Springer-Kremser Marianne, Leithner K, Fischer M
Universitätsklinik für Tiefenpsychologie und Psychotherapie, Währinger Gürtel 18-20, A-1090 Wien.
Wien Med Wochenschr. 2002;152(19-20):503-6. doi: 10.1046/j.1563-258x.2002.02095.x.
Initially, the different operationalizations of 'psychosomatic' are presented. Etiological concepts of psychosomatic illness include stressful life events, developmental factors and the individual psychic structure. At the Department for Psychotherapy and Psychoanalysis of Vienna University, the initial diagnostic interview includes subjective illness theories as possible pathway to psychotherapy, motivational factors and the patient's ability to transfer the experience from this interview into psychotherapy proper. The psychotherapeutic method applied to psychosomatic patients should offer a theoretical concept concerning psychosomatic illness, as it is the case in psychoanalytic psychotherapy. Finally, the importance of supervision for psychotherapists working in an institutional setting with in-patients is stressed.
首先，介绍了“身心的”不同操作化定义。身心疾病的病因学概念包括生活应激事件、发展因素和个体心理结构。在维也纳大学心理治疗与精神分析系，初始诊断访谈包括作为心理治疗可能途径的主观疾病理论、动机因素以及患者将此次访谈中的体验转化到实际心理治疗中的能力。应用于身心疾病患者的心理治疗方法应提供一个关于身心疾病的理论概念，就像精神分析心理治疗那样。最后，强调了在机构环境中为住院患者提供治疗的心理治疗师接受督导的重要性。
