476 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS
- Clients with somatization disorder actually
experience symptoms and the associated
discomfort and pain. The nurse should never
try to confront the client about the origin of
these symptoms until the client has learned
other coping strategies. - Somatoform disorders are chronic or recur-
rent, so progress toward treatment outcomes
can be slow and difficult. - Nurses caring for clients with somatoform
disorders must show patience and under-
standing toward them as they struggle
through years of recurrent somatic com-
plaints and attempts to learn new emotion-
and problem-focused coping strategies.
For further learning, visit http://connection.lww.com.
REFERENCES
American Psychiatric Association. (2000). DSM-IV-TR:
Diagnostic and statistical manual of mental disorders-
text revision(4th ed.). Washington, DC: Author.
Goodwin, D. W., & Guze, S. B. (1989). Psychiatric diagno-
sis(4th ed.). New York: Oxford University Press.
Guggenheim, F. G. (2000). In B. J. Sadock & V. A. Sadock
(Eds.), Comprehensive textbook of psychiatry,Vol. 1.
(7th ed., pp. 1504–1532). Philadelphia: Lippincott
Williams & Wilkins.
Hardy, R. E., Warmbrodt, L., & Chrisman, S. K. (2001).
Recognizing hypochondriasis in primary care. The
Nurse Practitioner, 26(6), 26–41.
Margo, K. L., & Margo, G. M. (2000). Early diagnosis and
empathy in managing somatization. American Family
Physician, 61(5), 1272–1281.
Mezzich, J. E., Lin, K., & Hughes, C. C. (2000). Acute and
transient psychotic disorders and culture-bound
syndromes. In B. J. Sadock & V. A. Sadock (Eds.),
Comprehensive textbook of psychiatry,Vol. 1 (7th ed.,
pp. 1264–1276). Philadelphia: Lippincott Williams &
Wilkins.
Micale, M. S. (2000). The decline of hysteria. Harvard
Mental Health Letter, 17(1), 4–6.
Schultz, J. M. & Videbeck, S. L. (2002). Lippincott’s
Manual of Psychiatric Nursing Care Plans (6th ed.).
Philadelphia: Lippincott Williams & Wilkins.
Serven-Schreiber, D., Kolb, N. R., & Tabas, G. (2000).
Somatizing patients: Part I. Practical diagnosis.
American Family Physician, 61(4), 1073–1078.
Serven-Schreiber, D., Kolb, N. R., & Tabas, G. (2000).
Somatizing patients: Part II. Practical management.
American Family Physician, 61(5), 1423–1428.
Turner, J., & Reid, S. (2002). Munchausen’s syndrome.
Lancet, 359(9303), 346–349.
Wilson, R. G. (2001). Fabricated or induced illness in chil-
dren. British Medical Journal, 323(7308), 296–297.
ADDITIONAL READINGS
Campo, J. V., & Negrini, B. J. (2001). Innovative treat-
ment approach combats conversion disorder. Brown
University Child & Adolescent Behavior Letter,
17 (9), 1–3.
Clarke, D. M., & Smith, G. C. (2000). Somatisation: What
is it? Australian Family Physician, 29(2), 109–113.
Leibbrand, R., & Hiller, W. (2000). Hypochondriasis and
somatization: Two distinct aspects of somatoform dis-
orders? Journal of Clinical Psychology, 56(1), 63–72.
Leibbrand, R., Hiller, W., & Fichter, M. M. (1999). Effect
of comorbid anxiety, depressive, and personality
disorders on treatment outcomes of somatoform dis-
orders. Comprehensive Psychiatry, 40(3), 203–209.
Lenze, E. J., Miller, A. R., Munir, Z. R., Pornnoppadol, C.,
& North, C. (1999). Psychiatric symptoms endorsed
by somatization disorder patients in a psychiatric
clinic. Annals of Clinical Psychiatry, 11(2), 73–79.