For years I have observed all kinds and categories of ear, nose, and throat complaints, and in my opinion most of them were real. To detect organic pathology in the field of otolaryngology is a fairly simple task; to prorate accurately the importance of organic and functional disease coexisting in the same patient is more difficult; but to state with assurance that all a patient's complaints are functional in nature is to assume a position based on circumstantial evidence that is easy to believe (and may be correct) but is most impossible to prove. Psychosomatic disorders in the field of otolaryngology run rather true to form. Only in exceptional instances where circumstances causing a psychosomatic disability are unusual do we have embellishments that make a particular patient of unusual interest.
The run-of-the-mill complaints of psychosomatic disease that come regularly into the office of an otolaryngologist we classify as follows: (a)
NASH CS. Further Psychosomatic Aspects of Otolaryngology. AMA Arch Otolaryngol. 1955;62(6):611–613. doi:10.1001/archotol.1955.03830060043010
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