PMID: 3751642Mar 1, 1986Paper

The relationship between the physician and the psychotherapist in the treatment of somatic diseases

Acta psiquiátrica y psicológica de América latina
M Knobel

Abstract

Different points of view in regard to psychosomatic approaches to illness are still a deem and questionable matter. Even though recognizing the psychogenic component of certain diseases, it appears that the therapeutic approach to the patient is, as yet, a debatable question, where both physician and psychotherapist, are disputing primacy. The old question of psychogenesis and somatogenesis was displaced to who is the main responsible for the patient's treatment. The psychosomatic old dichotomy became nowadays a physician-psychotherapist divergence. Again, the patient ignored as a person and exercising a therapeutic "power" becomes paramount. It becomes again evident the lack of psychological knowledge on the physician's side, as well as rejection of a somatic reality on the psychotherapist's side. The patient finds, in this "external" conflict, an easy way to project his own anxieties in a very self damaging confusing manner, into those who are supposed to be the helpers. It looks like a new, bizarre and distorted edition of the Oedipical conflict, which shall remain unsolved, perpetuating disease. Both professionals reject themselves in several levels. Rivalry, jealousy, envy, and even psychotic aggression come into the pictu...Continue Reading

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