title: [What differentiates and what connects psychotherapy and psychiatric somatotherapy? On the epistemology of therapeutic procedures].
abstract: In opposition to a dualistic conception of psychosomatic medicine which implies a determination of the psychical by the physical or vice versa we emphasize a circular relationship between a biological individuum on the one hand, comprising the psychical and the physical and its environment on the other. From this, every therapy appears as an interactional process between individuum and environment, the latter being represented by the respective therapeutic agent. Basing upon a biperspectivistic epistemology the following can be stated: In a case of psychiatric somatotherapy the therapeutic agent is of a physico-chemical, in the case of psychotherapy of a verbal-semantic or nonverbal-informative nature. Because psychiatric somatotherapy as well as psychotherapy is directed at a wholly individuum, comprising the psychical and the physical, one may postulate that any therapeutic effect is describable also from the two logically distinct but correlative points of view, the one corresponding to the psychical and the other to the physical. The virtual character of both kinds of therapy results from a different accentuation with respect to both the logically given perspectives. Concluding we try to specify differentially the possibilities and limitations inherent in psychiatric somatotherapy and in psychotherapy.
mesh_terms: D000223:Adaptation, Psychological; D001290:Attitude; D003131:Combined Modality Therapy; D006801:Humans; D011602:Psychophysiologic Disorders / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*; D012931:Social Environment
vernacular_title: Was unterscheidet und was verbindet Psychotherapie und psychiatrische Somatotherapie? Zur Epistemologie therapeutischer Verfahren.