Seidel K, Kulawik H
Psychiatr Neurol Med Psychol (Leipz). 1978 Feb;30(2):65-73.
The need for complex psychotherapy is reified by using the combination of group psychotherapy with methods of individual and behavioral therapy as an example. The fact that certain forms of maldevelopment cannot be satisfactorily checked by dynamic group psychotherapy alone is considered to be due not only to the conditioning of, and automatism associated with, neurotic malbehavior. It is especially in the case of inordinate dread and fear of disease, which is generally referred to as nosophobia, that the patient's great difficulty in accepting the possibility of a mental origin or causation of his ailment stands in the way of making effective use of such a therapy. The authors are of the opinion that acceptance by the patient of a mental origin or causation is made difficult especially by the fact that in the case of neurotic maldevelopments the kind and degree of neurotic conflictiveness are lore or less unconscious. This fact, which has not so far received much attention, should be taken into consideration in future research into the unconscious.
以团体心理治疗与个体及行为治疗方法相结合为例，复杂心理治疗的必要性被具体化了。某些形式的发育不良仅靠动态团体心理治疗无法得到令人满意的控制，这一事实被认为不仅归因于神经症不当行为的条件作用及与之相关的自动性。尤其是在对疾病过度恐惧和害怕的情况下，也就是通常所说的疾病恐怖症，患者极难接受其疾病可能源于心理因素，这妨碍了有效利用这种治疗方法。作者认为，患者难以接受心理起源或病因，尤其因为在神经症性发育不良的情况下，神经症冲突的种类和程度或多或少是无意识的。这一迄今未得到太多关注的事实，在未来对无意识的研究中应予以考虑。
