Freyberger H, Künsebeck H W, Lempa W, Wellmann W, Avenarius H J
Psychother Psychosom. 1985;44(2):72-81. doi: 10.1159/000287896.
Starting from the psychosomatic patients in clinico-medical wards and the inherent two primary alexithymic features "highly limited introspective capacity' and "very low motivation concerning dynamic psychotherapy', which we proved empirically, we describe the therapist's attitude and the three steps of supportive psychotherapy which initially represent the most indicated procedure in this patient group. In Hannover, this supportive psychotherapeutic procedure is applied by student auxiliary therapists. On the basis of our empirical findings, the effectivity of supportive psychotherapy, accomplished by students, in the alexithymic psychosomatic clinico-medical inpatients could be clearly demonstrated. Furthermore, we comment on some previous psychotherapeutic findings with regard to Crohn patients. Starting from our pretreatment and our follow-up measurements, we were able to prove that patients who were treated by both supportive psychotherapy and psychoanalytically orientated inpatient ward psychotherapy, showed remarkable improvements at all levels of the measurement techniques. Finally, we outline some clinico-psychosomatic aspects with regard to secondary alexithymia.
从临床医疗病房中的身心疾病患者以及我们通过实证证明的两种内在的原发性述情障碍主要特征——“内省能力高度受限”和“对动力心理治疗的积极性极低”出发，我们描述了治疗师的态度以及支持性心理治疗的三个步骤，这最初是该患者群体中最适用的程序。在汉诺威，这种支持性心理治疗程序由学生辅助治疗师实施。基于我们的实证研究结果，可以清楚地证明学生完成的支持性心理治疗对述情障碍身心疾病临床医疗住院患者的有效性。此外，我们对之前关于克罗恩病患者的一些心理治疗研究结果进行了评论。从我们的治疗前和随访测量结果来看，我们能够证明，接受支持性心理治疗和以精神分析为导向的住院病房心理治疗的患者，在所有测量技术层面都有显著改善。最后，我们概述了继发性述情障碍的一些临床身心方面的情况。
