Abstract

To determine the opportunities and limitations of problem-based learning (PBL) in psychosomatic medicine, especially in the field of somatoform disorders. A written case of conversion neurosis of a 22-year-old subway worker, who had been suffering from dizziness for the past 18 months, was presented to students as one of seven cases during a "Nervous System and Behaviour" course. Tutors and students are normally accustomed to focusing on organic lesions such as aetiologies for neuro-psychiatric disorders. Understanding behavioural and pseudo-neurological symptomatology without brain damage, accepting emotional and biographical factors and referring to the role of the unconscious seems to be a great challenge for tutors and students alike. Studying the case of a somatoform syndrome in a PBL tutorial may teach the students skills in taking the psychosocial history into account and deepen their knowledge of neuro-psychiatric differential diagnosis.

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