Deserno H, Hau S, Brech E, Braun B, Graf-Deserno S, Grünberg K
Sigmund-Freud-Institut, Frankfurt/M.
Psychother Psychosom Med Psychol. 1998 Aug;48(8):287-97.
The following text sums up the results of an examination of a therapeutic session in which a psychoanalyst treated a patient suffering from neurotic depression. We employed the CCRT method which was applied at various levels of abstraction and in two steps of evaluation. The standard evaluation procedure allows for both a more thorough evaluation of "self-relationship episodes" and episodes involving other objects. An integration of "tailor-made" formulations allowed us to analyse another set of "relationship-patterns": namely, those which, in contrast to those most often found in conflict themes, contain positive traits. These results were then discussed clinically to examine these in light of the therapeutic conception of depression. In this context, the question arose as to whether the classic CCRT method can be fruitfully applied in long-term analysis and if this notion should be modified in order to examine the analysis of depression more effectively. A first attempt at such a modification was undertaken in the hope it would allow us to evaluate both the relevance of meaning passages contained in the clinical data and the visible processes of change.
以下文本总结了对一次治疗过程的检查结果，在这次治疗中，一位精神分析师治疗了一名患有神经症性抑郁症的患者。我们采用了CCRT方法，该方法在不同抽象层次上应用，并分两个评估步骤。标准评估程序既允许对“自我关系片段”进行更全面的评估，也允许对涉及其他对象的片段进行评估。“量身定制”的表述方式相结合，使我们能够分析另一组“关系模式”：即那些与冲突主题中最常见的模式相反，包含积极特征的模式。然后，我们从抑郁症的治疗理念出发，对这些结果进行了临床讨论，以审视这些结果。在这种背景下，出现了一个问题，即经典的CCRT方法是否能有效地应用于长期分析，以及是否应该对这一概念进行修改，以便更有效地审视抑郁症的分析。我们首次尝试进行这样的修改，希望能让我们评估临床数据中包含的意义段落的相关性以及明显的变化过程。
