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Letters
March 4, 1998

Clinical Crossroads: The Rehabilitative Model for Somatization Disorder

Author Affiliations
 

Margaret A.WinkerMD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Senior EditorIndividualAuthor

JAMA. 1998;279(9):656. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-9-jbk0304

To the Editor.—Dr Barsky's discussion on somatization disorder1 raises several important points, and the format permits insight into the dynamics of the patient-physician relationship. The importance of this bond has been seen as the essence of the management of this syndrome for centuries. Socrates stated, "The great error of our day in the treatment of patients is that men try to be physicians to health and temperament separately."2 In 1983, Monson and Smith3 corroborated the points raised: development of a long-term empathic relationship, validation of distress, listening and careful examination, the importance of appropriate regular follow-up, and perhaps most important, avoidance of diagnostic or therapeutic enthusiasm capable of inflicting harm.

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