Huppertz B J
Urologe A. 1986 Mar;25(2):84-9.
Nervous bladder symptoms without any established organic causes would appear to be a psychosomatic illness that usually affects married women in midlife. The majority of these patients manifest serious neurotic disorders such as anxiety neurosis, hysteria, phobia, and depression or larvate depression. It is often possible to identify psychosexual disorders in these patients. The predominant situations that seem to trigger irritable bladder symptoms are: sexual intercourse that ends unsatisfactorily for physical or psychological reasons, a partnership conflict, or even a separation conflict. Patients with a hysterical personality structure who are dominated by Oedipus or phallic problems and who, by inhibiting the sexual impulse, frequently suffer from sexual disorders may, in a situation experienced in such an atmosphere of conflict, regress to the stage of urethral erotism; at this stage, the symptoms serve as self-punishment as well as reduction of the fear of guilt and punishment; the unconscious vexation and frustration manifest themselves in these symptoms. In the case of depressive patients, unconscious anger and helplessness can be manifested as irritable bladder symptoms. As a result of the close connection between these urinary disorders and sexual disorders, irritable bladder symptoms without any established organic causes would appear not to be a urological but rather a covert functional sexual disorder.
无任何明确器质性病因的膀胱神经症状似乎是一种身心疾病，通常影响中年已婚女性。这些患者中的大多数表现出严重的神经症，如焦虑症、癔症、恐惧症、抑郁症或隐匿性抑郁症。在这些患者中往往可以识别出性心理障碍。似乎引发膀胱易激症状的主要情况有：因身体或心理原因导致性交不满意、伴侣关系冲突，甚至分居冲突。具有癔症人格结构、受俄狄浦斯情结或阴茎问题主导且因抑制性冲动而经常患有性功能障碍的患者，在这种冲突氛围中经历的情境下，可能会退行到尿道性欲阶段；在此阶段，症状既是自我惩罚，也是减轻内疚和惩罚恐惧的方式；无意识的烦恼和挫折在这些症状中表现出来。对于抑郁症患者，无意识的愤怒和无助可表现为膀胱易激症状。由于这些泌尿系统疾病与性功能障碍之间存在密切联系，无任何明确器质性病因的膀胱易激症状似乎并非泌尿系统疾病，而是一种隐性功能性性功能障碍。
