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Psychosomatic disease and acupuncture.

The medical philosophy implied by a "mind-body unity" hypothesis is outlined and the type of therapy appropriate to the stage of development of disease is discussed; special reference is made to the place of acupuncture within a modern medical program. Starting from the premise that mind is the primary causal force determining neural states, it is concluded that the highest level medical art would be "psychosomatic psychoanalysis." The next highest form of therapy would deal directly with nerve impulses (acupuncture, etc.), followed by drug therapies directed at intra- and extracellular fluid composition, hormone macromolecule manipulation, and finally minor and major surgery.

Acupuncture Therapy↗

[Psychological and psychosomatic diseases in puberty (therapy analyses and catamnestic results)].

In a retrospective study we analysed the records of inpatient treated adolescents. It was of particular interest to investigate the "treated prevalence" of psychogenic problems in puberty and our therapeutic results. Within the 13-16 years old adolescent group we predominantly found the following disorders: depressive reaction, attempted suicide, but also a variety of psychosomatic disorders in respiratory, cardiovascular and musculo-skeletal system, and patients with anorexia nervosa. The structures and interactional profiles of the families with an adolescent patient are described. In family therapy, cooperation was especially difficult with parents of patients with an attempted-suicide. Despite the chronicity of the disorders in our sample our ratings of treatment results and the results of a follow-up questionnaire returned from the parents showed a good improvement. Out-patient therapy had worse results than in-patient therapy due to a drop-out rate of approximately 25-50%.

Adolescent↗

[Psychotherapy in pediatric practice (in psychosomatic diseases)].

Approximately 30-50% of the children in a pediatric practice have psychological problems. Their complaints can be due to organic or psychological causes and the appropriate treatment can obviously only be given if these are properly understood. The delineation of competence within the field of social-pediatric treatment should indicate when a pediatrician in his surgery would be competent to deal with the problems ansing. Using psychosomatic discases as a model, the possible methods of treatment as well as differences in diagnosis and therapy and their influence on the course and prognosis are shown. These experiences serve as the basis for the ensuing discussion as the methods and possibilities for an expansion of the psycho-social competence of the pediatrician.

Child↗

The message of psychosomatic diseases.

Kant, Schopenhauer and Helmholtz brought to Europe a tradition of critical psychology, which, as its starting point, questions the idea of faultless perception and focuses on how the image of the world is formed through illusion and misunderstanding. These men were accompanied by Sigmund Freud, whose interest centered primarily on psychopathology. This era was followed by a long period shaken by political, historical, and cultural crises that brought new, fashionable ideas that indefinitely stopped many developmental trends with fruitful beginnings. Central European cultural heritage was replaced by Anglo-Saxon cultural influences. The heritage of Kant and Helmholtz was forgotten, and Freud's thinking was pulled from its roots and given a strongly technological and practical emphasis. Simplified orthodoxy with stringent positivism ruled the scientific thinking of the 1950s and 1960s. Meanings, qualities, experiences, psychosomatics, and psychoanalysis were temporarily cast into the trashbin of science. Today cognitive theory holds a strong position in psychology, and the research interests of those who practice it vary a great deal. They extend in many directions and have brought research in the history of psychological ideas back to life. This research is rapidly altering many distorted and ossified views.

History, 19th Century↗