摘要:

The contribution of psychiatry to the evaluation and treatment of chronic pain is described. Psychological profiles may predict the outcome of surgery, while the psychiatric interview enhances understanding and may disclose formal psychiatric disorder. The measurement of pain is dependent on factors affecting pain complaint, and the psychiatrist can only accept the patient's experience. The reaction inhibition test and Chapman's Somatic, Anxiety, Depression (SAD) index provide ways of elucidating the functional versus organic dilemma. This is further understood by attention to the concepts of operant pain, the sick role, and illness behaviour. Psychotropic medications, psychotherapy, behaviour therapy, biofeedback, and distractional methods are the tools available to the psychiatrist. The patient's attitude and a combined physical and psychiatric approach are important for successful therapy.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb05821.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Chronic low back pain is a common complaint afflicting a large percentage of the population. More interest is required in solving this problem, which is of large economic proportions. This paper reports some procedures by which this may be achieved.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb05822.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb05823.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY

摘要:

Book reviewed in this article:CLINICAL ORTHOPAEDIC EXAMINATIONBy RONALD McRAE.AIDS TO POSTGRADUATE SURGERYBy MEIRION THOMAS.OSTEOARTHRITIS OF THE HIP: PATHOGENESIS AND CONSEQUENT THERAPYBy RENATO BOMBELLI.ESOPHAGEAL HIATUS HERNIA. RATIONALE AND RESULTS OF ANATOMIC REPAIRBy THOMAS GAHAGAN.

ISSN:0004-8682    

DOI:10.1111/j.1445-2197.1978.tb05824.x

出版商:Blackwell Publishing Ltd    

年代:1978

数据来源: WILEY