Sociopathy as a human process. A viewpoint.
Sociopathy as a human process. A viewpoint.
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反社会是人类的一个过程。
DOI：
10.1001/archpsyc.1975.01760200042003
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发表时间：
1975
影响因子：
--
通讯作者：
G. Vaillant
中科院分区：
文献类型：
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作者：
G. Vaillant
我们选择了一些因重罪而入狱的吸毒成瘾者的案例，以说明克莱克利所谓的精神病患者的一些潜在动力和一些对其管理有用的原则。通常在门诊环境中，这些人似乎没有焦虑，无法体验抑郁，也没有康复的动力;但在住院环境中，这种缺陷似乎是虚幻的。一旦这种长期反社会的人被阻止“跑步”，他们与严重但完全“人类”和可理解的人格障碍的人的相似之处就变得明显了。在治疗中，外部控制很重要。既要理解精神病患者无形的焦虑的传染性，又要为这些人提供替代性的防御措施，以缓解他们的抑郁，这两点都至关重要。最后，反社会者必须现实地，但不是严厉地，面对他们行为的后果。
Case histories of narcotic addicts who also were imprisoned for felony were selected to illustrate some underlying dynamics of Cleckley's so-called psychopath and some principles useful in their management. Often in outpatient settings, such individuals seem to be without anxiety, unable to experience depression, and without motivation for recovery; but in inpatient settings, such deficits appear illusory. Once such chronically sociopathic individuals are prevented from 'running' their resemblance to individuals with severe but thoroughly 'human' and comprehensible personality disorders becomes evident. In treatment, external controls are important. It is vital both to appreciate the contagion of the psychopath's invisible anxiety and to provide such individuals with alternative defenses with which to mitagate their depression. Finally sociopaths must be realistically, but not puntively, confronted with consequences of their behavior.