کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3238275 1205712 2008 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Doctors' attachment style and their inclination to propose somatic interventions for medically unexplained symptoms
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Doctors' attachment style and their inclination to propose somatic interventions for medically unexplained symptoms
چکیده انگلیسی

ObjectiveWe tested the theory that general practitioners (GPs) offer somatic intervention to patients with medically unexplained symptoms (MUS) as a defensive response to patients' dependence. We predicted that GPs most likely to respond somatically after patients indicated symptomatic or psychosocial needs had attachment style characterised by negative models of self and others.MethodTwenty-five GPs identified 308 patients presenting MUS and indicated their own models of self and others. Consultations were audio recorded and coded speech-turn-by-speech-turn. We modeled the probability of GPs proposing somatic intervention on any turn as a function of their models of self and other and the number of prior turns containing symptomatic or psychosocial presentations.ResultsPrior psychosocial presentations decreased the likelihood of GPs offering somatic intervention. The decrease was greatest in GPs with most positive models of self and, contrary to prediction, least positive models of others. The positive relationship between prior somatic presentations and the likelihood that GPs offered somatic intervention was unrelated to either model.ConclusionFindings are incompatible with our theory that GPs propose somatic interventions defensively. Instead, GPs may provide somatic intervention because they value patients (positive model of others) but devalue their own psychological skills (negative model of self).

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: General Hospital Psychiatry - Volume 30, Issue 2, March–April 2008, Pages 104–111
نویسندگان
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