TY - JOUR
T1 - Therapeutic models for somatoform disorders in liaison psychiatry
AU - Hosaka, Takashi
AU - Sato, Takeshi
AU - Yamamoto, Kenji
PY - 1998/1/1
Y1 - 1998/1/1
N2 - Somatoform disorders are usually supposed to be seen in the clinical field of consultation-liaison (C-L) psychiatry. This study reviewed medical records of physically ill inpatients who were also treated by psychiatrists for concurrent psychiatric illnesses during a 5-year period. The prevalence of somatoform disorders was 40 out of 1581 cases (2.5%), which was unexpectedly low. From the perspective of C-L psychiatry, the authors propose three therapeutic models for somatoform disorders: 1. physician-oriented with psychiatric advice; 2. psychiatrist-oriented; and 3. cooperative physician/psychiatrist-oriented. The third model is particularly recommended because the patient can undergo physical examinations until the relationship between somatic complaints and psychosocial factors is recognized. Moreover, the psychiatrist can build an alliance with a patient, while the patient completes a 'testing phase' to determine whether the psychiatrist can be relied on or not. The third model is useful as such and can be used at least in the initial phase.
AB - Somatoform disorders are usually supposed to be seen in the clinical field of consultation-liaison (C-L) psychiatry. This study reviewed medical records of physically ill inpatients who were also treated by psychiatrists for concurrent psychiatric illnesses during a 5-year period. The prevalence of somatoform disorders was 40 out of 1581 cases (2.5%), which was unexpectedly low. From the perspective of C-L psychiatry, the authors propose three therapeutic models for somatoform disorders: 1. physician-oriented with psychiatric advice; 2. psychiatrist-oriented; and 3. cooperative physician/psychiatrist-oriented. The third model is particularly recommended because the patient can undergo physical examinations until the relationship between somatic complaints and psychosocial factors is recognized. Moreover, the psychiatrist can build an alliance with a patient, while the patient completes a 'testing phase' to determine whether the psychiatrist can be relied on or not. The third model is useful as such and can be used at least in the initial phase.
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U2 - 10.3109/13651509809115355
DO - 10.3109/13651509809115355
M3 - Review article
AN - SCOPUS:0031679865
VL - 2
SP - 189
EP - 193
JO - International Journal of Psychiatry in Clinical Practice
JF - International Journal of Psychiatry in Clinical Practice
SN - 1365-1501
IS - 3
ER -