Recognizing the Signs of Strain

Counseling Couples in Primary Care
  • Susan H. McDaniel
  • Thomas L. Campbell
  • David B. Seaburn


The problems that couples face in an intimate relationship, especially marriage, are often the underlying reasons for patient visits in a primary care setting. It has been estimated, for example, that over one in ten visits involves a sexual problem (1). The primary care physician is in an excellent position to address a variety of marital difficulties by virtue of his or her relationship with a family over time. From premarital exams, to well-child visits, to acute illnesses, to the experience of loss, the physician has access to a couple throughout the life cycle and can be the one to whom a couple turns when facing problems in their relationship.


Sexual Relationship Sexual Problem Somatic Complaint Marital Problem Sexual Intimacy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • Susan H. McDaniel
    • 1
  • Thomas L. Campbell
    • 1
  • David B. Seaburn
    • 1
  1. 1.School of Medicine and Highland Hospital, Jacob B. Holler Family Medicine CenterUniversity of RochesterRochesterUSA

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