Berger H G, Honig P J, Liebman R
Am J Dis Child. 1977 Dec;131(12):1340-4. doi: 10.1001/archpedi.1977.02120250022002.
The treatment of recurrent abdominal pain without organic cause requires that the families involved change their focus from organic to emotional issues. This is done during a family conference with the pediatrician, in which a positive approach to the problem is outlined. Following such a plan avoids the pitfalls of continuing an inappropriate and organically oriented response to the family's needs and also avoids threatening the family with emotionally charged personal needs too soon. When the transition period is successfully negotiated, the child's symptoms often are alleviated without further psychological intervention. In cases where further psychiatric intervention is indicated, a foundation has been laid for successful treatment. Nineteen patients have been successfully treated either by the pediatrician alone or have successfully begun psychotherapy, thus preventing unnecessary medical tests and further "doctor shopping", which characteristically accompanies such cases.
对于无器质性病因的复发性腹痛的治疗，需要相关家庭将关注点从器质性问题转向情感问题。这在与儿科医生进行的家庭会议期间完成，会上会概述针对该问题的积极方法。遵循这样的计划可避免继续对家庭需求做出不恰当的、以器质性为导向的反应所带来的陷阱，也避免过早地用充满情感的个人需求来威胁家庭。当成功度过过渡期后，孩子的症状往往会在无需进一步心理干预的情况下得到缓解。在需要进一步精神科干预的情况下，已为成功治疗奠定了基础。19名患者已单独由儿科医生成功治疗，或已成功开始心理治疗，从而避免了不必要的医学检查和此类病例典型伴随的进一步“四处求医”。
