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[Functional physical complaints. Guideline for diagnosis and treatment of somatoform disorders].
MMW Fortschr Med. 1999 Oct 14; 141(41):32-5.MF

Abstract

Although physical symptoms are the main reason why people go to the doctor, in many cases no unequivocal underlying organic disturbances are to be found, not even during subsequent visits to the doctor (Kroenke & Mangelsdorff, 1989). Frequently, the patient's previous history contains pointers for other physical complaints that also had no unequivocal organic etiology. This group of patients, who often present their problem in a very complaining fashion, are considered by many physicians to be difficult, bothersome, and ungrateful. Until quite recently it was assumed that the chances of successful treatment in these patients were poor. Accordingly, an American standard textbook of psychiatry recommends, as the main aim of the treatment, avoiding iatrogenic harm (Barsky, 1988). The present article wishes to make it clear that such a pessimistic assessment of the therapeutic outcome is no longer warranted. A positive effect can now be achieved with ambulatory psychotherapeutic measures both in the offices of general practitioners or internists, and in hospitals offering integrative-psychosomatic treatment on an inpatient basis.

Authors+Show Affiliations

Medizinisch-Psychosomatischen Klinik Roseneck.

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

10904634

Citation

Rief, W. "[Functional Physical Complaints. Guideline for Diagnosis and Treatment of Somatoform Disorders]." MMW Fortschritte Der Medizin, vol. 141, no. 41, 1999, pp. 32-5.
Rief W. [Functional physical complaints. Guideline for diagnosis and treatment of somatoform disorders]. MMW Fortschr Med. 1999;141(41):32-5.
Rief, W. (1999). [Functional physical complaints. Guideline for diagnosis and treatment of somatoform disorders]. MMW Fortschritte Der Medizin, 141(41), 32-5.
Rief W. [Functional Physical Complaints. Guideline for Diagnosis and Treatment of Somatoform Disorders]. MMW Fortschr Med. 1999 Oct 14;141(41):32-5. PubMed PMID: 10904634.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Functional physical complaints. Guideline for diagnosis and treatment of somatoform disorders]. A1 - Rief,W, PY - 2000/7/25/pubmed PY - 2000/8/29/medline PY - 2000/7/25/entrez SP - 32 EP - 5 JF - MMW Fortschritte der Medizin JO - MMW Fortschr Med VL - 141 IS - 41 N2 - Although physical symptoms are the main reason why people go to the doctor, in many cases no unequivocal underlying organic disturbances are to be found, not even during subsequent visits to the doctor (Kroenke & Mangelsdorff, 1989). Frequently, the patient's previous history contains pointers for other physical complaints that also had no unequivocal organic etiology. This group of patients, who often present their problem in a very complaining fashion, are considered by many physicians to be difficult, bothersome, and ungrateful. Until quite recently it was assumed that the chances of successful treatment in these patients were poor. Accordingly, an American standard textbook of psychiatry recommends, as the main aim of the treatment, avoiding iatrogenic harm (Barsky, 1988). The present article wishes to make it clear that such a pessimistic assessment of the therapeutic outcome is no longer warranted. A positive effect can now be achieved with ambulatory psychotherapeutic measures both in the offices of general practitioners or internists, and in hospitals offering integrative-psychosomatic treatment on an inpatient basis. SN - 1438-3276 UR - https://www.unboundmedicine.com/medline/citation/10904634/[Functional_physical_complaints__Guideline_for_diagnosis_and_treatment_of_somatoform_disorders]_ DB - PRIME DP - Unbound Medicine ER -
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