Journal article
The Recognition and Management of Somatization
Psychosomatics (Washington, D.C.), v 33(1), pp 55-61
Feb 1992
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
This article addresses the medical education issues associated with teaching primary care residents about somatization. Specific training designed to recognize and manage somatization involves a hierarchical series of five knowledge domains with associated discrete skills. As a foundation, a biopsychosocial model must be embraced by the medical leadership of the training program. Second, because psychosocial stresses play a critical etiologie role in somatization, the ability to identify relevant psychosocial issues during medical interviewing is a fundamental skill. Third, basic psychiatric diagnostic areas (depression and anxiety) must be mastered as a prerequisite for identifying somatization. Specific interviewing and management techniques are reviewed, along with two current programmatic approaches. Finally, the concept of physician counter transference also must be explicitly addressed as part of the curriculum. Without assuring that these building blocks are in place, residents are likely to become overwhelmed by the management of somatizing patients and continue the pattern of frustration associated with these patients.
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Details
- Title
- The Recognition and Management of Somatization
- Creators
- Richard J. Goldberg - Rhode Island HospitalDennis H. Novack - Rhode Island HospitalLinda Gask - Women & Infants Hospital of Rhode Island
- Publication Details
- Psychosomatics (Washington, D.C.), v 33(1), pp 55-61
- Publisher
- Elsevier; WASHINGTON
- Number of pages
- 7
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- MD (Doctor of Medicine) Program
- Web of Science ID
- WOS:A1992GX67300010
- Scopus ID
- 2-s2.0-0026572897
- Other Identifier
- 991021955151304721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychiatry
- Psychology