Wolfersdorf M, Vogel J
Abteilung Psychiatrie I der Universität Ulm, Ravensburg-Weissenau.
Schweiz Rundsch Med Prax. 1990 Mar 13;79(11):318-25.
Successful approach to depressed patients demands some knowledge of psychodynamic mechanisms in depressive patients according to a basic understanding of depression as a biological and a psychological disorder. Departing from such a point of view some important aspects of understanding and coping with depressives are the following: 1. Therapy of the depressed means communication. 2. Because of a deficiency in the development of emotions and self-esteem in childhood and youth depressives have a tendency to need very close symbiotic relationships and also tend to develop high standards in work efficiency and ethic norms. 3. Closeness and empathy, benevolence as well as patience and interest in the patient import and demand communicative partnership, valuation of collaborative efforts and form the basis of a therapeutic relationship. 4. Dangers lie in playing down and thus depreciation or in overdramatization. 5. Prolonged work with depressed patients requires supervision, acquisition of psychosocial competence and collaboration in Balint-groups.
根据对抑郁症作为一种生物和心理障碍的基本理解，成功治疗抑郁症患者需要对抑郁症患者的心理动力学机制有所了解。从这样的观点出发，理解和应对抑郁症患者的一些重要方面如下：1. 对抑郁症患者的治疗意味着沟通。2. 由于童年和青少年时期情感和自尊发展不足，抑郁症患者倾向于需要非常亲密的共生关系，并且在工作效率和道德规范方面也倾向于设定高标准。3. 亲密、同理心、仁爱以及对患者的耐心和关注意味着需要建立沟通伙伴关系，重视合作努力，并构成治疗关系的基础。4. 危险在于淡化从而贬低或过度戏剧化。5. 长期治疗抑郁症患者需要监督、获得社会心理能力以及在巴林特小组中进行协作。
