Rudolf G
Z Psychosom Med Psychoanal. 1979 Jan;25(1):1-16.
The comparable documentation of neurotic conditions is a supposition for the scientific access to neuroses, especially concerning psychotherapy research and epidemiology. Efforts on this field have rarely brought satisfying results. This paper shows the construction and the application of a documentary scheme, which describes neurotic conditions under a psychoanalytic point of view and accentuates the aspect of interpersonal relationships: The psychic and socialcommunicative report (PSB). In contrast to other charts, PSB avoids the use of psychoanalytic theory and of psychopathological terms and describes neurotic traits in everyday-language, which makes the system easy to use. After the psychoanalytic interview the investigator or therapist does a rating of the 82 PSB-items. This gives both a quantitative and qualitative description of the neurotic disease. In several projects including follow-up studies of psychotherapy-patients PSB-instrument was useful for important questions of psychotherapy research. The combination of PSB with documentation of patient's life-data allows correlation of "soft" personality-data and "hard" social data. In medical student's training PSB helps to teach systematic examination of neurotic patients.
对神经症状况进行可比记录是科学研究神经症的一个前提,尤其在心理治疗研究和流行病学方面。该领域的努力很少带来令人满意的结果。本文展示了一种记录方案的构建与应用,该方案从精神分析的角度描述神经症状况,并突出人际关系方面:心理与社会交流报告(PSB)。与其他图表不同,PSB避免使用精神分析理论和精神病理学术语,而是用日常语言描述神经症特征,这使得该系统易于使用。在精神分析访谈后,研究者或治疗师对82个PSB项目进行评分。这既能对神经症疾病进行定量描述,也能进行定性描述。在包括心理治疗患者随访研究在内的多个项目中,PSB工具对心理治疗研究的重要问题很有用。将PSB与患者生活数据记录相结合,可以关联“软性”人格数据和“硬性”社会数据。在医学生培训中,PSB有助于教授对神经症患者进行系统检查。