Gathmann P
Universitätsklinik für Psychiatrie, Währinger Gürtel 18-20, A-1090 Wien.
Wien Med Wochenschr. 2002;152(19-20):535-9. doi: 10.1046/j.1563-258x.2002.02088.x.
The medical ideology being based on structure instead of function (specifically on the cgs-logic--centimetre, gram, second) instead of a patient-orientation, the patient's resources are rarely ever even touched. This is the basis for operating difficulties in self- and patient-management. Changes of this uneconomic approach should centre on training, focusing especially on how to increase the professional's sensitivity for the relationship with his patient. Unfortunately, Austria's situation is characterized by deficitary psychosomatic competence in medical professionals. In addition, the absence of universitary or other structures centering on psychosomatic training and co-ordination is to be criticized. An interuniversitary-psychosomatic structure in Austria is proposed as a starting-point to overcome these serious short-comings.
基于结构而非功能（特别是基于厘米、克、秒的厘米 - 克 - 秒制逻辑）而非以患者为导向的医学理念，患者的资源很少得到关注。这是自我管理和患者管理中操作困难的根源。改变这种不经济的方法应以培训为核心，尤其要注重提高专业人员对医患关系的敏感度。不幸的是，奥地利的情况表现为医学专业人员的心身医学能力不足。此外，缺乏以心身医学培训和协调为中心的大学或其他机构也受到批评。建议建立奥地利大学间心身医学结构作为克服这些严重不足的起点。
