Ford C V
Int J Psychiatry Med. 1977;8(3):285-94. doi: 10.2190/mg4q-bkkc-uf12-0f0f.
Eight selected male patients with disability neurosis are presented. Past histories were remarkably similar in that they indicated childhood deprivation, premature independence and early excessive responsibility. It is hypothesized that these men reacted to injury or illness with a crumblin of previous defenses against massive dependency wishes and that their symptoms are perpetuated by ambivalent relationships with employers and physicians. Treatment needs to be prophylactic before the symptoms become so entrenched as to be refractory to therapeutic intervention.
本文介绍了八名经挑选的患有残疾神经症的男性患者。他们的既往病史非常相似,都显示出童年时期被剥夺关爱、过早独立以及过早承担过多责任。据推测,这些男性在受伤或患病后,以往抵御强烈依赖愿望的防御机制崩溃,并且他们与雇主和医生之间矛盾的关系使症状持续存在。在症状变得根深蒂固以至于对治疗干预毫无反应之前,治疗需要具有预防性。