Dysmorphophobia: body dysmorphic disorder or delusional disorder, somatic subtype?
The DSM-III-R proposes to divide dysmorphophobia into two separate disorders: delusional disorder, somatic subtype and dysmorphic disorder. We believe that this distinction of delusional and nondelusional is impossible from a phenomenological point of view, and that dysmorphophobic beliefs are better classified as overvalued ideas. The concept of dysmorphophobia and its relationship to monosymptomatic hypochondriacal psychoses and DSM-III-R categories is reviewed. A case report is described to support these arguments.
de Leon
J
J
Department of Psychiatry, Medical College of Pennsylvania, Eastern Pennsylvania Psychiatric Institute, Philadelphia 19129.
Bott
A
A
Simpson
G M
GM
D000328:Adult; D001828:Body Image; D003702:Delusions / Q000175:diagnosis* / Q000523:psychology; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D010554:Personality Disorders / Q000175:diagnosis; D010698:Phobic Disorders / Q000175:diagnosis* / Q000523:psychology; D011569:Psychiatric Status Rating Scales; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000523:psychology