Napoleon A
Ann Plast Surg. 1993 Sep;31(3):193-208. doi: 10.1097/00000637-199309000-00001.
This research was of 133 plastic surgery patients over a 1.5-year period. Data compilation and assessment began with the initial consultation and continued through the postoperative period of care. Patients were categorized according to their similarity to the personality disorder descriptions found within the Diagnostic and Statistical Manual of Mental Disorders, third edition revised, of the American Psychiatric Association. In addition, each patient was evaluated on 13 separate psychological and social factors. It was found that many of the factors that precede a favorable plastic surgery experience, for both patients and physician, are the same characteristics disproportionately represented in various personality types. Objective assessments of surgical outcome were not found to be necessarily predictive of a patient's ultimate satisfaction. This research identified those personality types most likely to be dissatisfied, along with those personalities who tended to withhold their approval of an excellent surgical result. This research provided both statistical and qualitative analysis of the impact of personality, as well as several psychological and social variables, on plastic surgery. Numerous suggestions have been offered for successful patient care as derivative of personality type. The impact of patient and physician personality upon medical malpractice was explored. Reference summaries have been provided that describe and categorize patient behavior according to personality.
这项研究针对133名整形外科患者，历时1.5年。数据收集和评估从初次咨询开始，一直持续到术后护理阶段。患者根据与美国精神病学协会《精神疾病诊断与统计手册》第三版修订本中人格障碍描述的相似性进行分类。此外，还对每位患者的13个独立心理和社会因素进行了评估。研究发现，对于患者和医生而言，许多促成良好整形手术体验的因素，正是在各种人格类型中不成比例地呈现的相同特征。研究发现，手术结果的客观评估不一定能预测患者的最终满意度。这项研究确定了最有可能不满意的人格类型，以及那些往往不认可出色手术结果的人格类型。这项研究对人格以及若干心理和社会变量对整形手术的影响进行了统计和定性分析。作为人格类型的衍生结果，针对成功的患者护理提出了许多建议。探讨了患者和医生人格对医疗事故的影响。提供了参考文献摘要，根据人格对患者行为进行了描述和分类。
