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- W1972376810 abstract "I f I find it difficult to disagree with much in Sullivan and Katon's article, it is because I approach the subject from exactly the same standpoint as the authorsthat of research in primary care. Viewed from this standpoint, it seems obvious that somatization disorder (F45.0 in ICD-IO) is a rare, extreme case of the more common phenomenon of somatization. One of our problems is to explain the common phenomenon, rather than concentrate all of our energies on the highly atypical individuals whose doctor-shopping finally rewards them with one of our more dismissive categorical labels. Sullivan and Katon are correct to argue that a preoccupation with somatization disorder, as our model for the general phenomenon, distracts attention from processes involved in the initiation of pain. This is at the expense of mechanisms concerned with maintenance of pain and other long-standing personality traits that are as much concerned with the patient's abnormal illness behavior as they are with the patient's experience of multiple pain. I will argue that even with a primary care perspective, there are still gaps in our knowledge of the processes of initiation. Sullivan and Katon are to be applauded for pointing out that somatization occurs in the presence of physical disease, since it is common that patients with real physical diseases seek care for symptoms that are not remotely caused by a particular physical disease process, but are similar in all respects to other somatizing patients. The presence of the physical disease serves to distract the physician, and the affective illnesses accompanying such symptoms are particularly unlikely to be detected by the physician. 3 The authors are also correct to argue that an attempt" @default.
- W1972376810 created "2016-06-24" @default.
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- W1972376810 date "1993-09-01" @default.
- W1972376810 modified "2023-09-25" @default.
- W1972376810 title "Somatization from the primary care perspective" @default.
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- W1972376810 doi "https://doi.org/10.1016/s1058-9139(05)80080-4" @default.
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