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Biomedical subjects

K Köhle

Publications and source records attributed to K Köhle.

At least 37 records · Page 2Linked to original sources

Integration of the psychosomatic approach with internal medicine: development of concepts and preliminary results of evaluation of doctor-patient interaction.

An account is presented of an attempt (made in the period between 1972 and 1979) to integrate a psychosomatic approach in routine patient care in a medical hospital. Following disappointment with a service run on a consultation-liaison basis, patient care on a small general medical ward was reorganized systematically according to psychosomatic principles. Within this relatively independent subsystem of the hospital, it was possible to integrate the medical and the psychosomatic aspects into a single approach. The organizational concept for the ward is described; first results are reported of an attempt to evaluate the factual changes in doctor-patient communication during the daily ward round. This communication was studied in the form of verbal contacts between doctor and patient. Finally a summary is presented of the advantages of the integrated approach over the traditional consultation-liaison service.

Communication↗

[Psychic development of children under conditions of longterm isolation (author's transl)].

Three children with severe combined immunodeficiency have been isolated for 19-22 months. Two of the children have been placed into the isolation system directly after delivery; on child entered the isolation system at the age of 5 months. The influence of this situation on the psychic development of the children was studied by the means of direct observation as well as by psychometric test methods. An additional child which has been isolated between the age of 6 and 32 months was retested at the age of 4 and 6 years. The reported observation which include those of the parents and the team allow the conclusion, that a normal development is possible under these extreme conditions, when an optimal clinical and psychological support is maintained.

Child Development↗

[Psychoanalytic research on psychopathology and its significance for pedagogy].

As we were able to show that endogenous psychoses may also be understood and attended in psychotherapeutic treatment, the research results in the field of psychopathology are also relevant for the discussion of pedagogic problems. The developments of the psychoanalytic research work on psychoses are shown by the work of Paul Matussek. The following points are important for pedagogic discussion: (1) The importance of enrivonmental factors, especially those of parents, for the manifestation of the disease is proved. (2) Psychotherapy is an efficient process of learning. (3) Psychotherapy has a central aim of learning: the strenthening of the self as an assumption of working off unconscious conflicts. (4) The concept of creativity, which Matussek has gained from psychotherapeutical experience, might become especially important for pedagogic terms.

Humans↗