Fukunishi I, Saito S, Ozaki S
Psychiatric Research Institute of Tokyo, Japan.
Psychother Psychosom. 1992;57(1-2):50-6. doi: 10.1159/000288573.
The influence of psychodynamic aspects such as the defense mechanisms for conflict on secondary alexithymia in hemodialysis (HD) patients was examined among 35 HD patients and their family members. Although HD patients had quite strong conflicts due to HD therapy, the manifestation of conflict and expressiveness toward the family were significantly lower in HD patients with alexithymia than in those without alexithymia. Significantly positive and negative correlations were observed between conflict and expressiveness, and between expressiveness and degree of alexithymia, respectively. These results suggest that this defense mechanism strongly suppresses the manifestation of conflict, and that secondary alexithymia in HD patients may be derived from defense mechanisms such as denial.
在35名血液透析（HD）患者及其家庭成员中，研究了诸如冲突防御机制等心理动力学因素对HD患者继发性述情障碍的影响。尽管HD患者因HD治疗存在相当强烈的冲突，但述情障碍的HD患者与无述情障碍的患者相比，冲突的表现及对家人的表达能力显著更低。冲突与表达能力之间、表达能力与述情障碍程度之间分别观察到显著的正相关和负相关。这些结果表明，这种防御机制强烈抑制冲突的表现，且HD患者的继发性述情障碍可能源于否认等防御机制。
