[Diagnosis of psychosomatic disorders by internists]

Characteristic of psychosomatic disorders is their occurrence in temporal relation to intense emotions. A fortuitous association is to be ruled out in case repetitions, emotional provocation of the symptoms or their abatement under anesthesia. The concomitant action of a physical disposition is explained by means for examples; then, also other inciting moments may appear and influence prognosis. While mostly psychosomatic disorders subside quickly, the crucial factors for chronification are harmful environment, somatic or psychic disposition. In the latter case, the internist generally seeks the consultant's advice. Suggestions are given to further steps in the development of knowledge on the diagnosis of neuroses and to the collaboration with the specialist for psychotherapy. Emphasis is placed on the importance of developing theoretical knowledge.