Husslein H
Wien Klin Wochenschr Suppl. 1977;77:10-3.
The hypo-, hyper- and normogonadotropic amenorrheas (according to WHO nomenclature) are psychosomatic amenorrheas. The significance of the various psychic factors is pointed out initially. Especially with psychosomatic disorders in gynecology sexual factors play an important role. Adequate treatment of psychosomatic disorders is rendered difficult of the present state of medical education. Lectures in psychosomatics are not presented outside of psychiatry, the dialogue between doctor and patient is almost completely neglected within the medical training. Psychosomatic treatment in the office of patients with state medical insurance poses problems. At our clinic an outpatient department has been open for 2 years. 136 cases have been treated so far. Gynecologist and the psychosomatic specialist examine the patient simultaneously and define a joint treatment plan. Prevailing problems are conflicts with the partner (31%), , conflicts within the family (20%) and conflicts within the social environment (13%). Following adequate diagnostic clarification patients are treated once (19%) or several times (28%) or are referred to other outpatient clinics. A prolonged therapy in our own outpatient department is presently possible in only 2,5% of cases.
低促性腺激素性、高促性腺激素性和正常促性腺激素性闭经（根据世界卫生组织的命名法）属于心身性闭经。文中首先指出了各种心理因素的重要性。特别是在妇科的心身疾病中，性因素起着重要作用。鉴于医学教育的现状，心身疾病的恰当治疗存在困难。心身医学的课程在精神病学领域之外并未开设，在医学培训中，医患对话几乎完全被忽视。为参加国家医疗保险的患者进行心身治疗存在问题。在我们诊所，一个门诊部已运营两年。到目前为止，已治疗了136例患者。妇科医生和心身医学专家同时对患者进行检查，并制定联合治疗方案。常见问题包括与伴侣的冲突（31%）、家庭内部冲突（20%）以及社会环境中的冲突（13%）。经过充分的诊断性澄清后，患者接受一次治疗（19%）或多次治疗（28%），或者被转至其他门诊部。目前，在我们自己的门诊部，仅2.5%的病例能够进行长期治疗。
