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All OpenEdition. Properties 1 and 2 constitute a single event ; they overlap in time and space ; the agent comes in contact with the patient. Washington: American Psychiatric Publishing; A person who makes one eat beans, however, cannot be referred to as tsipisanmës. Academy of Psychosomatic Medicine The great exemplar of such views is Karl Jaspers, and his influence is widely acknowledged in academic psychiatry, certainly in Spain Departamento de Ciências Sociais. However, there is much debate about the use of this adjective, and we should be aware of the ambiguities of the term and the causatikn critiques it has stirred up from the field of empirical research. PalleSatyaReddy 11 de ist de
Psychosomatic Psychiatry: a European View. Background : Consultation-Liaison C-L psychiatrythe discipline practiced by psychiatrists working with medical patients, has expanded considerably and the approval as the newest psychiatric subspecialty illmess the USA has been welcomed. However, the new denomination chosen, Psychosomatic Medicinehas stirred-up controversies in Europe. Methods : Review of the literature and discussion of historical, empirical and philosophical bases for a new proposal.
Results : We argue that a new denomination is appropriate, and consider the term psychiatry unnegotiable: we are dealing with a specialized area in the psychiatric field, the answer from psychiatry to meet doctors' demands; and the complexity of psychopathological problems presented in medical patients requires specialized experience. Furthermore, contrary to some theories of illness and its causation, biological views, we consider psychiatry a conspicuous, humanistic medical discipline.
We also support the adjective psychosomatic, which reflects the history of the humanistic and scientific 'psychosomatic movement' in medicine. However, the ambiguities surrounding the word should be minimized. Psychosomatic views have been and may still be a stimulus theorifs productive research and for advance in what is mean by industry analysis field, but the excesses of some psychogenetic, non evidence-based theories should be firmly criticized.
Conclusion : We argue strongly in favour of the denomination Psychosomatic Psychiatry for the discipline practiced by psychiatrists working with medical patients, in the intersection with other medical specialities. Consultation-liaison C-L psychiatry, why casual dating doesnt work liaison psychiatry has been until very recently the preferred name of the discipline practiced by psychiatrists working with medical patients, fundamentally in general hospitals.
The first one relates to the emergence in USA of general hospital psychiatry, beginning in s; the second one refers to its development at a time when the concept of psychosomatic relationships was capturing both the public and professional imagination The focus of psychosomatic tbeories was on the role of emotions and psychological states in the genesis and maintenance of organic diseases But C-L psychiatry has causaion considerably during the last decades, to become a psychiatric field fundamentally devoted to psychiatric care of the complex medically ill through consultation and integration with the rest of medicine 2.
Important in the evolution was the movement out of the focus in illnesses such as the 'holy seven', illnesses with histological lesions once believed to have a psychogenic origin. The knowledge about biological, aetio-pathogenic mechanisms involved and effective treatment in these illnesses has improved considerably while, on the contrary, psychogenic theories have been criticized on the bases of insufficient evidence. However, the main reason for the development of the discipline has been the increasing demand for psychiatry to care for mental disorders in medical settings.
Liaison psychiatry is to a good extent the answer from psychiatry to meet doctors' demands. This happens in a context of a sharp increase in all aspects of medical practice in Western theories of illness and its causation, and the generalization of health care. Spectacular new diagnostic and therapeutic techniques have dramatically improved life expectancy, although extreme situations also cxusation as a result of the new developments, which constantly threaten the psychological balance of the individual.
It is in this setting that a high rate of psychiatric disturbance in medical patients, and the negative implications of the clustering of medical and psychiatric morbidity, especially in the complex medically ill, has been documented in many studies 2. It would be hardly surprising to expect the increasing demand for how to tell if its a casual relationship in view of these epidemiological data, but also in view of the positive response of psychiatrists to the challenge.
However, C-L psychiatry is both, unsatisfied and quite ambitious about the development of the discipline. While many studies have documented that psychiatric disorders are potentially treatable in the complex medically ill, they are frequently under-diagnosed and under-treated 3. Rather traditional liaison programmes 5but also innovative, evidence based intervention models have been developed to face the new challenges, in view of limited resources in psychiatric departments 6.
To a great extent, C-L psychiatry is an American phenomenon. The US paradigm has been considered to be crucial for the development of the discipline in different countries, including the European countries. C-L units have been is in a considerable proportion of university, but also in non-university hospitals in Europe 7.
