Castro B, Castro D, Skurnik N
Département de Pathologie médicale, C.H.U. de Bobigny.
Ann Med Psychol (Paris). 1991 Jun-Jul;149(6):517-23; discussion 523-4.
This text intends to tackle one of the aspects of psychosomatic interactions in cancer: the patient's irrational cognitions related to his trouble. The authors design as cognitive process (CP) the mental work implying the production and the evolution of personal cognitions bound to a personal event. In cancer, CP often drives the subject to adopt irrational points of view concerning his disease, which onset is readily described as a consequence of significant life events; in such explanations, the part of hazard is excluded. The authors suggest that spontaneous CP may be useful helping the patient to avoid strong depressive affects, to alleviate feelings of anger or despair and to improve self-esteem threatened by the illness. The authors consider that using CP concept may be an accurate tool in psychotherapy of patients suffering from cancer. Therapeutic strategies may tend to favour the CP development so that the subject's conceptions stabilize on an ego-syntonic level.
患者与自身疾病相关的非理性认知。作者将认知过程（CP）设计为一种心理活动，它涉及与个人事件相关的个人认知的产生和演变。在癌症患者中，认知过程常常促使患者对自己的疾病采取非理性的观点，疾病的发作很容易被描述为重大生活事件的结果；在这种解释中，偶然性因素被排除在外。作者认为，自发的认知过程可能有助于患者避免强烈的抑郁情绪，减轻愤怒或绝望感，并提升受到疾病威胁的自尊。作者认为，运用认知过程这一概念可能是癌症患者心理治疗中的一种精确工具。治疗策略可能倾向于促进认知过程的发展，以使患者的观念稳定在自我和谐的水平。
