[Psychopathologic course dynamics as an indicator of variable psychotherapeutic-psychopharmacologic treatment...

Psychotherapeutic endeavors of individuals in the context of a graduated overall psychotherapeutic and psychopharmacological strategy often fail to result in successful treatment because insufficient attention is paid to the biologically variable dimension of disturbed psychophysical integrity. The significance of intermediate pathogenetic stages in multistratified "neurotic" depressions and in anorexia nervosa and compulsive syndromes are dealt with in detail. Irrespective of the primary psychodynamics, neurobiologically modulated condition pictures with unusual autonomous dynamics can determine the picture. The same psychotherapy and somatotherapy does not entail the same action when carried out on a psychopathological substrate with different presentation and at different times. Finally, the possible transition from the psychosomatic clinical picture to "compensated" benzodiazepine-dependence is referred to. These secondary diseases exemplify iatrogenically modified psychopathological progress forms.