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Before
referring to my own experience, I would like to mention other works
that approach this “illness” with an integrated perspective.
I will start with a brief summary of an article published by Clarín,
an Argentinean newspaper, on February 16th, 2003, under the general
headline: “La llegada de la medicina psicosomática (The
arrival of psychosomatic medicine)”, and untitled “ Así
en la mente como en el cuerpo (In the mind as in the body)”.
In the United States, PSYCHOSOMATIC MEDICINE might become a new specialty
in medicine that private medical insurance and social security still
look with suspicion.
It has been proved that people often get over an illness faster and
spend less in health care when treatments are concerned not only with
physical pain but with feelings and thoughts. |
One
of the professionals that provides this information is Dr. David
Sobel. Dr. Sobel manages the information about the patients of Kaiser
Permanente, a medical company that has millions of affiliates in
the United States.
He states that in 25% of the cases of people who go to the doctor,
the physical symptoms described to the physicians are likely to
be consequence of their emotional state.
FIBROMYALGIA is one of the illnesses mentioned.
March Schoren, Assistant Professor in Medicine Studies at the University
of California in LA declares that we can now say that almost everything
can be considered psychosomatic.
Dr. Sobel says that he is surprised by the fact that medicine has
taken so much time to admit something which is too obvious. He finds
it hard to believe that we have been stubborn enough to think of
mind and body as separate entities.
There are certain barriers that prevent psychosomatic medicine from
being understood and so psychosomatic illnesses are often confused
with imaginary illnesses.
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Finally,
I would like to add to this summary the example mentioned by the
psychiatrist Dr. Marc Feldman. He could not understand why his
patients called off their appointment at the moment they arrived
at the door of his office in the Hospital of Duke University.
It took doctor Feldman some time to realize that the reason was
that next to his name at the door of the office, it was written:
“Psychosomatic Medicine”. People were convinced that
they were going to be told that “It was all a psychological
problem” (for many, a synonym of “madness”).
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In
Argentina, the Weizsaecker Center of Medical Practice (Centro Weizsaecker
de Consulta Médica), directed by the psychoanalyst Dr.Luis
Chiozza, has a research program on psychosomatic disorders that
is acknowledged in many parts of the world.
Luckily, there are some other institutions working on this subject.
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In
France, the work of the psychoanalyst Dr. André Green (someone
that I consider one of my most valuable teachers), contributes tremendously
to the understanding of the place “affection” and “body”
have for the psychoanalytic thought. |
I
conceive Sigmund Freud, the father of psychoanalysis, as a DOCTOR
that tried to understand and cure the diseases that appeared as
undecipherable enigmas for the medicine of his days.
The diseases that called his attention in the very beginning were
those that affected THE BODY with apparently no valid or effective
explanation, and with no adequate treatments that guaranteed recovery
for the long term.
His comings and goings from theory to practice are admirable. He
was humble enough to accept his mistakes and failures and capable
of correcting them and broadening his field of study as he made
new discoveries.
From this point of view, and making a very brief summary, the concept
of psychosomatic disorders is constantly flying over Freudian psychoanalysis.
His concept of “complementary series” includes what
is constitutionally inherited as well as the predisposition of each
subject and his childhood history, which is unique and unrepeatable.
All this helps to discover what triggers off something that might
have otherwise never appeared or would have been expressed in other
ways.
In relation to the dispositional factor, we find at least two ways
of dealing with it. The first one, to consider it a “fatal
destiny”, which places us in the position of passive victims
of what “destiny chose for us”. The second, to consider
it information that can be useful as a trigger point for further
change. And this would place us in another place: in that of protagonists
of our own life.
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