The concept and the acceptance of psychiatry in patients with psychosomatic disorder was compared with those of each group o f patients with anxiety state and with major depression. It is aimed at investigating whether or not resistance to psychiatric approach in the former ones is related to their concept o f psychiatry and mental disorder. Misconception of psychiatry is noted to be more remarkable than that of mental disorder in all the groups of subjects. The psychosomatic cases recognize difference between psychiatry and neurology better than patients with major depression. The former cases show more emotionally positive response than the latter cases and the general public on diagnosis of mental disorder. And then the psychosomatic cases feel more incredible than cases with anxiety state. In prognosis of mental disorder, the former ones show more negative response than the general public. The extent of acceptance of general psychiatric treatment in the psychosomatic cases tends to be lower than that of each group o f patients with anxiety state and with major depression. In acceptance of psychiatric treatment for somatic symptoms, the psychosomatic cases also show more negative response than all the other groups of subjects. It is concluded that resistance to psychiatric approach in psychosomatic cases is due to their underlying psychological motivation rather than their misconception o f psychiatry. On the other hand, it can be considered that psychiatric approach depends upon nature of symptoms (either emotional or physical).
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