作者: James Robbins , Laurence Kirmayer
DOI: 10.1007/978-1-4684-5257-0_20
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摘要: Biomedical practitioners hope for a simple correspondence between clinical presentation and organic pathology. Unfortunately, illness behaviour supervenes to make the relationship disease exceedingly complex. Style of symptom interacts with structure health-care system determine whether patients1 distress is accurately recognized alleviated. From 20 84 percent patient visits primary care are somatic complaints that receive no diagnosis (Kellner, 1985). When psychosocial factors noted as part their presentations, patients obscure symptoms may be described somatizing or hypochondriacal referred psychiatric evaluation “abnormal behaviour” (Pilowsky, 1969). not recognized, these exposed lengthy diagnostic therapeutic intervention and, when explanation forthcoming, casually reassured abruptly told problems imaginary.