[Which patients in psychosomatic rehabilitation can be reached by psychotherapy?]

This report presents a cross-sectional study of the patients in a psychosomatic clinic (n = 112). Possible predictors concerning psychotherapeutic cooperation of patients are presented and discussed. Negative predictors found were: The presence of two or more strictly somatic rehabilitation treatments in the past; a therapist rating of "not capable of being motivated for psychotherapy"; a pension application, or a degree of disability of 50 ("severely disabled person" status). A positive predictor for psychotherapy is a patient's previous experience with psychosomatic therapies. Some consequences are discussed concerning indication as well as client information, preparation of clients prior to clinical treatment, and cooperation with other institutions providing psychosocial services.