Abstract:
:The pathogenesis of psychosomatic distress is considered. This emphasises interest in aetiology of distress rather than solely of disease. The influence of psychological aspects is as important whether the disease is of known or unknown aetiology, and can be of greater importance in poorer socio-economic circumstances. The doctor's role is to tease out the influence of these many factors. Certainly a holistic approach is necessary to assess and manage appropriately patients with disability. There is an important role for psychiatrists within services for management of such patients. Leadership by all doctors and psychiatrists in particular to apply the holistic approach should be encouraged.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Aitken Cdoi
10.1159/000287824subject
Has Abstractpub_date
1984-01-01 00:00:00pages
52-5issue
1-4eissn
0033-3190issn
1423-0348journal_volume
42pub_type
杂志文章abstract:BACKGROUND:The Illness Attitude Scales (IAS) were developed by Robert Kellner as a clinimetric index for measuring hypochondriacal fears and beliefs (worry about illness, concerns about pain, health habits, hypochondriacal beliefs, thanatophobia, disease phobia, bodily preoccupations, treatment experience and effects o...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000151387
更新日期:2008-01-01 00:00:00
abstract::All patients with physical illness have an underlying fantasy concerning why they became sick. This fantasy can be elicited by the consulting psychiatrist and the treating physician. The meaning of the fantasy is consistent with the psychodynamic theory of human behavior. Also, once the fantasy is understood, it can b...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287738
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Bupropion SR (Zyban) has been shown in randomized controlled trials to be an efficacious pharmacological aid for smoking cessation; however, recent reports have raised serious concerns about the breadth of its applicability without complications or contraindications. METHODS:We examined this issue in a well...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000077744
更新日期:2004-07-01 00:00:00
abstract::In order to compare hypochondriacal phenomena in patients with generalized anxiety disorder (GAD) and panic disorder (PD), and in order to examine the relationship between worries about illness on one hand, and disease fears/phobias and hypochondriacal beliefs on the other, the authors administered the Illness Attitud...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288873
更新日期:1994-01-01 00:00:00
abstract::Psychodynamics can interfere with medical compliance, especially in psychologically vulnerable patients. A case is presented of a cancer patient who developed a powerful transference reaction to her oncologist, jeopardizing her treatment for cancer. Strategies for integrating techniques of insight-oriented psychothera...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288393
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:There is a lack of scientific consensus about cancer comorbidity in people with central nervous system (CNS) disorders. This study assesses the co-occurrence of cancers in patients with CNS disorders, including Alzheimer's disease (AD), amyotrophic lateral sclerosis (ALS), autism spectrum disorders, Down's s...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000356498
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Clinicians and researchers synthesize data from randomized controlled trials (RCTs) of antidepressants to make conclusions about the efficacy of medications for depression. All treatments include nonspecific factors in addition to the specific effects of drugs, and study design may influence patient outcomes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000209348
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:With regard to cluster B personality disorders, most psychotherapeutic treatments focus on borderline personality disorder. Evidence-based treatments for patients with other cluster B personality disorders are not yet available. Psychoanalytic-interactional therapy (PIT) represents a transdiagnostic treatmen...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000441731
更新日期:2016-01-01 00:00:00
abstract::Hypnosis as an intrapsychological and interpersonal experience is used as an integrative and amplifying procedure in relation to biofeedback mechanism and behavior therapy. The hypnotic capacity for linking cognitive to affective reactions within a feedback loop of sensory and motor imagery is presented as a dynamic a...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287343
更新日期:1979-01-01 00:00:00
abstract::The consultation-liaison service at Yale features integrated teams of psychiatrists, social workers, and clinical nurse specialists working together in both consultation and outpatient settings. The model is based on the tenets that (1) comprehensive evaluation of patients is essential for effective treatment; (2) rol...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288036
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to determine whether psychiatric disturbances, particularly somatization, and an increased number of traumatic and critical life events, which have been found in women with idiopathic chronic pelvic pain (ICPP), can also be observed in women with chronic pelvic pain and abdomina...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章
doi:10.1159/000012318
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Concerns about the risk-benefit ratio of treatment with antidepressants in the light of recent evidence pointing to a risk of suicide induction during the course of treatment with antidepressants. These concerns have led to a series of recent studies exploring national rates of suicide and correlating these ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000112884
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:In an exploratory study, we used a novel computerized battery of neuropsychological tests of attention to assess residual cognitive impairment in marijuana users. METHODS:We compared 25 college students who were heavy marijuana smokers (who had smoked a median of 29 days in the last 30 days) with 30 student...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289132
更新日期:1997-01-01 00:00:00
abstract::In this prospective study a psychological test (the "Maastricht Questionnaire') was constructed which measures feelings of vital exhaustion and depression. It is shown that those subjects who have elevated scores on this test have more chance to get a new coronary event within a period of 10 months than those who have...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287458
