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Der depressive Patient und sein Arzt
Paperback / softback
08 January 1981
$122.00
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Der depressive Patient und sein Arzt
$122.00
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Von Prof Dr. B. Luban-Plozza Der depressive Patient - Bei der larvierten Depression geben in Wege zu einem besseren Verstandnis tensiv erlebte StOrungen und besonders Schmerzen im Bereich des Herzens, des Die depressiven Krankheitsbilder neh Kopfes, des Abdomens oder der Wirbel men sHindig an Zahl zu. Etwa 90% aller saule, altemierend oder auch hartnackig Depressiven suchen zunachst den nieder lokalisiert auftretend, dem Kranken den gelassenen praktischen Arzt auf. Die Eindruck eines schweren organischen Halfte dieser Patienten leidet an larvier Krankheitsbildes. ten Depressionen. Bei allen Unterschie In jedem Falle muf3 der Arzt den Patien den der atiologischen Zuordnung, wie sie ten eingehend untersuchen! Die Somati flir depressive Kranke unter bestimmten sierung wird sonst vordergriindig akzep Aspekten arztlicher Beobachtung zahlen, tiert, der somatische Befund kann zum ergibt dies ein relativ einheitliches Bild. Alibi werden und yom Problem ablenken. Sehr individuell und ausschlaggebend ge Der "psychosomatische Zugang" und der staltet sich bei dies en problemreichen Pa Umgang mit dem psychogenen Aspekt tienten von Anfang an die Arzt-Patient des Krankseins hilft, den Patienten im Beziehung. Der Begriff "Beziehungsdia Sinne der Beziehungsdiagnostik zu ver gn.ostik" ist hier angebracht. stehen. Psychosomatisches Geschehen. wie bei der larvierten Depression, wird Die Enthiillung der mitmenschlichen Be ziehung und die Nutzbarmachung die erst unter Einbeziehung der Umwelt des ser Beziehung innerhalb der Therapie Kranken, auch hinsichtlich famiWirer entsprechen einer "Beziehungstherapie". Konflikte, klar. Besondere Bedeutung Nach Annelise Heigl-Evers sind interes kommt der Psychotherapie, und hier v. a. sante Faktoren der Beziehung zwischen der Gesprachstherapie, zu.
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