[The physically ill patient needs psychotherapy].

Any somatic diseased should be offered (additional) psychotherapy and many patients are able to profit a good deal by it. This accounts generally not only in the defined "psychosomatic illnesses". Specific indications according to target symptoms have to be applied; but no primary exclusion! This is a big challenge for a new generation of psychotherapists, having almost not been regarded in the classical "psychotherapeutic schools" up to now. It wants regarding of hic et nunc during the acute crises of disease, should however be in fluent transition to long term psychotherapy. It accounts specially for the rehabilitation patient, the incurable patient, the geriatric patient in general. Relatives as well as the nursing personal must be included in the sense of a "systemic approach". This shows, that one single psychotherapeutic school cannot be prepared to fulfill these demands. Psychotherapeutic "schools" present an important basis, should however lead towards an "integrated psychotherapy" to be problem-centered, patient-centered and school-pluralistic. Psychotherapy in somatic illness shows this demands very distinctly. We however consider the "integrated approach" a main street for future psychotherapy in general.