title: [Significance of the Moreno therapeutic approach for managing terminally ill patients].
abstract: This article is concerned to describe the significance of the Moreno approach in caring for the incurably ill. The anthropology of Moreno, his therapeutic philosophy and the main attitudes in the encounter with a patient are outlined and discussed with reference to central aspects of the situation of the incurably ill (fear of losing their own autonomy, social death). The possibilities offered by the Moreno approach to therapy in attending these patients are illustrated with examples of the main techniques in psychodrama-therapy: doubling and role-reversal. Above all two functions of doubling appear to be especially important in caring for the incurably ill: that of comprehensive attendance and vicarious action. Possible variations in which the role-reversal can be carried out are specified and discussed as means of helping a patient to have confidence in himself and of helping him to perceive and to develop the intrinsic strength within himself in dealing with his situation. Doubling and role-reversal surely cannot be universal rules in attending the incurably ill, but they are good possibilities to respect and to support the autonomy of the human being and to convert into concrete action the conviction of his right to self-determination which is equally characterized for the therapeutic philosophy of Moreno as well as for attending the incurably ill.
authors.affiliation: Kliniken Schmieder Gailingen und Allensbach, Neurologisches Rehabilitationskrankenhaus.
authors.forename: U
authors.initials: U
authors.lastname: Frede
mesh_terms: D000223:Adaptation, Psychological; D006801:Humans; D011577:Psychodrama / Q000379:methods; D011613:Psychotherapy / Q000379:methods*; D012649:Self Concept; D012803:Sick Role; D013727:Terminal Care / Q000523:psychology*
vernacular_title: Die Bedeutung des therapeutischen Ansatzes von Moreno für die Begegnung mit unheilbar erkrankten Menschen.