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Concept of Disease

The definition of the disease concept:

In the Ger­man health sys­tem (as far as health insu­rance com­pa­nies are con­cer­ned), psy­cho­the­ra­py as a ser­vice pre­sup­po­ses the dia­gno­sis of a men­tal cri­sis or ill­ness as well as an indi­ca­ti­on, i.e. a tre­at­ment recom­men­da­ti­on resul­ting from this dia­gno­sis. The dia­gno­sis in turn results from the app­ly­ing of a cer­tain num­ber of cri­te­ria (sym­ptoms). This is whe­re the dise­a­se con­cept is used:

Our health sys­tem needs the con­cept of dise­a­se to sim­pli­fy and stan­dar­di­ze com­mu­ni­ca­ti­on and thus ser­ve to ensu­re the qua­li­ty of medi­cal and psy­cho­the­ra­peu­tic tre­at­ments. By assig­ning a uni­form dia­gno­sis, the fai­rest pos­si­ble regu­la­ti­on of the assump­ti­on of tre­at­ments by the health insu­rance com­pa­nies is also to be crea­ted (dis­tri­bu­ti­on jus­ti­ce). From the per­spec­ti­ve of social jus­ti­ce and social law, the con­cept of ill­ness the­r­e­fo­re makes sen­se. In ever­y­day use, on the other hand, the dise­a­se con­cept often leads to unde­si­ra­ble effects such as sim­pli­fi­ca­ti­on, dra­ma­tiza­ti­on and stig­ma­tiza­ti­on. It fuels fears and misun­derstan­dings and usual­ly focu­ses only on a sin­gle term (e.g. depres­si­on), which, howe­ver, can­not cla­im to suf­fi­ci­ent­ly descri­be your very indi­vi­du­al pre­sent life situation.

In my prac­ti­ce for psy­cho­the­ra­py and coa­ching in Munich and during your tre­at­ment, I would the­r­e­fo­re like to distance mys­elf from dia­gno­ses and ins­tead sup­port you at the cur­rent point of your indi­vi­du­al deve­lo­p­ment and life situation.

Sym­ptoms are an expres­si­on of our cur­rent (and past) life situa­ti­on and always need to be seen in con­nec­tion with our living con­di­ti­ons (envi­ron­ment), our per­so­na­li­ty (psy­che) and our body (bio­lo­gy). In addi­ti­on, our expe­ri­en­ces (lear­ning histo­ry) play a fun­da­men­tal role, becau­se they shape our beha­vi­or in the long term.

In main­tai­ning and deve­lo­ping your psy­cho­lo­gi­cal well-being, but also in the long-term impro­ve­ment of your resi­li­ence, the con­cept of dise­a­se does not play a role and should the­r­e­fo­re not be important during your treatment.

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