title: The treatment of somatization: teaching techniques of reattribution.
abstract: Patients commonly present to general practitioners with somatic symptoms for which no adequate physical cause can be found, which are accompanied by the symptoms of an anxiety state or a depressive illness. These illnesses pose a major public health problem, but little is known about optimal management. A three stage model is proposed to encourage patients to reattribute these symptoms, and relate them to psychosocial problems. These stages are; feeling understood; changing the agenda; and making the link. A videotaped learning package is described suitable for use with vocational trainees in general practice, consisting of demonstrations of component parts of the model followed by micro-teaching, as a preliminary to video-feedback of actual interviews with such patients.
authors.affiliation: Department of Psychiatry, University of Manchester, Withington Hospital, U.K.
authors.forename: D
authors.initials: D
authors.lastname: Goldberg
authors.forename: L
authors.initials: L
authors.lastname: Gask
authors.forename: T
authors.initials: T
authors.lastname: O'Dowd
mesh_terms: D004502:Education, Medical, Continuing; D005260:Female; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D008297:Male; D010821:Physicians, Family / Q000193:education; D013001:Somatoform Disorders / Q000523:psychology* / Q000628:therapy; D013663:Teaching / Q000379:methods; D014743:Videotape Recording