IAN STEVENSON, M.D.
Single physical symptoms often persist after a general reaction to stress and after the other symptoms of the general reaction have subsided. Factors that influence the site of such persisting symptoms are  accidents affecting a particular part of the body;  a state of emotional arousal in which a particular action (which persists later) occurs;  identification of the patient with another person having a similar symptom or the same organ affected;  suggestion about a particular organ or symptoms from other persons; and  interference of the symptom with the patient's vocation (or claims to compensation) leading to continuing attention to it. Factors influencing the persistence and location of one symptom after a general reaction to stress form only one group of the relevant causal factors in these disorders.
IAN STEVENSON. Single Physical Symptoms as Residues of an Earlier Response to Stress. Ann Intern Med. 1969;70:1231–1237. doi: 10.7326/0003-4819-70-6-1231
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Published: Ann Intern Med. 1969;70(6):1231-1237.
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