Klumbies G
Z Gesamte Inn Med. 1985 Nov 15;40(22):649-51.
Characteristic of psychosomatic disorders is their occurrence in temporal relation to intense emotions. A fortuitous association is to be ruled out in case repetitions, emotional provocation of the symptoms or their abatement under anesthesia. The concomitant action of a physical disposition is explained by means for examples; then, also other inciting moments may appear and influence prognosis. While mostly psychosomatic disorders subside quickly, the crucial factors for chronification are harmful environment, somatic or psychic disposition. In the latter case, the internist generally seeks the consultant's advice. Suggestions are given to further steps in the development of knowledge on the diagnosis of neuroses and to the collaboration with the specialist for psychotherapy. Emphasis is placed on the importance of developing theoretical knowledge.
身心障碍的特点是它们在时间上与强烈情绪相关联而出现。在症状反复出现、情绪诱发症状或在麻醉下症状减轻的情况下，要排除偶然关联。身体易感性的协同作用可通过举例来说明；然后，其他诱发因素也可能出现并影响预后。虽然大多数身心障碍会迅速消退，但慢性化的关键因素是有害环境、躯体或心理易感性。在后一种情况下，内科医生通常会寻求会诊医生的建议。文中给出了关于神经症诊断知识发展的进一步步骤以及与心理治疗专家合作的建议。强调了发展理论知识的重要性。
