Gabriel E
Psychiatrisches Krankenhaus, Wien.
Wien Med Wochenschr. 1998;148(6):163-6.
Starting from a sketch of the basic view points from which the topic will be elucidated, the author focuses on the different logics of psychiatry and psychotherapies. The connections between the topic and the somatopsychosocial model, the intercorrelation of psycho-genetic interpretative models and indication for psychotherapy indicate an approach which is oriented towards the disordered person (and not the disorder). This concept is compared with the often used definition of psychotherapy by Strotzka. The dependence of the concept on traditions in psychiatry (Krafft-Ebing, Jaspers, Kretschmer, E. Bleuler, and M. Bleuler) and its consistency with modern multiaxial diagnostic systems (Frances et al.) are stressed. Finally the border to psychotherapeutic medicine outside psychiatry, both in theory and practice, is stressed.
从阐述该主题的基本观点概述入手,作者聚焦于精神病学与心理治疗的不同逻辑。该主题与身心社会模型之间的联系、心理遗传解释模型的相互关系以及心理治疗的适应症表明了一种以紊乱的个体(而非紊乱本身)为导向的方法。这一概念与施特罗茨卡常用的心理治疗定义进行了比较。强调了该概念对精神病学传统(克拉夫特-埃宾、雅斯贝尔斯、克雷奇默、E. 布鲁勒和M. 布鲁勒)的依赖及其与现代多轴诊断系统(弗朗西斯等人)的一致性。最后,强调了在理论和实践中与精神病学之外的心理治疗医学的界限。