Rittelmeyer L F
Am Fam Physician. 1976 Sep;14(3):98-101.
The patient's manner and the content of his complaints offer early diagnostic leads. The hypochondriac clings to his symptoms. Rather than relief, his goal is forming a relationship with the doctor that provides care and understanding. The physician's goal must be the provision of this care in such manner as to reassure, treat sparingly and convert this potentially fatal illness to a chronic disorder with which the patient can function to the limits of his capabilities.
患者的举止和主诉内容提供了早期诊断线索。疑病症患者执着于自己的症状。他的目标不是症状缓解,而是与医生建立一种能提供关怀和理解的关系。医生的目标必须是以一种能让患者安心的方式提供这种关怀,谨慎治疗,并将这种潜在的致命疾病转变为一种慢性疾病,使患者能够在其能力范围内正常生活。