Each of us expresses their existence and the hardships of existence in different forms throughout our lives, and illness is also a form of expression. We know that there are physical illnesses and psychological illnesses. Physical illnesses can cause psychological reactions, and psychological illnesses can cause physical reactions, and the two are mutually influential. Then there are some somatic symptoms without organic pathology, but they are mainly caused by psycho-emotional problems, or psycho-emotional problems expressed by somatic symptoms, which is called somatization problems. Clinically, somatization disorder is one of the clinical types of somatoform disorders. Somatoform disorders also include clinical types such as hypochondriac neurosis, somatoform vegetative dysfunction and persistent somatoform pain disorder. It is mainly characterized by the patient’s repeated statements of somatic symptoms, constant requests for medical examination, and disregard for repeated negative findings, regardless of the physician’s repeated assurances that his or her symptoms do not have a somatic disease basis. The presence of somatic symptoms is closely related to the persistence of unpleasant life events, difficulties or conflicts, and patients often refuse to explore the psychological etiology, consider their illness to be somatic in nature and demand further examination. Psychology considers somatization symptoms to be the product of repressed subconscious wishes. Psychoanalytic doctrine views the formation of somatization as a subconscious process by which a person converts his or her internal conflicts or contradictions into visceral and vegetative dysfunctions in order to escape from the dilemma of the self. For example, somatization symptoms are used to replace unpleasant inner feelings, to alleviate self-guilt caused by certain reasons, to express certain thoughts and emotions, etc. Therefore, the patient uses somatization symptoms for the psychological purpose of suppressing the subconscious. Somatization symptoms allow the patient to get secondary benefits. A mother brought her 10-year-old child to see a psychiatrist. The mother said that for the last six months, the child had been crying out for dizziness and headaches. The parents had taken him to many doctors and had done many tests, which did not reveal any problems, and had no choice but to turn to the psychiatrist. The doctor understood the reason after carefully asking about the child and his family. It turned out that six months ago, the child’s parents divorced and the child was awarded to his mother. The child and the father had always had a good relationship, and after the parents’ divorce, the child could only see the father once in a long time. However, since the child had a headache attack, the father would run over with great concern every time and accompany him to the hospital with his mother for a checkup, and then play with him. After analysis, the psychologist concluded that the child’s occasional headache made him unintentionally gain the benefit of the father’s care, and the father’s behavior inadvertently reinforced the child’s symptoms. The child then intentionally or unintentionally used the somatic symptoms to call the father’s attention, and after the psychologist’s careful guidance, the child’s symptoms soon disappeared. Such intentional or unintentional use of symptoms to gain benefits is one of the clevernesses we humans have acquired in our social existence. It is very common for people to stay away from school and work, to be granted sick leave, to receive labor insurance, to avoid blame and criticism, to be exempted from certain responsibilities and obligations, to seek attention and sympathy, etc. through illness. These are not completely intentional disguises of the patient, but they are games that are played intentionally or unintentionally. The consequences of indulging in such games, like playing with things, result in inability to extricate oneself from them to the point of self-pity, resentment, and obstruction of personal development. As a result of the blocked development, the individual becomes more fixated on the game of playing with illnesses, and then visits to doctors and examinations and treatments become important for him. In other words, the individual first gains some benefit, but later shifts the focus to suspicion. Morita therapy in psychotherapy emphasizes the importance of not giving up life’s work and going with the flow, precisely to break this magic game and return to the reality of life, then the treatment is also in it. Because the social and cultural norms of behavior encourage the expression of somatic symptoms, which can be sympathetically understood, while the expression of emotional troubles is often not listened to and supported, or even seen as weakness, the patient invents a lot of somatization in order to achieve “secondary benefits”. Therefore, somatization becomes a way for patients to cope with difficult psychological and social situations and to meet their own needs. Chinese culture and somatization. Chinese patients are more accustomed to presenting only physical symptoms to their doctors in the hope that they will be helped to resolve their physical discomfort. This is because the Chinese are influenced by Confucian culture, which emphasizes restraint, tolerance, and peace. Therefore, they try to avoid direct expression of love and hate in interpersonal interactions, while Western culture respects individuals to express their needs and emotions, and avoidance is considered abnormal, so Chinese people are used to repressing emotions, and too much repression can lead to fear, jealousy, low self-esteem and other negative emotions of various neuroses. These negative emotions are neurotic, humiliating and shameful, so they inevitably lead to stronger rejection, repression and denial of the individual. This is a vicious circle that results in repressed emotions leading to somatization symptoms on the one hand, and on the other hand, they use somatization symptoms to seek medical attention in a dignified manner, thus avoiding the exposure of internal emotions and conflicts. Diagnostic points of somatization symptoms: 1. biological, psychological, and social environmental triggers, among which psychological factors may be fully exposed when inspired by a physician; 2. symptoms are numerous but vague, involving multiple systems, with a duration of at least 2 years, for which the patient is disturbed and seeks medical attention or medication; 3. constant rejection of advice and reassurance from multiple physicians that their symptoms are not explained by somatic pathology; 4. symptoms and their The patient often uses these symptoms to cope with stress and express distress, while family, school, and society often play an indirect and unconscious supportive role; the patient may achieve “social gains” while at the same time enhancing the original psychophysiological symptoms. Somatization symptoms are not only seen in dysthymia, but also in other disorders such as depression, anxiety disorders, psychogenic disorders, phobias, and schizophrenics with somatic delusions. This leads to the conclusion that the fundamental treatment of somatization disorders is psychotherapy and emotion regulation, rather than headache and foot pain.