Studt H H
Z Psychosom Med Psychoanal. 1986;32(4):361-70.
38 schizoid and 70 hysterical patients with neurotic disturbances are compared with regard to social data, intelligence and triggering situation. Schizoids are more frequently single, childless and live alone, while hysterics are married, remarried or divorced, have one child and live with their partner and the child. With nearly the same education and intelligence, schizoid patients are more often workers/skilled workers, pupils/apprentices/students or have no profession; hysterically structured individuals, being predominantly women, are more frequently housewives. Nearly half of the most frequent triggering events are equally distributed in both structure groups; these are particularly events signalling a change during development, which, in degree of severity, can just as well be minor threshold situations as serious reverses. With an earlier age of onset, schizoids decompensate significantly more often in "developmental stages", whereas hysterical patients are more likely to do so in connection with events of "love-sexuality" and those which provoke hysterical anxieties. Of the 15 most frequent events, only 6 each occur in either the schizoids (starting school, puberty, moving away from home, entering into a heterosexual relationship in terms of a casual encounter, beginning an apprenticeship or studies, failure in a test) or the hysterically structured individuals (vacation, marriage, pregnancy/delivery, marital disharmony, extra-marital relationship and severe illness of the patient).
对38名患有神经症性障碍的精神分裂样患者和70名癔症患者在社会数据、智力和诱发情境方面进行了比较。精神分裂样患者更常单身、无子女且独自生活,而癔症患者已婚、再婚或离异,有一个孩子,并与伴侣和孩子一起生活。在教育程度和智力水平相近的情况下,精神分裂样患者更多是工人/熟练工人、学生/学徒/学生或无业;具有癔症结构的个体,主要是女性,更多是家庭主妇。几乎一半最常见的诱发事件在两个结构组中分布均匀;这些事件尤其表明在发展过程中的变化,就严重程度而言,既可能是轻微的临界情况,也可能是严重的挫折。精神分裂样患者起病年龄较早,在“发育阶段”明显更常出现失代偿,而癔症患者更可能在与“爱情-性”事件以及引发癔症性焦虑的事件相关时出现失代偿。在15个最常见的事件中,精神分裂样患者(入学、青春期、离家、随意的异性关系、开始学徒或学习、考试失败)和具有癔症结构的个体(度假、结婚、怀孕/分娩、婚姻不和、婚外情和患者患重病)各只有6个事件。