Abstract:
OBJECTIVES:According to psychoanalytic models self-harming patients are characterised by an unstable self-system and a disturbed regulation of self-esteem. This is presumed to be denied or dissociated to a greater degree by those who harm themselves secretly (factitious patients) as compared to those who show open self-harm. It is hypothesised and empirically tested that self-destructive patients have more profound disorders of narcissistic self-regulation than patients without self-destruction, and that this should be more evident in patients with overt self-destructive behaviour. METHODS:The sample consists of 354 psychosomatic patients, 32 of whom demonstrated self-destructive behaviour (18 exclusively overt and 6 exclusively covert types of behaviour, according to Willenberg et al.). The narcissism inventory was applied. RESULTS:Self-destructive patients showed higher levels on the "threatened self"-dimension than psychosomatic patients without self-harm. Overtly self-harming patients showed a higher degree of narcissistic self-regulation than covertly self-destructive patients. CONCLUSIONS:This supports theoretical assumptions of a disturbed regulation of self-esteem in self-destructive patients, especially in overtly self-harming patients.
journal_name
Z Psychosom Med Psychotherauthors
Fliege H,Becker J,Weber C,Schoeneich F,Klapp BF,Rose Mdoi
10.13109/zptm.2003.49.2.151keywords:
subject
Has Abstractpub_date
2003-01-01 00:00:00pages
151-63issue
2eissn
1438-3608issn
2196-8349journal_volume
49pub_type
杂志文章abstract:OBJECTIVES:Since March 2008 we have offered outpatient treatment for computer game and internet addiction. This article presents the assessment and clinical characterization of the first cohort of one year. METHODS:The reasons for seeking help (phone consultations, N=346) as well as sociodemographic and psychometric c...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2011.57.1.77
更新日期:2011-01-01 00:00:00
abstract::Endometriosis is one of the most frequent gynecological disorders in the reproductive age. Discrepancies between clinical findings and subjective Symptoms cause the question of the determing factors for the subjective experience. In the present study an hermeneutic, sense-orientated approach was employed by using qual...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.4.372
更新日期:1999-12-01 00:00:00
abstract::In this piece of work the primary affects, as rage, fear, sadness and lacking of joy (anhedonia) are defined and discussed as specific causes for the development and outbreak of depressive states. Then conflicting primary emotions and depressive mental states are depicted to be followed by a discussion about the signi...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2000.46.4.331
更新日期:2000-10-01 00:00:00
abstract:OBJECTIVES:The quality of medical care by somatically treating physicians has considerable influence on the coping process in cancer patients. In outpatient psychosocial care, information supply and doctor-patient interaction are often considered difficult by the patients. This study therefore investigates the effects ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 临床试验,杂志文章
doi:10.13109/zptm.2003.49.3.232
更新日期:2003-01-01 00:00:00
abstract:OBJECTIVE:We examined how personal resources develop during inpatient psychodynamic psychotherapy, their relationship to symptom development, Operationalized Psychodynamic Diagnosis (OPD-2), and sociodemographic aspects. METHODS:483 patients were examined using self-assessment questionnaires (Brief Symptom Inventory (...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2015.61.2.139
更新日期:2015-01-01 00:00:00
abstract:BACKGROUND:There is a growing body of evidence for the efficacy of psychodynamic therapy. Some representatives of other approaches, however, have repeatedly questioned its efficacy. Recently, another line of argumentation emerged, claiming that psychodynamic therapy may work, but that the mechanisms of change underlyin...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2018.64.1.16
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVES:This study investigates the relationships between mindfulness, depression, and quality of life (QoL) in cancer patients. METHODS:A total of 51 cancer patients were assessed with the FreiburgMindfulness Inventory (FFA;Walach et al. 2004), the Hospital Anxiety and Depression Scale (HADS-D; Herrmann et al. 199...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2014.60.4.337
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVES:We tested the hypothesis that inpatient psychosomatic treatment would improve both psychological distress and autonomic dysfunction, indexed as heart rate variability (HRV). METHODS:135 patients (mean age 47.2 years, 68.1% women) were enrolled. The most frequent diagnoses were somatoform disorders, adjustme...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2016.62.1.20
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:The present study investigated the workplace experiences of junior physicians in their first year of residency, and the impact of these experiences on their physical and psychological well-being. METHODS:In a prospective longitudinal study 518 junior physicians (54.4% women, 45.6% men) were investigated twi...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2005.51.2.163
更新日期:2005-01-01 00:00:00
abstract::In a quasi-experimental design, four groups were compared, (a) patients who had terminated psychoanalysis of more than two years' duration; (b) patients who had terminated individual psychotherapy of more than two years' duration; (c) patients who had terminated various kinds of low-dose psychotherapies; (d) patients ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.1.43
更新日期:1999-03-01 00:00:00
abstract::In clinical theory transference interpretations represent a central therapeutic technique and a specific mechanism of change in psychodynamic psychotherapies. However, the empirical basis lags behind the theoretical considerations. This article reviews both the results of empirical research on transference interpretat...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2012.58.3.219
