Knoll M
Psychiatrische Klinik und Poliklinik der Philipps-Universität, Marburg/Lahn.
Psychiatr Prax. 1987 Aug;14 Suppl 1:23-6.
The author differentiates between two modes of perception, one is the "expressive" mode, stabilizing and aiming at constancy, the other is the "impressive" mode, penetrating the self and aiming at identification with the percept. The clinical relevance of the latter for the therapy of psychoses is demonstrated by five case studies. The "Leib" as the place of incidence of perception is viewed in its function for the interaction of physician and patient: above all psychotic border states induce forms of communication, which are remarkably close to the body and remain mostly unconscious, but might be the beginning and instigation of a whole of behaviour-(action) chains on the side of the therapist. For the purpose of a controlled handling of the instrument of therapeutic intervention it is necessary to bring to view precisely these processes occurring close to the body. The traditional idea of identity is embarrassing this process of perception.
作者区分了两种感知模式，一种是“表现性”模式，具有稳定性且旨在保持恒定，另一种是“印象性”模式，深入自我且旨在与感知物认同。五个案例研究证明了后者在精神病治疗中的临床相关性。“身体”作为感知发生的场所，其在医患互动中的作用被审视：尤其是精神病边缘状态引发的沟通形式，与身体密切相关且大多处于无意识状态，但可能是治疗师一方一系列行为（行动）链的开端和诱因。为了对治疗干预手段进行可控操作，有必要准确揭示这些与身体密切相关的过程。传统的身份观念阻碍了这一感知过程。
