Bron B
Abteilung für Psychiatrie, Universität Göttingen.
Schweiz Arch Neurol Psychiatr (1985). 1991;142(3):219-33.
Pathological reactions of mourning of 339 patients who are over 45 years old and who are being treated because of an endogenous, neurotic or reactive depression are investigated. In the case of 20 patients suicidal actions occurred in former years or before the present treatment after the death of their mother, father or husband or wife. Of essential importance are the reactions of the people closely about them, the setting-off of or the transition into an endogenous depression, a distinct dependence on the deceased and ambivalence of feelings, self-reproach and feelings of guilt, and the inability for or avoidance of conscious mourning. In the case of chronically suicidal patients the therapy turns out to be especially difficult, if a real work of mourning does not succeed.
对339名45岁以上因内因性、神经症性或反应性抑郁症正在接受治疗的患者的哀悼病理反应进行了调查。在20名患者中,曾在过去几年或当前治疗之前,在其母亲、父亲或丈夫或妻子去世后出现过自杀行为。其身边亲近之人的反应、引发或转变为内因性抑郁症、对逝者的明显依赖和情感矛盾、自责和内疚感,以及无法进行或回避有意识的哀悼,这些都至关重要。对于慢性自杀患者而言,如果真正的哀悼工作未能成功,治疗会变得尤其困难。