"When words are not available our bodies sometimes speak for us--and we have to listen," says Dr. Suzanne O'Sullivan in Is It All in Your Head? This fascinating casebook with historical insights--compiled by a seasoned neurologist who is now a consultant at the National Hospital of Neurology and Neurosurgery in London--offers a thorough examination of the significant yet complicated role emotions play in physical illness and the stigmas attached to psychosomatic disorders.
Through a series of case studies, O'Sullivan details the many ways in which physical symptoms can mask emotional distress: "neurological disease manifests in elusive and strange ways." After more than 20 years as a physician, she has seen how the "system" has often failed these patients and the ways in which a diagnosis of psychosomatic disorder affects how they perceive themselves and how others perceive them. Sometimes, patients find themselves trapped between the worlds of physiological medicine and psychiatry. And in many instances, neither community takes responsibility.
While the stories in Is It All in Your Head? are intellectually and factually diverse, some are challenging to read--aspects of patient suffering become quite harrowing at times. Additionally, the delivery and impact of a psychosomatic diagnosis and subsequent patient response further tug emotionally at readers. O'Sullivan never trivializes the patient or what he or she is experiencing. Rather, she respects the strength of her patients and encourages them to find ways to address underlying psychological problems in order to overcome some incredible--some might even call them mind boggling--challenges in life. --Kathleen Gerard, blogger at Reading Between the Lines