RESUMO
Prinzmetal's angina, a form of angina precipitated by vasoconstriction or spasm, appears to be a somatic phenomenon, but there is evidence, from research and case reports, of a major psychological component. In this study, individuals with Prinzmetal's angina were interviewed to determine the nature of their interpersonal relationships and their intrapsychic state at the time of onset of their chest pain. In addition, short developmental histories were obtained. The authors found that onset of chest pain was related to experiencing intense affect, and multiple levels of interpersonal and intrapsychic conflict, with strong conscious and unconscious, emotional and ideational links to previous traumas.
Assuntos
Angina Pectoris Variante/psicologia , Emoções , Interpretação Psicanalítica , Transtornos Psicofisiológicos/psicologia , Adulto , Angina Pectoris Variante/diagnóstico , Nível de Alerta , Conflito Psicológico , Vasoespasmo Coronário/psicologia , Feminino , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Determinação da Personalidade , Desenvolvimento da Personalidade , Terapia Psicanalítica , Transtornos Psicofisiológicos/diagnóstico , Papel do DoenteRESUMO
There is continuing need for dissemination of already available, clinically useful knowledge concerning the psychological needs of the seriously ill and dying. Against the changing social context of dying, some of our erroneous assumptions about these patients are explored and the genuine fears and personal needs are discussed. The implications of this knowledge for medical education are recognized.
