[Organization of the psychotherapy-psychosomatic department and its integration into the University Pediatric Clinic].

With regard to the 20 years history of our psychotherapeutic unit some essential feed-back-loops between medical pediatric work and our systemic thinking are presented. So-called objective tasks interfere with group dynamics and subjective task formulations. If two models (the biomedical and the systemic-therapeutic) collide, both of them get "contaminated" and should be changed in a co-evolutive process--for the sake of the patients and their families. In our experience this is only possible, if autonomy of the unit is present, then the unit can wait for "perturbations".