The concept of "psychosomatic'' in general practice - Reflections on body language and a tentative model for understanding

In medicine, the concept "psychosomatic'' indicates both dualism and polarisation. "Could it mean something psychic or is it something somatic?'' This artificial dichotomy and body/mind split is not as apparent in general practice as it is in other medical disciplines. In general practice, the prerequisites for a division are overlooked. Following the work of Piaget, the article outlines manifestations of a body/mind unity as exposed in the language. Words and expressions describing the way we move, stand and walk therefore indicate our attitude and state of mind. Our body language conveys a message. The importance of breathing and its relation to our emotions is highlighted. The function of breathing is said to represent a bridge between the conscious and the unconscious - breathing can be controlled by our will, but generally we breathe reflexively. Restricted breathing is not just a mechanical process; it is shown that there is a connection between breathing and our emotions. Finally, a model of the "human organism'' is presented linking four concepts, "human activity'', "organ functions'', "physical body'' and "neurophysiological functions''. Activities within the different systems are linked and relate to each other. The model supports the necessity to overcome the body/mind split, which is one of the obstacles to the fulfilment of good quality general practice.