Schachter J, Spano L
Adjunct Faculty, Department of Psychology, University of Western Ontario, London.
Can Fam Physician. 1993 Dec;39:2586-92, 2595-7.
This paper identifies the multiple determinants of a complex illness experience and describes the difficult process of diagnosis and management. The crucial coordination and integration role of the family physician is explained. The perspectives of the family physician, the consulting psychologist, and the patient are elucidated. Interventions by physicians from various specialties are identified and explored. Psychological determinants, including those rooted in the patient's history, are revealed in parallel with the physiological manifestations.
本文确定了复杂疾病经历的多种决定因素，并描述了诊断和管理的艰难过程。解释了家庭医生至关重要的协调和整合作用。阐明了家庭医生、咨询心理医生和患者的观点。确定并探讨了各专科医生的干预措施。与生理表现同时揭示了心理决定因素，包括那些源于患者病史的因素。
