这么理解对吗?
Engel (28), a psychoanalyst, described the “pain prone patient” whose unmet dependency needs led to a second “career” as a chronic pain patient with multiple needs being met in secondary gain. Psychiatrists would then try to identify these problems and treat these patients with psychotherapy . Blumer and Heilbron (29), from their observations of the high correlation between depression and chronic pain on an inpatient psychiatry unit, and the response of both these conditions to tricyclic antidepressants, integrated Engel’s concept with that of Lesse’s “masked depression” (30) to argue for a distinct entity they labeled “pain prone disorder” as a variant of affective illness.
Engel(28),一位精神分析学家,他描述了“容易疼痛的患者”,这些患者未得到满足的依赖需求导致了他的第二“职业”,作为一名慢性疼痛患者,有多种需求在继发性获益中得到满足。然后,精神病学家会尝试找出这些问题,并对这些患者进行心理治疗。Blumer and Heilbron(29)观察到精神病科住院患者的抑郁症和慢性疼痛之间高度相关,以及这两种疾病对三环类抗抑郁药物的反应也高度相关,将Engel的概念与Lesse的“被掩饰的抑郁症”(30)相结合,支持他们将“容易疼痛的障碍”标记为情感性疾病变体的独特实体。
最后编辑于 2020-12-20 · 浏览 838