Rehabilitation-Oriented Treatment and Care in Psychosomatic Medicine Under a Lifespan Perspective

  • Michael LindenEmail author
Part of the Integrating Psychiatry and Primary Care book series (IPPC)


Many illnesses and especially mental disorders take a long-term course. In these cases, the diagnosis and treatment must adopt a long-term or lifespan perspective. Lifespan research examines the development of individuals from conception to death, recognizing biological, psychological and social factors alike. There is a need for the classification and assessment of courses, the description of determinants of course and the identification of critical developmental phases. In respect to treatment, questions are when to intervene, how, how long and how to evaluate treatment outcome. As treatment of chronic disorders is multidimensional and applied by different therapists and helpers parallel or successively, treatment coordination and case management over time are of great importance, which gives primary care physicians a special role. Finally, patients with chronic disorders are often disabled because of capacity limitations. Treatment must therefore not only focus on symptoms/functions but even more on capacity limitations and impairment of participation. Additionally there is a need for forensic evaluation in providing social support or early retirement. The care for patients with chronic disorders can be described as medical rehabilitation, which is a medical specialty of its own right. As there is a lack of related research, most medical guidelines, which mostly focus on episode treatment, are not valid in medical rehabilitation, which is why experimental and rule-based knowledge is of prime importance.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Research Group Psychosomatic RehabilitationCharité University Medicine BerlinBerlinGermany

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