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Physical Illness in Psychiatric Out-Patients

Published online by Cambridge University Press:  29 January 2018

D. Wynne Davies
D. Wynne Davies*
Affiliation:
Hollymoor Hospital, Northfield, Birmingham, 31
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Extract

Patients with somatic symptoms who fear serious organic disease are frequently encountered in medical practice. Chest pain and palpitation for example may give rise to concern about heart disease, and abdominal pain to fear of cancer. Every case warrants careful consideration, including examination and investigation where necessary. As a result, some will be relieved both of anxiety and symptoms by simple explanation and reassurance, if their fears were ill-founded or misplaced. The outcome may not be so favourable in others, also free of physical disease, who may need expert psychiatric help. Davies, B. (1964), reviewing the literature, reported a mean incidence of 27.3 per cent. of medical out-patients with purely psychiatric illness, and a further 10–40 per cent. with mixed organic and psychiatric conditions in those attending general hospital clinics.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 111 , Issue 470 , January 1965 , pp. 27 - 33
Copyright
Copyright © Royal College of Psychiatrists, 1965 

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References

Brit. med. J. (1962). Leader, ii, 904–905.Google Scholar
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Kenyon, F. E., and Rutter, M. L. (1963). “The psychiatrist and the general hospital.” Compr. Psychiat., 4, 80.Google Scholar
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Little, J. C. (1963). “Development of a psychiatric unit in a large general hospital.” Ibid., i, 376–377.Google Scholar
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