Stumpfe K D
Z Psychosom Med Psychoanal. 1979 Jul-Sep;25(3):263-73.
Numerous cases of psychogenic death have been cited throughout the world, as well by native peoples, inhabitants of concentration camps and prisoner of war camps. Psychogenic death is a generalized human extreme psychosomatic reaction. It is not specific to any culture or mentality. Psychogenic death refers to death triggered by psychic stimuli. The individual finds himself in a situation where external forces have lead to a restriction of his world and, in addition, is subjectively sensing of the inalterability of his situation. Decisive to the perception of the environment is the subjective emotional view of things which can greatly diverge reality. The physical state of these individuals is marked by total passivity. The psychic condition is characterized by regression, resignation, and apathy. The article described the psychic background and the physical process of a death by psychic phenomena. The case of a 37 year old patient with detailed anamnestic and clinical data is given. His hobby was taking photographs of natural scenery and animals. This had become vital for him, because he did not like his job. The patient suffered from a painful herniation of intervetebral disk. After the operation of the disk he still had backache. He thought that the operation had been unsuccessful. The following day the patient showed the symptoms of the psychogenic death and died within one day. The autopsy, histopathologic, and toxicologic examinations showed no indications to the cause of death.
世界各地都有许多心因性死亡的案例，原住民、集中营和战俘营的居民也有相关案例。心因性死亡是一种全身性的人类极端身心反应。它并非特定于任何文化或心理状态。心因性死亡是指由精神刺激引发的死亡。个体发现自己处于一种外部力量导致其世界受限的情境中，此外，还主观地感觉到自身处境无法改变。对环境认知起决定性作用的是对事物的主观情感看法，而这种看法可能与现实大相径庭。这些个体的身体状态表现为完全被动。心理状态的特征是退行、顺从和冷漠。本文描述了由精神现象导致死亡的心理背景和身体过程。给出了一名37岁患者的详细病例资料和临床数据。他的爱好是拍摄自然风光和动物。这对他来说至关重要，因为他不喜欢自己的工作。该患者患有疼痛性椎间盘突出症。椎间盘手术后他仍有背痛。他认为手术不成功。第二天，患者出现了心因性死亡的症状，并在一天内死亡。尸检、组织病理学和毒理学检查均未发现死亡原因的迹象。
