“…nosophobia, hypochondriasis and the persistent and unsatisfactory pursuit of medical care) in patients referred to them (MacAlpine, 1957;Kite & Grimble, 1963;Pedder, 1970). However, in the STD clinics studied less than 5 per cent, and usually less than 1 per cent, of attenders are referred to psychiatrists (Pedder, 1970;Bhanji & Mahoney, 1978;Frost, 1985) and it is impossible to infer the attitudes and behaviour of the clinic population as a whole from reports of those referred to psychiatrists. Thus it is difficult to determine how important are patients' concerns in relation to their presenting symptoms as a factor contributing to the high levels of psychiatric morbidity observed in STD clinics.…”