title: Deeper diagnosis. Multiple determinants of an illness experience.
abstract: This paper identifies the multiple determinants of a complex illness experience and describes the difficult process of diagnosis and management. The crucial coordination and integration role of the family physician is explained. The perspectives of the family physician, the consulting psychologist, and the patient are elucidated. Interventions by physicians from various specialties are identified and explored. Psychological determinants, including those rooted in the patient's history, are revealed in parallel with the physiological manifestations.
authors.affiliation: Adjunct Faculty, Department of Psychology, University of Western Ontario, London.
authors.forename: J
authors.initials: J
authors.lastname: Schachter
authors.forename: L
authors.initials: L
authors.lastname: Spano
mesh_terms: D000328:Adult; D000786:Anger; D001294:Attitude to Health; D003937:Diagnosis, Differential; D005260:Female; D006167:Guilt; D006801:Humans; D016584:Panic Disorder / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D010342:Patient Acceptance of Health Care; D010817:Physician-Patient Relations; D010821:Physicians, Family / Q000523:psychology*; D011613:Psychotherapy; D012017:Referral and Consultation