Stress, Distress, and Illness
Explores the integration of people's emotional state with the physical effects of sickness. Written by a medical practitioner with 30 years experience in clinical medicine, it is full of case histories which support the claim that medical science cannot provide all the answers to health problems.
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1 The challenge
The clinical relationship
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abdominal pain achieved aggression anger anxiety appendicectomy aspects assessment associated attitudes awareness basic become behaviour bereavement biological bowel child childhood chronic circumstances clinical components conflict cope defence dependent depression depressive illness diarrhoea discussion disease distress reaction effects emotional difficulties emotional reaction emphasised encopresis example expression fear feelings function further G.L Engel grief guilt human hypochondriasis illness important increasing individual individual's influence insomnia interpretation interview involved irritable irritable bowel syndrome loss marriage mental mood mother myocardial infarction obsessional occur onset parents patient pattern person physical complaint physical symptoms physiological practitioner present primary gain problems professional Psychiatry psychophysiological disorders psychosocial Psychosom psychosomatic psychosomatic illness psychotherapy recognised recurrent reflect relationship response result role self-esteem sense sensitive sexual social somatic somatic disorder somatisation stress syndrome tend tendency tension tension headache therapeutic therapist therapy ulcer ulcerative colitis underlying understanding usually wellbeing