Zander W
Z Psychosom Med Psychoanal. 1981 Jul-Sep;27(3):201-15.
Following earlier psychoanalytical articles on polyarthritic diseases without rheumatism factor, this investigation reports on patients with morbus Bechterew. The psychoanalytically expanded anamneses showed a distinct predominance of hysterical and depressive structures. With their friendly, open nature these patients appear cooperative and tension-free. They have problems when aggressive confrontations occur, especially with good acquaintances, from whom they expect recognition and friendly or loving attention. They try to earn these through a strong readiness to help, which often reaches a point of exhaustion. The causing situations appear especially characteristic: Before the disease started, most patients were able to sow their wild oats in all directions for a pretty long time. The disease breaks out when this lax style of living is given up, for the partner's sake, in a marriage or other firm kind of relationship. In their new life situation the patients cannot fully live their aggressive as well as their sexual needs in the accustomed way. A heightened muscular tension, as the physical correlate of this affective restraint, is postulated, which, as one of the factors, plays a role in the origin of morbus Bechterew.
继早期关于无风湿因子的多关节炎疾病的精神分析文章之后，本研究报告了患有贝赫切特氏病的患者情况。经精神分析扩展的病历显示，癔症和抑郁结构明显占主导。这些患者性格友善、开朗，显得配合且无紧张感。当出现攻击性冲突时，尤其是与他们期望得到认可及友好或爱意关注的熟人发生冲突时，他们就会出现问题。他们试图通过强烈的乐于助人意愿来赢得这些，而这种意愿常常达到疲惫不堪的程度。引发疾病的情况显得尤为典型：在疾病发作之前，大多数患者能够在相当长的一段时间里随心所欲地放纵。当为了伴侣而在婚姻或其他稳固关系中放弃这种放纵的生活方式时，疾病就会爆发。在他们新的生活状况下，患者无法以习惯的方式充分满足其攻击性及性需求。据推测，作为这种情感抑制的身体对应物，肌肉紧张加剧，而这作为因素之一在贝赫切特氏病的发病过程中起作用。
