Günthert E A
Urologe A. 1980 Jul;19(4):232-5.
50% of all patients being treated by the author do not reveal any pathological organic findings. Most of these patients show symptoms of a so-called "Prostatitis" or "Urethro-Vaginitis". The authors findings are in accordance with those made in outpatient clinics of large medical centers. On the basis of the authors longterm experience three factors seem to be of most importance in treating such patients: 1. the full acceptance of the symptom, 2. the acknowledgement that he is a real patient although his symptoms are psychosomatic. 3. the strict avoidance of treating psychosomatic symptoms with conventional therapeutic measures such as antibiotics. The detailed discussion of the patients problems should be the centerpoint in the management and treatment of psychosomatic cases.
作者治疗的所有患者中有50%未发现任何病理性器质性病变。这些患者中的大多数表现出所谓“前列腺炎”或“尿道阴道炎”的症状。作者的研究结果与大型医疗中心门诊的研究结果一致。基于作者的长期经验,在治疗这类患者时,三个因素似乎最为重要:1. 完全接受症状;2. 承认他是真正的患者,尽管其症状是心身性的;3. 严格避免用抗生素等传统治疗措施治疗心身症状。对患者问题的详细讨论应是心身疾病管理和治疗的核心要点。