Abstract:
:By way of introduction the concepts 'helpful-supportive' (in analytical psychotherapy) and 'exclusive-supportive' psychotherapy are defined. Then the indications and the patients' characteristics (marked ego weakness, dependency wishes) concerning exclusive-supportive psychotherapy in psychosomatic medicine are outlined. After this we describe the three interview and treatment steps of supportive psychotherapy in psychosomatic patients which particularly include the patients' motivation for conflict-enlightenment psychotherapy. Furthermore some effectiveness criteria are presented. Apart from this motivation work, there exists an indication for supportive long-term psychotherapy in psychosomatic patients. Exclusive-supportive psychotherapy in chronically medically ill patients is founded upon the instability of the psychic adaptation processes (particularly the labilized denial work) following the manifestation of chronic disease. The characteristic intervention techniques deal with the patient's secondary frustration-aggression following, on the one hand, his idea 'Why am I so ill and not the others'. On the other hand, supportive-psychotherapeutic handling of the patient's acute or long-lasting handling of the patient's acute or long-lasting conflict situations prevails. Additional systemic psychotherapeutic procedures are highly recommended in psychosomatic and chronically ill patients, for these procedures are well suited to promoting the effectiveness of individual supportive psychotherapy.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Freyberger H,Freyberger HJdoi
10.1159/000288881subject
Has Abstractpub_date
1994-01-01 00:00:00pages
132-42issue
3-4eissn
0033-3190issn
1423-0348journal_volume
61pub_type
杂志文章,评审abstract:BACKGROUND:Patients with medically unexplained symptoms (MUS) are difficult to treat and cause high health-care costs. Psychological interventions might be a beneficial option for treating patients with MUS, but evidence is inconsistent. This meta-analysis compares the effectiveness of psychological interventions for M...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析,评审
doi:10.1159/000380914
更新日期:2015-01-01 00:00:00
abstract::Placebo effects are often attributed to clinical interactions and contextual factors that affect expectations of the patient about the treatment and result in symptom changes. The prevailing conceptualization consists of an undifferentiated placebo response that needs to be minimized in controlled investigations and m...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000480038
更新日期:2017-01-01 00:00:00
abstract::Prevailing reports on psychological prediction of renal graft integration are rare, mostly based on case studies. Focusing on patients' expectations from the transplantation process before grafting, we investigate the influence of psychological data and statements on the final transplantation results. In the whole gro...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287899
更新日期:1985-01-01 00:00:00
abstract::Treatment under conditions of gnotobiotic isolation can augment the stress of adaptation to a diagnosis of leukaemia. Identification of the psychological problems experienced in isolator treatment can contribute to the effective maintenance of therapy. Individual patterns of adjustment to treatment relate to the psych...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286922
更新日期:1975-01-01 00:00:00
abstract::This paper presents the Social Phobia Psychotherapy Research Network. The research program encompasses a coordinated group of studies adopting a standard protocol and an agreed-on set of standardized measures for the assessment and treatment of social phobia (SP). In the central project (study A), a multicenter random...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000162299
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The aim of this study was to investigate the clinical features of psychosomatic disorders in Japan. METHODS:A total of 1,432 outpatients (515 males and 917 females; 9-95 years of age, mean age 36) attending a psychosomatic clinic for the first time were assessed by the DSM-III-R or DSM-IV semistructured int...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012258
更新日期:1998-01-01 00:00:00
abstract::In the present study of 253 patients with chronic pain syndrome we have made a multidimensional approach. All patients have been included in the study independent of coexisting states of anxiety or depression. We included criteria for diagnosis, duration, generability and intensity of pain, anxiety and depression, psy...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章
doi:10.1159/000288032
更新日期:1987-01-01 00:00:00
abstract::This paper describes a practical working situation for a psychiatrist situated in the northern part of Norway. The psychiatrist is attached to the local hospital on a part time basis and takes care of the psychiatric cases in the medical ward together with somatic cases. In addition, he works in a polyclinical setting...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287374
更新日期:1979-01-01 00:00:00
abstract::51 patients on chronic dialysis, awaiting transplantation, were assessed using a standardised psychiatric interview, together with measures of anxiety, depression, locus of control and social adjustment. 33% of the patients warranted a psychiatric diagnosis. During the study period, 30 patients received a transplanted...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288297
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Electromagnetic hypersensitivity (EHS) is a poorly understood condition in which patients report symptoms following perceived exposure to weak electromagnetic fields (EMFs) such as those produced by mobile phones or visual display units. Little is known about the aetiology of the condition although experimen...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000089222
更新日期:2006-01-01 00:00:00
abstract::Past studies have found that medical patients with the diagnosis of depression (comorbidity) have longer hospital lengths of stay (LOS) than those without the diagnosis of depression. This suggested that scores on a depression scale would be positively correlated with LOS. On a rehabilitation ward, 14 stroke and 17 am...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288575
更新日期:1992-01-01 00:00:00
abstract::The occurrence of the hyperventilation syndrome (HVS) has often been associated with stress. In this experiment with normal subjects responses of PACO2, respiration rate, heart rate and checklist measures were registered in a stressful, real-life situation, namely waiting for an examination. Heart rate and one checkli...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287434
更新日期:1980-01-01 00:00:00
abstract::The functions and dysfunctions of slow wave sleep and of REM sleep and its associated dreams have a tremendous significance in understanding the psychosomatic model of illness and in establishing preventive strategies. Ten patients suffering from a variety of psychosomatic illnessess spent 3-4 nights sleeping at the D...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286998
