RESUMO
Taking into account the follow-up of coronary heart disease patients from the acute phase of illness up to the social reinsertion the author proposes an approach whose goal is to modify Pattern A Behavior. Various approaches as behaviorism, dynamic psychology and psychoanalysis are complementary and have each one its importance in order to treat these "serious psychosomatic patients" as are coronary heart disease patients.
Assuntos
Doença das Coronárias/psicologia , Transtornos Psicofisiológicos/terapia , Psicoterapia/métodos , Personalidade Tipo A , Adulto , Assistência Ambulatorial , Doença das Coronárias/terapia , Humanos , Pessoa de Meia-Idade , Planejamento de Assistência ao PacienteRESUMO
In a clinical study on cardiac rehabilitation, the authors point out that the outcome of coronary heart disease patient is profoundly conditioned by the intensity of Pattern A behavior. The need to modify this behavior is evident.
Assuntos
Infarto do Miocárdio/psicologia , Transtornos Psicofisiológicos/reabilitação , Personalidade Tipo A , Adulto , Seguimentos , Humanos , Pessoa de Meia-Idade , Infarto do Miocárdio/reabilitação , Prognóstico , RecidivaRESUMO
The 'behavioral pattern A' and the 'B' pattern in selected groups of male populations in the framework of a prospective and predictive study of a large population of civil service employees is compared. The Personality Inventory of Lazare, Klerman and Armor and the auto-questionnaire of Bortner were used to differentiate the 'A' and 'B' group populations. Selected cards from Murray's TAT seem more appropriate in this respect and demonstrate the lack of efficiency of certain questionnaires in areas of psychosomatic research. Moreover the selected TAT card responses provide some evidences of 'pensée opératoire' or alexithymia in 'A' group subjects whatever its metapsychological implication.