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Medically unexplained physical symptoms
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==Somatization and psychologization== A key assumption often made is that medically unexplained physical symptoms are symptoms which have no physical cause - rather than no ''known'' physical cause, and so are assumed be caused by '''somatization''': the physical expression of emotional distress.<ref name="Smith2007" /> Symptoms, or entire diagnosed illnesses such as ME/CFS or fibromyalgia, are assumed to have no underlying illness process but to have "psychosomatic" symptoms or "psychogenic illness".<ref name="Spotalia2013" /> The MUS approach has been used inappropriately to reclassify diagnosed physical illnesses, including ME/CFS, as a [[mental health]] disorders, which can then result in inappropriate treatment,<ref name="bmj2019" /><ref name="continue">{{Cite web|url=https://www.actionforme.org.uk/news/supporting-calls-for-m.e.-to-continue-being-classified-as-neurological/ | title = M.E. must continue to be classified as neurological | last = Action for ME|first = | authorlink = Action for ME | date = 2017 | website = Action for ME|archive-url=|archive-date=|url-status=|access-date=2019-07-15}}</ref><ref name="Williams2014">{{Cite web|url=http://www.margaretwilliams.me/2017/absence-of-evidence.pdf | title=Absence of Evidence | last = Williams | first = Margaret | authorlink=Margaret Williams | date = 2017 | website = |archive-url=|archive-date=|url-status=|access-date=}}</ref><ref name="Spandler2017" /><ref name="Mihelicova" /> for example medical neglect, and in some severely ill patients, forced psychiatric treatment and forced [[Graded exercise therapy|exercise therapy]] combined with medical neglect, factors which contributed to the death of [[Sophia Mirza]] from ME/CFS.
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