一般医の心身医学的アプローチ(心身医学の実践)

概要

論文の詳細を見る
The author reported the nature of the setting of psychosomatic approach in general practice, based on his own private experiences in Kobe City for about two years' duration.Generally speaking, patients in general practice were mild mentally as well as somatically, consulting the doctor very light-heartedly, and the motivation to accept the therapist's academic instruction was rather deficient in early stage of treatment, and they were apt to demand the kinds of therapy which each patient considered to be more favourable treatment based on one's own informations about medicine.Numerable difficulties were encountered in psychosomatic approach in general practice as compared with that in university hospital. Those difficulties were mainly caused by the deficiency of motivation on the patient's side and also by the complexity of therapeutic relationship in general practice. They were derived from the specificity of general practitioner's setting in which "continuity" (Balint) of doctor-patient relationship and "entirety" (Weijel) of approach were characteristic.Because of this fact, the general practitioners are required to employ flexible approach. Careful somatic approach about minor somatic complaints and the repeat of conversational contact are essential to eatablish favourable therapeutic relationship in early stage of treatment, thus preparing for the further intensive psychosomatic therapy.
日本心身医学会の論文
1967-04-01