Psychosocial Aspects of Mastectomy: II. The Man's Perspective
Psychosocial Aspects of Mastectomy: II. The Man's Perspective
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乳房切除术的心理社会方面：II。
DOI：
10.1176/ajp.135.5.543
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发表时间：
1978
影响因子：
17.7
通讯作者：
R. Pasnau
中科院分区：
文献类型：
--
作者：
D. Wellisch;K. Jamison;R. Pasnau
为了评估与记忆对乳房切除及其后果的适应有关的因素，作者对31名妻子或伴侣曾行乳房切除术的男性进行了问卷调查。大多数男性报告了良好的整体调整，但一个亚组仍然苦恼，并报告了他们与妻子或情人的关系的不利影响。数据表明，这个过程中的节点是伴侣参与决策过程，医院访问的频率，性关系的恢复，以及男人在“手术后”看着他的伴侣。这些发现对那些面临这种情感压力的夫妇的咨询有很大的帮助。乳腺癌和乳房切除术的P5心理社会效应以乳头效应的形式从患者延伸到她的配偶，并最终延伸到整个家庭系统。这种疾病和程序的冲击对妇女来说是极端的。对配偶来说，这可能只是稍微少一点。随之而来的危机往往影响深远。因此，一个重要的问题是婚姻关系的结构将如何适应乳房切除术产生的冲击波。这是一个相对未开发的领域。尽管最近的一些研究评估了接受乳房切除术的妇女的心理社会压力和适应能力。这些研究（1-5）已经认识到女性重要他人的关注和调适，但系统研究还有待深入。本研究探讨了男性对女性乳房切除术的心理、心身和性反应的多个方面。对这些男性的女性伴侣进行了一项平行研究，评估了相同的基本领域（6）。在这项研究中，对41名妇女进行了评估，其中30人与本研究中的男子结婚，其中1人与男性受访者同居。
In order to assessfactors related to mnemi's adjustment to mastectomny and its aftermath the authors administered a questionnaire to 31 men whose wives orpartners had hadnastectomies. Most men reported a good overall adjustment, hut a subgroup remained distressed and reported adverse effects on their relationships with wives or lovers. The data indicate that the nodal points in the process are the involvement ofpartners in the decision-making process , the frequency ofhospital visits , resumption of the sexual relationship, and the man looking at his partners hod�' after surgen'. Thesefindings hate i,nplications for counseling couples whoface this emotionally stres.sful procedure. THE P5YCHOSOCIAL effects of breast cancer and mas- tectomy extend in a nipple effect from the patient to her spouse and ultimately to the entire family system. The shock of this illness and procedure is extreme for the woman. It is perhaps only slightly less so for the spouse. The ensuing crisis is frequently of profound proportions. Therefore, an important question is how the structure ofthe marital relationship will accommo- date the shock waves generated by the mastectomy. This is a relatively unexplored area. although a few recent studies have evaluated the psychosocial stresses and adaptations of women who have under- gone mastectomy. These studies (1-5) have recog- nized the concerns and adjustments of the women's significant others, but systematic research remains to be done. The present study examines multiple aspects of the psychological, psychosomatic, and sexual re- sponses of men to mastectomy in their female part- ners. A parallel study was done of the female partners of these men that assessed the same basic areas (6). In this study 41 women were assessed, 30 of whom were married to the men in the present study and 1 of whom was cohabiting with a male respondent.