查詢結果分析
來源資料
頁籤選單縮合
題 名 | Pessimistic Mood in Decompensated Narcissistic Patient=失償性自戀症患者的悲觀心情 |
---|---|
作 者 | 楊屏生; 黃條來; | 書刊名 | 長庚醫學 |
卷 期 | 27:4 2004.04[民93.04] |
頁 次 | 頁318-321 |
分類號 | 415.985 |
關鍵詞 | 悲觀心情; 自戀型人格違常; 失償性自戀症; Pessimistic mood; Narcissistic personality disorder; Narcissistic decompensation; |
語 文 | 英文(English) |
中文摘要 | 本文報告一位處於失償期的自戀型人格違常患者,以悲觀心情為其主要負向情緒,並分辨悲觀時情與憂鬱症在臨床表現上的差異。28歲單身女性在追求能幫她在事業上成功的理想對象過程中,屢遭挫折。之後,個案變的相當悲觀及憤世嫉俗,認為任何努力皆是徒勞無功,因此不再參與之前所熱衷的活動。個案在嘗試抗憂鬱劑治療無效後,改接受深度心理治療。心理治療兩年後,個案能以較理性及務實的態度重新結交男友而維持穩定的關係。此類個案在臨床上常被診斷為憂鬱,但其佳無自責,哀傷,罪惡感或價值感等憂鬱症狀,而呈現出以無益感,憤怒,失望為特徵的悲觀心情。因此悲觀心情可用以區分自戀性失償或憂鬱症,從而對患者採取適當的治療策略。 |
英文摘要 | We report the negative emotional state as pessimistic mood of a case with narcissistic personality disorder during the period of narcissistic decompensation. In addition, we identified the clinical differences between pessimistic mood and depressive disorder. An 28-year-old unmarried woman experienced herself; her life and the external objects as futile and disappointing after repeated failure to satisfy her grandiose fantasies about the search for ideal love. The patient then gave u her formerly gratifying activities, and fell into a prolonged state of negative emotions and passivity dominated buy pessimistic mood characterized by an overwhelming sense of futility. The patient did not respond to medical treatment with antidepressants firstly. However after a 2-year course of intensive psychotherapy, the patient was able to restore her zest to find a new boyfriend with a more rational and realistic attitude. Clinically, decompensated narcissistic patients do not exhibit the typical attitude of worthlessness or guilty feelings, and are devoid of certain specific depressive emotions(e.g., sadness, sorrow, etc.). In contrast, decompenssted narcissistic patients with pessimistic mood exhibit a dominant sense of futility and other negative emotions presented as outrage and disappointment. The purpose of this case report was to emphasize the importance to recognized clinical features of pessimistic mood for the differential diagnosis and management of the decompensated narcissistic patient. |
本系統中英文摘要資訊取自各篇刊載內容。