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Diagnosis and Treatment |

The Problem Patient: Evaluation and Care of Medical Patients with Psychosocial Disturbances

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▸Requests for reprints should be addressed to Douglas A. Drossman, M.D.; Digestive Diseases and Nutrition, Department of Medicine, Room 324, Clinical Sciences Building, 229H, University of North Carolina; Chapel Hill, NC 27514.

Chapel Hill, North Carolina

© 1978 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1978;88(3):366-372. doi:10.7326/0003-4819-88-3-366
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The physician often finds that certain patients are poorly responsive to usual methods of therapy, especially those with somatic symptoms in whom psychosocial factors are a major, if not the sole, determinant of the illness. To care for such patients one must understand their illness as the product of mutually interacting biologic, psychologic, and sociologic determinants. Guidelines for evaluation and treatment using this more comprehensive approach are presented.





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