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哮喘患者对医生形象的父母意象

Parental symbolism in the doctor image of asthmatic patients.

作者信息

Pierloot R, Hoornaert F

出版信息

Psychother Psychosom. 1978;30(1):18-27. doi: 10.1159/000287279.

Abstract

In a group of asthmatic adult subjects (n = 88) the maternal and paternal aspects in the doctor image have been invesigated. The Semantic Differential Parental, an item list consisting of 18 paternal and 18 maternal items, was employed. With this item list the following concepts were scored: the doctor, the father, the ideal father, the mother, and the ideal mother. In the formation of the doctor image, the contribution of maternal and paternal qualities were both qualitatively as well as quantitatively studied and compared with the parental images. The acquired data are interpreted in comparison with the findings of former studies, with the same methodology, in groups of neurotic, schizophrenic and mixed psychosomatic patients. It appears that asthmatic patients consider the doctor mostly as a minimally differentiated omnipotent figure, possessing all parental qualities, but excelling by paternity, instrumental and nurturance functions. We notice a close likeness with the doctor image of the mixed group of psychosomatic patients. In contrast to neurotics, who project on the doctor more the norm giving pole of paternity and the receptivity pole of maternity, for asthmatics and psychosomatic patients in general the doctor figure is invested with the all-embracing power qualities of both parents.

摘要

在一组成年哮喘患者(n = 88)中,对医生形象中的父母因素进行了调查。使用了语义差异父母量表,这是一个由18个父亲相关项目和18个母亲相关项目组成的项目列表。通过这个项目列表,对以下概念进行了评分:医生、父亲、理想父亲、母亲和理想母亲。在医生形象的形成过程中,对父母特质的贡献从质和量两方面进行了研究,并与父母形象进行了比较。将获得的数据与以前采用相同方法对神经症患者、精神分裂症患者和混合性心身疾病患者群体的研究结果进行了比较。结果显示,哮喘患者大多将医生视为一个几乎没有分化的全能形象,具备所有父母特质,但在父性、工具性和养育功能方面表现突出。我们注意到这与混合性心身疾病患者群体的医生形象非常相似。与神经症患者不同,神经症患者更多地将父性的规范给予极点和母性的接受极点投射到医生身上,而对于哮喘患者和一般的心身疾病患者来说,医生形象被赋予了父母双方的全方位权力特质。

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