Josef Egger - Academia.edu (original) (raw)
Papers by Josef Egger
The Biopsychosocial Model offers the most comprehensive background theory for scientific medicine... more The Biopsychosocial Model offers the most comprehensive background theory for scientific medicine. The most powerful version of this framework may be called a body mind unitytheory (or more precisely: a brain mind unity-theory or organic unity theory). This theory stresses a one world perspective, using the General Systemtheory, and overcomes the dualistic concept of psychosomatics (Egger 1992, 1993, 2005).
Bulletin des Médecins Suisses
Bulletin des Médecins Suisses, Aug 29, 2018
Monatsschrift Kinderheilkunde
Im allgemeinen wird unter dem Terminus "Rooming-in" die gemeinsame, stationäre Unterbringung des ... more Im allgemeinen wird unter dem Terminus "Rooming-in" die gemeinsame, stationäre Unterbringung des kranken Kindes und eines Elternteils, in der Regel der Mutter, in einem Zimmer der Station bezeichnet. Bekannter ist dieser Begriff zur Bezeichnung der ständigen Anwesenheit des neugeborenen Kindes im Zimmer der Mutter im Anschluß an die Geburt [12,13]. Zahlreiche Studien bestätigen insgesamt die störungspräventive Eigenschaft des Rooming-in. Die vorliegende Untersuchung beschäftigt sich vor allem mit der Frage, für welche Gruppe von Kindern, bei Inanspruchnahme des Rooming-in bei Krankenhausaufenthalten Vorteile zu erwarten sind.
Zur Philosophie der Medizin, 2000
In dieser Skizze zeichnet Dr. Josef Egger, Professor fur Medizinische Psychologie und Dozent fur ... more In dieser Skizze zeichnet Dr. Josef Egger, Professor fur Medizinische Psychologie und Dozent fur Klinische Psychologie an der Universitat Graz, die komplexe Struktur eines bio-psycho-sozialen Modells der Medizin. Obgleich die Zustimmungen zu einem bio-psycho-sozialen Modell auf breiter Ebene in der Gesundheitspolitik und in der Medizin vorliegen, sind wissenschaftliche Zugange dafur noch sehr sparlich. Die Evolutionare Erkenntnistheorie, die Systemtheorie und die „organic unity theory“ werden von J. Egger als dafur hilfreiche Theorien angefuhrt.
Integrative Verhaltenstherapie und psychotherapeutische Medizin, 2015
Schmerz ist ein Grundgefuhl des unlustbetonten Missbefindens, er ist eines der haufigsten Symptom... more Schmerz ist ein Grundgefuhl des unlustbetonten Missbefindens, er ist eines der haufigsten Symptome von Krankheiten aber auch zugleich ein lebenswichtiges – wenngleich oft unspezifisches – Warnsignal. Die klinische Realitat von unubersehbar anwachsenden Gruppen bislang eher ungenugend behandelbaren Schmerzpatienten zeigt die Notwendigkeit weiterer Anstrengungen auf.
Folia Phoniatrica et Logopaedica, 1990
The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from... more The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from organic voice disorders and a group of 20 control persons when exposed to stress and its working up. In examining the group of functional dysphonics a significant positive self-assessment regarding their personality with a clear tendency to restraint has become clear. In comparison with the control persons an intensified anxiety state in situations causing stress is the result. Thus the influence of life events has been shown to have an important effect on the etiopathogenesis of functional dysphonia.
Aktuelle Gerontologie
During their rehabilitation treatment 61 inpatients with different cardiovascular diseases or dis... more During their rehabilitation treatment 61 inpatients with different cardiovascular diseases or disorders were investigated with structured interviews, questionnaires about anamnesis and psychological tests in order to determine the individual coping strategies. The mean results show that three of four pts with functional heart and circulatory disorders don't know anything or something wrong about the pathology of their symptoms. Pts with coronary heart disease without myocardial infarction don't have any or any right information in 45%, but coronary infarction-pts don't have any right pathogenetic knowledge in only 12% (differences: p less than .05). The pathogenetic knowledge is not statistically correlated with the age of the pts. In total 54% can't give any reasons for the incidence, 18% are accusing their own health behaviour, 15% say that it is fate and 13% are believing that primarily environmental factors are the best conception about the etiology of their disease. The subjective illness-related psycho-physical irritation show a moderate to average strength and does not depend on pts' age. The main actual cognitive and emotional reaction to illness is in 40% denial, 30% are trying to adept actively to the given situation, 22% show acute mourning and anxiety and 8% respond with rebellion, aggressiveness or anger (differences: p less than .01). There is a tendency growing with increasing life-age to accept the event of illness as a chance for an active change to a better style of life in future. Pts with cardiovascular diseases design an overall optimistic development for their own future: they expect an age of 66.2 years, male pts believe to grow older than female (p less than .01). The prospected satisfaction with life doesn't show any significant differences depending on diagnosis or age. All in all the results lead to the conclusion that the factor "age of life" does not play a dominant role in the process of managing with cardiovascular diseases compared with psychological factors of coping with the illness.
