PubMed Health⌕ Search

Biomedical subjects

A Dührssen

Publications and source records attributed to A Dührssen.

At least 19 recordsLinked to original sources
PubMed1996

[The psychotherapist and "his own" psychotherapy. Reflections on a difficult profession].

In the field of psychotherapy one can see that many psychotherapists develop a special identification with the form of therapy which they learned and practice. One cannot find this kind of identification with the chosen therapeutic method in other fields of medicine (surgery, radiology, internal medicine, etc). The factors which lead to such a special identification of the therapist with the psychotherapeutic method he practices are reflected and described: They include first of all the hardly thought about motives of the therapist to chose psychotherapeutic training in a particular school. Then the influences of the peculiarities of the institutionalized work-parallel continuing education develop: The risk of emotionalized trainee-trainer dependencies, trainee-trainer identification with the associated strong delimitation towards the outside evolves.

Career Choice↗
PubMed1994

[The Freuds and the Bernays: 2 Jewish families].

Freud's life and work was largely determined by the support he gained through the union with Martha Bernay. The family constellation between Freud and Martha is described in the light of the historical developments of the fates the generations of the Freud family and the Bernay family. Freud was the grandson of a poor and little educated galician travelling Jew, whose family was still subject to the humiliating laws for the Jews of the Austrian-Hungarian monarchy--especially the family laws. Martha was the granddaughter of the famous and very much respected rabbi Isaac Bernay of Hamburg who was honoured with the title Chacham--the wise one. He had given his congregation a new name and in his battle against reform-Judaism had finally proclaimed the cherem--the great ban--against certain representatives of this reform-Judaism. It is discussed how these family historical influences shaped Martha and made it possible for her to accompany her husband in his fight for the psychoanalytic movement.

Austria↗
PubMed1986

[A comparison of dynamic psychotherapy, psychoanalysis and analytic group psychotherapy].

Three groups of patients (N = 30) distributed as well as possible according to indication among standard psychoanalytic therapy, analytic group therapy and dynamic psychotherapy were submitted to testing in order to investigate the risk indices for stress factors (Dührssen) and to factor analysis with the aid of the Freiburg Personality Inventory, the Giessen-Test, and the Extended Giessen Complaint Sheet. A fourth group of Patients (N = 30), originally assigned to group therapy but having discontinued treatment, was used as control group. It was found that among patients assigned to any of these types of therapy the stress index was significantly higher than among patients seeing the physician for merely an initial examination and the taking of their case histories. Furthermore, the different groups showed different indices for stress factors: Patients in dynamic psychotherapy had by far the highest index of stress, followed by the patients who had discontinued group therapy. Group therapy patients who completed their treatment had again a slightly higher risk index than those who had been assigned to standard psychoanalytic therapy. Application of the above mentioned tests or complaint sheets revealed significant differences between the specific groups. But therapy also resulted in significant improvement of isolated aspects. An investigation concerned with the number of days of hospitalization and the number of days of disablement in a randomly selected group of patients in 1977 showed a statistically significant reduction of these numbers in the five-year period following therapy when compared to the last five years prior to therapy. On the whole the investigation has made it apparent that any comparative psychotherapy study is more or less futile when the patients under observation are parallelized merely according to age, sex, and symptoms while the respective risk indices with the accompanying stress factors in childhood and adolescence are being neglected.

Follow-Up Studies↗
PubMed1984

[Risk factors for the development of neurotic disease. A contribution to research on its psychoanalytic genesis].

As a contribution to the psychoanalytic investigation of the origins of disease a group of "Inanspruchnahmepatienten" (patients availing themselves of the services provided by psychiatric institutions) (n = 458) was compared to a group of controls (n = 448), equal to the test group with regard to age, sex, and social status, the members of which had declared to feel psychically healthy and not in need of either psychotherapy or psychiatric treatment. The objective of this comparison was to ascertain the sum total of such risk variables, designated in advance and a priori assessed, which after many years of psychoanalytic experience may be considered as highly stress-intensive life events influencing the development of a child. The risk variables in question are described and the instruments used in the recording of the documentation are delineated. Six hypotheses were examined to exclude accidental results. Patients suffering from neurotic complaints have been more frequently exposed to certain stress factors in childhood and adolescence than psychically healthy subjects. Subjects suffering from neurotic complaints (independently of the psychopathologic condition of their parents) have been more frequently exposed to certain stress factors in childhood and adolescence than psychically healthy subjects. Within a group of patients subjects with a high stress index display more severe symptoms of disorder than those with a low stress index. In patients with a high stress index incidence of neurotic symptoms is observed earlier than in patients with a low stress index. For subjects who temporarily do not feel psychically ill or in need of treatment there is nevertheless a connection between the level of the risk index and any given early symptoms having occurred during childhood and adolescence. For subjects who temporarily do not feel psychically ill or in need of treatment there is nevertheless a connection between the level of the risk index and the psychic and psychosomatic complaints registered in the list of complaints. From all six of these hypotheses accidental results could be statistically excluded or, in other words: all respective zero-hypotheses were rejected. On the basis of the here described results of the investigation it may be assumed that the variables designated, a priori assessed, and combined into a sum of risks or a risk index, were indeed of causal significance for the development of a psychosocial disposition toward risk situations which in the adult promotes the development of psychoneurotic or psychosomatic symptoms.

Adult↗
PubMed1982

[The "demanding patient" from the psychoanalytic/psychosomatic outpatient clinic].

During a research project at the Department of Psychotherapy and Psychosomatic Medicine in the Charlottenburg Hospitals at the Free University in Berlin the data for the "Berliner Arbeitsgemeinschaft für Psychotherapiedokumentation" (Berlin workshop for the documentation of psychotherapy) were collected from 615 patients. In this contribution the resulting social data concerning the topical situations in the lives of these patients are presented, compared with earlier findings from the Institute for Psychogenic Illnesses, and discussed with respect to their significance for the status of the patients' illnesses.

Adolescent↗
PubMedDate not supplied

[Religious experiences and psychotherapeutic methods].

Special similarities between religious practices and psychotherapeutic methods are described: Magic practices are related to psychotherapeutic methods, based on suggestion. Mystic contemplation or the training of relaxation in religious cults is close to all relaxation-methods in psychotherapy. Religious cults with ascetic practices cause halluzinatoric reactions. We find many psychotherapeutic methods, which try to make use of the effects of artificial deprivation. Psychoanalysis and psychoanalytic treatment seems to be close to the jewish religion. Old talmudian wisdom asks the jew to make his best efforts in order to organize his own life well (man for himself). On the other hand the jewish religion asks all members of the religious group to be strictly obedient to the accepted laws and orders of God, otherwise the allience with God wil be lost. The patient in psychoanalysis is expected to do his best for his own wellbeing. On the other hand he is asked to accept special rules and laws of the therapy in order to keep the "working-allience" with his analyst. The psychoanalytic working-allience has some similarities with the allience with God which is important for the devoted jew.

Humans↗