Boast N, Coid J
Interim Secure Unit, Hackney Hospital, London.
Br J Psychiatry. 1994 Jun;164(6):842-6. doi: 10.1192/bjp.164.6.842.
A case of homosexual erotomania is described in a patient with AIDS-related complex. Direct involvement of the central nervous system was thought an unlikely cause, as specific stressors appeared to have precipitated a reactive psychosis. A psychodynamic understanding of these factors and their interaction with the patient's masochism, fetishism, and personality disorder provided an alternative explanation for the onset of the paranoid illness and its symptom content. The psychodynamic aspects of acute psychotic disorders without evidence of cognitive impairment in patients with HIV infection is a neglected area of study.
本文描述了一例患有艾滋病相关综合征的同性恋色情狂患者。中枢神经系统的直接受累被认为不太可能是病因，因为特定的应激源似乎引发了反应性精神病。对这些因素及其与患者受虐癖、恋物癖和人格障碍的相互作用进行心理动力学理解，为偏执性疾病的发作及其症状内容提供了另一种解释。在感染HIV的患者中，无认知障碍证据的急性精神病性障碍的心理动力学方面是一个被忽视的研究领域。
