Hartwich P, Lehmkuhl G
Arch Psychiatr Nervenkr (1970). 1979 Dec;227(4):341-51. doi: 10.1007/BF00344819.
Only rarely have the effects of audiovisual self-confrontation on psychiatric patients been investigated experimentally and there are few specific hypotheses about the precise effects. Since we hypothesized that the method could have an effect on schizophrenic ego disturbances eight items were used to investigate these disturbances in a carefully selected single case. In contrast to group comparison studies, we used a single case analysis to register subtle individual changes. The ego disturbances of the patients underwent changes during the sessions which were represented in some fields by an increase, in others by a decrease (1% level). The fact that confrontation sessions differed significantly from interviews supported our hypothesis that ego disturbances can be influenced through audiovisual self-confrontation. In cases of acute anxiety symptoms, the danger of the increasing ego disturbance must be anticipated. For this reason, the use of self-confrontation in these cases should be avoided. Our study shows, however, that a patient in the early stages of recovery can increase his ego strength through self-confrontation. Herein lies the possibility of integrating this technique into rehabilitation programs.
仅有极少数针对视听自我对峙对精神科患者的影响进行过实验研究，而且关于确切影响的具体假设也很少。由于我们假设该方法可能对精神分裂症患者的自我障碍产生影响，因此我们使用了八个项目，对精心挑选的一个病例的这些障碍进行研究。与组间比较研究不同，我们采用单病例分析来记录细微的个体变化。患者的自我障碍在治疗过程中发生了变化，在某些方面有所增加，而在其他方面则有所减少（在1%的水平上）。对峙治疗与访谈显著不同，这一事实支持了我们的假设，即自我障碍可通过视听自我对峙受到影响。在急性焦虑症状的病例中，必须预见到自我障碍加剧的风险。因此，在这些病例中应避免使用自我对峙。然而，我们的研究表明，处于康复早期阶段的患者可以通过自我对峙增强自我力量。这就为将该技术纳入康复计划提供了可能性。
