RESUMO
Understanding family behavior is not particularly difficult. However, it does require a broadening of orientation from individuals to families and from dyadic relationships to family system interactions. Physicians who make this adjustment in their diagnostic and therapeutic focus find that it gives them a better perspective on many health problems that might otherwise defy understanding and resolution.
Assuntos
Comportamento , Família , Relações Interpessoais , Medicina de Família e Comunidade , HumanosRESUMO
"Somatoform disorders" are characterized by symptoms suggesting a physical illness for which there are no demonstrable organic findings and which seems linked to psychologic factors. Often viewed mainly as chronic complainers, patients with these disorders require thorough evaluation. The physician's goal is to help the patient to function. This is accomplished by reassuring the patient that he will receive care, offering regular appointments, avoiding unnecessary tests and counseling the family.
Assuntos
Transtornos Somatoformes/terapia , Adulto , Doença Crônica , Feminino , Humanos , Hipocondríase/psicologia , Hipocondríase/terapia , Acontecimentos que Mudam a Vida , Anamnese , Relações Médico-Paciente , Papel do Doente , Transtornos Somatoformes/classificação , Transtornos Somatoformes/psicologiaRESUMO
The authors describe a program based on a biopsychosocial model of illness, which uses a liaison-consultation approach in an outpatient setting. It is directed toward integrating psychiatric education and services with primary care in a health maintenance organization. This program can serve as a useful model for studying the validity and effectiveness of integrating psychiatric concepts with primary health care.
Assuntos
Educação de Pós-Graduação em Medicina , Sistemas Pré-Pagos de Saúde , Atenção Primária à Saúde , Psiquiatria , Encaminhamento e Consulta , Adulto , Pré-Escolar , District of Columbia , Feminino , Humanos , Internato e Residência , Pessoa de Meia-Idade , Modelos TeóricosRESUMO
The patient's manner and the content of his complaints offer early diagnostic leads. The hypochondriac clings to his symptoms. Rather than relief, his goal is forming a relationship with the doctor that provides care and understanding. The physician's goal must be the provision of this care in such manner as to reassure, treat sparingly and convert this potentially fatal illness to a chronic disorder with which the patient can function to the limits of his capabilities.
