von Rad M
Psychother Psychosom. 1979;32(1-4):118-27. doi: 10.1159/000287379.
Given the specific problems of the physically sick, the psychoanalytic therapy of psychosomatic patients normally calls for modification of treatment concepts that have proved viable for patients with mental disorders (neuroses) alone. The patients' difficulty in experiencing and expressing the experience of feelings as well as the fixation on one kind of physical complaint make it essential that the patient be unconditionally 'accepted' and offered translation aids so that within the patient-doctor relationship the 'mute' physical complaints can be assisted towards verbalisation and new emotional experiencing. The kind of special treatment forms indicated is determined by the extent of healthy personality elements. Here, in addition to nonverbal procedures, such techniques as combined inpatient--outpatient group psychotherapy, the subject of the present follow-up study, have proved to be helpful.
鉴于身体疾病的特殊问题，身心疾病患者的精神分析治疗通常需要对仅被证明对精神障碍（神经症）患者可行的治疗概念进行调整。患者在体验和表达情感体验方面存在困难，以及对一种身体不适的执着，这使得必须无条件地“接纳”患者并提供翻译辅助工具，以便在医患关系中，帮助“沉默”的身体不适转化为言语表达并产生新的情感体验。所采用的特殊治疗形式取决于健康人格要素的程度。在此，除了非言语程序外，诸如住院与门诊相结合的团体心理治疗等技术，即本后续研究的主题，已被证明是有帮助的。
