An Approach to the Patient with Multiple Physical Symptoms or Chronic Disease

作者：Gordon Elliott Janna S; Muskin Philip R^*

来源：Medical Clinics of North America, 2010, 94(6): 1207-+.

DOI：10.1016/j.mcna.2010.08.007

• Chronic disease
• Sick role
• Denial
• Somatoform disorders
• Conversion
• Factitious
• Hypochondriasis

Doctors diagnose and treat disease; illness is the experience of, and response to, a disease by patients and the people in their lives. Discrepancies between disease and illness (eg, adjustment to the sick role, treatment-related difficulties, denial of medical illness, and psychiatric comorbidity) are prevalent, as are somatoform disorders and other conditions in which patients are invested in being understood as medically ill. This article reviews suggestions for physicians' responses to these patients and their dilemmas.

• 出版日期2010-11