Drossman D A
Int J Psychiatry Med. 1977;8(2):169-84. doi: 10.2190/e9mf-mkx1-1nvm-jy8n.
Our modern health care system has tended to emphasize technological competence and subspecialization. The primary care internist/family physician has recieved limited training in the behavioral aspects of medicine and, resultingly, is less able to obtain and apply the knowledge and skills necessary to effectively help the patient handle those mutually interacting somatic, phychological and sociological dimensions of his illness. Through the use of selected case histories the author has attempted to illustrate how utilization of these skills, obtained during a supervised fellowship program, leads to psychological growth and better understanding of his role as physician. Ultimately this effects clinical improvement in his medical patients with longstanding difficulties.
我们现代的医疗保健系统往往强调技术能力和专科细分。初级保健内科医生/家庭医生在医学行为方面接受的培训有限，因此，他们在获取和应用有效帮助患者应对疾病中相互作用的身体、心理和社会学层面所需的知识和技能方面能力较弱。通过选取一些病例史，作者试图说明，在一个有督导的进修项目中获得的这些技能的运用如何带来心理成长，并增进对其作为医生角色的理解。最终，这会改善长期患病患者的临床状况。
