Symptom
Behaviors or bodily abnormalities that are caused by the return of the repressed. According to psychoanalysis, insistent desires that the individual feels s/he must repress will often find alternative paths toward satisfaction and therefore manifest themselves as symptoms. Freud defines a symptom thus: "A symptom is a sign of, and a substitute for, an instinctual satisfaction which has remained in abeyance; it is a consequence of the process of repression" ("Inhibitions, Symptoms, and Anxiety" 20.91). Symptoms tend to be activities that are detrimental or perhaps only useless to one's life. In extreme cases, such symptoms "can result in an extraordinary impoverishment of the subject in regard to the mental energy available to him and so in paralysing him for all the important tasks of life" (Introductory Lectures 16.358).
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The term symptom (from the Greek syn = con/plus and pipto = fall, together meaning co-exist) has two similar meanings in the context of physical and mental health:
- Strictly, a symptom is a sensation or change in health function experienced by a patient. Thus, symptoms may be loosely classified as strong, mild or weak. In this, medically correct, sense of the word, it is a subjective report, as opposed to a sign, which is objective evidence of the presence of a disease or disorder. Examples of symptoms are fatigue/tiredness, pain, or nausea. The symptom that leads to a diagnosis is called a cardinal symptom. In contrast, elevated blood pressure, or abnormal appearance of the retina, would be a medical sign indicating the nature of the disease.
- A symptom may loosely be said to be a physical condition which shows that one has a particular illness or disorder (see e.g. Longman, 1995). An example of a symptom in this sense of the word would be a rash. However, correctly speaking, this is known as a sign, as would any indication detectable by a person other than the sufferer in the absence of verbal information from the patient.
Some symptoms (e.g. nausea) occur in a wide range of disease processes, whereas other symptoms are fairly specific for a narrow range of illnesses: for example, a sudden loss of sight in one eye has only a very limited number of possible causes.
Some symptoms can be misleading to the patient or the medical practitioner caring for them. For example, inflammation of the gallbladder quite often gives rise to pain in the right shoulder, which might (quite reasonably) lead the patient to attribute the pain to a non-abdominal cause such as muscle strain, rather than the real cause.
The term "Presenting symptom" or "Presenting complaint" is used to describe the initial concern which brings a patient to a doctor.
A symptom can more simply be defined as any feature which is noticed by the patient. A sign is noticed by the doctor or others. It is not necessarially the nature of the sign or symptom which defines it, but who observes it. Clearly then, the same feature may be noticed by both doctor and patient, and so is at once both a sign and a symptoms. The distinction is as simple as this, and therefore it may be nonsensical to argue whether a particular feature is a sign or a symptom. It may be one, the other, or both, depending on the observer(s). Some features, such as pain, can only be symptoms. A doctor can not feel a patient's pain (unless he is the patient!). Others can only be signs, such as a blood cell count measured by a doctor and his/her laboratory.
In engineering, symptom may be used to refer to an undesired effect occuring in a system. To eliminate the effect, a Root cause analysis is performed which traces the symptom to its cause and again through the cause's cause and so on until the subsytem is identified that can be changed to eliminate the symptom.
See also
Reference
- Longman dictionary of contemporary English (1995). Third edition.
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