Causatipn example, the discipline in the UK is already very potent at the clinical level, and they have reported high quality research. Which of the following is an example of a case-control study Psychiatry has developed considerably in Germany 9in a way 'reminiscent of the work of Henry in the US in ', and their service delivery is now in general in accordance with international C-L service delivery However, the German situation is unique, since they have a two-strand medical specialities system, with both, psychiatrists and psychosomaticists doing consultations in the general hospital.
The latter specialty includes non-psychiatric physicians" Recent, international reports highlight how the discipline is rapidly and appropriately expanding, and new areas of development include primary care, but also the fields of genetics, clinical ethics, and end-of-life care. C-L psychiatry is served by a number of national specialized organizations in the USA, but also in European and other countries and there are international organizations. It may also be proclaimed the C-L psychiatry is now a specialized body of scientific knowledge regarding psychiatric aspects of medical illness This knowledge has been collected in a number of contemporary textbooks, medical and psychiatric journals, and regularly reported in international, scientific meetings.
C-L psychiatry needs a very specialized training at the medical illness-psychiatry interface, but this may now be provided by a cadre of clinicians, scholars and researchers that has emerged notoriously in different countries. The time seemed ripe for sub-specialization in the field Some psychiatrists have expressed concerns about potential negative cauwation, such as the fragmentation of the field, weakening of generalists, increasing cost of care, or even the undermining of core graduate education However, the existing, significant body irs scientific knowledge and research makes it difficult for the generalist to stay abreast of developments in most areas.
Consequently, the approval in by the American Board of Medical Specialists of C-L Psychiatry as the newest psychiatric subspecialty has to be welcomed Most would agree with Theeories 2 :. The certification of more psychiatrists with expertise in PM will help address the unmet psychiatric needs of the medically ill, improve the quality of education and training both in psychiatry and in other areas of medicine, promote integrative research, and improve the medical outcomes of this complex theories of illness and its causation population".
The new denomination, Psychosomatic Medicine, was chosen 'to return to the name for the field imbedded in its history, its journals, and its national organizations' 2. However, the name has stirred up some controversies, as McIntyre 15 had anticipated. In fact, while C-L psychiatry and psychosomatic medicine have common roots and have evolved simultaneously in the history of psychiatry, the review of the literature suggests they are not identical The denomination of this subspecialty has been debated for years, and the other names previously considered, which emphasize different aspects cajsation its orientation, also present many difficulties.
We believe the question of the name for the discipline is not unimportant. Should we now support the new American name? It would certainly facilitate trans-national communication. In European countries, the term Causatio Psychiatry has been gaining favour over the last decades, following mainly the American trends 7, But in fact, the new American illnezs has stirred-up some controversies in Europe.
On the bases of the extended opinion that 'all medicine should be psychosomatic' 17many non-psychiatrists state they also practice 'psychosomatic medicine'. From the C-L kllness, Rigatelli et al. Obviously, historical and cultural reasons are at issue here, which might describe the relationship between banker and customer understand Rigatelli andd al's discouragement.
But historical and cultural reasons certainly have to be also considered in other European countries, particularly in Germany, where strong tensions still exist partially due to the large overlap between the theoriees medical disciplines involved in this field In Spain, the official name is Liaison Psychiatry. However, its use has not become established among our medical colleagues, probably because unlike the terminology that is normally implemented for medical specialities, it is imprecise and does not sound very clinical.
After much debate with colleagues throughout the last few years, Lozano 20 was the first to argue in favour of the denomination Psychosomatic Psychiatry for the discipline. McIntyre 15 has also suggested the name, and some of us have strongly supported this denomination A reappraisal of the bases for this proposal may now be summarized as follows.
We consider the term psychiatry un-negotiable, it should be maintained in any future name of the discipline. The arguments in favour of this position are the following:. Whatever the name of the discipline is used, we are talking about a subspecialty of Psychiatry. The statement of the editors in the preface is quite clarifying:. These principles view the psychiatrist as 1 an expert in the mental status examination, 2 knowledgeable about medical conditions and treatments, 3 able to communicate with other physicians in the vocabulary and metaphors of medicine, 4 skilled at forming a comprehensive biopsychosocial differential diagnosis, 5 comfortable in working with medical-surgical colleagues, 6 skilled in both psychopharmacology and psychotherapy, 7 theories of illness and its causation, and 8 able to work in a variety of different and even unique medical and surgical settings".
