Although Somatization Disorder (see DSM-IV-TR) was a new diagnostic category in DSM-III, this nineteenth-century case is a classic example of the disorder. There is a history of many physical symptoms and complaints, not adequately explained by a physical disorder or injury, that go back to the patient's adolescence. The DSM-IV-TR criteria for the disorder require unexplained symptoms in four areas: pain (four symptoms), gastrointestinal (two symptoms), sexual/reproductive (one symptom), and pseudoneurologic (one symptom). There are many references to multiple vague pain and gastrointestinal symptoms. She has had many pseudoneurologic (conversion) symptoms: loss of voice, seizures, trouble walking, and muscle weakness. There is reference to "disturbances of menstruation." As is commonly the case, genuine physical problems coexist but are hardly adequate to explain the myriad physical complaints.