Krauth D
Z Psychosom Med Psychoanal. 1981 Apr-Jun;27(2):117-32.
In the therapy of psychosomatic patients following sufficient analysis of psychic factors, a remnant, resistant to further analysis, is found which is the result of primary organic suffering. The entire organism changes with respect to this primary suffering and, if the behaviour of the significant other remains unchanged, psychic maladjustment sets in, which in the future may be the cause of organic disease. Organic changes resulting from primary suffering resistant to analysis, must be mitigated by changes in the patients life. In practice the therapy of psychosomatic patients is aggravated by their individual difficulties in expressing themselves and by the difficulties therapists have in perceiving their expressions. Perception-training, which may be in the form of mediation, seems desirable. Patients near their central conflict tend to untruthfulness. Analysis of this untruthfulness is to be considered as a step forward in the therapy. If analysis is not possible, untruthfulness in the patient remains a therapeutic problem.
在对心身疾病患者进行心理因素充分分析后的治疗中，会发现一个对进一步分析具有抵抗性的残余部分，这是原发性器质性痛苦的结果。整个机体相对于这种原发性痛苦会发生变化，如果重要他人的行为保持不变，就会出现心理失调，而这在未来可能会成为器质性疾病的病因。因对分析具有抵抗性的原发性痛苦而导致的器质性变化，必须通过患者生活中的改变来减轻。在实践中，心身疾病患者的个体表达困难以及治疗师感知其表达的困难，都会使心身疾病患者的治疗变得更加复杂。以调解形式进行的感知训练似乎是可取的。接近其核心冲突的患者往往不诚实。对这种不诚实的分析应被视为治疗中的一个进步。如果无法进行分析，患者的不诚实仍然是一个治疗问题。
