Thali A
Psychother Psychosom Med Psychol. 1989 Jul;39(7):260-5.
This study comprises a large psychological investigation of 10 patients with Posttraumatic Sympathetic Dystrophy of hands and compares the results with a control-group. It was found that a "psychosomatic disposition" with three factors completing each other occurs: a neurotic-depressive structure of personality including narcisistic problems, a posttraumatic disorder of adaptation with various emotional traits (as a reaction to the stress of the somatic trauma) and finally a less confidential style of interaction between the medical practitioner and the patient. A supporting psychotherapy is proposed, if necessary combined with a Tranquilizer. The behaviour of the medical practitioner has a prophylactic function.
本研究对10例手部创伤后交感神经营养不良患者进行了大规模心理调查，并将结果与对照组进行了比较。研究发现，存在一种由三个相互补充的因素构成的“心身倾向”：包括自恋问题在内的神经质-抑郁型人格结构、具有各种情绪特征的创伤后适应障碍（作为对躯体创伤压力的反应），以及最后医患之间不太信任的互动方式。建议进行支持性心理治疗，必要时结合使用镇静剂。医生的行为具有预防作用。
