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对看似健康的患者进行无休止的治疗。

Interminable treatment in patients who appear healthy.

作者信息

Olsen H E, Biddinger J E, Freedman R, Marquardt J E

出版信息

Hosp Community Psychiatry. 1984 Jul;35(7):710-5. doi: 10.1176/ps.35.7.710.

DOI:10.1176/ps.35.7.710
PMID:6745878
Abstract

Treatment interminability among nonpsychotic psychiatric patients is a subject not well understood. Those who treat such patients are often nagged by a feeling that they are somehow failing, especially if the patient has a history of personal achievement. The authors describe three such patients and propose that they exemplify a type of pseudomaturation. common features in the accounts of their childhood suggest a failure in the separation-individuation phase of development. The authors theorize that this failure first contributed to the development of psychiatric symptoms during adulthood and then to interminability in treatment.

摘要

非精神病性精神科患者治疗的无休止性是一个尚未得到充分理解的主题。治疗这类患者的人常常被一种感觉所困扰,即他们不知为何失败了,尤其是当患者有个人成就史时。作者描述了三位这样的患者,并提出他们体现了一种假性成熟的类型。他们童年经历中的共同特征表明在发展的分离-个体化阶段存在失败。作者推测,这种失败首先促成了成年期精神症状的发展,然后导致了治疗的无休止性。

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