The grouping of symptoms into "somatic" or "physical" on the one hand and "
mental", "somatoform" or "psychological" on the other are vestiges of an er
a in medicine when it seemed useful to divide all the phenomena of disease
into two groups-one related to the soma and other to the psyche. Today, thi
s division is becoming obsolete and is harmful. Obsolete, because we are di
scovering changes in the tissues or in biochemical and immunological functi
ons of the body in people with mental disorders, and because psychological
complaints are frequent in all physical illnesses. Harmful, because the lab
els "psychological", "psychogenic", or "somatoform" are so loaded with conn
otations of being simulations or complaints about nothing that patients are
unlikely to recive the help they need.