Primary health care und die folgen einer verleugnungsstrategie: Ineffizientes und unökonomisches management von gesundheitsproblemen durch weitgehendes ausblenden des weltverständnisses, des selbstbildes und der psyche der klienten aus dem behandlungskontext

Translated title of the contribution: Primary health care and the consequences of a strategy of denial: Inefficient and uneconomical management of health problems due to a far-reaching omission of clients' world-view, self-image und psyche from the context of therapy

R. Bischoff, P. Reitmaier

Research output: Contribution to journalArticle

1 Scopus citations


In spite of high prevalence rates, non-somatic health problems remain largely neglected in Third World First line health services. Deficits in staff qualification and motivation, clients' lack of readiness to perceive their problems as psychogenic, and "superstitious" beliefs as to their causation, material constraints, and the inapplicability of Western psychotherapeutic techniques in non-Western cultures are quoted as possible explanations. We assess their validity and potential consequences for the quality of service delivery; a different approach towards the training of staff, aiming at the integration of attention to psychological problems into everyday service provision, is discussed.

Original languageGerman
Pages (from-to)34-40
Number of pages7
JournalPPmP Psychotherapie Psychosomatik Medizinische Psychologie
Issue number1
StatePublished - Feb 14 2001



  • Primary health care
  • Psychological morbidity
  • Quality of service
  • Sub-Saharan Africa
  • Training of health staff

ASJC Scopus subject areas

  • Clinical Psychology
  • Applied Psychology
  • Psychiatry and Mental health

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