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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

By the time that the pelvalgia patient seeks treatment, her chronic tension, anxiety, stress, and related somatic symptoms, which usually have moderated her fear of repeat assault or punishment by the aggressor-parent, has begun to disintegrate. The patient usually has little or no insight into the fact that her feelings of being trapped, helpless, and victimized in her marriage, job, or other interpersonal relationships can be symbols of the original sexual trauma. The depressed patient may be unaware that suicidal thoughts and actions, if present, are a reflection of her sense of helplessness, hopelessness, and victimization. Hence, CPP may be a symptom of a wide spectrum of disorders, both organic and psychological. While the patient is undergoing evaluation of pelvic pain, it is essential that clinicians remain aware that the patient's psychogenic symptoms are an attempt to reinforce a faltering ego. Additionally, it is important that they recognize that previous attempts at diagnosis and therapy of CPP and other somatic complaints usually have reinforced the belief that the symptoms are physically based and unrelated to any psychological factors. A number of prospective studies currently are underway to characterize further the relationships between complaints of chronic pelvic pain, personality functioning, and history of sexual trauma. Without data on very long-term follow-up, our understanding of the precise psychodevelopmental pathophysiology and long-term prognosis of CPP currently remains incomplete.
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PMID:Psychogenic chronic pelvic pain: diagnosis and management. 217 35

Deciding how to choose from opposing options often seriously impacts people's final selections. Such constraining options are frequently associated with feelings of hopelessness, depression, or chronic pain. As an example of such situations, a model is presented with material from a single case that utilized previous contradictory experiences in the treatment of a woman patient who suffers from chronic pelvic pain. The case summarizes how previous experiences, which have been paradoxical, can serve as substrates of behavioral change, which in turn can emerge in a way that allows the patient to integrate these experiences, personally and slowly, without conscious effort.
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PMID:Paradoxical hypnotic experiences in escaping constraining dilemmas: a clinical example. 1872 3