[Psychotherapeutic aspects in gynecologic ambulatory care?].

The author reports on the iatrogeneous chronification of a functional disturbance in the gynaecological field caused by an approach to it that had been restricted to the somatic sector only. She aims at making the reader think about similar problems among his own patients. This, for comparison, is followed by a report on the successful treatment of a patient suffering from dyspareunia by a therapy of relaxation in connection with talks focused on the existing conflict. The latter patient was discharged from treatment after 12 hours of therapy, free from physical complaints and psychologically matured, whereas the first one had not been free of symptoms even after 155 gynaecological consultations. In the long term, the efficiency of a causal therapy of psychosomatic disturbances is obvious, and we should consider whether--by integrating psychosomatic ways of thinking in our therapy--we could save considerable economic means while contributing to an improvement of the doctor-patient relations.