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Related Experiment Videos

Caring for the patient with multiple somatic complaints.

P R Lichstein

    Southern Medical Journal
    |March 1, 1986
    PubMed
    Summary

    Many patients present with numerous physical symptoms but minimal underlying disease. Understanding the psychological, perceptual, and social factors is key to managing these complex cases, focusing on care over cure.

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    Area of Science:

    • Psychosomatic Medicine
    • Behavioral Science
    • Clinical Psychology

    Background:

    • Patients frequently present with multiple somatic complaints despite limited objective disease.
    • Understanding the etiology of illness complaints requires considering psychologic, perceptual, and social factors.

    Observation:

    • These patients often exhibit a strong attachment to their symptoms.
    • The maintenance of illness complaints is influenced by a complex interplay of factors.

    Findings:

    • A multifactorial model effectively explains the development and persistence of somatic complaints.
    • Psychological, perceptual, and social elements are crucial in understanding these patient behaviors.

    Implications:

    • Management should prioritize supportive care and symptom management over complete cure.
    • The therapeutic alliance between doctor and patient is fundamental for effective treatment.
    • This approach aids healthcare providers in managing patients with medically unexplained symptoms.

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