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[精神分裂症自我障碍的身体导向疗法。关于一种额外治疗可能性的建议及该主题的基本思考]

[Body oriented therapy of schizophrenic ego disturbances. Recommendation of an additional therapeutic possibility and basic thoughts on the topic].

作者信息

Scharfetter C, Benedetti G

出版信息

Schweiz Arch Neurol Neurochir Psychiatr. 1978;123(2):239-55.

PMID:754280
Abstract

The instrumental construction of 5 basic dimensions of ego-consciousness (ego-vitality, -activity, -consistency, -demarcation, -identity) is presented as a means of synopsis the clinical polymorphism of schizophrenic experience and behaviour. Such consideration leads to the insight how deep in their basic feelings of vitality the schizophrenic person may be endangered. From that a body-oriented therapy is conceived, which is presented in datail. The commentary of G. Benedetti points out, how in different therapeutic approaches a common basic attitude of the therapist and a unifying synthetic relationship between therapist and patient can be seen: in duality, empathic sharing of psychotic experience, symbolic realization the narcissistic deficit is overcome. The resynthesis of the ego starts from the present experience rather than from analytical interpretative historical reconstruction.

摘要

自我意识5个基本维度(自我活力、自我活动、自我一致性、自我界限、自我认同)的工具性构建,被作为一种概括精神分裂症体验与行为临床多态性的手段呈现出来。这样的思考带来一种见解,即精神分裂症患者在其基本的活力感受中可能受到多么严重的威胁。由此构思出一种以身体为导向的疗法,并详细介绍了该疗法。G. 贝内代蒂的评论指出,在不同的治疗方法中,可以看到治疗师的一种共同基本态度以及治疗师与患者之间一种统一的综合关系:在二元性中,对精神病体验的共情分享,通过象征实现克服自恋缺陷。自我的重新整合始于当下体验,而非始于分析性的解释性历史重构。

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