Overcoming 'psychosomatic' illness: Lay attributions of cure for five possible psychosomatic illness

This semi-replicative study was concerned with lay people's beliefs about the importance of 24 different contributors towards overcoming five relatively common illness: hypertension, peptic ulcers, asthma, dermatitis and migraine. These illnesses have frequently been regarded as psychosomatic although there is considerable debate as to whether this is so. One hundred subjects completed a 5-page questionnaire indicating how effective 24 factors were to overcoming the five specified illnesses. Factor analysis revealed almost identical clusters for each problem. These were labelled inner control, social consequences, fate, understanding and receiving help. Items clustering on the first and latter two factors were thought of as generally important and those on fate and, to a lesser extent, understanding, less important, although the perceived relevance of the second and third factors differed significantly between problems. Regressional analysis showed that various individual difference factors, age and sex in particular, were related to perceived relevance of the different contributors. The results were discussed in terms of subjects' beliefs concerning the value of self reliance as opposed to professional help, and the importance of understanding lay beliefs about the efficacy of different cures. Comparisons are made with four other studies using basically the same methodology.