[Family medicine and functional somatic syndromes].
Between psychosomatic medicine and psychiatry, FSS (functional somatic syndromes) patients are often visiting a family doctor. For FSS, the role of family physicians is large, but the family physicians are not required for the role of diagnosis and treatment of FSS. Rather, appropriate referral to a specialist to exclude organic disease is important and a role as the coordinator is large to the patient to refuse a psychiatric consultation. To serve as a role for such coordination, a family physician has to response the patient's emotional side and focus on the construction of the doctor-patient relationship and response. I also think of structuralism medicine approach to describe disease from the meta-level as a new procedure to the patient. This approach consists of 4 components, 'entity', 'phenomenon', 'words', and 'I'. This may be a useful approach to family physicians who coordinate the overall for FSS patients' management.
Nago
Naoki
N
Medical Education Center, Tokyo-kita Social Insurance Hospital, Japan Association for Development of Community Medicine.
D006801:Humans; D010819:Physician's Role; D010817:Physician-Patient Relations; D010821:Physicians, Family; D011602:Psychophysiologic Disorders / Q000523:psychology / Q000628:therapy; D012017:Referral and Consultation; D013001:Somatoform Disorders / Q000523:psychology / Q000628:therapy; D013577:Syndrome