title: [Chronification of chronic patients from the viewpoint of interaction in the medical treatment system].
abstract: Though chronicity in psychiatry seems to have undergone a favorable modification, it has, nevertheless, increased and evolved so to adopte itself to a more liberal society (group techniques having no doubt contributed to this modification). Chronicity is no longer the end result of the asylum and solitude. Stades of chronicity are found in each and every branch of medicine, its development being parallel to the expressive of medicine itself. Due to intensification of preventive medicine and post-cure, chronicity touches not only patients undergoing long-term treatment, but also those attending ambulatories and post-cure institutions, and individuals who are considered ill in their environmental interactions, living recluded lives in order to avoid contact, friction and treatment. Chronification, deriving from the interaction with the therapeutic system, can be avoided if the patient and his milieu, in a common effort, give up the idea of illness and allow confrontation to the aggressive stimuli of society. The lack of understanding on the therapist's side, concerning the above-mentioned effort, in the demonstration that the therapist has a preconceived position in the system. This fact is not surprising since chronification is a target in medicine which defines health as a sort of negative of the illness it treats. On the other hand Freudian psychology should enable us to renounce all absolute idealization and help us seek health conceived as a libidinal blend of Eros and Thanatos. The question is not, therefore, how to avoid chronicity, but how to find a chronicity adapted to the patients biography and not to our own.
mesh_terms: D000375:Aging; D002908:Chronic Disease; D005190:Family; D006801:Humans; D007398:Interpersonal Relations; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010817:Physician-Patient Relations; D012559:Schizophrenia / Q000628:therapy
vernacular_title: Uber Chronifikation der chronischen Patienten aus dem Gesichtspunkt der Interaktion im medizinischen Behandlungssystem.