The 'tired person' syndrome. Understanding the pathologic factors in these 'problem' patients

R. G. Jarvis

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Many 'problem' patients seen in primary care settings cannot be easily classified as 'masked depressives' or seekers of secondary gain. Rather, they fit into a third category - those with the 'tired person' syndrome. The essential feature of this syndrome is the decrease in self-esteem that follows the real or perceived loss of the ability to work productively. The decrease in self-esteem triggers anxiety, which may be so severe as to approach a panic state. The patient then becomes increasingly disabled or has increasing physical symptoms and enters a vicious cycle culminating in debility. Treatment is aimed at the physician's accepting and legitimizing the very real loss that the patient perceives in order to help him or her become comfortably dependent.

Original languageEnglish (US)
Pages (from-to)321-324
Number of pages4
JournalPostgraduate Medicine
Volume81
Issue number8
DOIs
StatePublished - Jan 1 1987

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Self Concept
Panic
Aptitude
Primary Health Care
Anxiety
Physicians
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The 'tired person' syndrome. Understanding the pathologic factors in these 'problem' patients. / Jarvis, R. G.

In: Postgraduate Medicine, Vol. 81, No. 8, 01.01.1987, p. 321-324.

Research output: Contribution to journalArticle

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