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Biomedical subjects

A Trenkel

Publications and source records attributed to A Trenkel.

14 recordsLinked to original sources
PubMed1980

[Chronicity in ambulatory practice: doctor-patient relationship perspectives].

On the base of his own experience in the doctor's office, as a supervising therapeut in institutions and as a leader of Balintgroups with interns of psychiatry, the author reflects on different aspects of chronicity dealing not so much with the disease of the patient itself as with its relation to the doctor. Thereby reference is made to the danger of typisized acting in relations and stereotypical diagnosis. On the other hand the possibilities of insight in relational perspective shall be demonstrated, e.g. an entrance to the patient favoring the individual experience to the typical and involving the empathic fantasy of the doctor as an instrument of work. From such a point of view, diagnosis become what they are, namely relation-depending interpretations and models of insight and consequently chronicity is looked upon with a primary understanding. Proposition is made to distinguish a "malignant" chronicity from a "benign" one, the former giving way to chronic illness of the patient, whereas the latter means a lasting therapeutical relation open to progress.

Chronic Disease↗
PubMed1975

[Mental disorders of women from a psychotherapeutic viewpoint].

On the basis of experience in the consulting-room of the psychiatrist's practice the author has attempted to show how in frank discussions hurtful privations of women patients become comprehensible when considered in the light of their life-histories. Psychic disorders of women may be investigated on the level of their own experience. The insecure longing for individual recognition and esteem in the emotional sphere appears to be particularly important. In these conversations the patient is helped towards self-understanding and real independence.

Fear↗
PubMed1975

[Desire and self-worth].

Correlation between the experience of pleasure and selfesteem of neurotic patients is examined, based on practical knowledge in the therapeutic area. The embittering of essential parts of later self- and identityfeeling by cultural discrimination of primary pleasure of oneself during the early childhood is shown by a clinical case. Primary selffeeling is degraded into guilt and fear and cannot be replaced by secundary satisfactions. Finally the ambiguous aspects of pleasure in psychoanalytic theory are deomonstated which recently have found a more obvious contour in the polarisation between narcissism and object relation. - The question about the essence of pleasure is left open.

Dreams↗
PubMedDate not supplied

[Does the endless increase in knowledge finally lead to a change in attitude? On the distinction between instruction and education in medicine].

In view of the overwhelming increase in our knowledge of the sciences, a call for desirable integration is being made from the practical standpoint. A change of attitude is being recommended to help the practitioner let his daily dealing with any one patient be less determined by general obligations and more by concrete necessities, thereby creating a balance with a firm hold on reality. An appropriate education should not be understood as bare instruction in established knowledge and abilities but requires above all real, practical training which also considers how we might deal thoughtfully with the fruits of our knowledge. This way of thinking cannot itself be taught as a subject of knowledge. A differentiation between education and instruction is suggested, questioning the tendency often uncritically to "force into line", thus allowing a value-determining new orientation. Psychotherapy--especially with the practical experience of relationships on which it is based--has to be aware of its specific function within the entire scope of human medicine and the importance of and dangers to this function are discussed.

Curriculum↗