[Peculiarities of a consultative service and a psychosomatic consultation-hour at a dermatological university clinic (author's transl)].

Abstract

When organizing a consultative service and a psychosomatic consultation-hour at a dermatological clinic the following (specific?) peculiarities resulted: 1) the fellow doctors at the clinic at first only sent somatically untreatable cases and 2) were afraid of a correction of their diagnosis. 3) By way of identification they were faced with their own proper problems. The patients understood themselves to be physically ill and at first could not be approached regarding to their subconscious conflicts. The actual conduct of the patients in the wards and their attitude to the physicians was used in a psychodiagnostical way (whereas analytical interpretations were dispensed with) and was used therapeutically to elucidate the psycho-genesis of their affliction. Only with some singular patients suffering from skin-diseases a proper analysis could be performed for research purposes; most of them had to be treated simultaneously dermatologically as well as psychoanalytically (in a modified way). Merely with patients suffering from andrological troubles group-therapy along analytical lines was feasible and proved to be successful.