[Indikationsfragen zur psychotherapie bei psychosomatischen patientinnen.].
The diagnostic process of psychosomatic patients finally arriving at an indication for psychotherapy is an important point of reference in the present discussion concerning the introduction of special clinics for psychosomatic patients in Austria: equippment of such clinics and standards for the personnel has to relate to the needs of these patients. The Etiology of psychosomatic disturbances includes psychological influences, which, via psychoneuroendocrinolgical mechanisms interact with somatic factors, and individual coping styles, shaped by the social environment and gender-related factors. The initial interview, besides physical complaints, has to assess the patient's reality sense, the affective competence, the cognitive competence, the nature and quality of relations with important others, the subjective illness-theories and the motivation for psychotherapy. The therapeutic method/setting finally choosen has to offer a scientifically based concept of psychosomatic disturbances, according to the different operationalisations of Psychosomatic.
Leithner
Katharina
K
Univ. Klinik für Tiefenpsychologie und Psychotherapie, Währinger Gürtel 18-20, 1090 Wien, Austria, katharina.leithner@akh-wien.ac.at.
Eder
Anselm
A
Springer-Kremser
Marianne
M