Document Detail

Psychosomatic assessment.
MedLine Citation:
PMID:  19713727     Owner:  NLM     Status:  MEDLINE    
The primary goal of psychosomatic medicine is the incorporation of its operational strategies into clinical practice. The traditional attitude toward disease and the functional/organic dichotomy were criticized by George Engel in the early sixties. Only recently, however, there has been increasing awareness of the limitations of disease as the primary focus of medical care. It is not that certain disorders lack an organic explanation; it is our assessment that is inadequate in most clinical encounters. The research evidence which has accumulated in psychosomatic medicine offers unprecedented opportunities for the identification and treatment of medical problems. Taking full advantage of clinimetric methods (such as the use of Emmelkamp's two levels of functional analysis and the Diagnostic Criteria for Psychosomatic Research) may greatly improve the clinical process, including shared decision making and self-management. Endorsement of the psychosomatic perspective may better clarify the pathophysiological links and mechanisms underlying symptom presentation. Pointing to individually targeted methods may improve final outcomes and quality of life.
Giovanni A Fava; Nicoletta Sonino
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-08-27
Journal Detail:
Title:  Psychotherapy and psychosomatics     Volume:  78     ISSN:  1423-0348     ISO Abbreviation:  Psychother Psychosom     Publication Date:  2009  
Date Detail:
Created Date:  2009-09-29     Completed Date:  2010-01-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0024046     Medline TA:  Psychother Psychosom     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  333-41     Citation Subset:  IM    
Copyright Information:
Copyright 2009 S. Karger AG, Basel.
Department of Psychology, University of Bologna, Viale Berti Pichat 5, Bologna IT-40127, Italy.
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MeSH Terms
Diagnostic and Statistical Manual of Mental Disorders
Hypothyroidism / psychology
Irritable Bowel Syndrome / psychology
Middle Aged
Models, Psychological
Psychophysiologic Disorders / classification,  diagnosis*,  physiopathology,  psychology
Psychosomatic Medicine / methods
Young Adult

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