Viswanathan R, Vizner T
Gen Hosp Psychiatry. 1984 Jan;6(1):83-9. doi: 10.1016/0163-8343(84)90064-1.
This report of a clinical case conference on a 40-year old man with acute myocardial infarction is presented in a format that readers of this journal may find useful in their teaching of health professionals and students. The report illustrates some psychologic aspects of myocardial infarction and the impact it had on this particular patient. In this case, the myocardial infarction reactivated some underlying unresolved conflicts about personal adequacy that the patient had previously kept under check by some fragile defense mechanisms. Thus, it disrupted the personality organization and produced emotional upheaval and maladaptive behavior. This in turn was deleterious to the patient's physical health. This case, therefore, illustrates the importance of the biopsychosocial approach in the understanding and treatment of medical illness.
本文以一种格式呈现了一场关于一名40岁急性心肌梗死男性患者的临床病例讨论会报告，该杂志的读者可能会发现这种格式对他们教授卫生专业人员和学生很有用。该报告阐述了心肌梗死的一些心理方面及其对这位特定患者的影响。在这个病例中，心肌梗死重新激活了患者一些潜在的、未解决的关于个人能力的冲突，患者此前一直通过一些脆弱的防御机制来控制这些冲突。因此，它扰乱了人格结构，引发了情绪动荡和适应不良行为。这反过来又对患者的身体健康有害。所以，这个病例说明了生物心理社会方法在理解和治疗疾病方面的重要性。
