德国心身医学的历史、目标及当前结构。
History, aims and present structure of psychosomatic medicine in Germany.
作者信息
Deter Hans-Christian, Kruse Johannes, Zipfel Stephan
机构信息
Medical Clinic, Psychosomatics, Charité, Hindenburgdamm 30, 12200 Berlin, Germany.
2Clinic for Psychosomatic Medicine and Psychotherapy, German Association of Psychosomatic Medicine and Psychotherapy (DGPM), University Gießen und Marburg GmbH, Giessen, Germany.
出版信息
Biopsychosoc Med. 2018 Jan 2;12:1. doi: 10.1186/s13030-017-0120-x. eCollection 2018.
Abstract
Combining its two traditions of integrated psychosomatics in internal medicine and focusing on psychotherapeutic/psychiatric methods in many clinical fields, German psychosomatic medicine has developed well over the last decades. It benefits from its institutional independence and the progressive changes in health care. Clinically, disorder-oriented psychotherapy is a core method integrated with other modes of therapy. As a conceptual base for empirical research, non-reductionist accounts of the interactions of (sick) persons with their environment are most important. Germany has developed a model of Psychosomatic Medicine that has conceptualized and integrated psychotherapeutic methods into clinical practice and realized one way to practice bio-psycho-social medicine in the health care system of the country.
摘要
德国的心身医学融合了内科综合心身医学和在许多临床领域专注于心理治疗/精神科方法这两种传统，在过去几十年里得到了很好的发展。它受益于其机构独立性和医疗保健方面的渐进性变革。在临床上，以疾病为导向的心理治疗是与其他治疗模式相结合的核心方法。作为实证研究的概念基础，对（患病）个体与其环境相互作用的非还原论解释最为重要。德国已经发展出一种心身医学模式，将心理治疗方法概念化并融入临床实践，实现了在该国医疗保健系统中实践生物 - 心理 - 社会医学的一种方式。
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