Psychosomatische erkrankungen bei lehrerlnnen. Sozialer kontext, inhalte und perspektiven stationarer behandlungen im hinblick auf die wiederherstellung der arbeitsfahigkeit

Despite the considerable consequences, schoolteachers treated in psychosomatic in-patient settings, have not yet been the subject of investigations. Whether, for whom and which kind of job related treatment can be helpful for teachers returning to work can-only be discussed if the specific stress and the social situation of teachers as public officials ('Beamtenstatus') are taken into consideration. On this point of view a systematic evaluation of 63 psychosomatically ill teachers consecutively admitted in a psychosomatic hospital was performed. The average age was 50, suffering mostly from depression or/and tinnitus. Most teachers rated job related stress as influencing their symptomatologies. A program focusing on discrepancies between personal ideals versus real situations in school, problems in social interactions and time management, should be a valuable part of the teachers' psychosomatic inpatient treatment. This approach was affected by a strong desire for early retirement in about half of the teachers.