conversion Disorder 95
José R. Maldonado, M.D.
David Spiegel, M.D.
Clinical Subtypes 97
History 101
Models of Symptom Generation 106
Functions Served by Conversion Symptoms 109
Associated Features 110
Epidemiology, Demographic Features, and
Disease Course 111
Comorbidity 114
Differential Diagnosis 115
Treatment 117
Conclusion 121
References 121
Chapter 5
Factitious Disorder 129
Marc D. Feldman, M.D.
James C. Hamilton, Ph.D.
Holly N. Deemer, M.A.
Epidemiology and Etiology 130
Diagnosis 133
Clinical Description 134
Associated Features 139
Prevalence 140
Costs 145
Limitations of Current Approaches 146
Etiology 149
Management 152
Conclusion 157
References 159

Afterword 167
Katharine A. Phillips, M.D.

Index 169