Functions of Somatic Symptoms in Interpersonal Communication: A Cultural-Historical Approach to Psychosomatics

In the context of the cultural-historical approach to psychosomatics, a somatic phenomenon is regarded as the one that is developed within an individual's social situation of development, in particular, the social situa- tion of an illness. The aim of this work is to apply the above-mentioned approach to the analysis of the functions of somatic symptoms in interpersonal communication. It is assumed that in the process of interpersonal com- munication somatic symptoms acquire certain specific functions that, if interiorized, may contribute not only to the presentation and display of bodily sensations, but to their emergence as well. The paper provides a classifi- cation of the social situations depending on their type and content, and the type of the displayed symptom (manipulation, somatization, displaying somatic symptoms of organic origin, reaction to another person's dis- played symptoms, reaction to other people's distrust). Also, the paper suggests that displaying symptoms in interpersonal communications may bear the functions of justification, accusation, benefitting, gaining or assert- ing social status, receiving emotional or instrumental social support, and inquiring into social expectations.

1. Andreeva G.M. Sotsial'naia psikhologiia. Uchebnik dlia vysshikh uchebnykh zavedenii [Social Psychology: Text- book] / G.M. Andreeva. Moscow: Aspekt-Press, 2007. 149 p.
2. Berezina E.B. Soderzhanie i struktura obydenykh pred- stavlenii o bolezniakh v molodezhnoi srede: Avtoref. dsis. ... kand. psikhol. nauk [Content and Structure Of Ordinary Beliefs About Illnesses In Youth: Dissertation thesis] / E.B. Berezina. Moscow: MGU, 2011. 31 p.
3. Bovina I.B. Sotsial'naia psikhologiia zdorov'ia i bo- lezni [Social Psychology of Health and Illness] / I.B. Bovina. 2-e isp.izd. Moscow: Aspekt press, 2008. 263 p.
4. Vygotskii L.S. Psikhologiia [Psychology] / L.S. Vygot- skii. Moscow: EKSMO-Press, 2000. 1008 p.
5. Vygotskii L.S. Osnovy defektologii  [Defectology] /L.S. Vygotskii. Sankt-Peterburg: Lan', 2003. 654 p.
6. Kovalev G.A. Obshchenie i ego vospitatel'noe znachenie [Communication and Its Educational Meaning] // Mir psikhologii [World of Psychology]. 1996. № 3. P. 17—30.
7. Neliubina A.S. Rol' obydennykh predstavlenii v formi- rovanii vnutrennei kartiny bolezni: dis. ... kand. psikhol. nauk [TheRole of Ordinary Beliefs in Forming of Illness Rep-resentation: Dissertation] / A.S. Neliubina. Moscow: MGU, 2009. 243 p.
8. Nikolaeva V.V. Lichnost' v usloviiakh khronicheskogo somaticheskogo zabolevaniia [Personality Under Condition of Chronic Somatic Illness] // Osobennosti lichnosti pri pogranichnykh rasstroistvakh i somaticheskikh zabolevani- iakh [Personality In Borderline Disorders and Somatic Illnesses] / Sokolova E.T., Nikolaeva V.V. Moscow: SvR- Argus,1995. P. 207—245.
9. Nikolaeva V.V., Arina G.A. Ot traditsionnoi psikhoso- matiki psikhologii telesnosti [From Traditional Psychoso- matics to the Body Refulation Psychology] // Vestnik MGU. Ser. 14. Psikhologiia [Journal of the Moscow State University. Series 14. Psychology]. 1996. № 2. P. 8—18.
10. Rupchev G.E. Psikhologicheskaia struktura vnutren- nego tela pri somatizatsii: Avtoref. diss. ... kand. psikhol. nauk [Psychological Structure of Internal Body In Somatization: Dissertation Thesis] / G.E. Rupchev, Moscow: MGU, 2001. 24 p.
