[Psychosomatic of acute respiratory-distress from the point of view of family dynamic (author's transl)].

Attacks of respiratory distress occur mainly during the time of prepuberty and puberty. They are in close relationship to the difficulties of the pubertal reparation processes of these children especially the ones for autonomy and individuation. The symptom of acute respiration distress should be viewed as the leading symptom of a complex neurovegetative psychosomatic disturbance. The disturbed functions of various organ systems are discussed. Relationships and correlations to known syndromes like hyperventilation syndrome or normocalcemic tetany are discussed. The causes and pathogenetic factors which show up working diagnostically and therapeutically with the families of these children are described. These factors are of special value for the physician in charge in regard to differentialdiagnosis and treatment-planning. A short description of the most frequent family-dysfunction patterns shows that the disturbed development of autonomy is connected with these family problems.