"Functional gastrointestinal symptoms often bear a striking symbolic relationship to the emotional disturbance. Explosive diartrhea and fecal incontinence aee often found in patients struggling to control their bouts of uncontrollable anger; severe constipation is often associated with severe emotional withdrawal and reistance; vomiting is associated with an attitude of rejectionof care;chest pains with unbearable sorrow(heartbreak); swallowing difficulties with problems in coming to terms with conflict in life situations. These associations might seem fanciful, but given sufficient time tolisten to patients accounts they occr with a regularity that is truly amazin. Thus functional gastrointestinal symptoms are a form of non-verbal or preverbal communication, the sort of communication we might expect in infants without even thinking of medical illness- the metaphorical gastrointestinal expression of intolerable psychic conflict.Attempts to categorize functional disorders into discrete diagnoses such as IBS is like trying to box a moonbeam or catch a feeling"THis was written in 1997 in a book called Functional Dyspepsia and Irritable Bowel Syndrome:Concepts and ControversiesWhat do you all THink? Have we come far from 1997 when IBS was thought to be psycho-somatic and the Rome Diagnostic criteria was coming into place which identified physical features to diagnose IBS. Do you think that IBS is an emotional disturbance that is represented in the body? Any comments?