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Irritable bowel syndrome is a common disorder that can be associated with significant disability and health care costs. Beyond it is the most common disease diagnosed by gastroenterologists. Diagnosis is based on typical complaints including abdominal pain, bloating, irregularities of bowel movements and defecation. The discussion of different etiopathogenetic models showed that irritable bowel syndrome is a biopsychosocial disorder in which psychosocial factors, altered motility and visceral hypersensitivity interact. When symptoms are moderate to severe and are associated with psychological distress and impaired quality of life, psychological treatments can be considered. Apart from symptomatic treatment with loperamide for diarrhoea and antidepressants for abdominal pain and comorbid psychological symptoms for example cognitive behavioral treatment, hypnotherapy, psychodynamic short-term psychotherapy and functional relaxation are being evaluated.  相似文献   

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Messie ist abgeleitet von mess (englisch für Chaos, Unordnung). Betroffene, die als Messies bezeichnet werden, leiden darunter insbesondere im privaten Bereich keine zeitliche und / oder r?umliche Ordnung herstellen oder halten zu k?nnen. Eine eindeutige diagnostische Zuordnung ist bis jetzt nicht m?glich. Je nach Auspr?gungsgrad und Leidensdruck kommen verschiedene therapeutische Ma?nahmen zur Anwendung: Hilfestellung, Coaching, Selbsthilfegruppen, Psychotherapie (kognitive Verhaltenstherapie) und medikament?se Therapie (selektive Serotonin-Wiederaufnahmehemmer).  相似文献   

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Das Antilogische     
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In 1995, the International Restless Legs Syndrome Study Group (IRLSSG) developed the first consensus-based diagnostic criteria, which were revised in 2003. These criteria allowed the implementation of numerous epidemiological, pathophysiological, and therapeutic approval studies. To increase the specificity, the guidelines were augmented regarding differential diagnoses, clinical severity, and objective examination in 2012. RLS, one of the most common neurological diseases worldwide, is often misdiagnosed and greatly underdiagnosed. Symptomatic treatment with dopaminergic agents is standard treatment for primary RLS; however, opioids are also used.  相似文献   

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Julius Schaxel 《Erkenntnis》1930,1(1):467-492
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This paper intends to support the idea of homosexuality as an independent development. It shifts the attention to a complex which is described as the homosexual dilemma. It emerges regularly with the regression in homosexual men. In their analysis it forms the basis of the transference and is the core complex which is regarded to be an organizer of the usual male homosexual development: The mismatching between outlines representing the parental thought about the male baby and his actual identity. It is a specific dilemma within the reflexive identity processes in the basic homosexual development. It continues in later interactions and dominates a major part of the homosexual life. The way how this dilemma is solved determines the further development. If this is done successfully, the child will have the chance for a healthy homosexual life. If it turns out to fail, the final result will be a homosexual disturbance of identity, i.e. a pathological homosexuality. Reporting clinical examples it is shown how the homosexual dilemma finds its expression in the transference. The analyst is mainly used as a narcissistic self object. Mostly, he doesn’t become an object of sexual desire but a companion who promotes the stabilization of the homosexual identity by recognition.  相似文献   

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罗姆巴赫的结构现象学思想与东方哲学有着绝妙的契合。在其核心著作《结构存在论》一开篇,罗姆巴赫就明确地通过对老子哲学的阐释来说明他的“结构”概念。无论在艺术,伦理学和宗教信仰还是在科学活动中,结构的构造状态都被视为普全的基本形式;而这种向分支领域扩展的基础在于对现象学视域内存在论的结构分析。同时,他也强调结构只能在活的历史关联中被描述,不存在最终有效的静态结构范畴。  相似文献   

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The author has been teaching psychoanalytically oriented psychotherapy in mainland China for 20 years. The paper focuses on the problem of transferring an individual-centered therapeutic theory and technique to a culture with a collectivistic and Confucian tradition. The different structures of the Western and Asian selves with their specific styles to communicate are described as well as the tendency of the Chinese to be more prone to shamefulness. Basic psychoanalytic concepts such as abstinence, therapeutic ego-splitting, the capacity for introspection and transference, as well as the traditional Confucian longing for harmony, can meet culturally immanent therapeutic problems. A specific defense constellation, the Ah-Q mentality as a result of Daoist thinking is presented. Finally, the question is raised whether technical modifications make sense in less individualized cultures.  相似文献   

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This essay??s main concern consists of a critical survey of the coherences, alliances and associative entanglement between psychic ambivalences, encounters of the uncanny and the connections to the issues of death. References for the considerations presented here are Freuds??s seminal papers ??The antithetical meanings of primal words?? (1910), ??The uncanny?? (1919) and ??Beyond the pleasure principle?? (1920). The axis formed by these essays is being crisscrossed by the phenomen of the uncanny valley, an issue widely discussed within the cyber scene which may introduce a new perspective in order to extend the analysis of the concept and structure of ambivalences with new questions. This approach adverts to an inherent paradox which seems to be constitutive for ambivalence itself.  相似文献   

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