11. Samekin A.S. Vozrastnaia dinamika tochnosti i adek- vatnosti mezhlichnostnogo vospriiatiia: Diss. ... kand. psikhol. nauk [Developmental Dynamics of the Accuracy and Adequateness of Interpersonal Perception: Dissertation] /A.S. Samekin. Moscow, 2011. 120 p.
12. Serebriiskaia L.Ia. Psikhologicheskie faktory stigmatizat- sii psikhicheski bol'nykh: Avtoref. dis. ... kand. psikhol. nauk [Psychological Factors of Somatization of the Mentally Ill: Dissertation Thesis] / L.Ia. Serebriiskaia. Moscow, 2005. 22 p.
13. Sokolova E.T. K probleme psikhoterapii pogranichnykh lichnostnykh rasstroistv [To the Problem of Psychotherapy of Borderline Personality Disorders] // Voprosy psikhologii [Matters of Psychology]. 1995. № 2. P. 92—105.
14. Tkhostov A.Sh. Psikhologiia telesnosti [Body Regu-lation Psychology] / A.Sh. Tkhostov. Moscow: Smysl, 2002. 287 p.
15. Tkhostov A.Sh., Arina G.A. Teoreticheskie problemy issledovaniia vnutrennei kartiny bolezni [Theoretical Prob- lems of Studies of Illness Represenation] // Psikhologi- cheskaia diagnostika otnosheniia k bolezni pri nervno-psi- khicheskikh i somaticheskikh zabolevaniiakh: Sb. nauch. tr. [Psychological Diagnostics of Relationship to Illness in men- tal and somatic illnesses] / Pod obshch. red. M.M. Kabanova. Leningrad: Leningradskii nauchno-issledovatel'skii psikho- nevrologicheskii institut, 1990. P. 32—38.
16. Tkhostov A.Sh., Rasskazova E.I. Sotsiokul'turnye fakto- ry narushenii telesnoi reguliatsii (na modeli khronicheskoi insomnii) [Sociocultural Factors of Disorders of Body Regulation (On the Model of Chronic Insomnia)] // Psikhologicheskie issledovaniia PSYSTUDY.ru [Psychological Studies PSYSTUDY.ru]. 2011. T.6. № 20. Available at: http://www.psystudy.ru/index.php/ eng/2011n 6-20e/582-tkhostov-rasskazova20e.html (Accessed 02.01.2014).
17. Filimonova A.S. Stili mezhlichnostnoi kommunikatsii pri rasstroistvakh affektivnogo spektra [Interpersonal Communicative Styles in Affective Disorders] // Psikholo- gicheskie issledovaniia PSYSTUDY.ru [Psychological Stu- dies PSYSTUDY.ru]. 2010. T. 6. № 14. Available at: http:// www.psystudy.ru/index.php/eng/2010n6-14e/419-filimono- va14e.html (Accessed 02.01.2014).
18. Chechel'nitskaia E.P. Strategii manipuliativnogo obshcheniia u patsientov s iskazheniem Obraza Ia pri pogranichnoi lichnostnoi organizatsii: Avtoref. diss. ... kand. psikhol. nauk [Strategies of Matipulative Communication in Patients with Self-Image Disorders in Borderline Personality Organization: Dissertation Thesis]/ E.P. Chechel'nitskaia. Moscow: MGU, 1999. 24 p.
19. Brown R.J. Psychological mechanisms of medically unexplained symptoms: an integrative conceptual model // Psychological Bulletin. 2004. Vol. 130. № 5. P. 793—812.
20. Craig T.K.J., Bialas I., Hodson S., Cox A.D. Intergene- rational transmission of somatization behavior: 2. Obser- vations of joint attention and bids for attention // Psycholo- gical Medicine. 2004. №34. P. 199—209.
21. Craig T. K., Boardman A. P., Mills K., Daly5Jones O., Drake H. The South London Somatisation Study. II. Influence of stressful life events, and secondary gain // The British Journ. of Psychiatry. 1993. №. 163. P. 579—588.
22. Feinstein A. Conversion disorder: advances in our understanding // Canadian Medical Association Journ. 2011. Vol. 183. № 8. P. 915—920.
