title: [Stratum-specific difficulties in the use of psychoanalysis (author's transl)].
abstract: Beginning with the observation that in spite of the opportunities available, members of the working classes are seldom treated with psychoanalytic therapy, the reason for this was investigated. For this purpose, the author relies on the observations of a group of doctors during a 5-year attempt to interest neurotic patients in this stratum in a psycho-therapeutic discussion at a medical ambulant clinic. The following factors are isolated: an extremely strict superego; and upbringing extraordinarily antagonistic instinct and phantasy in early childhood which does not allow certain instinctive impluse to develop for fear of punishment; certain interhuman interactions between mother and infant are not experienced at all or only as an emotional action without words. The results are presented.
mesh_terms: D000328:Adult; D002648:Child; D002657:Child Development; D002668:Child Rearing; D002675:Child, Preschool; D004522:Educational Status; D005260:Female; D005860:Germany, West; D006801:Humans; D007223:Infant; D008297:Male; D009034:Mother-Child Relations; D011575:Psychoanalytic Therapy; D012923:Social Class; D012959:Socioeconomic Factors; D013475:Superego
vernacular_title: Schichtenspezifische Schwierigkeiten bei der Anwendung der Psychoanalyse