Abstract
Often the family physician is faced with the question, ‘Why has the patient really come?’ The apparent reason somehow seems not to be the real reason — he senses there is something else that brings the patient along. Sometimes he is not sure who the patient really is. Is it the person who presents as the patient, or is it someone else — one of the parents or the whole family? The cases and questions which follow exemplify these dilemmas, explore why patients often present in this way, give insight into how the family physician senses and defines these situations, and suggest strategies for solving the often complex problems which unfold.
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