Home PageArticolo rivistaFrom Adler’s language of organs to the new psychomatic medicine “per sé”

Fassino S., Panero M.
Pubblicato nel numero: Year XXXX January – June 2012 – Number 71
Parole chiave: Compensation, Language of organs, Biopsychosocial model, Psychosomatics, Organ inferiority, Stress, Personality, Therapeutic relationship, Resistance, Psychotherapeutic competence

From Adler’s language of organs to the new psychomatic medicine “per sé”

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071_Secondo Fassino_Matteo Panero_ITA

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Summary. Adler’s theorizations foresaw the recent development of psychosomatic medicine:  organ inferiority, psychic compensation, organs’ language are essentially psychosomatic concepts  and predict the rise of the biopsychosocial (BPS) model in clinical and basic research. The BPS  model showed that,  together with biological factors, psychosocial ones can be evidenced as causes,  co-factors or consequences of many illnesses. The allostatic load, defense mechanisms and personality  profile predict the response to different stressors. Neural processes, underlying these mechanisms,  interact with the biological substrate of somatic illnesses. Recent advancements in brain imaging on  neurobiological and behavioral interactions of empathy and alexithymia support the crucial role of the  (psycho) therapeutic relationship in the medical practice as a whole. Because all these aspects influence  the duration of illness and the quality of life – both for the person/patient and their family – the  economic consequences of this psychosomatic approach are important in general and speciality medicine.  To keep up its ethics and to be appropriate, current medicine will growingly become an integrated  science. It’s therefore necessary to reconsider the doctor-patient relationship as a psychotherapeutic  process.

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