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Psychoanalysis and Psychosomatic Pathology

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Abstract

There have been several attempts to explain the psychosomatic approach but Psychoanalysis has been the one who has conceived a theoretical body on the matter. There have been several attempts to establish the relationship between the body and the mind. A good example is the German approach of the early nineteenth century, called Anthropological Medicine. This approach developed the term "biographical pathology", and this term was subsequently resumed. "Biographical pathology" indicates that the pathologies can be understood if one attends to the biography of the patient. In this way the intimate life of the patient, which up to this moment has not been taken into account, is incorporated into the medical processes: his unsatisfied passions, conflicts and tensions; it is also established that the doctor-patient relationship should be more focused on the symptomatology of the individual person than on the medical nosography. In spite of these great contributions from the German approach, there was a failure to establish an explanatory theory about the origin and maintenance of psychosomatic pathologies; for this, it was necessary to wait for the development of psychoanalysis, which has evolved from Freud's first explanatory theories. There were two approaches: one that applied the model of hysterical conversion to psychosomatic phenomena, and one that separated the two phenomena, considering them to be antagonists.-In the first approach, the psychosomatic would be nothing more than an expression of the psychic over the organism, as in hysterical conversion.-In the second approach, the absence of symbolism in the psychosomatic manifestation indicates a deficiency in the psychic. This deficiency is about symbolic elaboration and therefore, psychosomatic symptoms are different from the symbolism involved in hysterical conversion. From this point onward, different branches called Schools have developed,

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