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[精神分裂样人格结构与癔症性人格结构。III:神经症的起源与严重程度]

[Schizoid versus hysterical personality structure. III: Origin and severity of neurosis].

作者信息

Studt H H

出版信息

Z Psychosom Med Psychoanal. 1987;33(1):63-77.

PMID:3564719
Abstract

Compared to the hysterical structure, the following characteristics are more frequent in schizoids: they are illegitimate, are born late after several siblings and are quiet and shy as children. The mother is irascible, the father aloof; on the other hand, the parental combination "mother and father affectionate" is more common. The father is often absent in early childhood, and there is the additional stress caused by changes of residence. In their earliest childhood memory, the mother and father are named as central reference persons. According to the impairment score, the schizoids are more severely disturbed. In contrast, hysterical patients have young mothers that taboo sexuality and irascible fathers; they criticize the mothers more and also idealize the father. The hysterically structured individual is an only child or has few siblings. As children, these patients are well-behaved, lively, athletic, have many friends, fight and compete with siblings. In their earliest childhood memory, they name other adults--not family members--and topics centering on possession and contact. Their childhood is affected by stress arising from the death of the father and other close reference persons as well as from flight experiences. The results make it possible to describe a markedly different line of development in the structure groups and a greater degree of stress due to various risk factors in the schizoids.

摘要

与癔症型结构相比,精神分裂样人格障碍者具有以下更常见的特征:他们是非婚生的,在有多个兄弟姐妹之后出生较晚,小时候安静害羞。母亲易怒,父亲冷漠;另一方面,“父母慈爱”的父母组合更为常见。父亲在童年早期常常缺席,并且存在因居住地变更而带来的额外压力。在他们最早的童年记忆中,母亲和父亲被视为核心参照人物。根据损害评分,精神分裂样人格障碍者受干扰更严重。相比之下,癔症患者的母亲年轻且忌讳性行为,父亲易怒;他们更多地批评母亲,同时也理想化父亲。癔症型结构的个体是独生子女或兄弟姐妹很少。小时候,这些患者行为良好、活泼、爱运动,有很多朋友,会与兄弟姐妹打架和竞争。在他们最早的童年记忆中,他们提到的是其他成年人——而非家庭成员——以及围绕占有和接触的话题。他们的童年受到父亲及其他亲密参照人物去世以及逃亡经历所带来的压力影响。这些结果使得描述结构群体中明显不同的发展轨迹以及精神分裂样人格障碍者因各种风险因素而承受的更大压力成为可能。

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