Problem-Oriented Approach to Diagnosis and Treatment in Liaison Psychiatry
The problem-oriented approach to diagnosis and treatment of biopsychosocial disturbances is an extension of the experience with problem-oriented records. These were originally introduced for the sake of record-keeping among medical patients in general hospitals and then adapted for use in psychiatry. They can also be very useful in liaison work.
Improved record-keeping does not in itself guarantee improved treatment, yet records are a basis of communication for physicians about the patient and as such are likely to draw their attention to psychosocial problems co-existing with the biological symptoms and findings even when the patient himself is not aware of such problems. They are also a permanent source of information if/when the patient is readmitted. From a properly prepared record a physician may become aware of: 1. psychosocial problems in patients who show no mental illness but are exposed to stresses of acute or chronic illness during hospitalization, 2. the effects of such stresses on patients with a history of mental illness or those who have developed mental illness while hospitalized for medical-surgical treatment and, 3. conditions which may appear to be due to primary psychiatric illness, but are of non-psychiatric causation. The presentation offers particulars of problem-oriented liaison management.
KeywordsPsychosocial Problem Psychosomatic Medicine Subjective Complaint Nervous System Disorder Biological Illness
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