Ermann M
Z Psychosom Med Psychoanal. 1982;28(3):255-65.
The personality structure of patients suffering from psychovegetative disorders is described in the present article from aspects of the psychology of the ego. The focus of all such disorders is a defective desomatization of affectations and the functions of perception. In proportion to the extent of the developmental disorder this specific pathology of the ego is either employed regressively in the defense of conflicts or serves for the release of a structurally strongly limited ego. More precise investigation of the ego structure leads to the descrimination between vegetative neuroses as limited ego pathology on the one hand and psychovegetative disorders in the context of a more extensive ego pathology, as they occur in borderline syndromes or serious narcissistic disorders of the personality on the other. Diagnostically the discrimination may be made by considering the patients own description of their complaints and the structure of their characters, by evaluating the quality of anxiety and affectations, and on the basis of the dynamics of the psychotherapeutic relationship. Consequently there are characteristic differences for the course of treatment.
本文从自我心理学的角度描述了患有精神植物神经功能紊乱患者的人格结构。所有这类障碍的核心是情感和感知功能的去躯体化缺陷。根据发育障碍的程度，这种自我的特定病理学要么在冲突防御中被退行性地运用，要么用于释放结构上受到严重限制的自我。对自我结构进行更精确的研究，一方面可区分出作为有限自我病理学的植物神经症，另一方面可区分出在更广泛的自我病理学背景下的精神植物神经功能紊乱，比如在边缘性综合征或严重的人格自恋障碍中出现的情况。在诊断上，可通过考虑患者对自身症状的描述及其性格结构、评估焦虑和情感的性质，以及基于心理治疗关系的动态变化来进行区分。因此，治疗过程存在特征性差异。
