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[Modern illnesses from the critical viewpoint].

Versicherungsmedizin

|January 5, 2002

Summary

Psychosomatic illnesses, or "modern diseases," are gaining public attention. Diagnosing these conditions requires excluding organic causes, and effective treatments remain challenging, leading to complex medicolegal issues.

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Area of Science:

Psychosomatic Medicine
Environmental Health
Psychology

Context:

Growing public interest in
modern diseases
Environmental illnesses like multiple chemical sensitivity, chronic fatigue syndrome, and fibromyalgia are common causes of anxiety.
Hypotheses regarding their origin vary, with some suggesting organic bases and others psychological factors.

Purpose:

To discuss the diagnostic challenges and therapeutic limitations of psychosomatic illnesses.
To highlight the medicolegal implications associated with these conditions.

Summary:

Psychosomatic illnesses lack objective diagnostic criteria, necessitating the exclusion of other organic diseases.
Patients often refuse psychological treatment, and a scientifically validated somatic therapy concept is unavailable.
The absence of clear diagnostic and therapeutic guidelines contributes to prolonged medicolegal disputes.

Impact:

Underscores the need for improved diagnostic tools and evidence-based therapeutic strategies for psychosomatic disorders.
Highlights the importance of addressing the psychological component in environmental illnesses.
Emphasizes the complexities in medicolegal evaluations for patients with suspected psychosomatic conditions.

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