Heuft G, Rudolf G, Ori C
Z Psychosom Med Psychoanal. 1992;38(4):358-70.
With the aid of a comparative study of the data collected in the Berlin Psychotherapy Study and the outpatient clinic of the Psychosomatic Clinic (University of Heidelberg), the allocation and utilization modalities of elderly patients with regard to psychosomatic-psychotherapeutic institutions is investigated. One important result seems to be the high rate of psychodynamically understandable triggering situations (as a measurement of psychological comprehension of the symptoms) and the consequent therapy recommendations (as a measurement of treatability) even for elderly patients. A case study will demonstrate that the danger may arise to subsume new somatic symptoms in the elderly under the aspect "multimorbidity" and thus withhold recommended psychotherapeutic treatment.
借助对柏林心理治疗研究以及身心诊所（海德堡大学）门诊所收集数据的比较研究，对老年患者在身心心理治疗机构方面的分配和利用模式进行了调查。一个重要结果似乎是，即使对于老年患者，心理动力学上可理解的触发情况（作为对症状心理理解的衡量）以及相应的治疗建议（作为可治疗性的衡量）的比例也很高。一个案例研究将表明，可能会出现这样的风险，即在“多重疾病”的情况下将老年人新出现的躯体症状归为一类，从而不进行推荐的心理治疗。