Wiener Medizinische Wochenschrift
Summarizing some essential results from empirical investigations about the individual adaptation ... more Summarizing some essential results from empirical investigations about the individual adaptation and coping with coronary heart diseases five principles are formulated: It ist not possible to predict the individual reactions to a coronary disease from the knowledge of the pathophysiological aspects. The behaviour pattern of these patients are different and complex determined. The individual reactions to the outbreak of the disease equally depend on familial, occupational, social and public health care factors on one side and on intrapsychical factors of the patient on the other side (i.e. personality structure, psychological status before the event etc.). The fact of a coronary or myocardial disease does not necessarily lead to a life-crisis or maladaptation. For the patient's style of life positive and/or negative effects of the disease can be differentiated. The patient's appraisal of a therapeutic success depends therefore on the intraindividual reinforcement-value of such a success. Adaptation and coping strategies are not uniform in phenomenological or time aspects. The emotional, cognitive and behavioural patterns primarily tend to help to cope with anxiety and uncertainty (f.i. denial, depression, aggression, building up a new identity). In the patient's mind a myocardial infarction is not necessarily the most important event in his actual life-situation. Concerning the heart disease fears about the own capacity of work and financial outcome are dominant. They are followed by concerns about the medical prognosis or course of disease, family life and partnership, satisfaction with future life and its meaning, and aspects of the social or ecological environment. Over all these patients show relatively optimistic prospects to their own future.
Intensivmedizinische Praxis
Wiener klinische Wochenschrift
The subjective reactions and the mental state of 50 patients with a diagnosis CIN I, II and III w... more The subjective reactions and the mental state of 50 patients with a diagnosis CIN I, II and III were studied. The data were gathered after gynaecological follow-up examinations in semistructured interviews and with a list of complaints (B-L) according to Zerssen (1975). Patients with CIN I or II were examined and interviewed 3 months after diagnosis, patients with persistent CIN I or II were studied after 6 months, and patients with CIN III before conization. Patients with CIN reacted to the diagnosis in a similar manner to patients confronted with the diagnosis of cancer. Effective coping with the disease depended on adequate medical information being received by the women. The patients who were satisfied with the medical information had a more positive approach to the course of the disease and found it less life-threatening than those patients who were dissatisfied with the information received. The results of this study indicate that subjective experience of the disease is largely independent of its objective severity.
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie
Folia phoniatrica
The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from... more The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from organic voice disorders and a group of 20 control persons when exposed to stress and its working up. In examining the group of functional dysphonics a significant positive self-assessment regarding their personality with a clear tendency to restraint has become clear. In comparison with the control persons an intensified anxiety state in situations causing stress is the result. Thus the influence of life events has been shown to have an important effect on the etiopathogenesis of functional dysphonia.
Zentralblatt für Gynäkologie
In the present survey the psychic and physical mastering of abortion is considered to be a subjec... more In the present survey the psychic and physical mastering of abortion is considered to be a subject of the research of a "critical life-event". Special interest was devoted to the consequences of the process of mastering before and after abortion on the mental and physical condition of the examined human females (n = 39). The diagnosis showed that especially before abortion in a time of a serious state of inner conflict, interference concerning the physical condition and psyche of women arise, while actually after abortion the mood is more euphoric. The inconvenience increased in dependence on experience of social welfare and support. Three months after abortion specific complaints such as pains in the lower abdomen, bleeding and sudden urge to cry occur. The administration of contraception after abortion is becoming significantly safer.
Zentralblatt für Gynäkologie
Seventy-two patients with cervical cancer (n = 24), ovarian cancer (n = 24), or no disease (n = 2... more Seventy-two patients with cervical cancer (n = 24), ovarian cancer (n = 24), or no disease (n = 24) were questioned about sexual activity and personal relationships. The interviews were conducted in a semistandardized fashion according to the Tübingen Sexual Therapy Scale. Patients with invasive cervical cancer did not have a larger number of sexual partners, an earlier age of first intercourse, greater sexual activity or less stable relationships than patients with ovarian cancer of healthy women. There was no statistical difference among the groups with regard to the relationships. However, patients with cervical cancer reported greater degrees of satisfaction with both sexuality and relationships.
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie
The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from... more The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from organic voice disorders and a group of 20 control persons when exposed to stress and its working up. In examining the group of functional dysphonics a significant positive self-assessment regarding their personality with a clear tendency to restraint has become clear. In comparison with the control persons an intensified anxiety state in situations causing stress is the result. Thus the influence of life events has been shown to have an important effect on the etiopathogenesis of functional dysphonia.
