Starcević V
Department of Psychiatry, Clinical and Hospital Centre Dr Dragisa Misovic, Belgrade University Faculty of Medicine, Beograd, Yugoslavia.
Br J Med Psychol. 1989 Dec;62(4):311-23. doi: 10.1111/j.2044-8341.1989.tb02841.x.
This paper investigates the relationship of hypochondriasis to narcissism, starting from the theoretical exposition of hypochondriasis as a disorder, which mainly results from a pervasive sense of 'inner badness' and the associated mistrust in one's own worth, and in bodily worth in particular. Narcissistic personality organization is regarded as one of the modes of adjustment to the primary and 'undifferentiated' hypochondriacal experiences, and aspects of narcissistic development are described along the contrasting patterns that lead to clinical hypochondriasis. The main differences between the patterns can be found in the features and the outcome of the premorbid (pre-hypochondriacal) narcissistic functioning, presence of the accompanying emotional disturbances (anxiety, dysphoria, anger), and the 'purposive background' of hypochondriasis in relation to the narcissistic personality organization.
本文从疑病症作为一种障碍的理论阐述入手，探讨疑病症与自恋的关系。疑病症主要源于一种普遍的“内在坏感”以及对自身价值，尤其是身体价值的相关不信任感。自恋型人格组织被视为对原发性和“未分化”疑病体验的一种调适模式，同时沿着导致临床疑病症的对比模式描述了自恋发展的各个方面。这些模式之间的主要差异可以在病前（疑病前）自恋功能的特征和结果、伴随的情绪障碍（焦虑、烦躁、愤怒）的存在以及疑病症相对于自恋型人格组织的“目的性背景”中找到。
