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  • 标题:The somatically preoccupied patient in primary care: use of attachment theory to strengthen physician-patient relationships
  • 本地全文:下载
  • 作者:Robert C Miller
  • 期刊名称:Osteopathic Medicine and Primary Care
  • 印刷版ISSN:1750-4732
  • 电子版ISSN:1750-4732
  • 出版年度:2008
  • 卷号:2
  • 期号:1
  • 页码:6
  • DOI:10.1186/1750-4732-2-6
  • 语种:English
  • 出版社:BioMed Central
  • 摘要:Individuals with somatic preoccupation constitute a substantial number of primary care patients. Somatically preoccupied patients are challenging to primary care physicians for several reasons including patient complaints consuming a great deal of physician time, expense to diagnose and treat and strain on the physician-patient relationship. This paper examines and discusses how disruptions in early attachment relationships such as often occurs when a female is a victim of child sexual abuse may result in somatic preoccupation in adulthood. Attachment theory provides a useful framework for primary care physicians to conceptualize somatic preoccupation. Utilization and containment techniques grounded in an understanding of attachment dynamics aid the physician in developing a sound physician-patient relationship. Successfully engaging the patient in treatment prevents misunderstandings that frequently derail medical care for somatically preoccupied patients.
  • 关键词:Personality Disorder ; Child Sexual Abuse ; Somatic Symptom ; Attachment Theory ; Borderline Personality Disorder
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