Korkina M V, Tsivil'ko M A, Marilov V V, Kareva M A, Zhigalova N D
Zh Nevropatol Psikhiatr Im S S Korsakova. 1991;91(12):63-8.
The paper is concerned with an examination of the families of patients suffering from anorexia nervosa and the role they play in rehabilitation and resocialization of patients. 103 families (103 patients and 268 persons from their family environment) were examined. 65 patients suffered from anorexia nervosa of schizophrenic etiology and 38 from anorexia nervosa as a borderline disease. Among blood relatives of patients with schizophrenia, there predominated subjects with pathology of schizophrenic nature and those with schizoid disorders. The relatives of patients with borderline disease mostly had diverse anomalies of the character, largely hysteric accentuation. The common traits characteristic of the families of anorexia nervosa patients were delineated. Based on the parents' personality traits, the nature of family relations, the type of children's education, attitude toward the sick child and preparedness for cooperation with the treating physician and medical personnel, five types of the families could be distinguished: harmonious one and 4 types of disharmonic families (non-harmonious, symbiotic, rigid pseudosolidary and destructive (conflicting]. The first two family types are more characteristic of patients suffering from borderline anorexia nervosa, the remainder three of schizophrenic patients with the syndrome of anorexia nervosa. The family types have been thus characterized; a complex of psychocorrective measures have been worked out both for patients themselves and their relatives with regard to the specific features of each family type.
本文关注对神经性厌食症患者家庭的调查以及他们在患者康复和重新融入社会过程中所起的作用。研究调查了103个家庭(103名患者及其家庭环境中的268人)。65名患者患有精神分裂症病因的神经性厌食症,38名患有边缘性疾病的神经性厌食症。在精神分裂症患者的血亲中,以具有精神分裂症性质病理的人和类精神分裂症障碍者为主。边缘性疾病患者的亲属大多有各种性格异常,很大程度上是癔症性突出。描绘了神经性厌食症患者家庭的共同特征。根据父母的性格特点、家庭关系的性质、子女教育的类型、对患病孩子的态度以及与治疗医生和医护人员合作的准备情况,可以区分出五种类型的家庭:和谐型和四种不和谐型家庭(不和谐型、共生型、僵化伪团结型和破坏型(冲突型))。前两种家庭类型更具边缘性神经性厌食症患者的特征,其余三种则是患有神经性厌食症综合征的精神分裂症患者的特征。家庭类型已如此界定;针对每种家庭类型的具体特征,为患者本人及其亲属制定了一套心理矫正措施。