von Uexküll T
Psychother Psychosom Med Psychol. 2001 Mar-Apr;51(3-4):128-33. doi: 10.1055/s-2001-12385.
Psychosomatic medicine coincides with the detection that the medical crisis is a philosophical one as medicine prescribes single-track empirical models and concepts. To overcome this dualism of soul-less bodies and body-less souls is of utmost importance in order to gain an idea reflecting man and his body in the reality of their firsthood experiences, secondhood acts and treatments. In the realm of this reality we treat our bodies according to the reactions on warning signals of everyday life. Only if our secondhood possibilities fail we have to see a doctor. Thus it is the patient who gives the treatment order and nobody else. He delegates his secondhood possibilities to the physician. And the physician has to build up a communication enabling the construction of a mutual reality in which it becomes possible to reach the firsthood requirements of the patient via empathy. The medical crisis as a sign of the transition from industrial to communication society requires from us to transfer the idea of a body which can be interpreted and manipulated technically into an idea of the body as an open information system the basis of which is the relation among patient, physician and disturbance or in short: the patient-physician relationship. In the realm of this relationship the reality of medicine is emerging. Physician therefore are called upon to defend the inseparable basis of their profession against expanding bureaucratisation and against marketing tendencies of health companies.
心身医学与这样一种发现相契合，即医学危机是一种哲学危机，因为医学规定了单一轨道的经验模型和概念。为了获得一种能反映人与他的身体在其原初体验、继发行为及治疗的现实中的观念，克服这种无灵魂的身体与无身体的灵魂的二元论至关重要。在这个现实领域中，我们根据日常生活警示信号的反应来对待我们的身体。只有当我们的继发可能性失效时，我们才不得不去看医生。因此，是患者下达治疗指令，而非他人。他将自己的继发可能性委托给医生。而医生必须建立一种沟通，促成一种共同现实的构建，在其中通过同理心满足患者的原初需求成为可能。作为从工业社会向信息社会转型标志的医学危机要求我们，将那种可从技术上进行解释和操控的身体观念，转变为一种将身体视为开放信息系统的观念，其基础是患者、医生与病症之间的关系，简而言之，就是医患关系。在这种关系领域中，医学的现实正在浮现。因此，医生被要求捍卫其职业不可分割的基础，以抵御日益膨胀的官僚化以及健康公司的营销倾向。
