[Analytical psychosomatics and medicine--self concept and self comprehension]

Psychoanalytic Psychosomatics derive their selfassessement from the fact that they have turned into a recognized speciality in medical science. High rates of epidemiological occurrance of psychogenetic diseases as well as the proofed efficiency of psychoanalytic methods of treatment encourage psychosomati specialists to take care of a great number of diseased, chronically disabled or high-risk persons. The differences to traditional organic medicine are shown up by ennumerating some of the common but rarely considered facts where supply with psychoanalytic-psychosomatic treatment of patients is concerned: All the therapeutic work is here done by the therapist himself. This is the cause for an exceptionally high Doctors'-time-expenditure for each patient. In spite of his psychotherapy is not expensive compared with average costs of other forms of medical treatment. Further topics are: The question of postgraduate training in psychoanalytic psychosomatics, the special patient-doctor reltionship and other special problems arising during psychotherapy in hospital and outpatient work. These problems are discussed in regard to cooperative collegues from other medical disciplines; dealing c.i. with their transference problems to patients they send to psychotherapy.