Abstract:
:The borderline has deficiencies in the capacity to maintain stable self and object representations and in establishing 'emotional separateness' from others. In order to create and maintain a 'propitious treatment situation' and a 'therapeutic alliance' the therapist must work with unusual sensitivity and repetitiveness on the ground rules of the therapeutic environment. Explicit clarifications of the therapist's usual constructive attitudes, as a caring, responsive, neutral and real person must be continuously emphasized. The intense psychotic transference potential that leads to therapeutic complications and disruptions can be worked through, if recognized early, through countertransference clues, acceptance of positive aspects of the countertransference and technical moves that enhance the patient's capacity for individuation and separation, all this within the framework of a structured and consistent therapeutic situation. These assertions are illustrated by specific instances from treatment processes.
journal_name
Psychother Psychosomjournal_title
Psychotherapy and psychosomaticsauthors
Leibovich MAdoi
10.1159/000287017subject
Has Abstractpub_date
1976-01-01 00:00:00pages
185-90issue
3-6eissn
0033-3190issn
1423-0348journal_volume
27pub_type
杂志文章abstract::The relation between personality characteristics and body awareness, defined as the attention paid to different body zones and measured by means of the Fisher Body Focus Questionnaire, is examined in two ways in groups of medical and dental students: (1) Our results replicate fairly well the relation, reported by Fish...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287385
更新日期:1979-01-01 00:00:00
abstract::The consultation-liaison service at Yale features integrated teams of psychiatrists, social workers, and clinical nurse specialists working together in both consultation and outpatient settings. The model is based on the tenets that (1) comprehensive evaluation of patients is essential for effective treatment; (2) rol...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288036
更新日期:1987-01-01 00:00:00
abstract::Psychotic depression was initially considered to be at one end of a continuum of severity of major depression. Subsequent experience demonstrated that psychosis is an independent trait that may accompany mood disorders of varying severity. While much has been learned about the impact of severe mood congruent delusions...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000511348
更新日期:2020-11-09 00:00:00
abstract::114 patients with permanent colostomy for carcinoma of the rectum were compared by questionnaire and interview with 110 cancer patients, having undergone colonic resection but not bearing a colostomy. The patients' own assessment of their health was for the colostomy group even better than for the controls. The emotio...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000286938
更新日期:1975-01-01 00:00:00
abstract::Compliance is an ancient topic subjected to intense recent scrutiny as a result of scientific and social changes which focus on lifestyle adjustment to chronic illness and emphasize increasing patient involvement in self-care. Difficulties in definition, measurement and research design as well as the complexity of the...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288624
更新日期:1992-01-01 00:00:00
abstract:BACKGROUND:Face-to-face psychological treatments have difficulty meeting today's growing mental health needs. For the highly prevalent posttraumatic stress (PTS) conditions, accumulating evidence suggests that writing therapy may constitute an efficient treatment modality, especially when administered through the Inter...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,meta分析
doi:10.1159/000343131
更新日期:2013-01-01 00:00:00
abstract::Clinical and laboratory observations of alexithymia suggest that a neurophysiologic hypothesis may be more useful than the traditional psychodynamic explanations for understanding psychosomatic processes. Current data support the concept of a functional disconnection between the two cerebral hemispheres. A mechanism f...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287557
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:While the extent of medical comorbidity in depressive illness is widely recognised, there have been few studies where objective and subjective assessment of comorbidity in chronic depression have been made. The aim of this study was to determine the extent and nature of medical comorbidity, in terms of both ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289144
更新日期:1997-01-01 00:00:00
abstract:BACKGROUND:Psychiatric disorders are frequent in dermatology patients, and many studies pointed out complex, mutual relationships between psyche and skin. Our aim was to provide a systematic psychosocial evaluation of a large and heterogeneous population of patients with skin diseases, including assessments of quality ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000086323
更新日期:2005-01-01 00:00:00
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 outlin...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,评审
doi:10.1159/000288881
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:It is still unknown whether anxiety disorders observed in Graves' disease are a consequence of increased thyroid hormone levels or precede the onset of Graves' disease. METHODS:Two case reports are described. RESULTS:In 2 patients Graves' disease occurred in the setting of previously established euthyroid ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000289088
更新日期:1996-01-01 00:00:00
abstract::Given the contradictory reports concerning psychophysiological reactivity of hypertensives this issue was reexamined. In contrast to the large majority of studies, the hypertensive sample should not be made up of patients in medical care and the control group should be comparable in all relevant aspects other than blo...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288936
更新日期:1995-01-01 00:00:00
