[Why psychosomatic medicine will not become fashionable. Systematic constraints in medicine]

This paper compares two theoretical models of reality, showing the difference between classic and psychosomatic medicine and explaining why the classic approach is so attractive and successful: it satisfies the great human need to reduce complexity for eminently practical reasons. In contrast, the disadvantages of psychosomatics are described. They are due to its concept of professionalism which contradicts our traditional ideas of professional expertise. The contradiction forbids an integration of the two positions. So what are the chances of psychosomatic medicine?