{"title":"Zum Umgang mit Aggressivität bei psychotischen Erkrankungen","authors":"Peter Hartwich","doi":"10.30820/9783837977028-149","DOIUrl":"https://doi.org/10.30820/9783837977028-149","url":null,"abstract":": Biological, psychological and socially based violence by mentally ill people leads therapists to an insoluble dilemma between therapeutic support and the appli-cation of violent measures such as fixation and compulsory medication. In addition, one-sided distorted media representations awaken archaic fears in the population, which blame the persons working in psychiatry and throws back the modern efforts of patient care into the distant past. In contrast, empirically collected facts are presented. The subjective side of the mentally ill, who tries to stabilize his self by means of hetero-or autoaggression, and the special counter-transference of the practitioners should be carefully reflected upon. Real anxiety and unconscious fears of those who deal with aggressive mentally ill people require special strategies including danger-prevention training. The subjective side of the mentally ill, who tries to stabilize his self by means of hetero- or autoaggressiveness, and the special counter-transference of the therapists should be carefully reflected upon. Real anxiety and unconscious fears of those who deal with aggressive mentally ill people require special strategies up to and including danger prevention training. As therapy methods for aggressive patients, not only verbally de-escalating but also pharmaceutical, physical and creative methods are offered. It is also the responsibility of society to establish appropriate facilities and financial resources.","PeriodicalId":288102,"journal":{"name":"Psychose und Gewalt","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128832865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kommentar zur Falldarstellung von Hildegard Wollenweber","authors":"Daniela Saalwächter","doi":"10.30820/9783837977028-197","DOIUrl":"https://doi.org/10.30820/9783837977028-197","url":null,"abstract":"","PeriodicalId":288102,"journal":{"name":"Psychose und Gewalt","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126741982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Kommentar zur Falldarstellung von Hildegard Wollenweber","authors":"T. Müller","doi":"10.30820/9783837977028-203","DOIUrl":"https://doi.org/10.30820/9783837977028-203","url":null,"abstract":"","PeriodicalId":288102,"journal":{"name":"Psychose und Gewalt","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124941750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Äußere und innere Gewalt bei Psychosen – Suche nach Wegen aus der Sprachlosigkeit","authors":"G. Bruns","doi":"10.30820/9783837977028-19","DOIUrl":"https://doi.org/10.30820/9783837977028-19","url":null,"abstract":"Zusammenfassung: Seit jeher stellt Gewalt im gesellschaftlichen Umgang mit Patienten 1 , die an einer Psychose leiden, ein wichtiges Element dar, aus-geführt durch die Institutionen Justiz, Polizei und Psychiatrie. Klinische Erfahrungen und empirische Untersuchungen haben inzwischen klare Hinweise darauf erbracht, dass viele psychotische Patienten frühkindliche Gewalt erfahren haben. Die daraus entstandenen Traumata sind wegen ihres frühen Ursprungs großenteils nicht im episodisch-autobiografischen, sondern im impliziten Gedächtnis gespeichert, bei späterer Verursachung ab-gespalten, und deswegen therapeutisch schwer zugänglich. Einen Weg zu ihrer Versprachlichung bietet das Konzept der Figurabilität, wie an einigen Behandlungsepisoden gezeigt wird. Der Überschuss an gesellschaftlicher Gewalt gegenüber psychotischen Patienten wird vor dem Hintergrund ihrer individuell erfahrenen Gewalt als kollektive institutionalisierte Gegenübertragungsreaktion verstanden. wir miteinander erreicht haben, zerstört werden. haben sie meinen Vorschlag, die Behandlung in eine Analyse umzuwandeln, so verstanden, dass ich etwas Sexuelles mit ihnen beginnen wollte«. Abstract: Violence has always been an important element in the societal treatment of patients suffering from psychosis, carried out by the judicial, police and psychiatric in-stitutions. Clinical experience and empirical studies have now provided clear evidence that many psychotic patients have experienced early childhood violence. Because of their early origin, the traumas resulting from this experience are for the most part not stored in episodic-autobiographical memory but in implicit memory, split off when caused later, and therefore difficult to access therapeutically. The concept of figurabil-ity offers a way of finding words for them, as is shown in some treatment episodes. The excess of societal violence towards psychotic patients is understood against the background of their individually experienced violence as a collective institutionalized countertransference reaction.","PeriodicalId":288102,"journal":{"name":"Psychose und Gewalt","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130715289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}