Frydman D
Waking Sleeping. 1979 Jan;3(1):51-5.
"When a patient comes to us with the complaint of insomnia, we have to consider 5 items: 1) the psychological structure; 2) the existence of sleep disorders in the family; 3) the antecendents of sleep disorders in the childhood; 4) the appearance (or reappearance several years later) of the insomnia; 5) the present situation. In our research, we have studied the evolution of a group of insomniacs, since the appearance of the symptom until the time when they came to our department. In order to define this evolution, we have compared these two successive situations, having choosen as criteria, the opposition existing between the motivation and problematic on the one hand, and the exterior constraints on the other hand."
当一位患者带着失眠的主诉来找我们时，我们必须考虑五个方面：1）心理结构；2）家族中是否存在睡眠障碍；3）童年时期睡眠障碍的既往史；4）失眠的出现（或数年后再次出现）；5）当前状况。在我们的研究中，我们研究了一组失眠患者从症状出现到前来我们科室这段时间的病情发展。为了界定这种病情发展，我们比较了这两个连续的情况，选择动机与问题之间以及外部限制之间存在的对立作为标准。