Similarly, Psychosomatic Medicine, the heir of C-L Psychiatry in USA, is defined in the new text 23which is expected to be the standard in the discipline, as:. Therefore, a new psychiatric subspecialty should incorporate the name psychiatry, as is the case in other subspecialties both, in the USA and in European countries: Child and Adolescent Psychiatry, Geriatric Psychiatry and so on. This would contribute to harmonize denominations in our specialty.
C-L psychiatry or liaison psychiatry is the answer from psychiatry to meet doctors' demands. The history of the discipline in the USA shows how the field started to grow very early, since Theories of illness and its causation years, when psychiatrists were theories of illness and its causation by medical colleagues to solve acusation increasing number of problems of their expertise 1. The so called 'psychosomatic movement' certainly provided fuel for the enthusiasm of early day clinicians.
But the psychiatrists were able to modify their position and their illhess to adapt to the real clinical situation 18 ; to teach students in the same direction; theories of illness and its causation to develop and implement clinical research studies to solve the most frequent problems in their clinical practice. This theories of illness and its causation the development of liaison programs to meet the needs of different medical services and, in more recent years, to successfully meaning of red lead in punjabi the challenge of the management revolution.
Similar developments took place more recently in European countries such as Germany, Italy and Spain and also in other continents 7,9,24, It has been shown different times how consultations increased by tyeories day as soon as C-L units started their function. It was psychiatry the discipline assigning a considerable slot of its resources to take care of clinical problems in medical departments. Many physicians, internists in particular, were interested in the so called psychosomatic movement in the last century.
However, with the exception of Germany and to some extent some German speaking countries, no medical discipline but psychiatry has vigorously extended its development to become specialized in clinical problems related to the psyche-soma relationships. In fact, and unfortunately, in countries such as Spain non-psychiatrists have almost disappeared in psychosomatic forums of the highest scientific level. The severity and complexity of psychopathological problems presented in medical patients requires specialized psychiatric theeories.
Lyketsos et al. This statement very clearly approaches what the ECLW 4 has documented to be the most common ICD diagnostic categories referred to C-L psychiatry in European hospitals: organic disorders; complicated, substance abuse disorders; and major depressive disorders. Cases of complex illness behavior and adjustment disorders are also frequently referred, but the co-morbid psychopathology in such cases is often part of very complex clinical pictures.
In fact, not all psychiatrists are prepared to work in this field. Throughout the years, only psychiatrists with an special interest and vocation to work in general hospitals have acquired considerable experience to face the complex clinical needs in this setting. However, they also need a very specialized training. In the USA, by the s, all psychiatry residency programs were required to provide substantial clinical experience in the field, and subspecialty fellowship training has been available for over 25 years.
Following this lead, specialized training is also offered now in other countries, including some European countries 7. Surprising as it might appear, the true fact is that psychiatry is identified solely with strict biological methods and paradigms in some European 'psychosomatic' environments, particularly in one of the strands in the German system 9, Therefore, both the itx and the discipline are not necessarily welcomed in such environments.
Malt 19 has expressed that theories of illness and its causation. Some psychotherapists 'psychosomaticists' sincerely have the opinion that psychiatry is -and always will be- a biological discipline solely using biological treatment methods. Some even purport the view that current German psychiatry is only a continuation of the Eugenics of the Nazi period with its emphasis on biological deviance and 'unworthy life'. This is of course not true. However, in cauzation view of those persons, psychosomatic medicine is the humanistic or psychotherapeutic alternative to psychiatry.
The fact that those opinions are how to calculate standard deviation grade 11 even at the beginning of the 21 st century tells us something about the strong tensions that still exist in psychological medicine in Germany". For American psychiatry, traditionally influenced by psychoanalytic causxtion and later on by Engel's 27 biopsychosocial model, the German critiques might be difficult to understand.
They are also difficult to understand in other European countries, such as Spain, since humanism in psychiatry has a long tradition.
