Biomedical subjects
Publications and source records attributed to H G Rechenberger.
Conceptually, brief-psychotherapy or focal therapy is distinguished from short-time-psychotherapy. The special importance of the first interview is pointed out. The underlying psychodynamics must be presented in which the triggering situation is of special importance. Differences to classical psychoanalysis are worked out. Finally, the domain of indications of brief-psychotherapy is discussed.
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When organizing a consultative service and a psychosomatic consultation-hour at a dermatological clinic the following (specific?) peculiarities resulted: 1) the fellow doctors at the clinic at first only sent somatically untreatable cases and 2) were afraid of a correction of their diagnosis. 3) By way of identification they were faced with their own proper problems. The patients understood themselves to be physically ill and at first could not be approached regarding to their subconscious conflicts. The actual conduct of the patients in the wards and their attitude to the physicians was used in a psychodiagnostical way (whereas analytical interpretations were dispensed with) and was used therapeutically to elucidate the psycho-genesis of their affliction. Only with some singular patients suffering from skin-diseases a proper analysis could be performed for research purposes; most of them had to be treated simultaneously dermatologically as well as psychoanalytically (in a modified way). Merely with patients suffering from andrological troubles group-therapy along analytical lines was feasible and proved to be successful.
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According to the current literature a study with patients of a psychotherapeutic ambulance of an University hospital was conducted to determine whether sex differences in illness behaviour exist in this special population. The results show that women more than men see their symptoms as an expression of a psychic disturbance. Furthermore they seem to make use of the resources of the lay referral system more intensively and with a different setting of an objective than men. Although women obviously do have less reservations against consulting a helping facility it takes more time comparatively till they contact the first professional helper.
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Every patient's "communal existence" allows to interpret deviations of behavior such as trichotillomania as a disturbance of interaction. When the child begins to wangle out of the dual union between mother and child it needs ways to delimitate itself, If the mother does not concede this demarcation (f. i. because she does not want to release the child from the symbiosis and therefore is "overprotecting") the child often becomes a victim of despair and, later on, of perplexity. At last it uses the own body as "Vis-a-vis". The accumulated aggressiveness is then worked off motorically by means of trichotillomania. In this way despair and perplexity in the field of interaction are passed on so to speak "atmospherically" to the mother, who in turn, having arranged treatment, transfers them on to the doctor. It is discussed how the area of irritation can be dissolved.