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KMID : 0378019830260070054
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New Medical Journal
1983 Volume.26 No. 7 p.54 ~ p.62
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Somatoform Disorder in Nonpsychiatric Practice-it´s Clinical Features and Therapeutic Approach
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Abstract
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Somatoform disorder is one of the most frequently confronting but easily mistreating ailment in the everyday practice of nonpsychiatric clinician, and naturally the problem how somatoform disorder should be grasped and treated is the very important factor for the successful clinical practice as well as for the establishment of the health care delivery system in Korea. Although somatoform disorder provides a new horizon to the field of psychosomatic medicine, there is still much confusion in the concept as a disease entity and much inadequacy in it´s therapeutic approaches.
For satisfying the need of systematized understanding somatoform disorder, the author tried to provide comprehensive features in terms of epidemiology, the conceptual definition of somatoform disorder, it´s clinical pictures, and psychodynamic understanding in the sociocultural context, on the basis of author´s own clinical observation and literature review. The author also discussed on the several aspects of therapeutic approaches to the somatoform disorder in the non-psychiatric clinic-the actual present scene of therapeutic effort (mostly negative); and several principles of the initial approaches, supportive psychotherapy, pharmacological treatment, decision-making for refer to psychiatry, and some introductory features of insight-gaining psychotherapy.
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KEYWORD
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