Psychosomatic Disorders in General Practice by Prof. Dr. Dr. hc. Boris Luban-Plozza, Prof. Dr. Walter

By Prof. Dr. Dr. hc. Boris Luban-Plozza, Prof. Dr. Walter Pöldinger, Dr. Friedebert Kröger (auth.)

Closely geared to normal perform but with no neglecting uncomplicated conception, this ebook has retained loads allure between readers .as to warrant a 3rd version. We suppose that the paintings has retained its position one of the best guides on psychosomatics since it embodies our robust curiosity within the 'here and now' of scientific perform. The timing of this completely revised and enlarged version seems opportune as psychosomatic easy care and the drugs of discussion collect extra which means in day-by-day regimen perform, and because the want for easy info raises. We conceive psychosomatics to be an essential component of medication. once we communicate of 'psychosomatic problems' during this ebook, our premise is that somatic and psychosocial features play a major position of their pathogenesis and direction. This concept constitutes the very foundation of what's understood as psychosomatic clinical remedy. one of these element of departure demands a constant spirit of cooperation with reference to the issues concerned. This by myself satisfies the preliminary requirement of concurrently contemplating either the somatic and psychosocial facets of healthiness and illness.

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Efficiency and performance-orientation are only too readily equated with health: hard-working people are considered to be healthy. Coronary patients tend to deny their conflicts. Freyberger speaks of a psychic scotomization. In candidates for infarction, this relates on the one hand to the constant overstrain produced by the inner urge for achievement and on the other to the marked health hazards in the form of tobacco abuse and increased calorie intake. Such denial is a defence mechanism that makes it very difficult to build up inner motivations for treatment.

Such basic changes in syndromes have frequently been observed. In respiratory treatment heavily orientated towards body therapies such as autogenic training and other relaxation techniques, the patient finds less opportunity to act out his own particular conflict with the therapist. Yet Fuchs saw other advantages in respiratory therapy. He considered that in breathing, the give-and-take process was - 'atmospherically' speaking uninterrupted even if easily disturbed. Should it be possible to revive this rhythmic interplay once it has been thrown into disorder by anxiety or agitation, a positive influence will be exerted internally just as inner conditions are reflected externally.

Similarly, Plato considered the region between the throat and diaphragm to house wrath, bravery and love of honour. He also saw the heart to be a kind of alarm centre that issued a warning against evil designs on the body, whether they came from outside or were nurtured in the innermost desires. These ideas bear a certain resemblance to Freud's later theory of anxiety. Mayer obtained scientific evidence of this relationship. In the course of his evaluations on heart-rate recordings over long periods, he became convinced that they contained a kind of psycho autonomic imprint, the characteristic features of which were in his opinion determined before birth.

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