Pedinielli J L, Bertagne P, Campoli C
Centre de Recherches Universitaire en Psychiatrie et Psychopathologie, Service de Psychiatrie et de Psychologie Médicale, C.H.U., Amiens.
Ann Med Psychol (Paris). 1991 Jun-Jul;149(6):487-99.
Chronic pulmonary disease is an impairment of the respiratory function which leads to some somatic, social and psychological consequences. After a clinical analysis of 150 patients with chronic pulmonary disease, the authors define the psychological characteristics of the patients' reactions and their psychological working-through of the illness. Date analysis shows some transformations in the perception of time (more references to the past, lack of references to the future), and psychological elaborations of the illness which appear in the characteristics of the patients' language and in their personal etiological theories. The most common psychopathologies are anxious and depressive disorders, and confusion. The patients' elaborations about their suffering, their symptoms and their illness make it possible to reopen the discussion about the psychological and metapsychological analysis of respiration. The authors emphasize the characteristics of a "respiratory organization of the libido" and its discontinuity.
慢性肺部疾病是一种呼吸功能障碍，会导致一些躯体、社会和心理后果。在对150例慢性肺部疾病患者进行临床分析后，作者界定了患者反应的心理特征以及他们对疾病的心理应对过程。数据分析显示，患者在时间感知上出现了一些变化（更多提及过去，缺乏对未来的提及），并且在患者语言特征和个人病因理论中出现了对疾病的心理阐释。最常见的精神病理状态是焦虑症、抑郁症和意识模糊。患者对自身痛苦、症状和疾病的阐释使得重新展开关于呼吸的心理和元心理学分析的讨论成为可能。作者强调了“力比多的呼吸组织”的特征及其不连续性。
