Wöller W, Kruse J, Reister G, Winter P, Richter B, Arnolds S, Kraut D
Institut und Klinik für Psychosomatische Medizin und Psychotherapie, Heinrich-Heine-Universität Düsseldorf.
Psychother Psychosom Med Psychol. 1993 May;43(5):171-7.
In a subgroup of patients with bronchial asthma, irrational fears of cortisone medication can be observed beyond justified worries about side-effects. A cortisone image which involves overemphasizing the threatening aspects of cortisone, often underlies noncompliant illness behaviour. In the present study, cortisone image and subjectively experienced emotional support by a key figure was investigated in 62 patients, all of whom had participated in the Düsseldorf Asthma treatment and teaching programme (ATTP). The data show that patients having a supportive relationship with their key figures are less likely to experience threatening aspects of cortisone. The findings are discussed in light of psychoanalytic object relations theory.
在支气管哮喘患者的一个亚组中，可以观察到除了对副作用的合理担忧之外，还存在对皮质醇药物的非理性恐惧。一种过度强调皮质醇威胁性方面的皮质醇形象，往往是不遵医嘱的疾病行为的潜在原因。在本研究中，对62名患者的皮质醇形象以及关键人物给予的主观情感支持进行了调查，所有这些患者都参加了杜塞尔多夫哮喘治疗与教学项目（ATTP）。数据表明，与关键人物有支持性关系的患者较少体验到皮质醇的威胁性方面。根据精神分析客体关系理论对这些发现进行了讨论。
