PSYCHOGENIC RHEUMATISM

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Abstract
A study of 40 patients presenting the syndrome of aches and pains in the muscles and joints associated with chronic fatigue demonstrates no evidence of physical disease but does show psychopath-ology. The most frequent problem is smoldering resentment of which the patient is unaware. Various diagnoses are attached to this syndrome, such as fibrositis, rheumatic infection, and brucellosis, if emotional factors are not taken into account. When they are considered it is felt that the most suitable diagnostic term is the psychiatric diagnosis applicable to each case because it is the psychopathology that is chiefly responsible for the syndrome and only by means of psychotherapy can such patients be dealt with effectively.

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