Jack R A, Nicassio P M, West W S
J Nerv Ment Dis. 1984 Aug;172(8):495-7. doi: 10.1097/00005053-198408000-00009.
The clinical course of a 23-year-old male Vietnamese refugee who was seen for psychiatric evaluation and treatment after a self-inflicted abdominal stab wound is described. His attempted suicide was precipitated by a rejection of his romantic advances by an American woman and teasing by fellow co-workers that he was a Communist spy. Central to the development of paranoid delusions in this patient was the fact that he had been a member of the Communist forces in Cambodia and feared deportation. Emigration and acculturative stressors were seen as contributing significantly to this patient's paranoid disorder.
本文描述了一名23岁的越南男性难民的临床病程。他在腹部自伤刺伤后接受了精神科评估和治疗。他试图自杀的诱因是一名美国女性拒绝了他的求爱,以及同事们嘲笑他是共产主义间谍。该患者偏执妄想的形成核心在于他曾是柬埔寨共产党部队的一员,并担心被驱逐出境。移民和文化适应压力源被视为对该患者的偏执障碍有重大影响。