Two Cases of Olfactory Reference Syndrome.
- Author:
Ja Yun KIM
1
;
Yun Gyoo CHO
Author Information
1. Department of Neuropsychiatry and Mental Health Research Institute, Han-yang University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Olfactory reference syndrome;
Somatic delusion
- MeSH:
Body Image;
Defense Mechanisms;
Delusions;
Obsessive-Compulsive Disorder;
Preexisting Condition Coverage;
Prognosis;
Repression, Psychology;
Schizophrenia;
Treatment Outcome
- From:Journal of Korean Neuropsychiatric Association
1999;38(3):664-672
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Disease identity of dysmorphophobia and olfactory reference syndrome which used to be manifested by a kind of monosymptomatic somatic delusion is not yet established definitely. So many issues such as whether it be regarded as separate disease, or a spectrum of preexisting diseases such as schizophrenia or obsessive compulsive disorder and whether the monosymptom should be considered as a delusion or not are still on debate and the results are controversial. Consequently few is known about the etiology of the disorder.Obvioulsy, somatic delusion in dysmorphophobia and olfactory reference syndrome is the result of cognitive distortion of body image of the self. It reflects symbolic meaning of unresolved psychological conflict by defense mechanisms such as repression, dissociation, symbolization, projection, and so on. Though psychopharmacological and psychotherapeutic treatment modality has been reported, the treatment efficacy is unclear. Prognosis has been reported unfavorable and one of the leading causes has been thought to be treatment noncompliance. The authors experienced 2 cases of olfactory reference syndrome, so reported with literature review.
