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[Family medicine and functional somatic syndromes].
Nihon Rinsho. 2009 Sep; 67(9):1709-14.NR

Abstract

Between psychosomatic medicine and psychiatry, FSS (functional somatic syndromes) patients are often visiting a family doctor. For FSS, the role of family physicians is large, but the family physicians are not required for the role of diagnosis and treatment of FSS. Rather, appropriate referral to a specialist to exclude organic disease is important and a role as the coordinator is large to the patient to refuse a psychiatric consultation. To serve as a role for such coordination, a family physician has to response the patient's emotional side and focus on the construction of the doctor-patient relationship and response. I also think of structuralism medicine approach to describe disease from the meta-level as a new procedure to the patient. This approach consists of 4 components, 'entity', 'phenomenon', 'words', and 'I'. This may be a useful approach to family physicians who coordinate the overall for FSS patients' management.

Authors+Show Affiliations

Nago N
Medical Education Center, Tokyo-kita Social Insurance Hospital, Japan Association for Development of Community Medicine.

MeSH

HumansPhysician's RolePhysician-Patient RelationsPhysicians, FamilyPsychophysiologic DisordersReferral and ConsultationSomatoform DisordersSyndrome

Pub Type(s)

English Abstract
Journal Article
Review

Language

jpn

PubMed ID

19768905

Citation

Nago, Naoki. "[Family Medicine and Functional Somatic Syndromes]." Nihon Rinsho. Japanese Journal of Clinical Medicine, vol. 67, no. 9, 2009, pp. 1709-14.
Nago N. [Family medicine and functional somatic syndromes]. Nihon Rinsho. 2009;67(9):1709-14.
Nago, N. (2009). [Family medicine and functional somatic syndromes]. Nihon Rinsho. Japanese Journal of Clinical Medicine, 67(9), 1709-14.
Nago N. [Family Medicine and Functional Somatic Syndromes]. Nihon Rinsho. 2009;67(9):1709-14. PubMed PMID: 19768905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Family medicine and functional somatic syndromes]. A1 - Nago,Naoki, PY - 2009/9/23/entrez PY - 2009/9/23/pubmed PY - 2009/12/16/medline SP - 1709 EP - 14 JF - Nihon rinsho. Japanese journal of clinical medicine JO - Nihon Rinsho VL - 67 IS - 9 N2 - Between psychosomatic medicine and psychiatry, FSS (functional somatic syndromes) patients are often visiting a family doctor. For FSS, the role of family physicians is large, but the family physicians are not required for the role of diagnosis and treatment of FSS. Rather, appropriate referral to a specialist to exclude organic disease is important and a role as the coordinator is large to the patient to refuse a psychiatric consultation. To serve as a role for such coordination, a family physician has to response the patient's emotional side and focus on the construction of the doctor-patient relationship and response. I also think of structuralism medicine approach to describe disease from the meta-level as a new procedure to the patient. This approach consists of 4 components, 'entity', 'phenomenon', 'words', and 'I'. This may be a useful approach to family physicians who coordinate the overall for FSS patients' management. SN - 0047-1852 UR - https://www.unboundmedicine.com/medline/citation/19768905/[Family_medicine_and_functional_somatic_syndromes]_ DB - PRIME DP - Unbound Medicine ER -