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It's a controversial diagnosis where the symptoms are claimed to be caused by mental processes rather then by actual physiological causes. The concept is a "mind over matter" type one, in that one can subconsciously cause physical symptoms to occur. Essentially what it means is that "we can't determine a cause for your illness, so it must be caused by your head". Not to say that it's not real, we understand that it is real for the sufferer.

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