Klussmann R
Z Psychosom Med Psychoanal. 1981 Oct-Dec;27(4):347-59.
41 male patients (from the Medical Polyclinic of the University of Munich) suffering from gout have been studied with the semi-standardized psychoanalytic interview and psychological test methods. The result was that all of the patients had a pathologic narcissistic personality. They could be divided up into two groups: two thirds of the patients corresponded with the "philobats" and one third with the "oknophiles" of Balint's concept. Some aspects of the interview data could be verified by the standardized psychological tests. Beyond the metaphoric classification with Balint's concept it was interesting to find parallels to M. Mahler's observations on the mother-child-relation. Corresponding interpretations were possible. Questions concerning the illness behavior, the first attack of the gout together with the psychological conflict were discussed. Further research programs are considered necessary. Nevertheless there are reasons to presume that gout is a multifactorial disease with alimentary, genetic and psychological aetiopathogenetic conditions.
对41名患有痛风的男性患者(来自慕尼黑大学综合门诊)采用半标准化精神分析访谈和心理测试方法进行了研究。结果显示,所有患者均患有病理性自恋人格。他们可分为两组:三分之二的患者符合巴林特概念中的“嗜战者”,三分之一符合“恋巢者”。访谈数据的某些方面可通过标准化心理测试得到验证。除了用巴林特概念进行隐喻分类外,有趣的是还发现了与玛格丽特·马勒关于母婴关系观察的相似之处。相应的解释是可行的。讨论了有关疾病行为、痛风首次发作以及心理冲突的问题。认为有必要开展进一步的研究项目。然而,有理由推测痛风是一种具有饮食、遗传和心理病因发病条件的多因素疾病。