Sledge W H
Psychosom Med. 1978 Nov;40(7):568-79. doi: 10.1097/00006842-197811000-00004.
Broad psychosocial antecedents for 18 aviators with vasovagal syncope are compared with 31 controls. The immediate thoughts, fantasies, and feelings of the fainters are examined in detail. The fainters had significantly more job dissatisfaction than the controls. The presyncope fantasies of the fainters confirm Engel's observations of the immediate psychological context for vasovagal syncope (anticipation of bodily harm, denial of fear, and submission to a threat), and extend his formulation to include psychological harm in the form of humiliation, embarrassment, and loss of prestige.
将18名患有血管迷走性晕厥的飞行员与31名对照组人员的广泛社会心理诱因进行了比较。详细研究了晕厥者当时的想法、幻想和感受。晕厥者的工作不满情绪明显高于对照组。晕厥者晕厥前的幻想证实了恩格尔对血管迷走性晕厥即时心理背景的观察（对身体伤害的预期、对恐惧的否认以及对威胁的屈服），并将他的表述扩展到包括以羞辱、尴尬和威望丧失形式出现的心理伤害。
