title: [Psychological aspects in surgery--surgical aspects in psychology: psychosomatic medicine in routine practice?].
abstract: Medicine appears to have reached a standstill, in particular surgery: While progress in apparative diagnostics and therapy, e.g. by ultrasound, endoscopy, laparoscopy, and arthroscopy, has reached in some areas "breathtaking speed", the parties concerned-surgeons and patients-lose in reserve air to breathe: no time for any profound consideration, no chance for in-depth talking before surgical procedures are performed, no training for giving real support after surgery. Do we see a brand of surgery which feels responsible only for a human machine without soul? Meanwhile discussions have begun inside medicine in general about a change of paradigms, ways of thinking, the model of the world. Surgery can even make substantial contributions to this change of paradigms. Surgery for the human machine? Psychosomatic ways of thinking are first seen not applicable for surgery. Substantial anxiety exists to take notice of each other. Three concrete examples from everyday practice in surgery demonstrate, how psychosomatic thinking can change and enrich surgical practice: From the area of indications reflections about appendectomy, from the operative-surgical area the phenomenon of self-destructive behaviour, from the restitutive area experiences in treatment of osteomyelitis. Back to the interpersonal area! Psychosomatics must be recognised as a way of thinking and be integrated as such into surgery. A so-called "integrated surgery" will arise. The examples demonstrate also, that it is not some anonymous surgical medicine, which must and can change, but that only the individual surgeon as a concrete person can bring back his work into the interpersonal area.
authors.affiliation: Praxis für Chirurgie, Frankfurt/Main. chirurg@hontschik.de
authors.forename: B
authors.initials: B
authors.lastname: Hontschik
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001062:Appendectomy / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D011183:Postoperative Complications / Q000523:psychology; D011602:Psychophysiologic Disorders / Q000523:psychology* / Q000601:surgery; D012803:Sick Role; D013514:Surgical Procedures, Operative / Q000523:psychology*