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[心理学与癌症患者]

[Psychology and the cancer patient].

作者信息

Tancredi O, Bralla E

机构信息

Istituto Scientifico H. S. Raffaele, Università di Milano.

出版信息

Minerva Psichiatr. 1992 Jul-Sep;33(3):207-15.

PMID:1474885
Abstract

Over the past thirty years, an abundant international production has been generated on the subject of this paper. Papers may be subdivided into two main streams, one with an assistential bent and the other psychosomatic. In its turn, the latter takes in certain studies relating to a psychological model and another group of writings is oriented in accordance with psychodynamic principles. Both aim to evidence a certain correlation between physical and mental phenomena. Psychobiological theories aim to provide a model of correlation between the set of psychophysiological phenomena known as stress and cancer, while the psychodynamic view proposes a correlation between cancer and the individual personality; specifically, the theories set out to explain how the personality structure of a number of individuals leads to their managing stress anomalously with the result that stress is involved in the development of cancer along with genetic and environmental factors. Within this latter context, a number of workers have defined typical anamnestic profiles on the basis of the evolution of such personalities. The present study concerns 44 cases used to examine the orientation of the international literature, above all for the purpose of elaborating psychotherapeutic techniques possibly working in synergy with medical techniques in the treatment of some of these patients.

摘要

在过去三十年里,关于本文主题已经产生了大量的国际研究成果。论文可分为两大主要流派,一派倾向于辅助性研究,另一派是身心医学研究。后者又包括与心理模型相关的某些研究,以及另一组依据心理动力学原理撰写的著作。两者都旨在证明身心现象之间的某种关联。心理生物学理论旨在提供一个关于被称为压力的一系列心理生理现象与癌症之间关联的模型,而心理动力学观点则提出癌症与个体人格之间的关联;具体而言,这些理论试图解释一些人的人格结构如何导致他们异常地应对压力,结果是压力与遗传和环境因素一起参与了癌症的发展。在后一种背景下,一些研究人员根据这些人格的演变定义了典型的病史特征。本研究涉及44个病例,用于审视国际文献的研究方向,主要目的是制定可能与医疗技术协同作用以治疗其中一些患者的心理治疗技术。

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