PSYCHOPATHOLOGY AND TYPOLOGY OF DEPRESSIV E STATES OF ANXIETY

From the point of view of a clinical integrative approach, psychopatho logical and typological clarification of the forms of anxiety that occ ur during major depression is undertaken. First, we examine ''pure res triction'', expressed by anxiety accompanied by a feeling of lack of f eeling. Secondly, we distinguish this from a continuous or attack-like anxiety occuring within a so-called ''destabilized restriction'' (Jan zarik). Finally, anxiety can be an expression of ''forced restriction' ' characterized by developing tension between repression of feelings a nd emotions on the one hand and overloading of judgmental thought patt erns on the other. We describe the appropriate structural and dynamic presuppositions of depressive anxiety syndromes and present a practica l guideline for clinical therapy in its functional and personal aspect s, developed as a result of our approach.