Schwab F, Krause R
Fachrichtung Psychologie, Lehrstuhl für klinische Psychologie, Universität des Saarlandes.
Psychother Psychosom Med Psychol. 1994 Sep-Oct;44(9-10):308-15.
The affective process is described as governing at least three different subsystems, expression, cognition and physiology. Different forms of interconnections between them are considered as substantial for two different psychosomatic subgroups. Patients with colitis ulcerosa should have a deficiency of the experienced and expressed affectivity. In contrast patients with functional psychosomatic disturbances should show signs of inhibition with measurable indicators of the repressed affective impulse. 20 male psychosomatic patients suffering from colitis ulcerosa (10) or functional spine disturbances (10) interacted with healthy same sex subjects unknown to them. 20 healthy subjects served as a control group. The affective behavior was analyzed using EMFACS, an emotional facial action cording system, as well as DES, the differential emotion scale. For patients with ulcerative colitis a significant reduction of facial activity is characteristic. Whereas patients with functional spine disturbances are excessive in the same behavior. The observable reduction is however centered around affective arousal indicators not the primary affects per se. The observable differences between expressed affectivity and the experience did not reach significance mainly, because the great variability of the patients with functional spine disturbances. Clinical impressions are confirmed however not with exactly the phenomena the clinicians thought.
情感过程被描述为至少支配着三个不同的子系统，即表达、认知和生理。它们之间不同形式的相互联系被认为对两个不同的心身亚组至关重要。溃疡性结肠炎患者应该存在体验和表达情感方面的缺陷。相比之下，功能性心身障碍患者应该表现出抑制的迹象，即有可测量的被压抑情感冲动的指标。20名患有溃疡性结肠炎（10名）或功能性脊柱障碍（10名）的男性心身患者与他们不认识的健康同性受试者进行互动。20名健康受试者作为对照组。使用EMFACS（一种情绪面部动作编码系统）以及DES（差异情绪量表）对情感行为进行分析。对于溃疡性结肠炎患者，面部活动显著减少是其特征。而功能性脊柱障碍患者在相同行为上则过度。然而，可观察到的减少主要集中在情感唤醒指标上，而非情感本身。表达的情感与体验之间的可观察到的差异主要未达到显著水平，这是因为功能性脊柱障碍患者的变异性很大。然而，临床印象得到了证实，但并非与临床医生所认为的现象完全一致。
