Beck J C, van der Kolk B
Department of Psychiatry, Cambridge Hospital, MA 02139.
Am J Psychiatry. 1987 Nov;144(11):1474-6. doi: 10.1176/ajp.144.11.1474.
Of the female patients (N = 26) on a state hospital unit who remained chronically institutionalized and actively psychotic despite psychopharmacologic and psychosocial treatment, 12 (46%) reported histories of childhood incest. These 12 patients were more likely than the others to engage socially with ward staff. A higher proportion had sexual delusions, affective symptoms, substance abuse, suspected organicity, and major mental problems, and they spent more time in seclusion than other patients. The authors acknowledge the difficulty of assessing the accuracy of reports of incest. They discuss the implications of a possible relationship between incest and severe, intractable psychotic disorder.
在一家国立医院长期住院且尽管接受了精神药物治疗和心理社会治疗仍处于积极精神病状态的女性患者（N = 26）中，12名（46%）报告有童年乱伦史。这12名患者比其他患者更有可能与病房工作人员进行社交互动。她们中出现性妄想、情感症状、药物滥用、疑似器质性病变和严重精神问题的比例更高，并且她们比其他患者被隔离的时间更长。作者承认评估乱伦报告准确性的困难。他们讨论了乱伦与严重、难治性精神障碍之间可能存在的关系的影响。