The Biopsychosocial Model offers the most comprehensive background theory for scientific medicine... more The Biopsychosocial Model offers the most comprehensive background theory for scientific medicine. The most powerful version of this framework may be called a body mind unitytheory (or more precisely: a brain mind unity-theory or organic unity theory). This theory stresses a one world perspective, using the General Systemtheory, and overcomes the dualistic concept of psychosomatics (Egger 1992, 1993, 2005).
Bulletin des Médecins Suisses
Bulletin des Médecins Suisses, Aug 29, 2018
Monatsschrift Kinderheilkunde
Im allgemeinen wird unter dem Terminus "Rooming-in" die gemeinsame, stationäre Unterbringung des ... more Im allgemeinen wird unter dem Terminus "Rooming-in" die gemeinsame, stationäre Unterbringung des kranken Kindes und eines Elternteils, in der Regel der Mutter, in einem Zimmer der Station bezeichnet. Bekannter ist dieser Begriff zur Bezeichnung der ständigen Anwesenheit des neugeborenen Kindes im Zimmer der Mutter im Anschluß an die Geburt [12,13]. Zahlreiche Studien bestätigen insgesamt die störungspräventive Eigenschaft des Rooming-in. Die vorliegende Untersuchung beschäftigt sich vor allem mit der Frage, für welche Gruppe von Kindern, bei Inanspruchnahme des Rooming-in bei Krankenhausaufenthalten Vorteile zu erwarten sind.
Zur Philosophie der Medizin, 2000
In dieser Skizze zeichnet Dr. Josef Egger, Professor fur Medizinische Psychologie und Dozent fur ... more In dieser Skizze zeichnet Dr. Josef Egger, Professor fur Medizinische Psychologie und Dozent fur Klinische Psychologie an der Universitat Graz, die komplexe Struktur eines bio-psycho-sozialen Modells der Medizin. Obgleich die Zustimmungen zu einem bio-psycho-sozialen Modell auf breiter Ebene in der Gesundheitspolitik und in der Medizin vorliegen, sind wissenschaftliche Zugange dafur noch sehr sparlich. Die Evolutionare Erkenntnistheorie, die Systemtheorie und die „organic unity theory“ werden von J. Egger als dafur hilfreiche Theorien angefuhrt.
Integrative Verhaltenstherapie und psychotherapeutische Medizin, 2015
Schmerz ist ein Grundgefuhl des unlustbetonten Missbefindens, er ist eines der haufigsten Symptom... more Schmerz ist ein Grundgefuhl des unlustbetonten Missbefindens, er ist eines der haufigsten Symptome von Krankheiten aber auch zugleich ein lebenswichtiges – wenngleich oft unspezifisches – Warnsignal. Die klinische Realitat von unubersehbar anwachsenden Gruppen bislang eher ungenugend behandelbaren Schmerzpatienten zeigt die Notwendigkeit weiterer Anstrengungen auf.
Folia Phoniatrica et Logopaedica, 1990
The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from... more The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from organic voice disorders and a group of 20 control persons when exposed to stress and its working up. In examining the group of functional dysphonics a significant positive self-assessment regarding their personality with a clear tendency to restraint has become clear. In comparison with the control persons an intensified anxiety state in situations causing stress is the result. Thus the influence of life events has been shown to have an important effect on the etiopathogenesis of functional dysphonia.
Aktuelle Gerontologie
During their rehabilitation treatment 61 inpatients with different cardiovascular diseases or dis... more During their rehabilitation treatment 61 inpatients with different cardiovascular diseases or disorders were investigated with structured interviews, questionnaires about anamnesis and psychological tests in order to determine the individual coping strategies. The mean results show that three of four pts with functional heart and circulatory disorders don't know anything or something wrong about the pathology of their symptoms. Pts with coronary heart disease without myocardial infarction don't have any or any right information in 45%, but coronary infarction-pts don't have any right pathogenetic knowledge in only 12% (differences: p less than .05). The pathogenetic knowledge is not statistically correlated with the age of the pts. In total 54% can't give any reasons for the incidence, 18% are accusing their own health behaviour, 15% say that it is fate and 13% are believing that primarily environmental factors are the best conception about the etiology of their disease. The subjective illness-related psycho-physical irritation show a moderate to average strength and does not depend on pts' age. The main actual cognitive and emotional reaction to illness is in 40% denial, 30% are trying to adept actively to the given situation, 22% show acute mourning and anxiety and 8% respond with rebellion, aggressiveness or anger (differences: p less than .01). There is a tendency growing with increasing life-age to accept the event of illness as a chance for an active change to a better style of life in future. Pts with cardiovascular diseases design an overall optimistic development for their own future: they expect an age of 66.2 years, male pts believe to grow older than female (p less than .01). The prospected satisfaction with life doesn't show any significant differences depending on diagnosis or age. All in all the results lead to the conclusion that the factor "age of life" does not play a dominant role in the process of managing with cardiovascular diseases compared with psychological factors of coping with the illness.
