Viswanathan R, Kachur E K
Gen Hosp Psychiatry. 1986 Mar;8(2):127-32. doi: 10.1016/0163-8343(86)90099-x.
We present a case conference on a 32-year-old accountant who developed embryonal carcinoma of the testis, two months after the birth of a son with a missing leg. His cancer was successfully treated with surgery and chemotherapy. After 5 years, when he was told that he need not be closely followed by his physicians anymore because he had been cured of cancer, he developed agoraphobia with panic attacks. This interfered with his occupational and social adjustment. His phobia was treated successfully with pharmacotherapy, behavior therapy, and psychotherapy. We explore the psychologic impact of cancer, the activation of separation anxiety and aggressive impulses after its successful treatment, the crippling nature of his agoraphobia, and the ingredients of his successful response to treatment.
我们展示了一个病例讨论会，病例是一位32岁的会计师，他在儿子出生时腿部缺失两个月后患上了睾丸胚胎癌。他的癌症通过手术和化疗得到了成功治疗。5年后，当他被告知由于癌症已治愈无需再由医生密切随访时，他患上了伴有惊恐发作的广场恐惧症。这干扰了他的职业和社交适应。他的恐惧症通过药物治疗、行为疗法和心理疗法得到了成功治疗。我们探讨了癌症的心理影响、成功治疗后分离焦虑和攻击冲动的激活、他广场恐惧症的致残性质以及他对治疗成功反应的因素。
