Zepf S, Künsebeck H W, Sittaro N
Z Psychosom Med Psychoanal. 1981 Jan-Mar;27(1):59-72.
We have taken the results from a comparison between 47 patients with ulcerative colitis and so-called "healthy" controls using a semantic differential and the "Freiburger Beschwerdeliste" to investigate the relationship between loss of the narcissistic object and physical complaints. The colitis-patients differ significantly from the controls in virtually all of their complaints, which prove to be independent of the duration of illness. The patients feel themselves more alienated from their "key figure", their narcistic objects. This alienation is correlated positively to the severity of their various complaints. Ailments of the alimentary chanal are an exception: here we only find such a correlation for patients whose illness lasted less than 3 years. We presume that ulcerative colitis may be initiated by a loss of the "key figure", but that physical processes may then determine the further course of the illness.
我们采用语义差异法和“弗莱堡症状清单”，对47例溃疡性结肠炎患者与所谓的“健康”对照组进行比较，以研究自恋客体丧失与身体不适之间的关系。结肠炎患者几乎在所有不适方面都与对照组有显著差异，且这些不适被证明与病程无关。患者感觉自己与他们的“关键人物”，即自恋客体更加疏离。这种疏离与他们各种不适的严重程度呈正相关。消化道疾病是个例外：在这里，我们只在病程少于3年的患者中发现了这种相关性。我们推测，溃疡性结肠炎可能由“关键人物”的丧失引发，但随后身体过程可能决定疾病的进一步发展。
