Schwarz R
Z Psychosom Med Psychoanal. 1987;33(2):101-10.
Specialized literature and belles lettres have been dealing increasingly with psychographs and biographies of cancer victims for whom a psychopathological condition is assumed to have paved the way for illness. In support of this assumption, authors cite what is supposed to be an unbroken chain of reports on the relationship between melancholy and cancer since antiquity. The fact that the views of ancient medicine have little in common with current understanding of such key concepts as melancholy and hypochondria is revealed by comparing the explanations of these terms from different periods. "Melancholy", when defined as a risk factor in the development of cancer, comprehends the following: a psychosomatic syndrome, a particular personality type, mental suffering as a result of stress and strain, disturbances of personality of a depressive nature with echoes of a thymo-alexic syndrome. The evaluation of historical documented arguments in support of a theory of psychosomatic oncogenesis is designed to call attention to the danger of false interpretations on the one hand and to the need for critical examination of present-day utterances on the subject on the other.
专业文献和纯文学作品越来越多地涉及癌症患者的心理剖析和传记,人们认为这些患者的心理病理状况为疾病的发生铺平了道路。为支持这一假设,作者们引用了自古代以来就存在的一系列关于忧郁症与癌症之间关系的报道。通过比较不同时期对这些术语的解释,可以发现古代医学的观点与当前对忧郁症和疑病症等关键概念的理解几乎没有共同之处。当“忧郁症”被定义为癌症发展的一个风险因素时,它包含以下内容:一种身心综合征、一种特定的人格类型、压力和紧张导致的精神痛苦、具有胸腺应激综合征回声的抑郁性质的人格障碍。对支持心身肿瘤发生理论的历史文献论据的评估,一方面旨在提醒人们注意错误解读的危险,另一方面旨在提醒人们有必要对当今关于该主题的言论进行批判性审视。