23. Freindl M., Spitzl S.P., Prause W., Zimprich F., Lehner5 Baumgartner E., Baumgartner C., Aigner M. The stigma of mental illness: anticipation and attitudes among patients with epileptic, dissociative or somatoform pain disorder // Inter-national Review of Psychiatry. 2007. Vol. 19. № 2. P. 123—129.
24. Hall N.M., Kuzminskyte R., Pedersen A.D., Ornbool E., Fink P. The relationship between cognitive functions, somati- zation and behaviouralcoping in patients with multiple func- tional somatic symptoms // Nordic Journ. of Psychiatry. 2011. Vol. 65. № 3. P. 216—224.
25. Hiller W., Janca A. Assessment of somatoform disorders: a review of strategies and instruments // Acta Neuropsychiat- rica. 2003. № 15. P. 167—179.
26. Hurwitz T.A. Somatization and conversion disorder // Canadian Journ. of Psychiatry. 2004. Vol. 49. № 3. P. 172—178.
27. Jemmer P. Secondary Gain: To gain say or say again //European Journ. of Clinical Hypnosis. 2005. Vol. 6. № 3. P. 33—37.
28. Kaplan R., Sallis J., Patterson T. Health and human behaviour. New-York, 1993.
29. Kono-Wells M. Somatization and culture: A compendi- um of theory, research, and treatment // Dissertation Ab- stracts International: Section B: The Sciences and Enginee- ring. 2007. Vol. 67. № 10-B. P. 6062.
30. Mai F. Somatization disorder: a practical review // Canadian Journ. of Psychiatry. 2004. Vol. 49. № 10. P. 652—662.
31. Mechanic D. The concept of illness behaviour. // Journ. of Chronic Diseases. 1962. № 15. 189—194.
32. Parsons T. The social system / T. Parsons. London: Routledge & Paul, 1951. 575 p.
33. Pilowsky I. Abnormal illness behaviour // British Journ. of Medical Psychology. 1969. Vol. 42. № 4. P. 347— 351.
34. Rao D., Young M., Raguram R. Culture, somatization, and psychological distress: Symptom presentation in South Indians patients from a public psychiatric Hospital. // Psy- chopathology. 2007. Vol. 40. № 5. P. 349—355.
35. Rief W., Hessel A., Braehler E. Somatization symptoms and hypochondriacal features in the general population // Psychosomatics Medicine. 2001. № 63. P. 595—602.
36. Ryder A.G., Jian Y., Xiongzhao Z., Shuqiao Y., Jinyao Y., Heine S.J., Bagby R.M. The cultural shaping of depression: somatic symptoms in China, pychological symptoms in North America? // Journ. of Abnormal Psychology. 2008. Vol. 117. № 2. P. 300—313.
37. Subic-Wrana C., Beutel M.E., Knebel A., Lane R.D. Theory of mind and emotional awareness deficits in patients with somatoform disorders // Psychosomatic Medicine. 2010. Vol. 72. № 4. P. 404—411.
38. Taylor G.J., Bagby R.M. New trends in alexithymia research // Psychotherapy and Psychosomatics. 2004. Vol. 73. P. 68—77.
39. Trivedi J.K., Sharma S., Singh A.P., Sinha P.K., Tan5 don R. Neurocognition in somatisation disorder // Hong Kong Journ. of Psychiatry. 2005. Vol. 15. № 3. P. 97—100.
40. Waller E., Scheidt C.E. Somatoform disorders as disorders of affect regulation: a developmental perspective // International Review of Psychiatry. 2006. Vol. 18. № 1. P. 13—24.
41. Ursin H. Sensitization, somatization and subjective health complaints //  International Journ. of Behavioral Medicine. 1997. Vol. 4. № 2. P. 105—116.
42. Zhou X., Dere J., Zhu X., Yao S., Chentsova5Dutton YE., Ry5 der AG. Anxiety symptompresentations in Han Chinese and Euro- Canadian outpatients: Is distress always somatized in China? // Journ. of Affective Disorders. 2011. Vol. 135. № 1—3. P. 111—114.