Wiener Medizinische Wochenschrift
Summarizing some essential results from empirical investigations about the individual adaptation ... more Summarizing some essential results from empirical investigations about the individual adaptation and coping with coronary heart diseases five principles are formulated: It ist not possible to predict the individual reactions to a coronary disease from the knowledge of the pathophysiological aspects. The behaviour pattern of these patients are different and complex determined. The individual reactions to the outbreak of the disease equally depend on familial, occupational, social and public health care factors on one side and on intrapsychical factors of the patient on the other side (i.e. personality structure, psychological status before the event etc.). The fact of a coronary or myocardial disease does not necessarily lead to a life-crisis or maladaptation. For the patient's style of life positive and/or negative effects of the disease can be differentiated. The patient's appraisal of a therapeutic success depends therefore on the intraindividual reinforcement-value of such a success. Adaptation and coping strategies are not uniform in phenomenological or time aspects. The emotional, cognitive and behavioural patterns primarily tend to help to cope with anxiety and uncertainty (f.i. denial, depression, aggression, building up a new identity). In the patient's mind a myocardial infarction is not necessarily the most important event in his actual life-situation. Concerning the heart disease fears about the own capacity of work and financial outcome are dominant. They are followed by concerns about the medical prognosis or course of disease, family life and partnership, satisfaction with future life and its meaning, and aspects of the social or ecological environment. Over all these patients show relatively optimistic prospects to their own future.
Intensivmedizinische Praxis
Wiener klinische Wochenschrift
The subjective reactions and the mental state of 50 patients with a diagnosis CIN I, II and III w... more The subjective reactions and the mental state of 50 patients with a diagnosis CIN I, II and III were studied. The data were gathered after gynaecological follow-up examinations in semistructured interviews and with a list of complaints (B-L) according to Zerssen (1975). Patients with CIN I or II were examined and interviewed 3 months after diagnosis, patients with persistent CIN I or II were studied after 6 months, and patients with CIN III before conization. Patients with CIN reacted to the diagnosis in a similar manner to patients confronted with the diagnosis of cancer. Effective coping with the disease depended on adequate medical information being received by the women. The patients who were satisfied with the medical information had a more positive approach to the course of the disease and found it less life-threatening than those patients who were dissatisfied with the information received. The results of this study indicate that subjective experience of the disease is largely independent of its objective severity.
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie
Folia phoniatrica
The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from... more The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from organic voice disorders and a group of 20 control persons when exposed to stress and its working up. In examining the group of functional dysphonics a significant positive self-assessment regarding their personality with a clear tendency to restraint has become clear. In comparison with the control persons an intensified anxiety state in situations causing stress is the result. Thus the influence of life events has been shown to have an important effect on the etiopathogenesis of functional dysphonia.
Zentralblatt für Gynäkologie
In the present survey the psychic and physical mastering of abortion is considered to be a subjec... more In the present survey the psychic and physical mastering of abortion is considered to be a subject of the research of a "critical life-event". Special interest was devoted to the consequences of the process of mastering before and after abortion on the mental and physical condition of the examined human females (n = 39). The diagnosis showed that especially before abortion in a time of a serious state of inner conflict, interference concerning the physical condition and psyche of women arise, while actually after abortion the mood is more euphoric. The inconvenience increased in dependence on experience of social welfare and support. Three months after abortion specific complaints such as pains in the lower abdomen, bleeding and sudden urge to cry occur. The administration of contraception after abortion is becoming significantly safer.
Zentralblatt für Gynäkologie
Seventy-two patients with cervical cancer (n = 24), ovarian cancer (n = 24), or no disease (n = 2... more Seventy-two patients with cervical cancer (n = 24), ovarian cancer (n = 24), or no disease (n = 24) were questioned about sexual activity and personal relationships. The interviews were conducted in a semistandardized fashion according to the Tübingen Sexual Therapy Scale. Patients with invasive cervical cancer did not have a larger number of sexual partners, an earlier age of first intercourse, greater sexual activity or less stable relationships than patients with ovarian cancer of healthy women. There was no statistical difference among the groups with regard to the relationships. However, patients with cervical cancer reported greater degrees of satisfaction with both sexuality and relationships.
PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie
The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from... more The examination covers the personality of 20 functional dysphonics, 14 individuals suffering from organic voice disorders and a group of 20 control persons when exposed to stress and its working up. In examining the group of functional dysphonics a significant positive self-assessment regarding their personality with a clear tendency to restraint has become clear. In comparison with the control persons an intensified anxiety state in situations causing stress is the result. Thus the influence of life events has been shown to have an important effect on the etiopathogenesis of functional dysphonia.