Objectives of Training in Psychosomatic Medicine in Primary Care

  • Kurt FritzscheEmail author


The four targeted skills of Psychosomatic Medicine in primary care include the following:

  1. 1.

    Identifying stressful emotional and mental disorders and conflicts using a psychosocial anamnesis

  2. 2.

    Promoting a helping alliance among the doctor, patient , and family members; this skill also includes identifying possible barriers on the part of the doctor, patient, or family and stressing the core skills of empathy and sensitivity

  3. 3.

    Improving the patient’s problem-solving skills, including providing information about self-help groups, supporting the management of adverse life events (e.g., severe illness, loss, separation, or divorce) and avoiding unnecessary medication, diagnostic procedures, and surgery

  4. 4.

    Motivating/referring patients for psychotherapy. Additional skills in this area include collaborations around consultations and case management with psychotherapists and other psychosocial service providers.



Psychosomatic Medicine and disease patterns Psychosomatic Medicine and interventions Psychosomatic Medicine and collaboration with mental health specialists Psychosocial anamnesis Doctor–patient alliance 


  1. Rogers CR. Empathic: an unappreciated way of being. Couns Psychol. 1997;5:2–10.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Psychosomatic Medicine and PsychotherapyUniversity Medical CenterFreiburgGermany

Personalised recommendations