Psychosomatic medicine between explanation and understanding
Abstract
Explanatory and hermeneutic concepts in psychosomatic medicine are frequently discussed in a controversial manner. Inherent in an explanatory concept is a patient ideally visualized as a separated object, hereby trying to imitate principles in physics, which have dominated this discipline during the 19th century. However with the development of the quantum theory it became obvious that the observer cannot be separated from the object of his observation. The limitation of historical causation became clear and circular relationships at different levels for instance at the cellular level or at the sociological level were taken into account. The human being seen as an open system with selforganizing potentiality can now be described with semiotic terms at all the different organizational levels. Th.v. Uexküll has described this in his 'Situationskreis'-model. A case presentation is given to illustrate these more theoretical remarks.
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