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Characteristics of Body Representation and Self Consciousness in Orthognathic Surgery Patients

正颌手术患者的身体表征和自我意识特征

基本信息

批准号：
13610147
负责人：
KAJIWARA Kazumi
金额：
$ 0.7万
依托单位：
Kagoshima University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2001
资助国家：
日本
起止时间：
2001 至 2002
项目状态：
已结题

项目摘要

The aim of this study is to investigate characteristics of the manner of experiencing one's own face in orthognathic surgical patients.1. A group of patients with mandibular prognathism (28 males and 47 females, 21.8 years) was compared with a control group of university students without facial discrepancy (51 males 77 females, 20.8 years) on self-evaluation of facial appearance, psychosocial distress caused by it, the degree and the manner of self-acceptance, personality traits on each scale of MMPI preoperatively. Results were as follows: (1) Most of the patients had severe facial complaints, especially in females with the lower face and the facial length, (2) facial complaints showed no significant correlation with the severity of mandibular prognathism, (3) patients had difficulty in accepting themselves in a body-appearance region, (4) two different manners of representing one's own face were found, i.e., one toward negation of him/herself and the other based on objectification of him/herself, and the fact that patients tended to use the former led them to psychosocial distress or social maladjustment.2. Twenty-five patients' Rorschach responses were examined in terms of a manner of approach. As to location, high percentage of Dd (unusual detail response) was found, many dr (rare detail) and dd (tiny detail) responses characterized patients' attitudes toward ambiguous stimuli. Arbitrary interpretation and tendency to stick to the limited perspective were found to be their manner of representing problems.3. Patients retrospected their experiences for one year after operation as a process of becoming a person with 'ordinary' facial appearance, and it was suggested that postoperative dissatisfaction resulted from psychological disturbance immediately after operation, others' attitudes towards a change of patient and his/her way of perceiving them.

本研究旨在探讨正颌外科患者体验自己面孔的方式特点。对下颌骨多颌畸形患者组（男28例，女47例，21.8岁）和正常对照组（男51例，女77例，20.8岁）进行术前MMPI各量表的面部外观自我评价、心理社会困扰、自我接纳程度和方式、人格特征等方面的比较。结果如下：（1）大多数患者有严重的面部主诉，尤其是女性，面部较低和面部较长;（2）面部主诉与下颌骨多颌畸形的严重程度无显著相关性;（3）患者难以接受自己在一个身体外观区域;（4）发现两种不同的表征自己面部的方式，一种倾向于否定他/她自己，另一种倾向于客观化他/她自己，而患者倾向于使用前者的事实导致了他们的心理社会困扰或社会适应不良。25例患者的罗夏测验的反应进行了检查的方式的方法。在位置上，异常细节反应（Dd）比例较高，以罕见细节反应（dr）和微小细节反应（dd）为主。任意的解释和倾向于坚持有限的视角是他们呈现问题的方式。患者将术后一年的经历作为一个逐渐成为“普通人”的过程进行回顾，认为术后不满意的原因是术后即刻的心理障碍、他人对患者的态度变化以及患者对患者的认知方式。