abstract::Cognitive therapy includes a variety of methods. There are two main schools, a currently predominant American one, and an earlier European one. They give different emphasis to the concept of the evolution of human cognition. There is agreement on the particular significance of surmounting absolutist thinking. ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288357
更新日期:1990-01-01 00:00:00
abstract::Integration of psychodynamic, behavioral and biological perspectives is necessary to fully practice contemporary psychosomatic medicine. This discipline is best exemplified by the activities within consultation-liaison psychiatry. Common clinical tasks within consultation-liaison work are discussed from this integrate...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287965
更新日期:1986-01-01 00:00:00
abstract::The concept of the specificity of psychosomatic diseases (Alexander) is being differentiated at the time. In order to clarify some aspects of this problem, we want to investigate whether types of self-rating of normal persons differ from those of patients with bronchial asthma. In a second step we shall examine whethe...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000288407
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:Growing evidence has been collected about the high prevalence of psychological distress in primary care. The role of psychosocial variables, namely the role of support from the patients' interpersonal ties, has not been extensively explored. METHODS:The study investigated the relationship between perceived ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000012372
更新日期:2000-03-01 00:00:00
abstract:BACKGROUND:The purpose of the present study was to clarify the relationship between the recognition of emotion and physiological response to emotion (i.e. arousal) in alexithymia. METHODS:This study investigated differences in physiological arousal state, as measured by continuous heart rate, electrodermal activity (E...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000056232
更新日期:2001-03-01 00:00:00
abstract:BACKGROUND:Few studies to date have investigated whether in fact the prevalence of eating disorders (ED) and/or use of illicit drugs is higher among models than among other groups of females. METHOD:A group of 63 professional fashion models of various nationalities were studied by means of self-reported questionnaires...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000056285
更新日期:2002-05-01 00:00:00
abstract::This paper traces the author's empirical research journey into the measurement of symbolic function as a dimension of alexithymia. The archetypal test with 9 elements (AT9) is proposed as a tool to discrimnate between forms and degrees of disorganization in symbolic behavior of alexithymic subjects. The results seem t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287895
更新日期:1985-01-01 00:00:00
abstract:BACKGROUND:Antidepressant use is highly prevalent. Research has mainly focused on efficacy during short periods of use for depression and anxiety. There is a relative paucity of data regarding the frequency of long-term use. METHODS:To determine the prevalence and possible increase of long-term use of antidepressants ...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000480456
更新日期:2017-01-01 00:00:00
abstract::The purpose of this study is to compare the psychosomatic symptoms of postmenopausal women who are users of hormonal treatment with the psychosomatic symptoms of nonusers. We studied 68 postmenopausal women receiving estrogen treatment (age range 48-56 years; 51.1 +/- 1.9, mean +/- SD) and 50 postmenopausal women (age...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287971
更新日期:1986-01-01 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:Alexithymia and psychopathology may influence the way individuals experience psychological distress and somatic symptoms. This study evaluated patients referred to psychiatric and gastroenterologic outpatient settings in order to investigate the levels of alexithymia and psychopathology, and the possible rol...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000075539
更新日期:2004-03-01 00:00:00
abstract::An approach to the psychotherapy of ego-depleted states or with morbid disease involves the commitment of the therapist far beyond a distant psychoanalytic stance. Engagement must occur before a therapeutic alliance and exploration of underlying issues can begin. The patient in a helpless state needs the therapist's c...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287416
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:Depression is one of the most frequent and costly mental disorders. While there is increasing evidence for the efficacy of online self-help to improve depression or prevent relapse, there is little evidence in blended care settings, especially combined with inpatient face-to-face psychotherapy. Therefore, we...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章,随机对照试验
doi:10.1159/000481177
更新日期:2017-01-01 00:00:00
abstract::Phobic patients have been shown to be, on average, more hypnotizable than others. The essence of the phobic experience is not unlike that of the event of hypnosis, and the phobic experience might be a spontaneously occurring panic-filled trance-like or dissociative experience. This dissociation is viewed as a maladapt...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287509
更新日期:1981-01-01 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::The therapist in biofeedback training plays the role of a teacher or coach. This role, derived from learning theory and practiced in the classroom and playing field, imposes special constraints upon the psychotherapeutic situation. The therapist must be capable of physiological manipulation in self before attempting t...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287297
更新日期:1978-01-01 00:00:00
abstract::In this prospective study a psychological test (the "Maastricht Questionnaire') was constructed which measures feelings of vital exhaustion and depression. It is shown that those subjects who have elevated scores on this test have more chance to get a new coronary event within a period of 10 months than those who have...
journal_title:Psychotherapy and psychosomatics
pub_type: 杂志文章
doi:10.1159/000287458
更新日期:1980-01-01 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