By G. Bos-Branolte, Y. M. Rijshouwer, E. M. Zielstra, H. J. Duivenvoorden (auth.), Prof. Dr. Dietmar Richter, Dr. Johannes Bitzer, Prof. Dr. Piet Nijs (eds.)

Gynecologists can't satisfy the commitments in their occupation with no being psychosomatically orientated. however, this box wishes method and medical pondering simply as does the other subspeciality in scientific drugs. even supposing practiced by means of all gyne­ cologists, artistic paintings is required to be able to increase many of the features accurately and to set up postgraduate education on a company and sound foundation. For this purpuse the eu Symposia were deliberate through numerous eu Researchers on Psychosomatic Obstetrics and Gynecology on the way to stimulate and combine scientific clinical facts and healing abilities within the bio-psycho-social box of obstetrics and gynecology. the 1st ecu Symposium in Leuven 1985 focused on the psychosomatic facets of infertility and excessive hazard pregnancies. This moment eu Symposium in undesirable Sackingen headquartered round disturbed physique belief, disturbances of the menstrual cycle, climacteric syndrome, and senium. those themes have been elaborated in major lectures and workshops held via amazing researchers during this speedily increasing box. the second one ecu Symposium on Psychosomatic Obstetrics and Gynecology was once geared up by means of the German Society of Psycho­ somatic Obstetrics and Gynecology, supported by means of the college medical institution Freiburg/Br., the collage medical institution Basel, and the Women's District clinic in undesirable Sackingen.

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4 : 1* Tumor Stage, Quality of Life 21 The most important results of the initial investigation of our research project may be summarized as: 1. That in regard to the quality of life and the method of coping with the disease clear differences exist between the individual women, but not between the groups 2. That the judgment of the ability of coping with the disease that was made by the interviewer agrees well with the patients' own judgment 3. That the stage of the tumor and its treatment the first time after the detection of breast cancer disease are only of little importance for the psychosocial burden and coping with the disease, whereas various psychosocial factors in the life of the patient have an important effect Concerning the further course of the cancerous disease in each of the patients, we expect, on the basis of the data of the first investigation, that the lowest rate of relapse will be in group A, the highest in group D.

In contrast: two-thirds of those who attribute their illness to psychic causes feel strongly oppressed by it. Discussion Seventy percent of subjects report coping well with the disease. On the one hand, the tendency of breast cancer patients to strive for social desirability or acceptance, as reported in the literature, could contribute to this high percentage. On the other hand, some patients were practising a philosophy of positive thinking. The patients' theory behind this is as follows: positive thinking will be associated with a positive outcome.

Not only the final result but he or she should be able to point out to the patient the early discomfort after an operation and the healing time required for edema and bruising to disappear and to wait until final wound healing and wound maturation has been achieved. Also he or she should be aware of the possible complications and their relative frequency and should be able to help the patient overcome this psychologically very distressing period after the operation. However, most important for the psychologist is the ability to assess and evaluate the psychological effect of the somatic body change to the patient's psychological condition.

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