Bitzer J
Universitäts-Frauenklinik, Kantonsspital Basel.
Ther Umsch. 1999 May;56(5):246-50. doi: 10.1024/0040-5930.56.5.246.
Psychosomatic counselling and care of infertile couples has the following objectives: Development and implementation of a patient centered communication in the consultation itself during diagnostic workup and treatment; detection and management of psychosocial problems and difficulties that present barriers to the fertility of the couple and may lead to negative consequences of treatment; support and help during emotional crisis occurring in the context of the treatment and counselling with respect to stress management; therapeutic interventions to help couples to cope with the unfulfilled wish for a child and to terminate treatment. To fulfill these tasks an integration of psychosomatic concepts of thinking and acting in the everyday work in the consultation is needed. For this purpose we have developed a model of patient centered communication. Furthermore a specialized psychotherapeutic help for couples as well as a help and supervision for the infertility team is needed. This 'dual' principle of psychosomatic work is the best precondition to assure a high quality of personal care for infertile couples.
在诊断检查和治疗期间的咨询过程中,开展并实施以患者为中心的沟通;发现并处理心理社会问题和困难,这些问题和困难是夫妻生育的障碍,可能导致治疗产生负面后果;在治疗和咨询过程中出现情绪危机时,就压力管理提供支持与帮助;进行治疗干预,帮助夫妻应对未实现的生育愿望并终止治疗。为完成这些任务,需要在心身思维和行动理念与咨询日常工作之间进行整合。为此,我们开发了一种以患者为中心的沟通模式。此外,还需要为夫妻提供专门的心理治疗帮助,以及为不孕治疗团队提供帮助和监督。这种心身工作的“双重”原则是确保为不孕夫妇提供高质量个性化关怀的最佳前提。