[The lack of specificity in psychosomatic disorders exemplified by a case of neurodermatitis with a twenty year follow up].
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In a psychosomatic clinic an in-patient therapy-model for psychosomatic skin disorders was developed, conjoining psychoanalytic oriented psychotherapy with dermatologic standard therapy. The effects of this therapy are evaluated with standardized questionnaires in 40 patients with atopic dermatitis. Whereas changes concerning symptoms and depression occur in the course of the in-patient treatment, other personality changes cannot be found out before one-year follow-up questioning. All together the results of this study indicate that the combined treatment technique proves to be satisfactory.
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To test hypotheses about pathogen relations in mother-child-dyads with children suffering from eczema, 25 mothers of children with acute eczema, 25 mothers of children with chronic eczema, and 31 mothers of healthy children (average age: 2.4, 2.8, and 1.9 years) were asked to answer a questionnaire concerning educational attitudes (aversive, authoritarian, tenderhearted, overprotective) and family's atmosphere (cooperative, controlled, achievement orientated, dependent). Analyses of variance showed only one significant effect. The results suggest that mothers of children in chronic state are more aversive than mothers of healthy children or mothers of children in acute state. Nevertheless, the mothers' aversion has to be interpreted as a consequence, not at all as an original cause of the disease. Furthermore the mothers' aversion seems to indicate a psychic exhaustion more than an aggressive education.
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A large group of patients with atopic dermatitis underwent a combination of psychotherapy dermatological treatment, and 40 were selected for evaluation. Most of them had benefited from the cure, particularly those who themselves felt they were emotionally disturbed, those who were well educated and those with functional complaints.
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