The "psychosomatic family" reconsidered ii: recalling a defective model and looking ahead.

The notion of the "psychosomatic" family continues to enjoy uncritical acceptance in the absence of promised data and despite its dependence on an outmoded view of how psychosocial factors are involved in illness. We review the decline of psychosomatic models of illness that assume that arousal is the only or primary means by which psychosocial factors influence illness. Focusing on brittle diabetes, we note the potential for family theorists to develop more adequate models of poor self-care and medical crises as interactional tactics, as dynamic efforts to solve problems, define relationships, and influence others, even if they are costly and self-defeating. In an appendix, we note the inadequacy of Rosman and Baker's (1988) reanalyses of the Minuchin, Rosman and Baker (1978) data.

[1]  R. Tattersall.  Brittle diabetes. , 1977, Clinics in Endocrinology and Metabolism.

[2]  R. Tattersall.  7 Brittle diabetes , 1977 .

[3]  W. Duckworth,et al.  The Etiology of Incapacitating, Brittle Diabetes , 1985, Diabetes Care.

[4]  G. A. Mendelsohn,et al.  Parkinson's disease: the psychological aspects of a chronic illness. , 1986, Psychological bulletin.

[5]  M. Angell.  Disease as a reflection of the psyche. , 1985, The New England journal of medicine.

[6]  P. Chodoff.  Psychosomatic Families: Anorexia Nervosa in Context , 1979 .

[7]  N. Adler,et al.  Health psychology : a handbook : theories, applications, and challenges of a psychological approach to the health care system , 1979 .

[8]  D. Orr,et al.  An approach to prevention of recurrent diabetic ketoacidosis in the pediatric population. , 1985, The Journal of pediatrics.

[9]  G. Williams,et al.  Continuous Intravenous Insulin Infusion in the Management of Brittle Diabetes: Etiologic and Therapeutic Implications , 1985, Diabetes Care.

[10]  K. Alberti,et al.  Management of severely brittle diabetes by continuous subcutaneous and intramuscular insulin infusions: evidence for a defect in subcutaneous insulin absorption. , 1981, British medical journal.

[11]  J. Coyne,et al.  Stress, Coping, and Illness , 1982 .

[12]  M. Feinglos,et al.  Diabetes and behavior. A paradigm for health psychology. , 1983, The American psychologist.

[13]  James C. Coyne,et al.  THE “PSYCHOSOMATIC FAMILY” RECONSIDERED: DIABETES IN CONTEXT , 1988 .

[14]  Lester Baker,et al.  THE “PSYCHOSOMATIC FAMILY” RECONSIDERED: DIABETES IN CONTEXT–A REPLY , 1988 .

[15]  P. Costa,et al.  Coronary prone behavior: components of the type A pattern and hostility. , 1987, Journal of personality.

[16]  K. Holroyd,et al.  Personality and health in the 1980s: psychosomatic medicine revisited? , 1987, Journal of personality.

[17]  PSYCHOSOMATIC medicine. , 1951, British medical journal.

[18]  R. Winter,et al.  Unstable diabetes and unstable families: a psychosocial evaluation of diabetic children with recurrent ketoacidosis. , 1984, Pediatrics.

[19]  J. Suls,et al.  Personality and physical health: an introduction. , 1987, Journal of personality.