Interaktionelle Psychosomatik: Die Affekte Und Die Entwicklung Des Selbst
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"Bei gro en Krisen wird die physische Natur dort angegriffen, wohin die Wesensanlage des Individuums den Sitz des Lebens verlegt hat. Schwache Leute bekommen dann Kolik. Napoleon verfiel in Schlaf, .. (Honore de Balzac, Histoire de la grandeur et de la decadence de Cesar Birroteau, 1837) Seitdem sich die tiefenpsychologische Betrachtungsweise der Psychoanalyse nach dem Jahre 1920 einer allgemeinen wissenschaftlichen Akzeptanz erfreuen durfte, wurde die Psychoanalyse auch die Wegbereiterin der Psychosomatik. Die psycho- analytisch-psychosomatische Betrachtungsweise stellte dabei die Frage - ausge- hend von der Lehre von der hysterischen Konversionsneurose -, ob unbewu te Determinanten für die Auslösung einer somatischen Erkrankung mitbestimmend sind. Im Verlauf der Entwicklung der Psychosomatik als einer eigenständigen Wissen- schaft wurde der Aspekt des unbewu ten triebdynamischen, quasi neurotischen Konflikts immer mehr aufgegeben zugunsten der Ansicht, da die psychosomati- sche Krankheitsentstehung mit der Basis der Persönlichkeitsentwicklung während des 1. Lebensjahrs zu tun hat. Daraus folgernd befa t sich die tiefenpsycholo- gisch-psychoanalytische Psychosomatik heute mit den Mfekten im Rahmen einer interpersonellen Interaktion sowie mit der Entstehung des Ich und des Selbst und deren Beeinflussung durch biologische und psychosoziale Bedingungen. Die vorliegende Arbeit handelt von der Mfektdynamik und der interpersonel- len, interaktionellen Entwicklung des Ich und des Selbst im Rahmen der frühen Kindheitsentwicklung auf der Grundlage einer psychosomatischen Betrachtungs- weise. Dabei lie sich nicht vermeiden, da sich manche Darstellungen ansatzweise wie- derholen. Aber der Verfasser ging davon aus, da es dem mit der psychosomati- schen Literatur weniger vertrauten Leser nicht leicht fallen würde, sich einen per- sönlichen Zugang zu diesem Themenkreis zu verschaffen.
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