[So-called complex ego-functions, psychic cross findings and valuation of efficiency in medical expert assessment of psychogenic diseases].
Medical expert assessment of a disease-induced disability requires the integrative examination of own and outside anamnestic data, file content and psychic cross-findings received in the assessment interview, if necessary completed by results of psychologic testing. The measure of disability with regard to psychogenic diseases is the impairment of the so-called complex ego-functions because they make it possible to judge someone's will which is available to overcome his inhibitions concerning achievement. This case report describes how to determine and present an impairment of complex ego-functions on the finding level. It is the author's view that it is desirable to operationalise this way of receiving findings with the aim of achieving obligatory criteria for granting payment to every insured person.
Fabra
M
M
Medizinischen Gutachteninstitut, Hamburg.
D000203:Activities of Daily Living; D002908:Chronic Disease; D004185:Disability Evaluation; D005104:Expert Testimony / Q000379:methods*; D005858:Germany; D006801:Humans; D007406:Interview, Psychological / Q000379:methods*; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D011581:Psychological Tests; D011602:Psychophysiologic Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D011785:Quality Assurance, Health Care / Q000379:methods; D012720:Severity of Illness Index; D013475:Superego; D014938:Work Capacity Evaluation