Analytische Psychosentherapie: 2 Anwendungen (German Edition)

Die Persönlichkeitsstörung im Verhältnis von privatem und öffentlichem Selbst steht als zentrales Erklärungsmodell der analytischen Psychosentherapie im.
Table of contents

• 1. Introduction
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This crucial competence allows him to make trained scientific decisions. So, the modest target of this booklet is to be of use to the generalist in his day-by-day perform.

1. Introduction

The integrative constitution that is the foundation of this paintings is understood either as Relational Psychotherapy and as item Relational Gestalt-therapy. The reader who's now not accustomed to the scientific conception of relational psychotherapy will locate within the first chapters, a synthesis of its major beneficial properties. Gratitude, Grace, and the Japanese Art of PDF Drawing on japanese culture, Naikan "nye-kahn" is a established technique for intensely meditating on our lives, our interconnections, our missteps.

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Eine psychoanalytische Theorie des schizophrenen Wahns Forum Psychoanalyse Die behandlungstechnischen Konsequenzen dieser Hypothese werden dargestellt und diskutiert. Weiterhin werden die spezifischen psychotherapeutischen Werkzeuge der psychodynamischen Psychosentherapie und die Behandlungstechnik beschrieben. Ist es Zeit, neu nachzudenken? Mark van der Gaag et al.: Predictive validity of the Trauma Screening Questionnaire in detecting post-traumatic stress disorder in patients with psychotic disorders The British Journal of Psychiatry Talking Back to Madness Science Recently, a number of clinical trials have suggested that psychological approaches, including old-fashioned "talk" psychotherapy and a method called cognitive behavioral therapy, can be moderately effective in many cases.

These techniques engage with the human being behind the symptoms and are attracting increasing attention from the medical profession. Although the empiric paradigm is now dominant in academic research, in Japan quite a few psychiatric clinicians still take phenomenological-anthropological approaches into consideration, especially when they address manic-depressive illness with typical endogenous features.

In the present paper the author first delineates Shimoda's concept which is based on observations of patients' personality features and the characteristics of their emotionality. Finally, he argues the clinical significance of the presented views in the cultural milieu in which Japanese psychiatric practices are situated. About twenty years ago, DSM-III [ 1 ] was introduced to Japan and began to replace traditional diagnostic systems stemming from descriptive and phenomenological psychopathologies such as those by Jaspers [ 2 ] and Schneider [ 3 ].

However, this does not necessarily mean that every psychiatric practice now in Japan is performed on the paradigm of logical empiricism, which constitutes the mainstream of current psychiatry. As is often the case in other domains of activities in Japan, Japanese psychiatry is continuing to adopt a double standard. Most academic research follows an evidence-based method, whereas quite a few psychiatrists consider that the current results obtained by this method may fail to address insights backed by clinicians' long-term experiences.

The tendency to adopt a double standard is especially prominent in the field of depressive illness. One of the reasons for this tendency in Japan is that DSM criteria of major depression do not appear to delineate, either biologically or phenomenologically, a homogeneous group. This argument is also raised in Anglo-American regions. For example, Taylor and Fink [ 4 ] attempted to revive the notion of melancholia to delineate a more homogenous group of endogenous depression than the group of major depressions defined by DSM criteria.

Another reason, which may be more specific to Japan, is that Japanese psychiatry has a rich tradition of phenomenological-anthropological approaches. To sum up, Japanese clinicians prefer a more holistic view. More concretely speaking, Japanese psychiatrists, especially those familiar with phenomenological psychiatry, emphasize in their diagnosing process not only the melancholic features of a symptomatic level as described in the DSM but also the personality traits and precipitating situations to delineate patients with endogenous features.

The author addresses, in the present paper, patients with mood disorders who manifest endogenous features. After first introducing Shimoda's notion, the author then argues what kind of modification of this notion is required today. Finally, he underscores the significance of the presented approach, taking into consideration the cultural milieu of Japanese psychiatric practice. It should also be stated here that the present author, together with Shimoda, does not adopt a binary position.

In other words, he does not consider unipolar and bipolar disorders to be sharply distinguishable from one another. Shimoda considered that manic-depressive patients, outside of their manic-depressive phases, are quite reliable persons in society and conscientiously fulfill obligations and responsibilities.

Patients with this type of personality and emotionality cannot stop overworking themselves, making every effort to preserve reliable interpersonal relationships, and so forth, and consequently fall into a depressive or manic phase. Even today the distinction of social roles between men and women is more marked in Japan than in Western countries. This distinction may be becoming less marked in the current sociocultural changes in Japan.

However, one of our studies [ 6 ] discloses that even in a modern Japanese enterprise women are more vulnerable to interpersonal relationships, while for men achievements in their vocation are crucial to their mood conditions. Most Japanese psychiatrists agreed that those who are highly esteemed and valued in terms of their work and interpersonal reliability manifest depressive or manic symptoms after they make every effort to meet others' expectations and to fulfill their responsibilities.

Shimoda's schema has both anthropological and physiological connotations. Patients' inability to meet others' expectations and fulfill their responsibilities undermines the basic ground of their self and precipitates the outbreak of the disease. This indicates that it includes the syntonic moments. According to Bleuler [ 16 ] and Kretschmer [ 17 ], syntonic people highly value harmonious and reliable interpersonal relations, whereas people with typical obsessive-compulsive traits are preoccupied with personal domain Figure 1. The MPT is composed of five dimensions, that is, extraversion, neuroticism, frustration tolerance, and rigidity and schizoidia.

The main difference between these studies and the concepts of Shimoda and Tellenbach is that these psychoanalytical studies laid emphasis on the structural fragility of their patients' character that underlies their apparently desirable social adjustment, while Shimoda and Tellenbach principally focused on the aspects of their personalities, which are positively valued by society.

Cohen pointed out patients' dependence on having authority manipulated into giving them approval and their lack of interpersonal sensitivity to perceive others as persons who are different from themselves. In what follows, I present an overview of the significance and the limitations of Shimoda's description of the manic-depressive personality shuuchaku personality and his hypothesis on the characteristics of their emotionality shuuchaku temperament in today's psychiatric practice.

However, not all endogenous manic-depressives in Japan today belong to this personality type. Above all, quite a few patients of the younger generation who manifest distinctive endogenous symptoms do not show considerable reliability in society and are even sometimes rather maladjusted. In exemplary cases, these patients appear satisfied with the social role which they have decided to adopt in their hypomanic phases, whereas in their depressive phases they begin to suffer from the discrepancy between their own wishes and the social role they once decided to adopt.

For that reason, their mood swings make it difficult for them to establish a stable social adjustment. Their interpersonal relations are also unstable. Akiskal [ 24 ] pointed out in them the coexistence of interpersonal sensitivity and impulsive extroversion. With regard to Shimoda's hypothesis on the characteristics of their emotionality, this hypothesis appropriately explains the cases in which overwork precipitates the manifestation of symptoms. In such cases the patients overwork themselves not only because of their strong sense of obligation but also because of their excessive affective involvement in their work.

Their inability to avoid affective involvement, which is prominent in their premelancholic phases, results in a vicious circle, from which they fall into melancholic or manic phases. However, this hypothesis also has some limitations. One is that in some patients this characteristic of emotionality cannot be regarded as an inherent predisposition as postulated by Shimoda.

Some patients claim that when they were young they were able to deal with things without persistent preoccupation.

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In such patients the tendency of their emotions to persist should be regarded as a trait, which did not present itself until a certain point in time in their premelancholic period.