更新日期:1976-01-01 00:00:00
abstract::The studies described in this paper provide evidence for the importance of social factors in determining the response of the hypothalamic-pituitary-adrenal (H-P-A) system to stress. The presence of familiar social partners can reduce or eliminate the cortisol response to either loss of a significant social relationshi...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288677
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:With regard to cluster B personality disorders, most psychotherapeutic treatments focus on borderline personality disorder. Evidence-based treatments for patients with other cluster B personality disorders are not yet available. Psychoanalytic-interactional therapy (PIT) represents a transdiagnostic treatmen...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000441731
更新日期:2016-01-01 00:00:00
abstract::The interpersonal model is important for understanding somatizing behavior. According to this model, somatizing behavior is a form of interpersonal communication driven by insecure attachment. Interpersonal psychotherapy (IPT) is a time-limited, manual-based treatment designed to relieve symptoms and improve interpers...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000092891
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Bupropion SR (Zyban) has been shown in randomized controlled trials to be an efficacious pharmacological aid for smoking cessation; however, recent reports have raised serious concerns about the breadth of its applicability without complications or contraindications. METHODS:We examined this issue in a well...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000077744
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:Not all adults with chronic insomnia respond to the recommended therapeutic options of cognitive behavioral therapy and approved hypnotic drugs. Transcranial alternating current stimulation (tACS) may offer a novel potential treatment modality for insomnia. OBJECTIVES:This study aimed to examine the efficac...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000504609
更新日期:2020-01-01 00:00:00
abstract::In a small pilot controlled study over 8 weeks, 12 obsessive-compulsive ruminators listened for 2 h daily to their own audiotaped voice either (1) describing their anxiogenic thoughts (exposure) but omitting anxiolytic thoughts (mental/cognitive rituals), or (2) reading neutral prose or poetry. Taking all patients, bo...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000288883
更新日期:1994-01-01 00:00:00
abstract::We present the psychosomatic aspects in self-help groups containing medical patients on the examples of the ostomy group. Following the demonstration of the psychodynamic group processes, the patients' psychological characteristics are described as well as the aims of this type of self-help group. The specific ostomy ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287321
更新日期:1979-01-01 00:00:00
abstract:BACKGROUND:Instruments that are intended to measure change over time need to emphasize sensitivity to change as a central property. The aims of this report are to test whether the MOODS-SR, a measure of mood spectrum symptomatology, is sensitive to changes during acute and continuation treatment of depression and wheth...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000201937
更新日期:2009-01-01 00:00:00
abstract::In a prospective study to identify psychological factors affecting survival in cancer patients receiving radiation therapy, 101 consecutive patients were evaluated for anxiety, depression, and perception of the seriousness of the condition. In 3 years, the survivors were compared to the nonsurvivors. The survivors had...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288000
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Many antidepressant medications (ADM) are associated with disruptions in sleep continuity that can compromise medication adherence and impede successful treatment. The present study investigated whether mindfulness meditation (MM) training could improve self-reported and objectively measured polysomnographic...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000332755
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The present study is part of a longitudinal study of recently resettled refugees with the aim of learning which factors in their daily life influence health as measured by self-report and stress-responsive hormones. METHODS:In a group of recently resettled refugees with a high incidence of posttraumatic str...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000064806
更新日期:2002-09-01 00:00:00
abstract::Verbal affective expression and psychometric variables were studied in a group of 5 duodenal ulcer and 6 irritable bowel patients. The aim was to assess the relevance of the alexithymia contruct to the distinction between both groups. Irritable bowel patients exhibited higher scores on Zung's depressiveness scale. Ale...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287839
更新日期:1984-01-01 00:00:00
abstract::A twelve-session therapy model ad modum James Mann is described. Selection criteria are outlined. The therapies and systematic follow-up data of 4 well-adjusted and 4 less well-adjusted patients are described and compared. Some modifications of technique for the less well-adjusted patients are proposed. ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288084
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:We explored whether medical health workers had more psychosocial problems than nonmedical health workers during the COVID-19 outbreak. METHODS:An online survey was run from February 19 to March 6, 2020; a total of 2,182 Chinese subjects participated. Mental health variables were assessed via the Insomnia Sev...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000507639
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to find out whether alexithymia is common in frequently attending primary health care patients and whether alexithymia and psychological distress are associated in these patients. METHODS:Alexithymia was measured by the TAS-26 and psychological distress by the SCL-25 in a ra...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289075
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:: Previous studies of cancer patients investigated the effect of psychological treatment on basal endocrine and immune values. Using a randomized experiment, we explored the effect of a 13-week experiential-existential group psychotherapy (EEGP) program on the reactivity to a speech task in breast cancer pat...
journal_title:Psychotherapy and psychosomatics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000056271
更新日期:2001-11-01 00:00:00
abstract:BACKGROUND:Patients with medically unexplained or functional somatic symptoms (FSS) are prevalent in primary care. In this pragmatic cluster-randomised controlled trial we aimed to test the effect of a training programme (The Extended Reattribution and Management model) for general practitioners (GPs) in the treatment ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000313691
更新日期:2010-06-01 00:00:00