Zusammenfassung
Im Gegensatz zu den gastroduodenalen Geschwüren, den chronisch-entzündlichen Darmkrankheiten und anderen morphologisch definierbaren, organischen Magen-Darm-Leiden liegt dem Reizdarm kein lichtoder elektronenmikroskopisch faßbares Substrat zugrunde. Die den Reizdarm ausmachenden Beschwerden sind auf Störungen der Darmmotilität, auf nichtinfektiöse Störungen der Sekretion im Dünn- und Dickdarm und mindestens teilweise auf eine abnorme Schmerzperzeption zurückzuführen. Die Ursache dieser Beschwerden liegt immer in einer Störung des seelischen Gleichgewichts. Funktionelle Darmbeschwerden sind eine Form der jedem Menschen zur Verfügung stehenden und damit normalen Körpersprache, mit der psychische Inhalte averbal ausgedrückt werden. Einige häufige andere Formen der Körpersprache sind in Tabelle 1 zusammengestellt. Die Körpersprache zeichnet sich im Gegensatz zum verbalen Ausdruck und zur Mimik und Gestik durch ihren hohen Wahrheitsgehalt und die fehlenden Verstellungsmöglichkeiten aus.
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Fahrländer, H. (1984). Die Langzeitbehandlung des Reizdarms. In: Goebell, H., Hotz, J., Farthmann, E.H. (eds) Der chronisch Kranke in der Gastroenterologie. Interdisziplinäre Gastroenterologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-69190-4_51
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