Schubert F C
Psychiatr Prax. 1986 Jan;13(1):1-9.
First the paper presents an explanation for psychogenous sleep disturbances, basing on coincidence of psychophysiological and biorhythmical sleep patterns with special cognitive and emotional variables. Related thereto a concept for prevention and psychotherapy of these sleep disturbances is elaborated. Both concepts content five structuring elements, standing in a circular feed back relationship: 1. subjective misconceptions about the nature of sleep, 2. dysfunctional norms and goals for the own sleep, 3. cognitive misevaluations of the experienced sleep events, 4. development of a dysfunctional self concept, 5. development of dysfunctional patterns and goals of behavior for coping sleep problems. The elements display the structure for development and diagnosis of these sleep disturbances and for the preventive and psychotherapeutic work. Finally, related to this concept, therapeutic strategies were presented, basing on cognitive and behavior therapy.
首先，本文基于心理生理和生物节律睡眠模式与特殊认知和情绪变量的巧合，对心因性睡眠障碍给出了解释。与此相关，阐述了针对这些睡眠障碍的预防和心理治疗概念。这两个概念都包含五个构成要素，它们处于循环反馈关系中：1. 对睡眠本质的主观误解；2. 对自身睡眠的功能失调的规范和目标；3. 对所经历睡眠事件的认知错误评估；4. 功能失调的自我概念的形成；5. 应对睡眠问题的功能失调的行为模式和目标的形成。这些要素展示了这些睡眠障碍的发展和诊断结构以及预防和心理治疗工作的结构。最后，基于认知和行为疗法，提出了与此概念相关的治疗策略。
