The Patient as a Communicator

  • Marc Kusinitz


American medicine appears to some critics of the profession to have become largely “somatic.” “Words have been left behind in the rush to master chemistry. Emotions have been minimized in the reductionist effort to understand cells and genes,” according to one observer. (1) Yet the components of any patient’s condition include multiple biopsychosocial parameters, any or all of which may have an impact on how the patient copes with disease and responds to treatment. Indeed, as Day and Lolas have pointed out, “[F]undamental medicine has always been biopsychosocial.” (2) .


Sore Throat Health Care Team Vaginal Discharge American Medicine Prefer Provider Organization 
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  1. 1.
    Benjamin, W.W., 1984, Healing by the fundamentals, N. Engl. J. Med. 311: 595597.Google Scholar
  2. 2.
    Day, S.B., and Lolas, F., 1980, Preface, in: Biopsychosocial Health ( S.B. Day, ed.), The International Foundation for Biosocial Development and Human Health, New York.Google Scholar
  3. 3.
    Mechanic, D., 1985, Public perceptions of medicine, N. Engl. J. Med. 312: 18 1183.Google Scholar
  4. 4.
    Forester, B., Kornfeld, D.S., and Fleiss, J.L., 1985, Psychotherapy during radiotherapy: Effects on emotional and physical distress, Am. J. Psychiatry 142: 22–27.Google Scholar
  5. 5.
    Personal communication with patient H.C. at New York University Medical Center.Google Scholar
  6. 6.
    Personal communication with patient J.V. at New York University Medical Center.Google Scholar
  7. 7.
    Personal communication with patient T.S. at New York University Medical Center.Google Scholar

Copyright information

© Springer Science+Business Media New York 1986

Authors and Affiliations

  • Marc Kusinitz
    • 1
  1. 1.New Medical SciencePortsmouthUSA

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