A model calculation was used to assess whether the G-DRG version 1.0 sufficiently represents integrated internal psychosomatic treatment of patients with psychosomatic disorders in relation to diagnosis and resource consumption. The DRGs of the Major Diagnostic Category "Mental Diseases" of the German DRG calculation sample 1.0 (diagnoses, procedures, cost weights) were analyzed. In a division ...

In this paper I will explore some of the arguments surrounding the concept of the psychosomatic and psychosomatic disorders. As will become clear this is an idea which has a difficult history within psychoanalysis, and even today there appears to be no clear agreement as to whether the concept of the psychosomatic has any place at all within analytic discourse. I will begin the discussion by ou...

There is increasing awareness of the limitations of disease as the primary focus of medical care. It is not that certain disorders lack an organic explanation, but that our assessment is inadequate in most clinical encounters. The primary goal of psychosomatic medicine is to correct this inadequacy by incorporation of its operational strategies into clinical practice. At present, the research e...

For the development of a psychosomatic disorder there are three requisites: (1) a psychoneurotic predisposition; (2) an exciting emotional conflict, and (3) restriction of outward expression of the conflict. All individuals, whether normal or psychoneurotic, seek relief from the mental suffering occasioned by disturbing life problems. When emotional tension is expended by outward expression, mu...

The practice of psychosomatic medicine is closely related to that of behavioral medicine, particularly in terms of the bio-psycho-social aspect of health, as has been demonstrated in the previous articles of BioPsychoSocial Medicine [1–3]. Behavioral medicine is an interdisciplinary field combining medicine, psychology and social science, and the integration of behavioral medicine with psychoso...

OBJECTIVE To examine the factorial invariance of the Somatic Complaints subscale of the Child Behavior Checklist as a measure of Internalizing Behavior Problems across a sample of children with and without spina bifida. METHODS Multisample confirmatory factor analysis was used to compare mother and father report on the Somatic Complaints subscale across a sample of children with spina bifida ...

Background: Although ankle sprains are common and often lead to persistent complaints, their impact on functioning and related costs remains unclear. Objective: To investigate the impact of a lateral ankle sprain on functioning and heath care utilization at 6-12 months follow-up. Design: Cross-sectional study. Setting: General practice. Patients: 204 subjects were included from general practice...