Perry S W
Gen Hosp Psychiatry. 1984 Oct;6(4):308-16. doi: 10.1016/0163-8343(84)90026-4.
As the consultation-liaison psychiatrist for a large burn service, the author investigated the undermedication for pain. This phenomenon could not be adequately explained by the staff's insensitivity, by mistaken ideas about analgesics, or by fears of iatrogenic addiction. For both patients and staff, the pain served to maintain self-object differentiation and to provide reassurance that the patient was alive. Developmental observations and psychoanalytic theory support this unconscious need for pain.
作为一家大型烧伤治疗机构的会诊联络精神科医生，作者调查了疼痛治疗不足的问题。这种现象无法通过工作人员的麻木不仁、对镇痛药的错误观念或对医源性成瘾的恐惧来充分解释。对于患者和工作人员来说，疼痛有助于维持自我与客体的分化，并让人放心患者还活着。发展观察和精神分析理论支持这种对疼痛的无意识需求。
