Interpersonelle Faktoren bei depressiven Erkrankungen
Zusammenfassung
Nachdem bisher ausführlich individuumszentrierte Modelle und Befunde behandelt wurden, liegt der Schwerpunkt der folgenden Beiträge im sozialpsychologischen Bereich. Hierbei geht es um die Frage, welche Rolle das soziale Umfeld in Bezug auf Ätiologie, Prognose und Therapie depressiver Störungen spielt Die Bedeutung sozialer Faktoren erscheint beträchtlich: Depressive Phasen treten verstärkt nach negativen Lebensereignissen auf, insbesondere nach Partnerverlust oder nach Beendigung einer engen Beziehung (Paykel, 1982); eine intime Sozialbeziehung hingegen scheint risikovermindernd zu wirken (Brown & Harris, 1978). Da der Zusammenhang zwischen kritischen Lebensereignissen, sozialer Unterstützung und Depression von Peter Fiedler dargestellt und diskutiert wird, gehe ich hier nicht weiter auf diese Aspekte ein, sondern möchte erörtern, inwieweit interpersonelle, partnerschaftlich-familiäre Faktoren mit Ätiologie, Prognose und Therapie depressiver Störungen zusammenhängen. Vor allem möchte ich Befunde kritisch diskutieren, die sich aus der Beobachtung von realen Interaktionen Depressiver mit ihren Intimpartnern ergeben haben.
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