Glatzel H
Z Psychosom Med Psychoanal. 1987;33(4):338-52.
Coronary disease of different degrees of severity, from short-term angina pectoris to the lethal infarction, is both a result and an expression of certain types of experiences and conflicts in people with a particular personality structure. These people are characterized by a strong drive toward and high degree of activity, by ambition and an aggressive stance. The situation in which coronary disease appears is marked by occupational stress and excessive demands, by lack of satisfaction, lack of success, and a drive toward social subordination; familial problems of the same kind and the loss of someone to whom a person has close ties can also have pathogenic effects. The explanation for the relationship between coronary morbidity and mortality in a social collective lies in particular personality structures and the specific conflict situation.
不同严重程度的冠心病，从短期心绞痛到致命性梗死，既是具有特定人格结构的人群中某些类型经历和冲突的结果，也是其表现形式。这些人的特点是有强烈的进取动力和高度的活力、有抱负且态度积极进取。冠心病出现的情况以职业压力和过高要求、缺乏满足感、缺乏成功以及追求社会从属地位为特征；同样类型的家庭问题以及与某人密切关系的丧失也可能产生致病作用。社会群体中冠心病发病率和死亡率之间关系的解释尤其在于特定的人格结构和特定的冲突情况。
