1.Isthereanydifferencebetweendepressionpatientshospitalizedinpsychosomaticwardandgeneraldepressionpatients?Whatdoeschronicdepressionmean?纳入心身病房的抑郁症患者与一般的抑郁症患者有什么区别吗？慢性抑郁症有什么特指？Yesthereis.UsuallythepatientswhocometoususuallyhavealsosomatoformesymptomslikePain,Tinnitus,dizziness….是有区别的。通常来找我们的患者都有心身症状，比如疼痛、耳鸣、头晕…Chronicdepressionmeansthatadepressionislongerthan6month2.Whatdoes“abstinentattitude“mean?态度中的“节制”是什么意思？Thatmeansthatyouasatherapistshouldalwaysbeoutofownwishestothepatient,youshouldalwaysprovideyourtherapeuticactivitytothepatientwithneutralityconcerninghisdevelopment.Younevermaysatisfyyourowninterestsorrelationshipwishes.这意味着你作为一个治疗师应该总是避免自己对于病人的期待，对病人的发展你应该总是中立地提供治疗活动。你永远不可以满足自己的利益或对于关系愿望。3.Whatdoes“thethematizationoffeelingsthatareunacceptabletothepatient”mean?将不可按受的感觉主题化是什么意思？Somepatiente.g.don´twanttobeaggressive,sotheysuppressanddenytheiraggressivewishes,theyarenotacceptablebecausetheirsuperegoforcesthemtobepeacefulharmoniousandfriendly.Soyouhelpthemtoevenfeeltheiraggressiverepressedemotionsandperhapsalsotoexpresstheminthemodeofaggressionintheserviceoflove.例如，一些病人不想要有攻击性，所以他们压制和否认他们的攻击性愿望，他们不被接受，因为他们的超我迫使他们和平、和谐和友好。所以你帮助他们感受他们被压抑的攻击性情绪，也许还能在爱的关系中以一种攻击的方式将它们表达出来。4.Howdoweinterpretthis:somepatientswithdepressionhavelossofappetitebutothershaveincreasedappetite?That’strue怎么理解抑郁症的病人有的食欲差，有的食欲旺盛？Ithinkthataredifferentwaystodealwiththedrive.Sometrytoovercompensatetheirwishtobelovedbyeatingalotandtosatisfytheir(emotional)hunger.Otherssuppressthisdriveandtheirlibidoissoextinguishedthattheyevencannotfeelhungry,theyhavelikegivenup.我认为这是处理驱力的不同方法。有些人试图通过吃很多东西来过度补偿他们想要被爱的愿望，以满足他们(情感上)的饥饿。另一些人抑制这种驱力，他们的力比多是如此地耗竭，以至于他们甚至感觉不到饥饿，他们就好像已经放弃了。5.Howtoexplainthepsychodynamicunderstandingofdepressiontopeoplewithoutpsychologybackground?会有关于抑郁症的精神动力学原理的口头解释吗Thatisalongwork.Soyoumustfindalotofpictures,forexampleiftheytellyou:Mybiographydon´thaveanythingtodowithmydepression,youcantellthem:looktothistree.Ifhehasnomorevividleavesthenyouthinkfirstofhisroots,havetheyenoughfoodandwater?That´slikeinyourlife,yourrootsarethechildhood!那是一项漫长的工作。所以你必须找到很多图片，比如如果他们告诉你：我的成长史与我的抑郁症没有任何关系，你可以告诉他们：看看这棵树。如果不再有活着的叶子，那么你首先想到他的根，它们有足够的食物和水吗？就像在你的人生，童年是你的根。