Malt U, Myhrer T, Blikra G, Høivik B
Department of Physiological Psychology, University of Bergen.
Acta Psychiatr Scand. 1987 Sep;76(3):261-71. doi: 10.1111/j.1600-0447.1987.tb02894.x.
One hundred and twelve adults admitted to a surgical ward due to accidental injuries were studied. Thirty-seven percent had a psychiatric disorder on admission (DSM-III axis I) and 21% had a personality disorder (axis 2). Substance abuse and dependence and antisocial personality disorders were most frequent. Eighteen percent were definitely distressed when injured. Persons with a personality disorder were distressed significantly more often and had sustained clinically more severe injuries. No support could be found for a hypothesis of accidental injuries being the result of hidden or unconscious self-destructive tendencies, and only one patient was injured in a suicide attempt. Defense Mechanism Test applied to a subgroup of 20 patients suggested that high perceptual defense may be related to injury occurrence in patients at fault for the accident.
对112名因意外伤害入住外科病房的成年人进行了研究。37%的患者入院时患有精神疾病（DSM-III轴I），21%的患者患有个性障碍（轴II）。药物滥用、依赖和反社会人格障碍最为常见。18%的患者受伤时明显痛苦。患有个性障碍的患者痛苦更为频繁，且临床上受伤更严重。未发现支持意外伤害是隐藏或无意识的自我毁灭倾向所致这一假设的证据，只有一名患者在自杀未遂时受伤。对20名患者亚组进行的防御机制测试表明，高感知防御可能与事故中有过错患者的受伤发生有关。
