title: [Soft tissue pain and psychiatric evaluation].
abstract: Attention is drawn to the special position of the psychiatric assessor. In his evaluation, the assessor takes into consideration psychic and somatic findings and also social factors. Precisely in connection with the assessment of soft-tissue pain there is a growing recognition that the Ancient Greek dualism of "psyche and soma" is already obsolete. Psychic and somatic factors are mutually dependent, and psychosomatic illness has a multifactorial origin involving predisposition, the development of the personality in early childhood and later, and finally the development of environmental influences in the individual sphere and in the social sphere in general. A subject of special discussion are personality factors which are correlated with a developmental impairment of aggressive motivation. The inhibition of aggression seems to play a decisive role in determining the symptoms. The loss of constructive aggressivity is presented as a trigger for soft-tissue pain.
authors.affiliation: Zentrum für Medizinische Begutachtungen, Basel.
authors.forename: R
authors.initials: R
authors.lastname: Marelli
mesh_terms: D003674:Defense Mechanisms; D004185:Disability Evaluation; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005356:Fibromyalgia / Q000175:diagnosis / Q000523:psychology*; D006801:Humans; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000523:psychology*; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology*
vernacular_title: Weichteilschmerzen und psychiatrische Begutachtung.