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["Now tell me, what is your orientation to religion?"--Therapeutic attitude and management as an expression of religious faith].

The essence of the therapeutic process is the relationship: the client experiences that the therapist is prepared "to be there" and to remain with him/her on the journey unconditionally. A possible goal of personal life, as well as of a therapeutic process, is to become oneself. This is described in the biblical symbol of Exodus: the motivation of the way and all existential experience of being on the way are a possibility to interpret my human existence and to fit it into the wider horizon of religious understanding; to know and experience a liberator-God (a God who sets me free) as the very basis of my development. To what extent therapy--as part of the way the therapist and the client go together--always also touches a religious dimension is shown by giving examples of some attitudes and consequent actions.

Adaptation, Psychological↗

[Essential testodynia].

Testodynia can be defined as long-lasting or recurrent testicular pain in younger men with no physical disease in their scrotal contents. The condition is suggested as a psychosomatic disease caused by any unrealized or unsolved existential problem leading to a chronic psychological stress reaction. The stress causes alpha 1-receptor mediated contraction of smooth muscle in the vas deferens and epididymis. The pain arises due to the muscle spasm or sperm obstruction. The therapy is a combination of psychotherapy and alpha 1-receptor blocking agents.

Adult↗

[Palliative medicine. A new research field with specific demands].

Palliative care is not merely a question of treating symptoms irrespective of cause, but is ideally based on proper analysis, treatment and evaluation. Education, quality assurance, clinical development and research are needed to improve palliative care. Education and research should be focussed on all four dimensions--the physical, the emotional, the social, and the existential. Research should be designed to address specific issues--for example, how anxiety and mood disturbances in (previously healthy) patients in palliative care differ from anxiety and depression in a psychiatric setting, in patients with a history of psychiatric problems. Efforts need to be made to link significant clinical problems and basic science. Not until we understand the underlying mechanisms (e.g., the involvement of cytokines in mediating cachexia), will it be possible to develop new treatment strategies for problematic symptoms.

Crisis Intervention↗

[On the effect of odourants in laboratory and field tests (author's transl)].

Odour nuisance reactions are of considerable importance in environmental hygiene. Their scientific analysis calls for a high degree of flexibility in the selection of adequate "access routes". The present paper deals with results of laboratory and field investigations in conjunction with the problem of odour pollution. In a laboratory test 50 test subjects were exposed for 2 1/2 hours either to H2S stimuli at a level of about 2.5 ppm or to pure air. The following effects were investigated: perception and evaluation of stimuli, subjective feeling as well as ability to concentrate. As expected, perceived intensity and intolerance of the stimulus decreased linearly with the duration of exposure; the subjective feeling and concentration were not significantly affected by smell as was demonstrated by comparative checks. By contrast, field investigations of differently exposed groups of population clearly demonstrated negative effects of odour pollution. 704 inhabitants of the city of Düsseldorf, residing in control and exposed areas, were given standardised questionnaires by interviewers to obtain information on reactions to offensive smell. The multivariate data analysis produced a 3-factor reaction pattern, with factor I (general reaction to offensive smell on a sensory basis) being particularly discriminatory. Moreover, it was found that, under identical exposure conditions, persons with a low adaptive tolerance professed themselves to be much more disturbed by the smell than did others with a higher degree of adaptive tolerance to the nuisance. A comparison of the laboratory findings with the field values suggests that the scientific analysis of reactions to the smell pollution presupposes an existential engagement of the examinee which requires that the disturbing stimulus be "embedded" in the pattern of the daily reality of life. This, of course, can hardly be realized in the laboratory.

Adaptation, Psychological↗