更新日期:2012-01-01 00:00:00
abstract::Development of an evaluation system for online self-help groups by using the example of German-speaking cancer forumsObjectives: This paper pursues the question how the quality of forums can be evaluated. Therefor a grading system was designed and 23 German-speaking cancer forums were evaluated by content and formal c...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2019.65.3.272
更新日期:2019-09-01 00:00:00
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journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2011.57.2.172
更新日期:2011-01-01 00:00:00
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journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:
更新日期:2013-01-01 00:00:00
abstract:OBJECTIVES:The study investigates the psychic structure and psychiatric comorbidity of chronic pain patients according to Kernberg's concept of personality organization. METHODS:We assessed 48 chronic pain patients attending the Behavioural Medicine Pain Clinic in the Department of Psychiatry. Patients were diagnosed ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.1.34
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVES:The success of referral for psychotherapy and the predictors thereof are investigated in dentistry in an outpatient unit for psychosomatics. METHODS:238 patients were asked in a telephone interview concerning their satisfaction with the consultation as well as any change in their complaints and treatments a...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2008.54.3.285
更新日期:2008-01-01 00:00:00
abstract::Characteristics of art therapists in rehabilitative therapy Objectives: This study examines the sociodemographic, qualification- and activity-related characteristics of art therapists working in the field of rehabilitation. METHODS:In 2013, an analysis of occupational groups was carried out in Germany, with the objec...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2017.63.3.314
更新日期:2017-09-01 00:00:00
abstract::The neuroendocrine and physiological systems related to pain and stress have long been subjected to study. More recently, the corresponding systems promoting anti-stress and restoration have also come into focus. It is not only important to investigate the mechanisms underlying disease but also to examine the physiolo...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2005.51.1.57
更新日期:2005-01-01 00:00:00
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journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2009.55.2.162
更新日期:2009-01-01 00:00:00
abstract::This article is a review of the historical development of this journal from its establishment in 1954 to the present. The history of its founding will first be briefly outlined and illustrated with some facsimile prints from that time. The thematic focuses as they evolved over the last five decades will then be review...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 历史文章,杂志文章
doi:10.13109/zptm.2004.50.1.7
更新日期:2004-01-01 00:00:00
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journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2002.48.3.299
更新日期:2002-01-01 00:00:00
abstract:OBJECTIVES:Police officers frequently face traumatic stressors of different origins and thus bear an increased risk of developing a post-traumatic stress disorder. The most mentally burdening situations range from shootings, death of fellow officers, dealing with dead bodies in general, the effects of shift work, time ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2007.53.1.42
更新日期:2007-01-01 00:00:00
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journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.3.283
更新日期:2010-01-01 00:00:00
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journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:To obtain data and hypotheses regarding the amelioration of risk estimation and preventive psychotherapy in patients in a prodromal state of schizophrenia by using OPD. METHODS:20 participants with a prodromal condition--6 subjects far from psychosis and 14 close to psychosis--along with 10 patients with pa...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2010.56.2.150
更新日期:2010-01-01 00:00:00
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journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2008.54.4.409
更新日期:2008-01-01 00:00:00
abstract::The study presents the subjective responses of a representative sample of the German population (2050 subjects, aged 14 to 92 years) on the prevalence of somatoform complaints, using the SOMS (Screening for somatoform disorders) developed by Rief et al. (1997). The results show that somatoform disorders are widespread...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2002.48.1.38
更新日期:2002-01-01 00:00:00
abstract::Psychosomatic aspects of the normal aging process are not discussed by the international literatur nor psychotherapeutic treatment strategies with functional disorders or somatization disorders. By creating the concept "gerontopsychosomatics" 1990 in Germany there is an increasing interest for the implications of the ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.1999.45.3.201
更新日期:1999-09-01 00:00:00
abstract:OBJECTIVES:The study looks for typical curves of symptom development in inpatients and investigates the influence of initial remoralisation and terminal improvement on the global therapy outcome. METHODS:71 psychotherapy inpatients (affective, anxiety, eating and personality disorders; average treatment duration 11.9 ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章
doi:10.13109/zptm.2001.47.4.380
更新日期:2001-01-01 00:00:00
abstract:OBJECTIVES:To date we have only a limited understanding of the concrete verbal intervention techniques used in psychodynamic psychotherapy. In particular, there is no standard classification of these techniques. METHODS AND RESULTS:We analyzed the various types of verbal psychodynamic interventions from a theoretical ...
journal_title:Zeitschrift fur Psychosomatische Medizin und Psychotherapie
pub_type: 杂志文章,评审
doi:10.13109/zptm.2014.60.3.219
更新日期:2014-01-01 00:00:00