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[哮喘儿童的心理特征]

[Psychological characteristics of the asthmatic child].

作者信息

Kreisler L

出版信息

Allergol Immunopathol (Madr). 1981;Suppl 9:108-11.

PMID:7349716
Abstract

The author's statements are based on monographic studies. They rely on his double experience as a pediatrician and a child psychiatrist. 1. The asthmatic child personality is extremely various. It cannot be included in traditional psychiatric perspectives or psychological scheme. 2. The classical features of behaviour such as dependence and negation of aggressivity can appear frequently but are not specific. 3. In more than one third of cases, a particular system of interaction may occur, called "allergic relation", characterized by a) A lack of personal attachment (objectal relationship poorly differentiated), b) A need of fusional grasping to people and environment, c) A blocking-up the separation-individuation system. 4. In most cases a) A high emotional receptivity to traumatisms, b) Psychosomatic vulnerable structure of various types, b) Mental mechanisms leading to psychosomatic disorganization, especially a kind of depression quite obvious in severe forms. 5. So inferences may be drawn a) About the genesis of the asthmatic disease in which the immunologic personality cannot be parted from the whole, b) About the psychosomatic approach of asthma and its prevention. 6. These considerations are basically founded on the recent book of L Kreisler "L'enfant du désordre psychosomatique" (The child with psychosomatic disorders) Ed. Privat-Toulouse (France) 1981.

摘要

作者的观点基于专题研究。这些观点依赖于他作为儿科医生和儿童精神科医生的双重经验。1. 哮喘儿童的性格极其多样。它无法被纳入传统的精神病学视角或心理学框架。2. 诸如依赖和否定攻击性等经典行为特征可能经常出现,但并不具有特异性。3. 在超过三分之一的病例中,可能会出现一种特殊的互动模式,称为“过敏关系”,其特征为:a) 缺乏个人依恋(客体关系分化不良),b) 需要与人和环境进行融合性接触,c) 分离个体化系统受阻。4. 在大多数情况下:a) 对创伤有高度的情感易感性,b) 存在各种类型的心身易损结构,b) 导致心身紊乱的心理机制,尤其是在严重形式下相当明显的一种抑郁。5. 因此,可以得出以下推论:a) 关于哮喘病的发病机制,其中免疫性人格不能与整体相分离,b) 关于哮喘的心身治疗方法及其预防。6. 这些观点基本上基于L·克雷斯勒最近的著作《身心紊乱的儿童》(法国图卢兹普里瓦出版社,1981年)。

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