Number of unexplained symptoms and diseases is decreasingBMJ 1998; 316 doi: https://doi.org/10.1136/bmj.316.7134.866 (Published 14 March 1998) Cite this as: BMJ 1998;316:866
- Philippe Jehenson, Medical researcher
- Service Hospitalier Frédéric Joliot, Commisariat à l'Energie Atomique, 91406 Orsay, France
EDITOR—In his editorial Mayou explains that the management of patients with medically unexplained physical symptoms is too often inappropriate, even though effective interventions are available.1 He essentially attributes this to the persistence of the idea of “mind-body dualism” in the medical profession, which neglects important interactions between physiological, psychological, and social factors.
I agree with what he says about this socially and economically important subject, but I would emphasise another …