Montanari M, Giordani L, Rizzardi F, Amore M
Istituto di Psichiatria P. Ottonello, Università di Bologna.
Minerva Psichiatr. 1991 Jul-Sep;32(3):171-8.
The paper focuses on psychopathological problems relating to psychogenic dietary disorders. Using a psychodynamic approach, the Authors hypothesise the existence of a structural "continuum" which links these diseases to the contexts of either exaggerated food consumption or reduced or insufficient food intake. The discussion in centered on the dynamic-genetic aspect, also taking into account intermediate psychopathological morphologies, which underlies this branch of clinical psychiatry. The failure to overcome "infantile dependence" is identified as the most important genetic factor. The type and efficacy of strategy used to neutralise the persistent anxiety caused by this unresolved "separation/identification" of the Ego shape the individual symptomatology of each dietary disorder described in the study.
本文聚焦于与心因性饮食失调相关的精神病理学问题。作者运用精神动力学方法，假设存在一种结构性“连续体”，将这些疾病与过度进食或食物摄入减少或不足的情境联系起来。讨论集中在动态遗传方面，同时考虑到作为临床精神病学这一分支基础的中间精神病理形态。未能克服“婴儿期依赖”被确定为最重要的遗传因素。用于中和由自我的这种未解决的“分离/认同”所导致的持续性焦虑的策略类型和效果，塑造了该研究中所描述的每种饮食失调的个体症状表现。
