Wiener medizinische Wochenschrift
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Problems in expert opinion on headache patients are encountered in particular with cases of so-called posttraumatic headache. Symptoms in the vegetative field due to a head injury are characterized by a close time relationship with the accident or trauma. So is genuine post-traumatic headache. ⋯ Symptomatic headache generally does not cause special difficulties for expert opinion. However, more problems are encountered in the evaluation and appraisal of persistent headache and other subjective complaints in conversion neurosis and psychogenic disorders. Pensions for headache should only be considered in the most severe cases.
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In Physical Medicine and Rehabilitation structural and functional disorders in the genesis of back pain are of great importance. From an epidemiological point of view this has great consequences. Active and passive forms of physical therapy are available. ⋯ Sometimes a combination of active and passive forms are of benefit. Every treatment concept has to pay regard to the actuality of pain, the load of every day life and the physical and social situation of the patient. Last but not least one has to learn to cope with the pain.
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Wien Med Wochenschr · Jan 1994
[The Balint group: analysis of the physician-patient relationship. A medical discussion in the group].
It is given a short introduction about the method of the work of Balint-groups. The importance of this method for the graduate medical education and further medical development is described. The differentiation between psychotherapeutical supervision groups and the discussion of cases in general are illustrated. Michael Balint is introduced.