Wong C K
Department of Psychiatry, Chinese University of Hong Kong.
Aust N Z J Psychiatry. 1990 Dec;24(4):570-4. doi: 10.3109/00048679009062915.
A case of psychogenic amnesia in a 17-year-old Chinese boy is presented. The case is unusual in that the amnesia lasted as long as six weeks without any pseudodementia or fugue. The patient can be best understood from the abnormal sick role and the communication models of hysteria. The family was preoccupied with physical illness and relied on non-verbal rather than verbal language in communicating distress and negative emotions. Shame was the central psychodynamic aetiology; it was too shameful for the patient to talk about or withdraw himself from the predicaments in which he was trapped. Preceding the onset of amnesia he had suffered from multiple conversion symptoms for seven months. His message and predicaments not understood, he was unnecessarily investigated and treated by numerous doctors, making matters much worse. The prices paid included five hospital admissions, countless consultations at accident and emergency departments and with general practitioners, and an appendectomy for a normal appendix.
本文介绍了一名17岁中国男孩的心因性失忆症病例。该病例不同寻常之处在于，失忆持续长达六周，且未伴有任何假性痴呆或神游症。从异常的患病角色和癔症的沟通模式角度，能更好地理解该患者。其家庭过度关注身体疾病，在表达痛苦和负面情绪时依赖非语言而非语言交流。羞耻感是核心心理动力学病因；对患者来说，谈论自己陷入的困境或从中抽离都太过羞耻。在失忆症发作前，他已经出现多种转换症状达七个月之久。由于他传递的信息和所处困境未被理解，他被众多医生进行了不必要的检查和治疗，这使得情况变得更糟。代价包括五次住院、在急诊室和全科医生处进行的无数次会诊，以及因阑尾正常却进行了阑尾切除术。
