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[家庭中的中年晚期精神分裂症患者(社会心理问题)]

[Late middle-aged schizophrenic patient in the family (social-psychological problems)].

作者信息

Druz' V F

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(5):731-4.

PMID:6464591
Abstract

Clinical and sociopsychological studies of 28 families have shown that the familial status and role of elderly schizophrenics are usually higher than in young patients which depends not only on the clinical course, the age at the onset of the disease and its duration but also on the structure of the family and on how well the relatives understand the nature and manifestations of disease. On reaching middle age schizophrenic males become more adaptive in the family due to the fact that in the course of the disease their psychopathlike and asocial behaviour becomes less marked. Females both young and elderly usually have a higher status although in the course of disease it tends to show a gradual lowering. The field of communication becomes more definite and is typically restricted to the spouse or daughter. Depending on the dominant factors of relations, three types of families have been identified: integrated, partially integrated and disintegrated. Disintegrated families are less common as compared with integrated ones.

摘要

对28个家庭的临床和社会心理研究表明,老年精神分裂症患者的家庭地位和角色通常高于年轻患者,这不仅取决于临床病程、发病年龄及其持续时间,还取决于家庭结构以及亲属对疾病本质和表现的理解程度。进入中年后,精神分裂症男性在家庭中变得更具适应性,因为在疾病过程中,他们类似精神变态和反社会的行为变得不那么明显。年轻和老年女性通常地位较高,尽管在疾病过程中往往会逐渐下降。交流领域变得更加明确,通常局限于配偶或女儿。根据关系的主导因素,已确定了三种类型的家庭:整合型、部分整合型和瓦解型。与整合型家庭相比,瓦解型家庭不太常见。

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