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[青少年及青年遗尿症患者的综合个体心理治疗——心理诊断与心身方面]

[Integrated individual psychotherapy of adolescent and young adult enuretic patients--psychodiagnostic and psychosomatic aspects].

作者信息

Zimmermann W

出版信息

Prax Kinderpsychol Kinderpsychiatr. 1992 May-Jun;41(5):156-67.

PMID:1635904
Abstract

The subject of this paper are fundamental positions, concerning the contents, and empirical results of 15 years time, concerning the dynamic-orientated single psychotherapy for youth and young adult enuretics. It is supported by analyses of 15 years time in the medical-psychological practice. From a sample of, all in all, 250 patients, the results of a group of 55 patients at the age of 15-21 years are shown, who were treated with dynamic-orientated single-psychotherapy, and are discussed with an emphasis on the integrative, biopsychosocial character of this illness. Enuresis nocturna is being regarded consequently as a special psychomatic complex phenomenon, and the empiric results are being interpreted with orientation to theory. There have been applied several test-methods for the purpose of inter-groupal pre-post-analyses, before and after the treatment with a duration of katamnese of 6 months. Statements concerning the efficiency, as well as essential changes of parameters in the course of the psychotherapy are special subject of result-related discussions. The results certify, that contential-specific, age-differentiated emotional and social aspects of personality and reflexion are getting very significantly changed in the course of the successful or partly successful therapy, while in the cases of the non-successfully treated patients no changes in such manner could be obtained.

摘要

本文的主题是关于青少年和青年遗尿症患者动态取向个体心理治疗的基本立场、内容以及15年的实证结果。它得到了医学心理实践中15年分析的支持。从总共250名患者的样本中,展示了一组55名年龄在15至21岁之间接受动态取向个体心理治疗患者的结果,并着重讨论了这种疾病的综合生物心理社会特征。因此,夜间遗尿被视为一种特殊的心身复合现象,并根据理论对实证结果进行了解释。为了进行治疗前后6个月随访期的组间前后分析,应用了几种测试方法。关于治疗效果以及心理治疗过程中参数的本质变化的陈述是与结果相关讨论的特殊主题。结果证明,在成功或部分成功的治疗过程中,特定内容、年龄差异化的人格情感和社会方面以及反思会发生非常显著的变化,而在未成功治疗的患者中则无法获得这种方式的变化。

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