Fear of existence or lack of "Selbstgewissheit". Psychotherapeutic conclusions drawn from a qualitative study on patients suffering from Crohn's disease
Abstract
Qualitative research and practical experience have shown that it is very helpful for psychotherapy with psychosomatic patients to determine further the specific developmental stage in which the infant self-structural damage occurred. That means that a further differentiation between patients who suffer from lack of “Daseinsgewissheit” (cognitive/emotional awareness of existence, Petzold, 1993) and/or those suffering from lack of “Selbstgewissheit” (cognitive/emotional awareness one’s self, Petzold, 1993) has to be made. Patients lacking “Daseinsgewissheit” profit from other healing factors than patients lacking “Selbstgewissheit”.
The present article deals with the psychodiagnostic features that differentiate the two developmental stages of infant self-structural damage as well as the psychotherapeutic conclusions that can be drawn from them.
Keywords:
Psychosomatics, infant self-structural damage, lack of “Daseinsgewissheit” (cognitive/emotional awareness of existence), lack of “Selbstgewissheit” (cognitive/emotional awareness of one’s self), psychotherapy, therapeutic conduct, regression, progression.
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