Liste K H
Institute of Psychology, University of Oslo, Norway.
Patient Educ Couns. 1999 Jan;36(1):33-45. doi: 10.1016/s0738-3991(98)00072-x.
This article argues that it may be illuminating to look at breast cancer also from a cultural point of view. It is built around a hypothesis which proposes that, on a certain level, breast cancer can be seen as an attempt by women to rid themselves of the breast as a symbol of some of the essential aspects of their femininity, as feminine qualities are seen as of little import in today's industrialized Western world. The argumentation begins by showing that there is a certain type of personality which is prone to cancer: One of the main characteristics of this personality is either the repression or the inability to express or feel anger. Furthermore, studies on sex-roles and defence mechanisms have shown that persons with feminine sex-role orientations use more repressive, self-blaming defence mechanisms. The author finally goes on to discuss the psychic mechanisms thought to lie behind somatization and cancer as a psychosomatic disease.
本文认为,从文化角度审视乳腺癌或许具有启发性。它围绕一个假设构建而成,该假设提出,在某种程度上,乳腺癌可被视为女性试图摆脱乳房这一象征其女性特质某些基本方面的符号,因为在当今西方工业化世界,女性特质被视为无足轻重。论证首先表明存在某种易患癌症的人格类型:这种人格的主要特征之一是压抑或无法表达或感受愤怒。此外,关于性别角色和防御机制的研究表明,具有女性性别角色取向的人更多地使用压抑、自责的防御机制。作者最后继续探讨被认为是躯体化和作为心身疾病的癌症背后的心理机制。