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What Kinds of People are at High Risk to Develop Chronic Stress-Related Symptoms?

  • Chapter
Clinical Behavioral Medicine

Abstract

Sir William Osier had to rely on intuition to identify subject features that could potentiate or attenuate either the symptoms or the etiology, or both, of a disease. The first goal of the present chapter is to specify a promising set of empirically identifiable individual differences and also a set of situational events that increase the risk of developing stress-related physical symptoms. The second goal is to present evidence from my clinical practice and the research literature to support this model of the patient at high risk to develop chronic stress-related illness. The third goal of this chapter is tentatively to suggest some procedures to quantify these subject dimensions and these situational conditions. The present model (Wickramasekera, 1979, 1980b,d, 1983) is based on clinical observations in an increasingly specialized clinical practice, theoretical speculations, and empirical data from several disparate lines of controlled research.

Sometimes it is more important to know what kind of patient has a disease than what kind of disease the patient has.

—Sir William Osler

Every affection of the mind that is attended with either pain or pleasure, hope, fear is the cause of an agitation whose influence extends to the heart

—Sir William Harvey

Exercitatio Anatomica de Motu Cordis et Sanguinis in Animalihus, 1628

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Authors and Affiliations

  1. Behavioral Medicine Clinic and Stress Disorders Research Laboratory, Eastern Virginia Medical School, Norfolk, Virginia, USA

    Ian E. Wickramasekera Ph.D. (Professor of Psychiatry and Behavioral Sciences, Director)

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  1. Ian E. Wickramasekera Ph.D.
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© 1988 Springer Science+Business Media New York

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Wickramasekera, I.E. (1988). What Kinds of People are at High Risk to Develop Chronic Stress-Related Symptoms?. In: Clinical Behavioral Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9706-0_1

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  • DOI: https://doi.org/10.1007/978-1-4757-9706-0_1

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