[Psychogenic pain conditions. Defense structure and taxonomic subgroups].
According to the results of the prospective Grant-Study the maturity of the individually available defence mechanisms has an essential influence on both physical and psychic well-being. Psychogenic pain patients are characterized by a "turning against self": an immature defense mechanism. By means of a cluster analysis, three taxonomic subgroups (types A, B, C) were defined. Type A is characterized by immature defense mechanisms (projection, turning against self and against object) and type C by neurotic defances (reaction formation and intellectualization), whereas type B manifests both intellectualization and a turning against self. Raised scores for anxiety, abnormal illness behaviour, depressive self-image, depressive mood and suicidal ideas are additional features which distinguish types A and B from type C. In contrast to type B, type A shows a negative social resonance, "doctor shopping" and drug abuse. The diagnostic differentiation of types A, B and C could be the basis of a differential indication to the different psychotherapeutic treatment approaches to chronic pain patients.
Egle
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UT
Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universität Mainz.
Porsch
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D000328:Adult; D003674:Defense Mechanisms; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000145:classification / Q000523:psychology*; D010555:Personality Inventory / Q000706:statistics & numerical data; D010817:Physician-Patient Relations; D011574:Psychoanalytic Theory; D011594:Psychometrics; D011602:Psychophysiologic Disorders / Q000145:classification / Q000523:psychology*; D012649:Self Concept; D012803:Sick Role; D013001:Somatoform Disorders / Q000145:classification / Q000523:psychology*
Psychogene Schmerzzustände. Abwehrstruktur und taxonomische Subgruppen.