[Psychosocial and psychosomatic basic competence of the gynecologist--from intrinsic conviction to a learnable curriculum. (2. Biosychosocial model and basic psychiatric therapy].
Besides the communicative skills and medical interviewing techniques (part 1 in Gynäkol Geburtshilfliche Rundsch 2001;41:158-165), it is the biopsychosocial model of health and disease which constitutes the second important element of the basic psychosomatic and psychosocial competence of the gynecologist. According to this model biological-somatic and psychosocial factors are concomitantly and equally taken into account during the diagnostic and therapeutic process. To conceptualize the possible pathology of psychosocial factors, the following categories have proven helpful in everyday work: behavior, stress, conflicts and developmental defects and disturbances. These categories are not objectively measurable, but they are accessible for the gynecologist in the consultation by means of the three following functions: assessment and monitoring of the patient's problems (somatic, psychological, social) by patient-centered communication; establishment, maintenance and termination of a therapeutic helpful relationship by perception of and response to emotions; development of a problem-solving plan and help for its realization by means of information giving and influencing behavioral changes.
Bitzer
J
J
Abteilung für gynäkologische Sozialmedizin und Psychosomatik, Universitätsfrauenklinik, Basel, Schweiz. jbitzer@uhbs.ch
Tschudin
S
S
Schwendke
A
A
Alder
J
J
D000328:Adult; D002983:Clinical Competence; D003479:Curriculum; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D007231:Infant, Newborn; D010353:Patient Education as Topic; D010817:Physician-Patient Relations; D011247:Pregnancy; D011611:Psychosomatic Medicine / Q000193:education*; D012917:Social Adjustment; D013557:Switzerland