Vymĕtal J
Cesk Psychiatr. 1989 Oct;85(5):352-7.
On a quotation from the early dialogue of Plato, Charmides, the author demonstrates that since the beginnings principle to treat man as a whole, as his psychic and bodily processes are closely interlinked. At the same time the irreplaceable role of psychotherapy in the prevention and treatment of impaired health is explained. Psychotherapy is implemented mostly by the relationship between the therapist and patient; its course depends on the behaviour of the therapist and his personality characteristics. Based on an almost hundred-year tradition of systematic psychotherapy and due to empirical research of processes and therapeutic results during the past forty years, it may be taken for granted that for a desirable psychotherapeutic relationship the following characteristics on the part of the psychotherapist are typical: unconditional acceptance of the patient and he therapists emotional affection, empathic understanding of the patient and authenticity--genuineness of the therapist's personality. Due to advances of knowledge various psychotherapeutic trends converge in the sphere of psychotherapeutic theory and practice. Finally the author quotes views of professor K. Weis, director of the Psychiatric University in Leipzig who considers psychotherapy the axis of treatment, surrounded by somatotherapy, sociotherapy and rehabilitation measures.
作者引用了柏拉图早期对话录《卡尔米德篇》中的一段话,表明从一开始就有将人作为一个整体来对待的原则,因为人的心理和身体过程紧密相连。同时,解释了心理治疗在预防和治疗健康受损方面不可替代的作用。心理治疗主要通过治疗师与患者之间的关系来实施;其过程取决于治疗师的行为及其个性特征。基于近百年的系统心理治疗传统以及过去四十年来对治疗过程和治疗效果的实证研究,可以理所当然地认为,对于理想的心理治疗关系,心理治疗师应具备以下典型特征:无条件接纳患者以及治疗师的情感关爱、对患者的共情理解和真实性——治疗师人格的真诚。由于知识的进步,各种心理治疗趋势在心理治疗理论和实践领域相互融合。最后,作者引用了莱比锡大学精神病学系主任K. 魏斯教授的观点,他认为心理治疗是治疗的核心,周围环绕着躯体治疗、社会治疗和康复措施。