Faller H
Abteilung für Psychotherapie und Medizinische Psychologie, Psychosomatische Klinik, Universität Heidelberg, BRD.
Psychother Psychosom. 1990;54(1):8-17. doi: 10.1159/000288371.
The present paper attempts to make a cognitive-emotional reconstruction of the old, as yet unresolved question as to what role anxiety and denial play as response to acute myocardial infarction (MI). Anxiety is understood as the turning of attention to features of threat, and denial as turning attention away from these features. Each direction is supported by mental argumentations, which is to say subjective theories. A number of relationships between emotional coping and somatic symptoms, such as angina pectoris or atypical chest pain, are treated at greater length. The main areas of perceived stress, lay concepts of etiology, and expectations regarding rehabilitation are explored, taking a cognitive-emotional perspective. The results are discussed in the light of the crucial issue of acceptance MI patients have of psychological treatment.
本文试图对一个古老但尚未解决的问题进行认知-情感重构，即焦虑和否认在急性心肌梗死（MI）反应中扮演何种角色。焦虑被理解为将注意力转向威胁特征，而否认则是将注意力从这些特征上转移开。每个方向都有心理论证的支持，也就是说有主观理论的支持。本文更详细地探讨了情绪应对与躯体症状（如心绞痛或非典型胸痛）之间的一些关系。从认知-情感角度出发，探讨了感知压力的主要领域、病因的外行概念以及对康复的期望。根据MI患者对心理治疗的接受这一关键问题对结果进行了讨论。