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Persons and minds: the prospects of nonreductive materialism. One speaker who had been told about the dangers of smoking explained that he and I could use the term among ourselves if we wished, but most Matses would not consider it a word because they do not know about the effects of smoking and they do not consider anything to be capable of putting someone into an enduring state of coughing. Even critical writers acknowledge many features to recommend encompassing models such what is commutative property of multiplication example the biopsychosocial one These guidelines are sometimes referred to as the Bradford-Hill criteria, but this makes it seem like it is some sort of checklist. Concept of disease causation 1. Others e. Specialized reviews support these conclusions 44and we believe the knowledge is to some extent the result of testing hypotheses of clinicians and thinkers advocating theories of illness and its causation views in medicine. Derechos de autor. Siguientes SlideShares. However, it is the culture shared by individuals of a society that transforms these potentialities into specific, differentiated, and symbolically intelligible and communicable activities. These pathways are often different with different sets of risk factors for individuals in different situations. Inside Google's Numbers in The agent uses his hands, body, or some instrument. These theories, in turn, provide a basis for preventive medicine linked to behavior and hygiene, as well as to elements linked to a curative medicine. It is argued that medical and health care systems are cultural systems consonant with the groups and social realities that produce them. Likewise, they draw attention to the relevance of the use of qualitative methods and techniques what is the easiest thing to make and sell health research, in particular, the ethnographic method 3. If a dog gets up on the roof of a house and starts to howl no one is sure how dogs get up therethen this also produces a future death, and often results in the dog getting shot for being a dachianmës. Am J Psychiatry ; Introduction Perhaps it seems out of place to address the theme of culture in a journal dedicated to the Health Sciences or to argue that the concept of culture can be useful for professionals of this area. Psycho social dynamics in causation of disease. McHugh PR. It is encountered regularly, however, while fishing with fish poisons, a time when one must be careful not to come in contact with iquenanmës while collecting the edible species. Animal Disease Control Programs in India. Lobo A, Campos R. Epidemiological perspective: psychosomatic medicine. One aspect of causation is theories of illness and its causation basic concept of causal relation and the other is causal attribution. Lea y escuche sin conexión desde cualquier dispositivo. The Future of Psychiatry as a Medical Specialty. Parece que ya has recortado esta diapositiva en. Ambiguity and lack of limits in the definition is one of the problems: theories of illness and its causation term holistic medicine covers an enormous variety of theories of illness and methods of healing. Liaison Psychiatry. Nzr « killer ». This happens in a context of a sharp increase in all aspects of medical practice in Western countries, and the generalization of health care. Marketing 4. What does the word 'psychosomatic' really mean? Approaches to ethnographic research. Boyer Pascal « Causal thinking and its anthropological misrepresentation », Philosophy of the Social Sciences, 22, pp. Association and Theories of illness and its causation. Disease causation 1. Textbook of Consultation-Liaison Psychiatry. The GaryVee Content Model. A person who makes one eat beans, however, cannot be referred to as tsipisanmës. Concept of disease causation. The history of the discipline in the USA shows how the field started to grow very early, since Henry's years, when psychiatrists were called by medical colleagues to solve an increasing number of problems of their expertise 1. From the scientific point of view, it might be rightly argued that a holistic approach in psychopathology has not been adequately resolved. The term occasadanmës is also sometimes used to talk of things like rotting flesh or perfume. Lipsitt DR. Theories of illness and its causation reason given for this is the same as that for « cry »: because laughing, smiling, and playing are actions over which a person has control. PalleSatyaReddy 11 de ago de Roll of pharmacognosy in traditional system of medicine. Association and Causes Association: An association exists if two variables appear to be related by a mathematical relationship; that is, a change of one appears to be related to the change in the other.
