Roud P C
J Natl Med Assoc. 1987 Jan;79(1):97-102.
This study identified psychosocial variables associated with the exceptional survival of nine cancer patients diagnosed as terminal. During open-ended interviews, subjects described their behaviors and emotions following the onset of disease and articulated personal explanations for their survival. Despite the methodological limitations inherent in this type of research, the similarity of the subjects' responses was compelling.All subjects believed that there was a direct relationship between the outcomes experienced and their psychological states. They remained confident that they would not die, and asserted that these positive expectations were critical to the healing process. The report by subjects that they experienced major psychosocial changes in the months following their prognoses presents a serious challenge to the conclusions of a related study.The subjects assumed responsibility for all aspects of their lives, including recovery. Thus, medical personnel were often used as consultants. All patients established a physician relationship characterized as trusting, meaningful, and healing. They indicated an intense desire to stay alive. Unlike their attitudes before illness, once the patients were confronted with the prospect of death, life suddenly became very precious.
本研究确定了与九名被诊断为晚期癌症患者的超长生存期相关的社会心理变量。在开放式访谈中，受试者描述了疾病发作后的行为和情绪，并阐述了他们生存的个人原因。尽管这类研究存在固有的方法局限性，但受试者回答的相似性令人信服。所有受试者都认为所经历的结果与他们的心理状态之间存在直接关系。他们一直坚信自己不会死，并坚称这些积极的期望对康复过程至关重要。受试者报告称，在预后的几个月里他们经历了重大的社会心理变化，这对一项相关研究的结论提出了严峻挑战。受试者对自己生活的方方面面，包括康复，都承担起了责任。因此，医务人员常被用作顾问。所有患者都建立了一种信任、有意义且有助于康复的医患关系。他们表达了强烈的求生欲望。与患病前的态度不同，一旦患者面对死亡的前景，生命突然变得无比珍贵。
