| Summary: | <p style="margin-bottom: .0001pt; line-height: normal; text-autospace: none;"><span style="font-family: verdana; font-size: small;"><strong>Introduction:</strong> In spite of the elapsed time the biologistic paradigm of medical attention has not been substituted by the bio psychosocial. In the career’s program, there is no obvious definition of terms in order that the third year medicine students, during their stay in the Internal Medicine wards, approach to the diagnosis of affectation and suffering.<br /> <strong>Objective:</strong> Elaborate an argued proposal of approach to the diagnosis of affectation and suffering for students of medicine during his stay in Internal Medicine wards.<br /> <strong>Material and Methods:</strong> Was performed a narrative revision of the selected literature obtained by means of the computer search engine "google academic" and SciELO data base of the Health’s Virtual Library.<br /> <strong>Results:</strong> Barthel's index enables an enough approach to the diagnosis of the disability as a correlated concept with affectation. The patient's emotional reaction can be defined as adequate – adaptive -convenient or inadequate – inconvenient and maladaptive for the solution of his problem of health.<br /> <strong>Conclusions:</strong> The authors propose specific terms for the approach to the diagnosis of affectation and suffering for the student of medicine. </span></p><p style="margin-bottom: .0001pt; line-height: normal; text-autospace: none;"><span style="font-family: verdana; font-size: small;"><strong>Keywords:</strong> Psychosocial history, medical diagnosis, psychosocial paradigm, medical education.</span></p>
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