Franz M
Psychosomatischen Klinik des Zentralinstituts für Seelische Gesundheit, Mannheim.
Z Psychosom Med Psychoanal. 1990;36(4):355-73.
The great relevance of psychoanalytic-psychosomatic aspects for a more profound understanding of neurological diseases is the topic of this article. In terms of medical history, the development of the discipline of neurology especially in Germany is outlined, whereby neurology and psychosomatic medicine share the fate of a handicapped individuation. On the background of this delayed establishment as branches of their own, the mutual denial of neurology and psychosomatic medicine up to the present is discussed. By means of a survey of literature and case examples of several neurological disorders (hysterical conversion symptoms, selected diseases of the extrapyramidal motor system, lumbago, sciatica, cephalgia, epilepsy) the great importance of psychosomatic medicine and psychoanalysis for neurology is pointed out.
精神分析-身心方面对于更深入理解神经疾病具有重大意义,这是本文的主题。在医学史上,概述了神经病学学科的发展,尤其是在德国的发展,由此神经病学和身心医学有着个体化受阻的共同命运。在它们作为独立分支建立较晚的背景下,讨论了神经病学和身心医学直至目前的相互否定。通过对文献的综述以及几种神经疾病(癔症性转换症状、锥体外系运动系统的某些疾病、腰痛、坐骨神经痛、头痛、癫痫)的病例实例,指出了身心医学和精神分析对神经病学的重要意义。