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M Ermann

Publications and source records attributed to M Ermann.

25 records · Page 2Linked to original sources

[Differential indications in the clinical field. Empirical study of management of indications for analytic individual and group psychotherapy respectively in a psychotherayp clinic ].

This study aims at a systematic description of factors which influence the practice of differential indication between psycho-analytic individual and group-therapy in apsychotherapeutic clinic. The self-description of inclinic patients for who individual therapy was indicated, was compared to the self-description of those who were expected to join a therapeutic group. Two personality-tests (Giessentest "GT" and Freiburger Persönlichkeitsinventar "FPI") and a symptom-questionnaire (Beschwerdenliste"BSB") were applicated. If the self-description fo patients is an important factor influencing differential indication, then a difference should be found in comparison of the self-description of both samples. The result is , that important differences are not to be found, and that, moreover the little differences are variable by the time. In conclusion, patient-centered explorations give no sufficient explanation, why group therapy was indicated in some cases and individual therapy in others. Basing on these results, differential indication in clinical psychotherapy is defined as an interactional process which is influenced by specific cognitive factors of the therapist and his clinical socialisation on the background of variable institution-bound experience.

Humans

[Stresses and interaction problems of physicians and nurses in the management of AIDS patients].

Caring for people with AIDS physicians and nurses are confronted with special problems. Compared to other severe illnesses there are specific problems in the relationship between doctors and nurses with their patients due to the similarity in age, the risk of infection and that most of the patients belong to stigmatized, marginal groups, that represent despised and threatening impulses (homosexu-ality, promiscuity, addiction). The results of our survey of 85 physicians and 111 nurses suggest, that physicians and nurses react with a typically professional attitude concerning the identification with AIDS-patients. The "concordant identification", that is induced by the same age of many AIDS-patients, is followed by a "complementary identification" with the professional role that serves as a defence and helps in coping with threatening internal conflicts. Wherein physicians have a mainly neutral attitude and delegate their feelings to the nurses, nurses show an unlimited commitment for AIDS-patients delegating their aggressive reactions to the physicians.

Acquired Immunodeficiency Syndrome

[Basis disturbances in depressive neuroses and psychosomatic disorders].

Applying the concept of the "basic fault" (Balint) to depressive neuroses and psychosomatic disorders the author reports some analogies in the dynamic processes of both diseases. Both are based on a pre-verbel deficiency in communication which has an influence on further conflict-organisation. In the case of psychosomatic diseases this leads to a fixation on the pre-verbel, vegetative object-relation. At the stage of the re-activated psychovegetative basic fault only somatic reactions and satisfactions may be accepted by the patients. This impedes the working alliance, consolidates somatisation as a resistance mechanism, and may require discontinuation of psychoanalytic treatment. In the case of depressive neuroses the stage of the basic fault is characterised by a paradox form of sell-object-relationship which is both object-relation and narcistic isolation as well. Though at this stage verbal communication is less important the analist may advance dissolving of this paradox relationship by means of empathetic interventions.

Depressive Disorder

[Spontaneous awakening and dreams of patients with psychophysiologic sleep disorders].

The effect of dreaming on the formation of psycho-physiological sleep disorders is studied by an investigation of 26 patients and 15 control persons who were interviewed as to the occurrence of dream memory after spontaneous awaking and after being awaken systematically in the sleep laboratory. It turned out that the patients had less dream memory than the control persons after spontaneous awaking from REM sleep, but they did not differ after being awaken. In addition, dream reports after spontaneous awaking from REM sleep contained more abstract dream thoughts and less visible dream action. These findings are interpreted as a manifestation of disturbed "dream work" in patients with psychophysiological sleep disorders, i.e. disturbance of connecting thoughts and scenes from the unconscious. Thus, awaking in sleep disorder is interpreted to be a progression into awakeness as a matter of defense.

Adult