The Current Conditions of Psychosomatic Medicine in Germany (Panel Discussion/Activities of Psychosomatic Medicine in Oversea Countries)

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  • ドイツにおける心身医学の現状(パネルディスカッション/海外における心身医学の展開)(第45回日本心身医学会総会)
  • ドイツにおける心身医学の現状
  • ドイツ ニ オケル シンシン イガク ノ ゲンジョウ

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The author presented here current conditions and trends of psychosomatic medicine in Germany based on his own experience in Germany. 1. Aspect of clinical practice : Thirty-two out of 37 medical faculties across Germany are equipped with a psychosomatic department. How it is established in the system of the university variously differs. An investigation in Heidelberg University Clinic revealed that 35% of in-patients have psychiatric problems and 5% required psychosomatic consultation service. Group therapies and family therapies are commonly and actively employed in many facilities, where psychologists play an important role. 2. Aspect of pre-and postgraduate education : Medical students voluntarily organize a distinguished group activity "Anamnesegruppe", in which they have much opportunity to go through doctor-patient communication. As to the postgraduate education, the medical association in each country in Germany takes the responsibility for giving life-long educational courses. In Hessen, for instance, an 80-hour course including lectures and case conferences during a year and a half is organized for doctors who do not major in psychosomatic medicine. 3. Aspect of research : The German College of Psychosomatic Medicine, founded in 1974 as a juridical person, aims at investigating psychological, physical and social factors and their interactions in the onset and development of somatic disorders. It possesses currently some 450 members, attempting to improve psychosomatic medicine in the domains of research, apprentice and treatment and intending to foster international contacts in this field.

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