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Clinical and empirical evidence suggest a significant relationship between marital/family interactions and the development of anxiety disorders, but most investigations have relied on biological or individual psychological models as a conceptual basis for understanding and treating anxiety. This...
Hyperemesis gravidarum is a potentially dangerous psychosomatic disorder of pregnancy that is often difficult and frustrating to treat. Systems issues, an important aspect of the disorder, have not been previously described. Predominant systems dynamics are described and an illustrative case is...
Attempts to understand the processes by which stress affects health have narrowed to studies of ( ) the stress-mediating dispositions, beliefs, and styles of persons and ( ) the availability and use of resources from family and other social environments. We argue that this segmentation of...
Fifteen autistic children under age 4½ who showed no abnormalities in their neurological examinations and the usual laboratory tests were treated with an ethologically oriented family therapy. In this form of therapy close relationships are fostered between the children and their parents, who...
An innovative collaboration between psychiatric clinical nurse specialists and a physician in a medical indigent clinic is described. The problems and issues in nurse-physician collaboration with this population and the training possibilities of this setting and way of working are outlined.
This study confirms the heterogeneity of pseudoseizure patients as having multiple types and coexistent mechanisms of symptom generation. It argues that the complexity of pseudoseizure symptoms is best described by a diagnostic system that can integrate physiological variables with variables...
In the course of a study of the problems and the possibilities of introducing a psychosocial provider into a primary-care outpatient setting, I kept a journal. It was the working assumption of our group that adding a systemic viewpoint could help physicians be more effective in their work, help...
The explanatory model (EM) interview is designed to elicit a patient’s personal, family, social, and cultural beliefs about health, etiology of the illness, onset of symptoms, pathophysiology, course of the illness, and treatment. Although the originators acknowledged an appreciation of the...
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