Guicheney P, Colin G, Le Coz A
J Gynecol Obstet Biol Reprod (Paris). 1975 Jul-Aug;4(5):721-31.
In this article the authors start by going over the anatomical and neuro-physiological pathways of transmission of painful nerve impulses from the periphery to the centres. Pain is a "sensation" which is integrated in both a psychological and an emotional context. Psycho-physiological studies show that the cortex of the brain therefore plays a basic role in this integration and this allows us to consider the psycho-prophylaxis of delivery. Certain failures of psychoprophylaxis demonstrate the role of cultural factors and of factors that are specific to the subject of the pain of labour. The latter are dominated by anxiety, wich is at the same time due to the circumstances of the labour and of the individual patient. The latter stem from several sources: fear of death, separation, guilt and castration. There is one more psychological element that seems to be equally important and that is, morbid narcissism. The obstetrician should fight against the patient's anxieties which will thwart his work and disturb the onward progress of the labour. He will usually succeed but not always by the pathways that he thinks he is taking.
在本文中，作者首先回顾了疼痛神经冲动从外周向中枢传递的解剖学和神经生理学途径。疼痛是一种“感觉”，它在心理和情感背景中都有体现。心理生理学研究表明，大脑皮层在这种整合中起着基础性作用，这使我们能够考虑分娩的心理预防。某些心理预防的失败表明了文化因素以及分娩疼痛这一特定主题的个体因素所起的作用。后者主要受焦虑支配，而焦虑同时源于分娩情况和个体患者。个体患者的焦虑有几个来源：对死亡的恐惧、分离、内疚和阉割情结。还有一个心理因素似乎同样重要，即病态自恋。产科医生应该对抗患者的焦虑，因为焦虑会妨碍他的工作并干扰分娩的进展。他通常会成功，但并不总是通过他认为的途径。
