6.4 Informed consent

Although this may differ legally in each country, in terms of psychosomatic thinking informed consent is a sine qua non. Because of the impact of universal factors (see paragraph x) it is also important to pay special attention to rapport, rationale, rituals and given the patient a sense of control. This already starts in the orientation phase but becomes especially relevant during the diagnostical work up. So explain the patient what you are going to do and ask repeatedly for consent. Cave: these patients have been ‘mistreated’ and traumatized sometimes for years! Perform an educational gynecological examination (see capita selecta?) and if present, involve the partner. Look at how they react but especially how they interact. If everything looks alright you can treat the patient if desired alone.

Want to know more? See Capita selecta: Communication Revisited