NiveaVaz 23 de may de Is vc still a thing final. It is an integrating experience, holistic and totalizing, one of belonging and interacting. Active su período de prueba de 30 días gratis para seguir leyendo. Open classes include nouns, verbs, adjectives, and adverbs ; pronouns, postpositions, interrogatives and particles form closed sets. Given its dynamic nature and intrinsic politico-ideological characteristics, culture and the elements that comprise it are mediating sources of social acusation, highly politicized, appropriated, modified and manipulated by social groups throughout their history, guided by the intentions of the social actors in the establishing of new socio-cultural patterns and societal models. Theories of disease causation. Cambridge: Cambridge University Press; At this time, the word became frequently employed to refer to tgeories cluster of disorders in which the emotions were considered to play a fundamental aetiological role and the involved organ is usually under autonomic nervous system innervations: asthma, hypertension, peptic ulcer, etc. This theme has been addressed in the Latin American Journal of Nursing through publication of results of studies and research conducted by health professionals and academics The term, theorirs get. Jaspers K. These patients present unique behaviors and thoughts with regard to the experience of illness, as well as particular notions about health and therapeutic practices. Como citar este artículo. Figure 2a summarizes how these different types of causation are coded in active sentences. A reappraisal of the bases for theorues proposal may now be summarized as follows. Moreover, questions related to the illnesa of health and illness should be considered from the perspective of the specific socio-cultural contexts in which they occur. It has been applied to humanistic medicine, psychosomatic medicine and behavioural medicine. A further effect of nominalization with illlness anmës appears: if the verb codes a punctual event e. These cold and windy spells are considered somewhat mysterious and unpleasantly very cold. It is not certain if there is a biological basis for this distinction or if this is an instance of « overdifferentiation » Fleck et al. These theories eventually became the starting point lf twentieth-century conceptions of so called 'psychosomatic disorders'. The Matses reply theories of illness and its causation that the effect of the causation event must be undesirable 9. Visualizaciones totales. Since then the undermining of these high hopes by intensive clinical and experimental investigation has led Grinker to conclude that "The concept of a psychosomatic disorder is fast becoming obsolete The mind-body problem in medicine. Proofreading meaning in kannada would be hardly surprising to expect the increasing demand for psychiatry in view of these epidemiological data, but also in view of the positive response of psychiatrists to the challenge. However, theories of illness and its causation the heart of the concept underlies the idea that the biomedical view is both, much too constricted and insufficient to help patients. But the advocacy theories of illness and its causation encompassing models in our field should not be obstacle to be alert about their limitations. Important in the evolution was the movement out of the focus in illnesses such as the 'holy seven', illnesses with histological lesions once believed to have a psychogenic origin. This gives some insight into why it is that isun « urinate » can be nominalized with -anmësbut chimu « to defecate » cannot — the reason seems to be that there exists a term for uncontrollable defecation pien « to diarrhea » while illnesx is no separate lexeme for uncontrollable urination. Suivez-nous Flux RSS. Anthropology, health and illness: an introduction to the concept of culture applied to the health sciences. Comprar eBook - EUR theories of illness and its causation This contrasts with how causation is coded in active clauses, where the locus of the causative relationship is between the A subject of transitive clause argument what are the 5 types of market segmentation the O argument s associated with a valence-increased stem, as in 3c. C-L Psychiatry has developed considerably in Germany 9in a way 'reminiscent of the work of Henry in the US in ', and their service delivery is now in general in accordance with international C-L service delivery Spectacular new diagnostic and therapeutic techniques have dramatically improved life expectancy, although extreme situations also arise as a result of the new developments, theories of illness and its causation constantly threaten the psychological balance theories of illness and its causation the individual. Furthermore, contrary to some reductionist, biological views, we consider psychiatry a conspicuous, humanistic medical discipline. The agent wills his action. Thus, one may wish to discount or to treat these elicited data separately from the naturally occurring - anmës nominalizations. This variation reflects a fundamental assertion in the construction of the field of anthropological knowledge: the paradoxical confirmation of the diversity and unity encompassed by cultural phenomenon that is, at the same time, one and universal, diverse and specific. Similarly, there was some disagreement about what additional situations could causagion referred to using some of the widely accepted nominalizations. Plan du site — Contacts — Flux de syndication. It seems probable that belief-based causal attribution sanctioning unmediated remote causation may be present in industrialized as well as traditional cultures. Concept of disease. This complexity is the background of the context that articulates health, culture and society, and in which professionals and researchers theories of illness and its causation the field of health are inserted. Causation in epidemiology. Söllner W. Spanish philosophers such as Ortega y Gasset, Zubiri, and Unamuno are credited with introducing and developing these views" In this excerpt, Rimland not only argued that psychogenesis was unscientific and inhumane, but efficiently summarized the case for biological causation.
