Fahrig H
Z Psychosom Med Psychoanal. 1991;37(4):329-42.
By using examples of psychotherapy applications the author critically analyzes a tendency of speculative psychoanalytical explanation of organic illnesses on the basis of the patient's biography. Typical clinical pictures are described. Probable causes of this tendency of speculation in a psychoanalytical manner are discussed. The author also refers to the tradition of speculative theories in psychoanalysis, the meaning of behavorism for psychoanalysis as well as the denial of hereditary-genetic factors. The imponderableness of the causal meaning of biographical events is demonstrated. Impulses for training are given.
通过使用心理治疗应用的实例,作者批判性地分析了基于患者生平对器质性疾病进行思辨性精神分析解释的一种倾向。文中描述了典型的临床症状。讨论了以精神分析方式进行这种思辨倾向的可能原因。作者还提及了精神分析中思辨理论的传统、行为主义对精神分析的意义以及对遗传-基因因素的否定。论证了生平事件因果意义的难以捉摸。并给出了培训建议。