Kröger F, Petzold E
Z Psychosom Med Psychoanal. 1985;31(4):339-54.
The systemic aspect which integrates the family as a whole to the diagnostic and therapeutical process becomes more and more important in Clinical Psychosomatics. The development of a sound relationship between the hypertensive patient and his physician and the degree to which the patient is able to accept the drug treatment seem to be influenced not only by the personality structure of the individual patients but also by the interaction pattern of the whole family. The possible influence exerted by the special interaction patterns of the family on the chronification and/or replication of essential hypertension is shown by 1) the obvious negative non-verbal communication behaviour 2) the low intensity of verbal communication and 3) the high need of control, the setting of rigid bounds and a great inflexibility to solve the existing problems.
在临床身心医学中，将家庭作为一个整体纳入诊断和治疗过程的系统层面变得越来越重要。高血压患者与其医生之间良好关系的建立以及患者接受药物治疗的程度，似乎不仅受到个体患者人格结构的影响，还受到整个家庭互动模式的影响。家庭特殊互动模式对原发性高血压慢性化和/或复发可能产生的影响表现为：1）明显的负面非言语沟通行为；2）言语沟通强度低；3）高度的控制需求、设定严格界限以及解决现有问题时的极大不灵活性。
