Burian Ronald
Evangelisches Krankenhaus "Königin Elisabeth Herzberge", Herzbergstraße 79, 10365, Berlin, Deutschland.
Nervenarzt. 2025 Jun 4. doi: 10.1007/s00115-025-01844-4.
In the psychiatric consultation-liaison service (CL service) in hospitals a rapid classification of the interaction behavior of patients is often essential for a successful consultation.
This article gives an abridged and practical overview of how models from the attachment theory can be meaningfully implemented in the CL service.
Based on the relevant literature the foundations of attachment theory are briefly explained and appropriate recommendations for action for the construction of medical relationships are derived. A case study is used to illustrate this pragmatic approach.
According to the 4‑category model of Bartolomew and Horowitz a clear classification into 4 different attachment styles can be achieved in adulthood. Furthermore, the derived recommendations for action can be used in the CL service to adapt the construction of relationships.
Models from the attachment theory can be helpful to establish a functional physician-patient relationship. This is helpful for a successful contact in counselling and these models can also mediate the primary treating physician and contribute to positive medical outcomes.
在医院的精神科会诊联络服务（CL服务）中，对患者的互动行为进行快速分类通常是成功会诊的关键。
本文简要概述了依恋理论模型如何在CL服务中得到有意义的应用。
基于相关文献，简要解释依恋理论的基础，并得出构建医疗关系的适当行动建议。通过一个案例研究来说明这种实用方法。
根据巴托洛梅和霍洛维茨的四类模型，成年期可以明确分为四种不同的依恋风格。此外，得出的行动建议可用于CL服务中以调整关系构建。
依恋理论模型有助于建立起有效的医患关系。这有助于在咨询中实现成功接触，这些模型还可以在主治医生之间起到调解作用，并有助于取得积极的医疗结果。
