[Follow-up of psychotic patients. 10 years after inpatient psychiatric-psychotherapeutic treatment].
We report on a catamnestic study, based on the principles of process-oriented therapy-research, in which patients were interviewed in a semi open way 10 years after their hospital-treatment. Based on our findings we may establish that further developments of neurotic and psychotic patients can be influenced by the choice of therapeutic method, although in a different way. For both groups of patients the influence of conflict-centered, psychoanalytically oriented psychotherapy can exert itself in a progressive way often only in a crisis, some time after the hospital-treatment. A qualifying condition for the choice of this therapeutic method in working with psychotic patients is the achievement of a sufficient ego-stability by the patient. Provided this has been respected, there is still a fundamental difference between the post-therapeutic crisis in neurotic and in psychotic patients: whereas for the neurotic it occurs in the process of working-through his internal conflict, for the psychotic patient it is caused by external influences. Some necessary conditions for the patient in mastering such a crisis in a progressive way are described.
Ruff
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Klinik Wittgenstein, Krankenhaus für psychosomatische, Bad Berleburg.
Leikert
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D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D003131:Combined Modality Therapy; D004532:Ego; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D009497:Neurotic Disorders / Q000523:psychology / Q000628:therapy; D010553:Personality Development; D010554:Personality Disorders / Q000523:psychology / Q000628:therapy; D011613:Psychotherapy; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*
Die Entwicklung psychotischer Patienten. Zehn Jahre nach stationärer psychiatrisch-psychotherapeutischer Behandlung.