Buddeberg C
SSO Schweiz Monatsschr Zahnheilkd. 1980 May;90(5):406-18.
Starting from experience gained as psychosomatic consultant at the Crown and Bridge Prosthetics Department of Zurich University Dental Institute, a description is given of the psycological aspects of the dentist-patient-relationship. This relationship is essentially determined by the patient (his personality, his ailment, his view of the ailment), the dentist (his personality, his comprehension of illness, his vocational motivation) and the interaction occuring between both. The relationship evolves simultaneously on different but closely interconnected levels. The material level covers mainly the contractual frame of the treatment. On the information level patient and dentist are continuously in verbal and nonverbal communication. On this level the patient's primary self-description and his problem definition-hs mouth, his personality as a whole, the dentist-are of particular importance. The relationship level shows a pronounced asymmetry between dentist and patient. Also the level of action, where dentist and patient alternate in the treatment of and the responsibility for the patient's mouth and teeth. In view of the growing psychosocial problems in dental practice a better training of dentists in medical psychology seems desirable.
基于在苏黎世大学牙科学院冠桥修复科担任心身顾问所积累的经验，本文对医患关系的心理层面进行了描述。这种关系主要由患者（其个性、疾病、对疾病的看法）、牙医（其个性、对疾病的理解、职业动机）以及两者之间发生的互动所决定。这种关系在不同但紧密相连的层面上同时发展。物质层面主要涵盖治疗的契约框架。在信息层面，患者和牙医持续进行言语和非言语交流。在此层面上，患者对自身的初步描述以及其问题界定——他的口腔、整体个性、牙医——尤为重要。关系层面显示出医患之间明显的不对称性。行动层面也是如此，在该层面上，牙医和患者在治疗患者口腔和牙齿以及承担相关责任方面交替进行。鉴于牙科实践中日益增多的社会心理问题，对牙医进行更好的医学心理学培训似乎是可取的。
