Mitscherlich M
Psychother Psychosom. 1979;32(1-4):306-12. doi: 10.1159/000287401.
The paper presents the interaction approach in psychosomatics, as developed by the author. In this context the physical proceedings, which are oversome by the categories of the structure of space, differ from the psychic ones which are not of space but of time. The psyche itself is understood as an intentional experience, wherein the affects and unconscious proceedings are essential. Language has an important function. The psychosomatic disease is understood as a presentative symbolic event and as compensation for the loss of the cognitive ability to symbolize in the field of language. The problem of symbolization is illustrated by a case of spasmodic torticollis. The results of an examination of 81 patients are given, 23 of whom were treated psychoanalytically. The object relation, the regression to the pregenital level, the ego-regression in the form of the omnipotence of motion, and the inability for developing an own self are presented. An alternative technique of treatment is pointed out. Finally, the results of an examination of 26 cases of tic, including a case of generalized tic, are described.
本文介绍了作者所发展的身心医学中的交互作用方法。在此背景下，受空间结构范畴支配的身体过程与不受空间而是受时间支配的心理过程有所不同。心灵本身被理解为一种意向性体验，其中情感和无意识过程至关重要。语言具有重要作用。身心疾病被理解为一种表现性的象征性事件，是对在语言领域中象征化认知能力丧失的一种补偿。以痉挛性斜颈病例说明了象征化问题。给出了对81名患者的检查结果，其中23名接受了精神分析治疗。阐述了客体关系、向生殖器前期水平的退行、以运动全能形式出现的自我退行以及无法发展出自我等情况。指出了一种替代性治疗技术。最后，描述了对26例抽动症病例的检查结果，包括一例全身性抽动症病例。