更新日期:1980-01-01 00:00:00
abstract::The concept of illness behavior was introduced to indicate the ways in which given symptoms may be perceived, evaluated and acted upon at an individual level. Illness behavior may vary greatly according to illness-related, patient-related and doctor-related variables and their complex interactions. In the past decades...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000343508
更新日期:2013-01-01 00:00:00
abstract::This paper points out: (1) The fundamental importance, during the patient's first visit, of a shift of the objective involvement on the therapist's person, when a significant real object fails. (2) An initial interpretation, based on understanding this mechanism, is mutational in that it transfers the mourning for rel...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288131
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Antidepressant use is highly prevalent. Research has mainly focused on efficacy during short periods of use for depression and anxiety. There is a relative paucity of data regarding the frequency of long-term use. METHODS:To determine the prevalence and possible increase of long-term use of antidepressants ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000480456
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Cognitive-behavioural therapy (CBT) is the first-choice treatment in clients with ultra-high risk (UHR) for psychosis. However, CBT is an umbrella term for a plethora of different strategies, and little is known about the association between the intensity and content of CBT and the severity of symptomatic ou...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000477551
更新日期:2017-01-01 00:00:00
abstract::Psychopathology and verbal expression were investigated in 20 psychoneurotic patients and 20 psychosomatic patients (10 patients with ulcerative colitis and 10 patients with Crohn's disease). The Crohn's disease patients showed as much psychopathology as the psychoneurotic patients, but the ulcerative colitis patients...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287620
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:There is growing evidence that cardiovascular diseases are relatively more prevalent in subjects who feel anxious. An increased clotting diathesis might subject anxious individuals to an elevated arterial thrombotic risk. We investigated whether panic-like anxiety would relate to a hypercoagulable state. ME...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000080388
更新日期:2004-11-01 00:00:00
abstract:BACKGROUND:Except for 3 case reports of Conn's syndrome presenting as depression, psychosocial factors have not been explored in primary aldosteronism. We investigated psychological correlates in primary aldosteronism using methods that were found to be sensitive and reliable in psychosomatic research. METHOD:Ten cons...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000093956
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Stress has been associated with the course of Tourette's syndrome (TS). METHODS:The case report presented aims to emphasize the effect a severe traumatic experience has on the expression of TS. RESULTS:Following an intense traumatic experience, combat-related, a relatively mild case of TS became intractabl...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289057
更新日期:1996-03-01 00:00:00
abstract::Recognition of the body-mind dilemma goes back to antiquity. Growth in medical knowledge has produced an ever increasing emphasis on physiological deviations and somatic pathology--which too often is not accompanied by sufficient attention to the total patients. Psychosomatics is now the term often used by those who b...
journal_title:Psychotherapy and psychosomatics
pub_type: 历史文章,杂志文章
doi:10.1159/000287311
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:Guided Internet-based cognitive behavior therapy (ICBT) has been tested in many trials and found to be effective in the treatment of anxiety and mood disorders. Generalized anxiety disorder (GAD) has also been treated with ICBT, but there are no controlled trials on guided Internet-based psychodynamic treatm...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000339371
更新日期:2012-01-01 00:00:00
abstract::The author describes the development of the research activity at a psychiatric clinic near Oslo, Modum Bads Nervesanatorium, a psychotherpeutic-oriented institution treating patients with neuroses, substance abuse and character disorders. In 1985 an institute for clinical research was built as an independent unit with...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288367
更新日期:1990-01-01 00:00:00
abstract::Preliminary results are reported on the efficacy of a behaviorally oriented group therapy (n = 17) intended to improve coping with fear of long-term complications in patients with diabetes mellitus. Treatment consisted of exposure in imagination, relaxation training and analysis of dysfunctional health beliefs. Pre-, ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289009
更新日期:1995-01-01 00:00:00
abstract::The borderline has deficiencies in the capacity to maintain stable self and object representations and in establishing 'emotional separateness' from others. In order to create and maintain a 'propitious treatment situation' and a 'therapeutic alliance' the therapist must work with unusual sensitivity and repetitivenes...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287017
更新日期:1976-01-01 00:00:00
abstract::The purpose of this paper is to reflect on and to compare various psychoanalytic models which are used in the conceptualisation of the processes occurring in small psychotherapeutic groups. Three tendencies are roughly differentiated: (1) the tendency to analyse the individual patient in the group (Slavson, Wolfson an...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287440
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:A specific psychotherapy for chronic depression, the Cognitive Behavioral Analysis System of Psychotherapy (CBASP), was compared to escitalopram (ESC). METHODS:Sixty patients with chronic major depression were randomized to 'CBASP' (22 sessions) or 'ESC plus clinical management' (ESC/CM) at two treatment si...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000381957
更新日期:2015-01-01 00:00:00
abstract::The therapist in biofeedback training plays the role of a teacher or coach. This role, derived from learning theory and practiced in the classroom and playing field, imposes special constraints upon the psychotherapeutic situation. The therapist must be capable of physiological manipulation in self before attempting t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287297
更新日期:1978-01-01 00:00:00