共查询到20条相似文献,搜索用时 6 毫秒
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Dr. med. Markus Binswanger 《Forum der Psychoanalyse》2011,27(4):339-348
For the past 100 years Bleuler??s ambivalence terminology has been applied to many aspects of the psychiatric treatment of patients, particularly in the realm of diagnostics and therapy. It has, however, been adopted in an approach mainly limited to psychopathological phenomena. This article discusses whether advanced concepts of ambivalence can facilitate the analysis of current challenges and problems of institutional psychiatry, placing them in a new light. It describes a wide range of psychiatry-specific ambivalence experiences by investigating the field of activity of individual therapists as well as of interdisciplinary therapeutic teams. Particular attention is given to an ambivalence-oriented perspective of clinic management taking uncertainty and complexity into consideration. In such different contexts modern ambivalence concepts give way to a psychodynamic understanding of clinical areas of conflict, thus extending the possibilities of multimodal therapy. When dealing with complex leadership and planning tasks, sensibility and tolerance towards ambivalence phenomena and conflicts prove to be unusual but valuable problem solving resources. 相似文献
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Mag. Dr. H. Oberlerchner MAS 《Psychopraxis》2014,17(2):14-17
Classical symptoms of hysteria – especially symptoms of hysterical neurosis (conversion type) – are not commonly seen any more. On the one hand, general knowledge about the function of hysterical has led to suppression of the underlying hidden conflicts, possibly up to resomatization. On the other hand, those affected may have rather subtle symptoms, e.g., vague pain, circulatory disorders, or fatigue. Overall, the hysterical phenomena have not become less common but have become “contemporary” and, therefore, more difficult to identify. Reliable epidemiological data, however, are difficult to obtain. Rough estimates indicate that 2–6?% of all people have dissociative disorders (ICD-10 definition). Histrionic personality disorder is estimated to occur with a frequency of 2–3?%. In 75?% of cases, the disease manifests relatively early, between the ages of 17 and 32 years and with a 3:1 female to male ratio. An average of 7 years elapses between first manifestation and the start of psychiatric–psychotherapeutic treatment. 相似文献
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Prof. Dr. Michael Günter 《Psychotherapeut》2008,53(5):338-348
Violence and aggression are fundamental problems of human existence. Every culture bears traces of some way of coping with them. In adolescence, violent fantasies are part of normal development but can also lead to violent acts. This article discusses the defence dynamics of such violent acts and of the fixation on violent fantasies, their function for the emotional balance and their consequences for development. Two cases, the case of a 17-year-old boy, who stabbed an older woman to death, and the case of a 10-year-old boy with aggressive tantrums are presented. Melanie Klein’s concept of innate envy and Donald Winnicott’s considerations on the antisocial tendency are contrasted to each other and evaluated with respect to similarities and differences. Both concepts describe the importance of bad inner objects, which become increasingly more charged and experienced as persecutors. This results in paranoid anxieties and feelings of guilt which are decisive for the genesis of pathological fixations of that quality. Differences exist mainly with respect to anthropological basic assumptions about the relationship between constitutional and environmental factors and between destructive and reparative tendencies. Finally, the article derives consequences for the therapeutic technique. 相似文献
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Dr. phil. Dipl.-Psych. M. Lohmer 《Psychotherapeut》2006,51(4):300-306
The recent rapid changes of the economic conditions in the health care system have lead to a sense af crisis especially in mental health care organisations. The goal of high quality health care is in conflict with the economic necessity of cost cutting and profitability. The demand for rapid change processes collides with a special need for stability in mental health care organisations. In treating this dilemma, we can observe a marked inclination for splitting as a defence, which is acted out especially between leadership and work force, as well as between the management and the therapeutic part of the institutions. This danger of splitting can be counteracted with an attitude of integrating and balancing the different needs and by orientating the organisation at the principles of a ?learning organisation“ (Senge 1990). Such an organization can use the capacity of self-management in treating the above mentioned dilemma. In addition, the capacity of ?learning from experience“ (Bion 1962) proves as an essential asset in the survival of mental health care organizations. In such organizations, work and learning is primarily organized in the structure of teams — this article will therefore discuss how teams organize learning and how they treat the dynamics of stability and change. 相似文献
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Jochen Schweitzer Ulrike Bossmann Julika Zwack Christina Hunger-Schoppe 《Psychotherapeut》2016,61(2):110-117
This article describes useful consultation practices for individual coaching in typical workplace conflict situations. Our approach for understanding of workplace conflicts is based on the differentiation between various “toxic” conflictual constellations (e.g. contradiction, conflict, dilemma and double bind), between difficulties that can and cannot be resolved (e.g. problems and restrictions) and between problem solving attempts that unintentionally worsen the problems (e.g. individualizing, polarizing and evading responsibility). A sufficient readiness of the company to balance it’s own criteria for management success (e.g. profit versus workers health) and a sufficient openness to try out reflexively found solutions in the coaching process are crucial for successful coaching outcomes. Similarly, a reflexive attitude of the coach, self-critical vis a vis any ideological terms, which also acknowledges and overcomes the anxiety of the coach during the coaching process, can help coachees to find their own attitudes vis a vis the workplace conflict situation that balance cooperation and resistance. 相似文献
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Mag. Dr. H. Oberlerchner MAS 《Psychopraxis》2014,17(1):17-19
Hysteria as a classic clinical picture does not exist anymore. It was subdivided into various nosological diseases and hardly occurs in the current classification schemes DSM-IV and ICD-10. If we let Freud’s theories from over a hundred years ago act on us once more, it is impressive how many ideas and hypotheses of modern psychotraumatology can already be found in his early works. Even today, “hysteria” represents a challenge in dealing with the mind–body problem. 相似文献