Abstract
An integrated model of the assessment and treatment of the CFS population needs to include the sociocultural influences that affect CFS patients as well as their treating clinicians. These sociocultural factors include: (1) the pre-existing cultural climate toward disease, (2) cultural intolerance of ambiguity, (3) cultural intolerance of chronic vs. acute illness, (4) the ongoing psyche-soma duality among health care providers, and (5) initial disease illegitimacy and subsequent enculturation. These specific influences, as well as the patient's medical status, need to be carefully considered in the assessment and treatment of CFS patients and their families. The traumatogenic effects of these sociocultural influences on CFS patients will be discussed and specific treatment strategies will be suggested.
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