Affiliation:
1. Département de Psychiatrie, Hôpital Laval, Sainte-Foy, Québec.
Abstract
The article presents the difficulties of the psychiatric consultation with patients having somatic complaints. A model of evaluation and intervention is proposed in which the link between the somatic complaint and the doctor-patient relationship is emphasized. A closer look at the manifest request for consultation often leads to interpreting the consultation as a symptom of the patient's relationship to his doctor. The consultation is often a confrontation with the hidden conflict of the patient embedded in his symptom, but actualized with his referring doctor. The focus is on the patient as the agent of his trouble. A clinical vignette is presented.
Subject
Psychiatry and Mental health
Reference8 articles.
1. Consultations Psychiatriques dans un Hôpital Général
2. EngelG.L. MacBrydeCM, BlacklowRS, eds. Conversion symptoms in sign and symptom: applied pathologic, physiology and clinical interpretation, fifth edition. Philadelphia, PA: Lippincott, 650–668.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献