Klug A, Lindner R, Fiedler G, Altenhöfer A
Klinik für Psychiatrie und Psychotherapie, Bethesda-AK Bergedorf, Glindersweg 80, 21029 Hamburg.
Z Gerontol Geriatr. 2008 Feb;41(1):22-8. doi: 10.1007/s00391-008-0516-0.
Sexuality and suicidality in the elderly seem to underlie a taboo in science and in therapeutic practice. It is urgent to find an understanding about both aspects of human experience and behaviour by explorative studies. In a sample (N=67), the narratives of 56 persons (suicidal=43 and non-suicidal=23) on questions concerning their sexuality were transcribed and ideal types were developed with the systematic qualitative method of forming types by understanding. Four of these types consist of clearly more suicidal persons, in two the non-suicidals predominate, the rest is more heterogeneous in this aspect. Some of these types can be interpreted unequivocally. One type was surprisingly clearly suicidal dynamic, while others were a "female narcissistic" or a "male narcissistic" type. This explorative typology may help the interested therapist/counsellor as a landmark to relate to sexuality as an important aspect of life, even in old age, and to use the discussion of sexuality to improve the understanding of patients, especially in suicidal crisis.
老年人的性取向和自杀倾向似乎构成了科学及治疗实践中的一个禁忌话题。通过探索性研究来深入理解人类经历和行为的这两个方面迫在眉睫。在一个样本（N = 67）中，对56人（43名有自杀倾向者和23名无自杀倾向者）关于其性取向问题的叙述进行了转录，并采用通过理解形成类型的系统定性方法构建了理想类型。其中四种类型明显包含更多有自杀倾向的人，两种类型中无自杀倾向者占主导，其余类型在这方面则更为多样化。这些类型中的一些可以明确解读。一种类型有着惊人明显的自杀动态，而其他类型分别是“女性自恋型”或“男性自恋型”。这种探索性类型学可能会帮助感兴趣的治疗师/顾问作为一个参照点，将性取向视为生活的一个重要方面，即使在老年也是如此，并利用对性取向的讨论来增进对患者的理解，尤其是在自杀危机中。
