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A R Bodenheimer

Publications and source records attributed to A R Bodenheimer.

16 recordsLinked to original sources

[Why has psychotherapy failed in its social mission?].

The following are the principal reasons why psychotherapy has not lived up to expectations in respect to its social task: its misunderstanding of itself in that it strives to be a science or a teaching of cure, whereas it can and should be the teaching of adequate address and reply; its fatal mistaking of materialism for substantiality; its submission to the pressure of public opinion and its slogan: I am good, because I am well. I am well, because I am good; Its ambition to know the person ("I know who you are"), instead of aiming to understand him ("I know what you mean"); its conception rigidly set on alternative -- and antipodal thinking; its equation of good equals healthy; its rigidly one-sided stance in the matter of fees, in the matter of financial problems in general and towards the insured and insurance; its isolationism and its exclusivity.

Attitude

[The 3 phases of schizophrenic psychosis and their phase-specific psychotherapy].

It is not the diagnostic evaluation but merely the phase in which we find our patient, that determines about the process of psychotherapy with schizophrenic patients. There are three phases--or, more approximately, four phases (phase one to three plus "phase zero")--to be differentiated: Phase Zero: This phase precedes an obvious clinical appearance of psychosis. Patients feel ridiculous in their anxiety and are not yet capable to create the symptomatology of psychosis.--Intensive participation in those strange perceptions and the attempt to witness the same experiences as the patient does, often help to prevent the formation of a severe psychosis. Phase One: Deep psychosis with common symptomatology. Verbal communication in the usual form is no more possible. Only answering the patient in his own language--speaking as he speaks and behaving as he does--helps to overcome his permanent isolation. Phase Two: Stage where the patient leaves his psychotic world and does not yet live in the world of his "healthy" surroundings.--In this phase psychotherapy intends to lead towards a confrontation with the previous psychotic experiences in order to integrate them into his personality. Phase Three: Phase of return towards a more adequate behaviour.--In this phase the therapist helps his patient to build up his "narcissistic coat" in order to create a shelter, where he can retreat; out of this "cocoon" he is able to observe what happens around him, without being thrown back into a severe psychotic crisis. On the other hand there may arise situations of "relapses" (so-called intermediary stages). These phases, which resemble common depression, can be understood as substitutes of the former psychotic situation. It is insight in its uttermost distinction that leads to secondary stages. Therefore psychotherapy will be most helpful, when the understanding of the circumstances that lead to such situations, is not evaded but promoted; the more intensely these promotions, the better the prognosis.

Humans

[The teaching of understanding as science].

The author mentions and cites two documents: the first being part of a scientific treatise on deafness, the second part of a medical report. These are the starting points from which the difference between explaining and understanding (Dilthey) is interpreted and illustrated, including points that go beyond the general use of these two terms.--Following the interpretation of the two processes, explaining and understanding, the danger is demonstrated which comes along by mixing up the two ways of coming along with problems, that is to say, using explanations for the domain of understanding and vice-versa. Understanding is not less a realm of science than explaining. On the other hand, the use of explanations in a situation where understanding is required, is as unscientific as is an understanding that oversteps its methodology.

Adult

[Integrationism versus nonconformism. Two slogans and two programs].

The problem concerning the alternative between integration and segregation can be understood in a more adequate manner as the alternative between integrationism and nonconformism. Deafness serves as a paradigmatic model which helps to understand that, in order to warrant a healthy emotional development, the child and adolescent need to enjoy from both opportunities: raising of specially characteristic features as well as promoting common social patterns. --Fully integrated education is therefore as insufficient as is a just segregated one.

Adult