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Discussant Redford B. Williams, MD

JAMA. 1999;282:763-770.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

INTRODUCTION

Dr Delbanco: Mr A is a 69-year-old married, retired government worker with a 27-year history of angina pectoris, often triggered by stress. A father of several children, he lives in Boston and has Medicare and supplementary insurance. He has long received care in Veterans Affairs hospitals, but for the past 2 years, Dr M, a general internist at the Beth Israel Deaconess Medical Center, has been his primary provider.

Mr A developed angina in the early 1970s. Despite medical intervention, he has since frequently developed angina with exertion, such as carrying bundles. In the past, Mr A describes "not getting along too well" with his cardiologist, who "yelled at him" about his excessive weight and felt his chest symptoms reflected panic, rather than arterial disease. He also sought help from a psychiatrist who helped him with depression and sleep problems.

Mr A reported that, in . . . [Full Text of this Article]

MR A: HIS UNDERSTANDINGS AND PERCEPTIONS

DR M: HIS UNDERSTANDING AND PERCEPTIONS

AT THE CROSSROADS: QUESTIONS TO DR WILLIAMS

Are Anger and Hostility Associated With Angina and MI?

Physiologic Mechanisms Mediating Mind-Body Effects on Health

Prevention and Treatment Through Psychological Interventions

Recommendations for Mr A:

Recommendations for Dr M (and Other Physicians With Patients Like Mr A):

QUESTIONS AND DISCUSSION

Author Affiliation: Dr Williams is Director, Behavioral Medicine Research Center, Duke University Medical Center and Professor of Psychiatry and Behavioral Sciences, Professor of Psychology, and Associate Professor of Medicine, Duke University, Durham, NC.

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