Mathies H, Abbach B
Versicherungsmedizin. 1989 Jul 1;41(4):139-40.
There are often big problems regarding expert evidences of psychosomatic clinical pictures, because, contrary to the complaints expressed and perceived by the patient, somatic findings are not evident to justify a permanent disablement. Nearly without exception it is a question of chronified cases of psychosomatic complaints up to real psychoneuroses. The diagnosis and delimination from a simulation is difficult and is frequently failed. Without doubt there are cases, in which only the psychic component determines the vocational disablement.
身心临床症状的专家证据往往存在重大问题，因为与患者所表达和感知到的主诉相反，躯体检查结果并不明显，不足以证明存在永久性残疾。几乎无一例外，这些都是身心主诉发展为真正的精神神经症的慢性病例。与伪装进行鉴别诊断很困难，而且经常失败。毫无疑问，有些病例中，只有心理因素决定职业残疾。
