The treatment of somatization: teaching techniques of reattribution

J Psychosom Res. 1989;33(6):689-95. doi: 10.1016/0022-3999(89)90084-6.


Patients commonly present to general practitioners with somatic symptoms for which no adequate physical cause can be found, which are accompanied by the symptoms of an anxiety state or a depressive illness. These illnesses pose a major public health problem, but little is known about optimal management. A three stage model is proposed to encourage patients to reattribute these symptoms, and relate them to psychosocial problems. These stages are; feeling understood; changing the agenda; and making the link. A videotaped learning package is described suitable for use with vocational trainees in general practice, consisting of demonstrations of component parts of the model followed by micro-teaching, as a preliminary to video-feedback of actual interviews with such patients.

MeSH terms

  • Education, Medical, Continuing
  • Female
  • Humans
  • Interview, Psychological / methods*
  • Male
  • Physicians, Family / education
  • Somatoform Disorders / psychology*
  • Somatoform Disorders / therapy
  • Teaching / methods
  • Videotape Recording