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The interpersonal model of personality based on attachment theory proves to be particularly qualified to yield a common language for diagnostics and therapy in the field of personality disorders.The development of personality has always to do with the delicate balance between simultaneous striving... [ABSTRACT FROM AUTHOR]

Zusammenfassung. Auf der Datenbasis der Mannheimer Kohortenstudie zur Epidemiologie psychogener Erkrankungen wurden Befunde zum spontanen Langzeitverlauf vorwiegend psychosozial beeinflußter ("psychogener") Störungen (neurotische Erkrankungen, Persönlichkeitsstörungen, Belastungsreaktionen, somatoforme Erkrankungen) dargestellt. Seit 1979 wurde eine repräsentative Zufallsstichprobe erwachsener Mannheimer Bürger innerhalb von durchschnittlich 11 Jahren dreimal untersucht (n[sub t1] =600, n[sub t3] =301). Die psychodynamisch trainierten und klinisch-psychosomatisch erfahrenen Untersucher verwendeten ein halbstrukturiertes tiefenpsychologisch orientiertes Interview, darüber hinaus kamen standardisierte klinische und psychometrische Erhebungsinstrumente zum Einsatz. Die psychogene Beeinträchtigung wurde mittels des Beeinträchtigungs-Schwere-Scores eingeschätzt. Die t3-Stichprobe war repräsentativ für die Ausgangsstichprobe von t1. Die mittlere psychogene Beeinträchtigung nach 11 Jahren übertraf für die Verlaufsstichprobe den Ausgangswert von t1. Die Fallrate stieg von 21,6% (t1) auf 26,2% (t3) in der untersuchten Verlaufsstichprobe. Die intraindividuelle Korrelation der psychogenen Beeinträchtigung war insbesondere angesichts des langen Verlaufsintervalls hoch (r=0,55). Die Befunde belegen einen eher ungünstigen Langzeitverlauf psychogener Beeinträchtigung und nur eine schwache Tendenz im Sinne einer spontanen Rückbildung psychogener Beschwerden. Insgesamt zeigten Frauen eine stärker ausgeprägte Beeinträchtigung und einen schlechteren Spontanverlauf psychogener Beeinträchtigung als Männer. Vor dem Hintergrund dieser Befunde ist die weitere Untersuchung verlaufsprädiktiver Merkmale psychogener Erkrankungen erforderlich. Summary. This epidemiological study demonstrates the spontaneous long-term course of predominantly psychosocially influ... [ABSTRACT FROM AUTHOR]

SUMMARY In this survey we describe the development of in-patient psychotherapy based on psychoanalysis and behavioral therapy as a specific independent area of health care for the so-called pschogenic disorders. Basic structural information is given about the size of the institution - ward or special clinic-, financing, length of stay, number of staff etc. One central issue is the development of methodical procedures. Psychoanalytic concepts according to psychoanalytic therapy center around multimodal teamwork, taking into account the multidimensional transference processes, and hereby group therapy has priority. Behavioral projects stress disorder-specific, psychoeducative individual and group-therapy concepts with the central aim, the ameliorate the self-management of the patient for his/her illness. Recently, behavioral methods have been increasingly integrated into pschoanalysis-based inpatient therapies and vice versa. [ABSTRACT FROM AUTHOR]

Summary 30-40% of the patients of a general practitioner (GP) suffer from a psychogenic disorder. Only 50% of these patients are sufficiently diagnosed by their GPs. The quality of the doctor-patient interaction is of outstanding importance for the diagnostic process. The quality of the physician's conversation with the patient is the result of a reciprocal attunement between physician and patient. Training programmes aiming at improving the basic psychosomatic competence did not show the expected effect possibly due to their failure to take into account the importance of improving the interactional competence. Improving the interactional competence is a central issue in the Dusseldorf training program for psychosomatic basic care. This program will be explained amd discussed. [ABSTRACT FROM AUTHOR]

SUMMARY Two different therapists treated two patients with anxiety symptoms using short-term psychodynamic therapy. The transcribed and coded verbatim protocols were evaluated by process analysis, looking in particular at complex interactions. For content analysis, specifically those text passages where therapist and/or patient were discussing the time-limitation of therapy were selected. Both therapies were successful according to clinical criteria. The psychotherapeutic-technical success and failure criteria were differentiated according in the model of the Structural Analysis of Social Behavior (SASB) and related to patients' cyclic maladaptive patterns (CMP). The use of the SASB method and its consequences for psychotherapeutic training are discussed. [ABSTRACT FROM AUTHOR]

SUMMARY A study of verbatim transcripts of 47 psychotherapeutical assessment interviews. Four groups were examined: patients with neurotic depressions (n=11), patients with phobia and panic disorders (n=12), patients suffering from severe personality disorders (n=12), and patients with bulimia (n=12).The interviews were systematically evaluated by means of qualitative content analysis focussing on the following categories:subjective theories of illness, biography, and characterization of their own personality. As a result ideal types of self-description were found which also serve to reconstruct the determinants of the diagnostic process. Based on the patients' self-descriptions arguments could be developed for reducing the present confusing multiplicity of nosological concepts. One could arrive at a simpler system of broader diagnostic concepts in the field of neurosis and personality disorders which is more appropriate to the needs of clinical psychotherapy and psychotherapy research. [ABSTRACT FROM AUTHOR]