Contemporary psychosomatics are based on the principle of biopsychosocial approach which postulates an intimate interrelationship between the soma, the psyche and the social environment. In health and in illness the person functions as a whole and the “psychosocial ego” is not in opposition to the “psychobiological ego.” In health the identity of both phenomena is naturally experienced. On the other hand, conflicts between the social role requirements and one’s own needs, may lead to disharmony between the psychosocial and the psychobiological parts of the ego. Divergence of a chronic form may lead to pathological states characterized by predominance of either psychological or biological components. To illustrate: hypersecretion of cathecholamines may result from a state of emotional arousal caused by an inner conflict between a strong demand for achievement and the social demands for acceptance. To simplify this, an example for the sake of discussion may be proposed that the state produced by such cathecholamine hypersecretion may result in hypertension and subsequently in atherosclerosis and, specifically, sclerosis of the coronary vessels. In this fashion the vegatative physiological components of emotions may become dangerous in their consequences, particularly when a person cannot express or act-out his tensions. Over-control, repression, alexithymia, to mention only some of the defense mechanisms and states, must be considered to be the salient factors making emotional expression impossible.
KeywordsSemantic Representation Psychosomatic Medicine Phantom Limb Pain Autogenic Therapy Hypnotic State
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