概括
神经学家沃特曼在20世纪60年代在16%的患者中诊断出转化障碍,主要使用药物来缓解症状,而不是精神分析治疗.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 医学史 医学史 医学史
背景情况:
- 转换现象在1960年代的阿姆斯特丹小说中被认为比临床实践更为普遍.
- 皮特·库伊珀教授指出,对转化障碍的虚构观察与临床观察之间存在差异.
研究的目的:
- 为了研究神经学家沃特曼在20世纪60年代阿姆斯特丹对转化现象的观察.
- 了解沃特曼对转化障碍的诊断方法.
- 确定沃特曼为这些患者采用的治疗方法.
主要方法:
- 进行了对神经学家沃特曼在阿姆斯特丹1960年代的患者档案的回顾性审查.
主要成果:
- 沃特曼在3372名患者中诊断出555名患者 (16%) 患有歇斯底里或精神性神经系统症状.
- 只有6.85%的这些患者被认为有资格接受精神分析治疗.
- 大多数患者接受了药理治疗:54.95%的患者接受了二类药物,25.77%的患者接受了三环抗抑郁药.
结论:
- 沃特曼的治疗方法与柯伊珀对精神分析治疗的建议有所不同,有93%的患者没有被转诊.
- 沃特曼喜欢症状治疗,经常使用药物 (80%的病例).
- 观察到的治疗益处可能源于通过药物处方减轻患者的担忧.
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