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[Psychosomatic aspects in otorhinolaryngology exemplified by the "globus" sensation].

The term "psychosomatic" is defined by means of the "globe" sign in its clinical use. Psychosomatic anamnesis is introduced as a mode to establish the somatic and psychic status. In this diagnostic therapeutic process the psychosomatically oriented ENT specialist assesses the pattern of these frequent psychophysical disturbances. The therapy of psychosomatic disorders is based on the multiplex aetiology of these diseases; therefore, psychosocial factors of distress must be considered with the same attention as the somatic signs and symptoms. To meet this challenge the specialist has to consider the therapeutic dialogue, psychodynamics and distress coping, effective relaxation techniques and the use of psychotropic drugs.

Conversion Disorder↗

Whose body is it anyway? Understanding and treating psychosomatic aspects of eating disorders.

Eating disorders can be understood as psychosomatic illnesses in which the body is pitted against the psyche. The author explores a variety of theoretical principles that aid understanding of the eating disorders and inform treatment interventions. She explains various therapeutic interventions and discusses countertransference difficulties that may hinder work with eating disorder patients. A theoretical understanding of the nature of psychosomatic dissociation in these patients enables treaters to understand why treatment often takes a very long time and is met with strong resistance even as the patient clamors for help.

Adolescent↗

[Rheumatoid arthritis: various psychosomatic aspects].

The rheumatoid arthritis has been considered as a model for the psychosomatic approach in Medicine. The authors present a research in this perspective, trying to evaluate some psychological variables using appropriated rating scales: the self concept, the coping mechanisms and some symptoms like anxiety and depression. A group of diabetics insulin-dependents was the control group.

Adult↗

[Psychosomatic aspects of patients with primary keratoconjunctivitis sicca].

PURPOSE: To evaluate the extent of psychosomatical complaints in patients with primary keratoconjunctivitis sicca (pKCS). METHODS: 20 patients (m:f = 1.19; mean age 49 +/- 7 years) with pKCS were rated according to the von Zerssen Symptom List (psychosomatical discomfort), the Maudsley Personality Inventory (MPI)-N (emotional status) and -E (extroverted-introverted) and to Beck Depression Inventory (BDI). 54 subjects (m:f = 35:17; mean age 46 +/- 17 years) without any ocular or general chronic disease were used as control group. RESULTS: In comparison to the control group the patients with pKCS showed significantly (p < 0.0001) more complaints (von Zerssen Symptom List), were more (p < 0.0001) emotionally unstable (MPI-N) and more (p < 0.0001) depressive (BDI). No group differences were found regarding extroversion-introversion (MPI-E). CONCLUSION: Our results demonstrate that many patients with pKCS showed psychological problems and disturbances. We therefore recommend an additional psychological treatment (e.g. autogenic training) for these patients to stabilize their emotional condition, which may even have a positive effect on their dry eye problems.

Adult↗

[Holistic-psychosomatic aspects of surgical organ loss].

Surgical interventions in gynaecology are from a holistic, psychosomatic perspective equally essential interventions into the life history of the treated women. Using a review of international research literature dealing with coping-processes after hysterectomy and breast surgery, the author discusses possible psychological and psychopathological consequences of these operations. In addition the presents possibilities for improving as well the preoperative doctor-patient-dialogue as postoperative psychotherapeutic and body therapeutic strategies.

Adaptation, Psychological↗