Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, 1090 Vienna, Austria.
Donauländischer Verein für Psychiatrie und ihre Grenzgebiete / Danubian Psychiatric Association, Österreich.
Psychiatr Danub. 2023 Fall;35(3):295-306. doi: 10.24869/psyd.2023.295.
The prevalence of mental disorders and global burden of disease increases and need an integrated psychiatric treatment at the best point of service. Severe mental disorders have medical consequences and solid psychiatric interventions are necessary. Research is required to be conducted along the bio-psycho-social paradigm.
Based on the dynamics of memory and mentalization theory this paper presents clinical and therapeutic considerations for change.
Mentalization is influenced by patterns of parental rearing styles, attachment, and traumatic incidents. In psychoanalytic theory, unconscious memory contents are enacted in the patient-therapist relationship. This editorial gives a review and intends to bridge the gap between psychiatry, the neurosciences, psychoanalysis and other sciences concerned with the study and processing of memory and its associated psychological, cognitive, and affective functions. The role of memory and related abilities and factors affecting psychological functioning are outlined. Research findings on memory dynamics and vulnerability as well as insights that are relevant to bridge the gap to related sciences are highlighted.
For treatment, a dynamic view of long-term memory with a plasticity of states of memories when they are reactivated is supported. For intervention technique, affect-related therapist-centered interpretations and a sound working through of such enacted states in the interpersonal environment of the treatment is essential.
精神障碍的患病率和疾病负担在全球范围内不断增加，需要在最佳服务点提供综合精神病治疗。严重的精神障碍会产生医学后果，因此需要进行强有力的精神干预。需要沿着生物-心理-社会范式开展研究。
本文基于记忆动力学和精神化理论，提出了关于改变的临床和治疗思考。
精神化受父母养育方式、依恋和创伤事件的模式影响。在精神分析理论中，无意识的记忆内容在医患关系中表现出来。本文综述旨在弥合精神病学、神经科学、精神分析学以及其他关注记忆及其相关心理、认知和情感功能研究和处理的科学之间的差距。概述了记忆和相关能力的作用，以及影响心理功能的因素。强调了记忆动力学和脆弱性的研究发现，以及与相关科学接轨的见解。
在治疗方面，支持对长期记忆进行动态观察，并在记忆被重新激活时支持记忆状态的可塑性。在干预技术方面，需要基于情感的以治疗师为中心的解释，以及在治疗的人际环境中妥善处理这种表现出来的状态。
