Granek M
Geha Psychiatric Hospital, Beilinson Medical Center, Petah Tikva, Israel.
Br J Med Psychol. 1989 Sep;62(3):257-64. doi: 10.1111/j.2044-8341.1989.tb02834.x.
The clinical picture of hypochondriasis is clear, the psychopathological structure less so. Hypochondriasis is characterized by a particular kind of acting out, basically medical, which in turn is likely to evoke medical counter-acting out on the part of the therapist. Acting out may be 'broad', as a character trait, and 'narrow', in close connection with the psychotherapeutic process. The medical acting out of the hypochondriac, 'broad' prior to therapy and occurring outside of the therapy situation, in the course of therapy becomes 'narrow' and contained within the boundaries of therapy.
疑病症的临床表现清晰，但其心理病理结构则不然。疑病症的特点是一种特殊形式的付诸行动，基本上是医疗方面的，这反过来又可能引发治疗师的医疗方面的反付诸行动。付诸行动可能是“广泛的”，作为一种性格特质，也可能是“狭义的”，与心理治疗过程密切相关。疑病症患者的医疗付诸行动，在治疗前是“广泛的”且发生在治疗情境之外，而在治疗过程中则变得“狭义”并局限于治疗的范围内。
