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[The problem patient in dermatological practice. Psychomatic aspects (author's transl)]
MMW, Munchener Medizinische Wochenschrift
|June 12, 1981
Summary
This study questions the sole focus on physical symptoms in illness, proposing a holistic "total diagnosis" approach. It emphasizes understanding the patient
Area of Science:
- Integrative Medicine
- Psychodermatology
Background:
- Traditional medical approaches often prioritize somatic aspects of disease.
- An exemplary case of a 44-year-old female patient with pruritus highlights limitations in solely somatic diagnosis.
Observation:
- The concept of
- pluriperspective complementary medicine
- is introduced as a comprehensive diagnostic framework.
- This approach integrates genetic, anatomic, physiologic, biochemical, microbiological, psychological, and sociocultural factors.
Findings:
- Beyond somatic diagnosis, the study proposes a "reference diagnosis" within the doctor-patient relationship.
- This involves identifying a "reference disturbance" linked to early childhood "fundamental disturbances".
Implications:
- This holistic diagnostic model can be learned and applied by healthcare professionals, including dermatologists and general practitioners.
- Utilizing Balint groups can facilitate the development of this crucial "reference diagnosis" skill.