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Related Experiment Videos

A strategy for evaluating "psychogenic" symptoms.

S Goldsmith

    International Journal of Psychiatry in Medicine
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Psychiatrists can improve patient engagement by avoiding the traditional mind-body split when evaluating physical symptoms. A strategic approach fosters openness to mental health support for medically unexplained symptoms.

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    Area of Science:

    • Psychiatry
    • Psychosomatic Medicine
    • Medical Psychology

    Background:

    • Consultation-liaison psychiatrists frequently assess patients with physical symptoms.
    • Traditional approaches may imply a mind-body dichotomy, potentially alienating patients.
    • This can hinder the identification of psychological contributions to physical complaints.

    Purpose of the Study:

    • To challenge the conventional approach to patients with physical symptoms.
    • To propose a strategic alternative that avoids antagonizing patients.
    • To facilitate patient openness to mental health interventions.

    Main Methods:

    • Critique of traditional psychiatric evaluation methods for somatizing patients.
    • Discussion of a case illustrating an alternative strategic approach.

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  • Focus on communication and framing in psychiatric consultations.

    • Main Results:

    • The traditional approach, implying hidden psychological causes, can create patient resistance.
    • A strategic, non-antagonistic approach can maintain patient engagement.
    • The discussed case demonstrates successful maintenance of patient openness to mental health support.

    Conclusions:

    • Rethinking the approach to physical symptoms in consultation-liaison psychiatry is crucial.
    • Avoiding an implied mind-body split enhances therapeutic alliance.
    • Strategic communication facilitates acceptance of mental health services for psychosomatic presentations.