Psychosomatic Inter-Relationships in the Management of Childhood Asthma

Pinkerton, Philip

doi:10.1159/000286324

Cited by 1 publication

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References 2 publications

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“…Many factors contribute to its chronicity: the patient’s personality, the reaction of family members and physicians, situational stress, definition of the event, available resources, and so on (5). All these components are so interrelated with one another and with the disease process that “to contrast ‘organic’ with ‘psychogenic’ in etiological importance is both outmoded and a dangerous over-simplification” (16). Among the factors that contribute to chronicity, the one we will focus on is the physician.…”

Section: A Systems View Of Chronicitymentioning

confidence: 99%

Chronicity and the physician.

Grose¹,

Goodrich²

1985

Family Systems Medicine

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This paper addresses from a systems viewpoint three aspects of the physician's role in chronic illness. First, the physician is part of a social and medical context of belief and behavior that helps establish and maintain the notion that a given condition is chronic. Second, the physician's actions as a therapeutic agent take place within a relationship with patient and family that extends or limits the effectiveness of all parties in managing the chronic illness. Third, the physician is reciprocally affected by involvement with chronic illness and must relate to other systems (e.g., colleagues, advisors, researchers) to sustain the resources necessary to meet the challenge of chronic illness.Physicians bear special strains when treating patients with chronic illness. The customary expectation of working toward cure, which could otherwise undergird the enormous expenditure of effort, is absent in such cases. Moreover, the physician's long and close relationship with the patient and family, which is so necessary for accomplishing all that can be done, makes the physician vulnerable to an unusual amount of suffering in response to the trials brought on by chronic illness.This paper addresses from a systems viewpoint three aspects of the physician's role in chronic illness. First, the physician is part of a social and medical context of belief and behavior that helps establish and maintain the notion that a given condition is chronic. Second, the physician's actions as a therapeutic agent take place within a relationship with patient and family that can either extend or limit the effectiveness of all parties in managing the chronic illness. Third, the physician is reciprocally affected by involvement with chronic illness and must relate to other systems (e.g., colleagues, advisors, researchers) to sustain the personal and professional resources needed to meet the often enervating challenge of chronic illness. A SYSTEMS VIEW OF CHRONICITYIt is difficult to arrive at a useful definition of chronic illness because the disease alone does not determine classification. Rather, the patient and physician, acting

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Section: A Systems View Of Chronicitymentioning

confidence: 99%