Two main paradigms of psychosomatic diseases - emotional stress paradigm and intrapsychic motivation one - are compared. It is shown that the condition of refusal from search is in fact the basis of both conceptual models and serves as leading predisposition for psychosomatic diseases' development. Social climate's and upbringing's role in search behaviour or in the refusal from search is discussed. The ratio of neuroses and psychosomatic diseases is discussed also.