title: [Psychosomatic aspects of multiple sclerosis].
abstract: Multiple sclerosis is one of the most frequent neurological diseases. Till today too little attention has been laid upon its psychosomatic aspects. In the psychosomatic-somatopsychic-global sense of a therapy a differentiated enlightenment performed step by step, is recommended in the first part of this article. This includes a differentiation of the melting-pot-like unspecific diagnoses into subdiagnoses with different prognoses. This is important for the coping-mechanisms to be performed by the patient, in which necessarily he must be supported by his doctor. The second part shows a psychodynamic factor to the onset of this disease which is caused by several different factors. This psychodynamic factor is characterized by the shift of an intraindividual struggle of power into the soma and it performs a dispute between two parts of the self, Introjects asking for performance on one side, the unfulfilled wish of love and bestowal on the other side. This wish is fulfilled directly by the symptoms of multiple scleroses--at a high price. As a conclusion of this article a giving up of the artificial distinction between psychosomatic and somatic diseases is suggested by taking MS as an example.
authors.affiliation: Abteilung für Psychosomatische Medizin und Psychotherapie, Städtischen Krankenhauses München-Harlaching.
authors.forename: J
authors.initials: J
authors.lastname: Münch
mesh_terms: D000223:Adaptation, Psychological; D002908:Chronic Disease / Q000523:psychology; D006801:Humans; D009103:Multiple Sclerosis / Q000523:psychology*; D011379:Prognosis; D011602:Psychophysiologic Disorders / Q000523:psychology
vernacular_title: Psychosomatische Aspekte der multiplen Sklerose.