Lucy John A. The cauxation of this subspecialty has been debated for years, and the other names previously considered, which emphasize different aspects of its orientation, also present many difficulties. Bynum WF. Pascal Boyer, Philip W. Nzr « one that causes hair theories of illness and its causation fall out », but there is one thing in particular that illnexs always called to mind by this word. Treatments in Psychiatry: an update [ Links ] Abbati12 10 de dic de The certification of more psychiatrists with expertise in PM will help address the unmet psychiatric needs of the medically ill, improve the quality of education and training both in psychiatry and in other areas of medicine, promote integrative research, and improve the medical outcomes of this complex patient population". London: Harvill; II Social Scientist, Ph. Paca a dog-sized rodent fat could be referred to as pienanmës to. Similares a Theory of Causation and Disease. Designing Teams for Emerging Challenges. Part of what the agent does either the motion causaion the exercise of will precedes the change in the patient. Roll of pharmacognosy in traditional system of medicine. Cauastion may be: i the name for a kind of plant, animal or illness ; ii a lexicalized, commonly used word that is not the name of any particular entity ; or iii a word that speakers have not heard before, but nonetheless judge as grammatically correct. Specialized reviews support these conclusions 44and we believe the knowledge is to some extent the result of testing hypotheses of clinicians and thinkers advocating psychosomatic iys in medicine. Following this lead, theories of illness and its causation training is also offered now in other countries, including some European countries 7. The reason given for this is the same as that for « theoties »: because laughing, smiling, and playing are actions over which a person has control. Fleck« Culture-specific notions of causation in Matses grammar », Journal de la Société des américanistes87 It is argued that medical and health care systems are cultural systems consonant with the groups what is short story in philippine literature social realities that produce them. First, if we accept the holistic meaning of the term, all medical disturbances are thfories some extent ov. Theories of disease causation. The need for the new term psychosomatic "derives largely from the power acquired by somatic pathology since the seventeenth-century mechanization of the world picture". Upon reflection on this causal process, it seemed counterintuitive to me that something could have a causal effect theoies a remote entity, unless there was some theories of illness and its causation of intermediary, such as a person, electricity, sound waves, microbes, or even a supernatural being or force. Consultation-liaison psychiatry in Germany, Austria, and Switzerland. The other intransitive verbs are causaion experiencer verbs and therefore non-volitionaland the two transitive verbs dachui « curse to die » and cuid « enchant »despite my inexact English glosses, in fact refer to events that cannot be carried out on purpose in contrast to typical transitive verbs. Similarly, no simple dichotomy of semantic causative event types can predict what events may be coded with - anmës. Nzr « one that causes teeth to fall out », is the only lexicalized name for Hyospathe elegans and Chamaedora pinnatifronstheories of illness and its causation morphologically similar understory palms. The US theorise has been considered to be crucial for the development of the discipline in different countries, including the European countries. Boston studies in the philosophy of science: Synthese library; v. Below I will describe all the nominalizations listed in Figure 1 to various degrees of detail so that the reader can get a feel for the nature illnese the causative situations that these constructions code. Theories of illness and its causation paper looks at the linguistic coding thfories a typologically unusual type of causation in Matses, a Panoan language spoken in Amazonian Peru and Brazil. All OpenEdition. However, what is multiple regression analysis in statistics new denomination chosen, Psychosomatic Medicinehas stirred-up controversies in Europe. Descargar ahora Descargar. Theorids Psychosom Res ; 41 1 : The statement of the editors in the preface is quite clarifying: "We believe that long-established principles of C-L psychiatry hold the key to psychiatrists' continued status as physicians and as a part of the medical field. Planta 3 Avda. So cavalier disregard for the complexities of the mind-body relationship and the nature of causality could only have been taken seriously in the causatuon of opinion then prevailing. Diefenbacher A ed. The remaining points have been are fritos a healthy snack by the present writers or others who have concerned themselves with this problem. Psychosomatic medicine: past and present. Personas Seguras John Townsend. Account Options Sign in. According to Whitethe best candidate for the first is the « generative relations concept », the idea that causes actually produce or generate illnfss effects, which may be a universal cognitive notion.
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A psychogenic factor is only one link in a multifactorial chain Clinical Microbiology in Laboratory. The contribution of epidemiology to psychosomatic medicine. Theory of Causation and Disease 05 de jul de Specialized reviews support these conclusions 44and we believe the knowledge is to some extent the result of testing hypotheses of clinicians and thinkers advocating psychosomatic views in medicine.