The University of Southampton
University of Southampton Institutional Repository

Patients’ influence on doctors’ behavior: a case study of patient strategies in somatization

Salmon, Peter and May, Carl R. (1995) Patients’ influence on doctors’ behavior: a case study of patient strategies in somatization The International Journal of Psychiatry in Medicine, 25, (4), pp. 309-319.

Record type: Article


Objective: Extensive empirical data and theory describe the inequality of power in relations between doctors and their patients. However, the focus has been on the ways in which doctors control the doctor-patient relationship. This has meant that the extent to which patients influence the consultation, and the ways in which they do this, have been neglected. Methods: In this article, we use a single case to identify and illustrate distinct ways in which patients exert power to determine the outcome of consultations. Conclusion: This analysis leads to a more powerful explanation than is presently available to understand the somatization of psychological needs. According to this, the patient organizes strategies, which include the presentation of emotional and social distress, around a biomedical model. Because of their prior decisions as to their role, doctors permit themselves to be trapped in this model.

Full text not available from this repository.

More information

Published date: 1995
Keywords: doctor-patient relationship, biopsychosocial model of health, communication skills, professional power, somatization
Organisations: Health Sciences


Local EPrints ID: 163711
ISSN: 0091-2174
PURE UUID: 72e24c5e-9b69-4b25-be5f-28331a743c2f
ORCID for Carl R. May: ORCID iD

Catalogue record

Date deposited: 23 Sep 2010 14:53
Last modified: 18 Jul 2017 12:30

Export record


Author: Peter Salmon
Author: Carl R. May ORCID iD

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton:

ePrints Soton supports OAI 2.0 with a base URL of

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.