Zeltzer L K, LeBaron S
Postgrad Med. 1984 Jan;75(1):153-64. doi: 10.1080/00325481.1984.11698563.
Primary care physicians who are willing to trust their own intuition and abilities can adequately evaluate and treat many psychosomatic problems of adolescence. Most of these problems reflect normal developmental stress rather than major psychiatric disorders. Thus, obtaining an adequate history and listening to the patient before embarking on a "rule out organic disease" pathway are basic. As Sir William Osler said, "It is more important to know what sort of patient has a disease than what sort of disease a patient has." By applying this maxim, primary care physicians may find treatment of adolescents with psychosomatic disorders a rewarding, rather than a frustrating, experience.
愿意相信自己直觉和能力的初级保健医生能够充分评估和治疗许多青少年的心身问题。这些问题大多反映的是正常的发育压力，而非重大精神疾病。因此，在着手进行“排除器质性疾病”的流程之前，获取详尽的病史并倾听患者的诉说至关重要。正如威廉·奥斯勒爵士所说：“了解哪种患者患有某种疾病比了解患者患的是哪种疾病更为重要。”运用这一准则，初级保健医生可能会发现，治疗患有心身障碍的青少年是一次有意义而非令人沮丧的经历。
