Heuft G
Psychosomatische Universitätsklinik Heidelberg.
Z Gerontol. 1990 Sep-Oct;23(5):262-6.
Based on the irreversibility of physiological development during the aging process, a concept of permanent personality development throughout life is presented, which is at no time completed. Based on clinical experience, questions are induced for future research in the field of gerontopsychosomatics, which take into consideration the possibility of a revival of previously existing neurotic conflicts as well as possible new functional and psychosomatic symptoms understandable because of the actuating situation in old age. The question is raised whether such newly acquired psychosomatic symptoms must be considered as a multimorbidity aspect in older people and thus not accessible to adequate therapy. Finally, the concept "personality plasticity" and "life-long personality development" are related to one another. Gerontological research has emphasized time and again that in older and aged persons competences persist. It is the objective of the present paper to present a perspective, supported by empirical studies, to those who may be unduly impaired for a time in their potential by symptoms or conflicts.
基于衰老过程中生理发育的不可逆性,提出了贯穿一生的永久性人格发展概念,这一过程在任何时候都不会完成。基于临床经验,引发了老年身心医学领域未来研究的问题,这些问题考虑到先前存在的神经症冲突复苏的可能性,以及由于老年期的促发情况而可能出现的新的功能和身心症状。提出的问题是,这种新出现的身心症状是否必须被视为老年人多种疾病的一个方面,因而无法得到充分治疗。最后,“人格可塑性”和“终身人格发展”这两个概念相互关联。老年学研究一再强调,老年人的能力依然存在。本文的目的是为那些可能因症状或冲突而暂时过度受损的人提供一个有实证研究支持的观点。