Ermann M
Z Psychosom Med Psychoanal. 1982;28(2):176-88.
This paper points out the differences in the dynamic processes of the regression between patients with neurotic ego-structures and those with disturbances of the ego-development during the psychoanalytic inpatient therapy. The main consequence is, that the indication for inpatient therapy is depending on the sufficient ego-strength, but not on the stage of the ego-development, and that the tactic of the treatment, its clinical organization and the structure of communication in the hospital should be adapted to the ego-structure. General criteria are that the inpatient treatment of neurotic patients should be limited to three of four months at most to avoid artificial splitting mechanisms, and that the treatment of ego-disturbed patients should be organized as an integrative one and managed by a special kind of team-cooperation in order to further the integrating and differenciating ego functions.
本文指出了在精神分析住院治疗期间，具有神经质自我结构的患者与自我发展存在障碍的患者在退行动态过程中的差异。主要结论是，住院治疗的指征取决于足够的自我力量，而非自我发展阶段，并且治疗策略、临床组织以及医院内的沟通结构应适应自我结构。一般标准是，神经症患者的住院治疗应最多限制在三到四个月，以避免人为的分裂机制，而对于自我功能紊乱患者的治疗应组织为综合性治疗，并通过一种特殊的团队合作进行管理，以促进自我功能的整合与分化。
