Can Fam Physician. 1985 Sep;31:1621-4.
Patients who present with physical complaints that have a psychosocial source are often dissatisfied with reassurance that nothing is physically wrong. This is frustrating to the physician, who may elect to refer the patient, do nothing further-or address the issue of illness behavior. This article analyzes the effects of the physician's response on the doctor/patient relationship, and outlines several methods of psychotherapy which can be used to change illness behavior.
对于那些因心理社会因素而出现身体不适的患者,医生仅仅告诉他们身体并无异常,往往会令其感到不满。这种情况令医生感到沮丧,他们可能会选择将患者转介给其他医生,或者不再采取进一步措施,或者处理患者的疾病行为问题。本文分析了医生的反应对医患关系的影响,并概述了几种可用于改变疾病行为的心理治疗方法。