By Katharine A. Phillips
Brown Univ., windfall, RI. bargains clinicians a extensive synthesis of the present wisdom approximately somatoform and factitious problems. Clarifies matters surrounding somatization illness, hypochondriasis, physique dysmorphic ailment, conversion sickness, and factitious illness. Softcover. DNLM: Somatoform issues.
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Extra resources for Somatoform and Factitious Disorders
For example, a patient with a high level of bodily preoccupation might check his or her body repeatedly or emphasize physical ailments when talking to others. ” A patient with a high level of disease conviction may be the most difficult for a physician to tolerate, because such a patient responds with hostility to the physician’s reassurance that no disease underlies the physical sensations. As the patient’s mistrust and frustration rise, the physician in turn may come to resent the patient’s anger, time demands, and disrespect of his or her medical authority (Barsky 1991).
1998) may have been unable to identify differences between treatments over time because of power problems that arise when the sample size in each treatment group is too small for researchers to detect actual differences between groups. Because neither active treatment was much better than the other at long-term follow-up in the Clark study, it cannot be concluded that the optimal treatment for hypochondriasis is cognitive therapy. Rather, the improvement experienced by patients in the study may have resulted from the attention they received or from particular beneficial aspects of the behavioral stress management therapy.
Am J Med 26:899–911, 1959 Escobar JI: Cross-cultural aspects of the somatization trait. Hospital and Community Psychiatry 38:174–180, 1987 Escobar JI, Burnam MA, Karno M, et al: Somatization in the community. Arch Gen Psychiatry 44:713–718, 1987 Escobar JI, Manu P, Matthews D, et al: Medically unexplained physical symptoms, somatization disorder and abridged somatization: studies with the Diagnostic Interview Schedule. Psychiatric Developments 3:235–245, 1989 Escobar JI, Gara M, Waitzkin H, et al: DSM-IV hypochondriasis in primary care.
Somatoform and Factitious Disorders by Katharine A. Phillips