Scheff T J
University of California, Santa Barbara.
Psychiatry. 1989 May;52(2):148-61. doi: 10.1080/00332747.1989.11024439.
This paper outlines a theory of the causation of anorexia. Extending Lewis's work on shame, I propose that anorexia involves an interminable quarrel between patient and family. This quarrel is caused by unacknowledged shame, leading to chain reactions of emotion, sequences of shame and rage. To illustrate, I use an earlier case study, a microanalysis of dialogue in a psychotherapy session. This study provided an analysis of the cognitive structure of the quarrel but not of the emotional structure. The proposed theory complements and extends the earlier study, and suggests a treatment rationale and method.
本文概述了一种厌食症病因理论。在刘易斯关于羞耻感的研究基础上进行拓展，我提出厌食症涉及患者与家庭之间无休止的争吵。这场争吵由未被承认的羞耻感引发，导致情绪的连锁反应，羞耻与愤怒交替出现。为了说明这一点，我采用了一个早期的案例研究，即对一次心理治疗会话中的对话进行微观分析。该研究分析了争吵的认知结构，但未涉及情感结构。所提出的理论补充并扩展了早期研究，并提出了一种治疗原理和方法。
