Freyberger H, Otte H, Künsbeck H W
Z Gastroenterol. 1978 Apr;16(4):217-28.
With regard to the superimposed concept "psycho-somatic correlation" we describe the psychopathological mark "Alexithymia" and the related psychodynamic processes (object loss which cannot be mastered, together with following narcissistic insult and aggression defense). In the frame of the psychosomatic pathology are outlined the psychodynamic processes in patients suffering from functional gastrointestinal disorders, duodenal ulcer and ulcerative colitis. With regard to the superimposed concept "soma-to-psychic correlation" we describe the secondary-psychic reactions following the patient's perception of a failure of his bodily functions, namely: reactive anxieties and depression as well as dependency wishes and denial-work. The psychotherapeutic possibilities in psychosomatic patients concern the modifications of the classical psychoanalytic techniques, namely: psychoanalytically orientated group therapy, psychotherapeutic consultation, supportive psychotherapy on the one hand and the behavior therapy on the other hand. In contrast to it, in patients suffering from secondary-psychic reactions particularly the principle of the doctor's and nurses' emotional presence is indicated. However, the ability to realize the emotional presence function presupposes a special advanced training.
关于叠加概念“心身关联”，我们描述了心理病理标志“述情障碍”及相关心理动力学过程（无法掌控的客体丧失，以及随之而来的自恋性侮辱和攻击防御）。在身心病理学框架内，概述了患有功能性胃肠疾病、十二指肠溃疡和溃疡性结肠炎患者的心理动力学过程。关于叠加概念“身-心关联”，我们描述了患者感知到身体功能失败后的继发性心理反应，即：反应性焦虑和抑郁以及依赖愿望和否认行为。身心疾病患者的心理治疗可能性涉及经典精神分析技术的调整，即：一方面是精神分析取向的团体治疗、心理治疗咨询、支持性心理治疗，另一方面是行为治疗。与之形成对比的是，在患有继发性心理反应的患者中，特别强调医生和护士情感陪伴的原则。然而，实现情感陪伴功能的能力需要特殊的高级培训。
